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Hospital at Night StAZ Study Trip 18 January 2009 Tim Lund Divisional Manager Skills for Health Workforce Projects Team.

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Presentation on theme: "Hospital at Night StAZ Study Trip 18 January 2009 Tim Lund Divisional Manager Skills for Health Workforce Projects Team."— Presentation transcript:

1 Hospital at Night StAZ Study Trip 18 January 2009 Tim Lund Divisional Manager Skills for Health Workforce Projects Team

2 Hospital at Night Multi-disciplinary team working: right person, risk skills, right place, right time 2003 – 2005: Piloted and evaluated. National support in partnership with the London Deanery 2008 Survey: three quarters of trusts report having H@N services The “Case for Hospital at Night: the Search for Evidence” demonstrated improved patient safety

3 Hospital at Night Update More evidence of Hospital at Night teams improving patient care Observational study at Edinburgh Royal Infirmary for 14 nights before and after implementing H@N found that: - Patients were reviewed more frequently by senior medical staff - Significant inter-specialty differences in response times eradicated - Reduction in adverse patient outcomes from 17% to 6% (Defined as unplanned transfer to critical/cardiac arrest in the 18 medical/surgical wards and the Combined Assessment Unit) Source: QJ Med 2009; 102:539-546. Author Dr D.J. Beckett et al

4 Hospital at Night and 24/7 Bid for longer term study focussing on patient safety. Partners: Imperial, London Deanery, Royal Colleges, I.C. Targeted consultancy support to trusts still trying to establish H@N Indications - 24/7 solutions and hot & cold split/team work support the quality of patient care and can sustain training

5 H@N introduced H@D&N introduced National average HSMR Data at Guy’s and St Thomas’: 2003 - 2008

6 Confidence in H@N and 24/7 Longevity 24:7 solutions appear sustainable at Homerton, Guy’s & Tommy’s, South Devon & Royal Liverpool & Broadgreen Award winning solutions in place for about two years Consistent with Quality and Productivity agenda Wide support from stakeholders for quality solutions

7 Development of H@N Tools / Support H@Nbleep system implemented in small number of trusts Robust handover systems available. We are sponsoring Salisbury to roll out H@N handover tool to 20 trusts 12 hour H@N e-learning course under development with London Deanery & DH. Core skills and curricula Opportunity for blended learning. Sustaining training vital

8 Particular Value of Simulators Full immersion Complex multi and inter-professional working Particularly when linked to effective behavioural debriefing Source: London Deanery

9 Particular Value of Simulators Full immersion Complex multi and inter-professional working Particularly when linked to effective behavioural debriefing Source: London Deanery

10 With support from

11 Salisbury H@N Handover Tool Multi-professional tool sponsored by Workforce Projects Team Designed by clinicians & developed by the users at all levels to ensure maximum utility Meets info governance and data protection requirements Provides a focus for handover. Handover list accessible across hospital by appropriate staff can be updated real-time! Source: Salisbury

12 Hospital at Night List Linked to Consultant List or can stand alone Correct patient details Management plan detailed Reason for H@N involvement Priority for review Accessed throughout the day Printed for H@N team Auditable Source: Salisbury

13 Helping to Make EWTD Manageable

14 Contacts: Information Any Questions? Contact me via: 07771 371918 0161 2662136 tim.lund@skillsforhealth.org.uk Further information: www.healthcareworkforce.nhs.ukwww.healthcareworkforce.nhs.uk


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