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Published byAmice Mitchell Modified over 9 years ago
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Lindsey Webb, Director of Nursing and Governance
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Our vision: To be the first choice for orthopaedic services for patients, carers and commissioners
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The Fortunes of Leading Brands
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National drivers Quality, Innovation, Productivity and Prevention (QIPP) Commissioning for Quality and Innovation (CQUINs) National contract Quality Accounts High Impact Interventions Essence of Care Safety Thermometer Energise for Excellence
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Local drivers Organisational strategy and ambition Needs of the population Feedback from patients, carers and the public Patient safety issues Clinical outcomes Risks
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External challenges
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Internal challenges
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Leadership Team Culture Evidence Assurance Triangulation Developing a quality service
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Don’t just rely on the numbers Be mindful of hitting the target and missing the point! How does it look/feel? What story is it telling you? Consider the ‘so what’ factor Share and communicate Engage with staff – formally/informally Celebrate success Challenge complacency Remember - it can always be better Lessons learnt
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Catheter associated urinary tract infections
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On average every incidence of HA-UTI incurs an additional cost of £1, 563 per patient and blocks a bed for an extra 6 days Plowman et al 1999 12.6% of patients are catheterised Cited in epic guidelines, 2001 21 % ROHFT Incidence CAUTI 7.3% hospitalised patients Plowman R et al. 1999 32 % ROHFT CAUTI Problem…
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Cost of additional nurse care£539.43 Cost of microbiology£10.60 Cost of additional antimicrobials£4.71 Additional length of stay costs£627.76 Additional consumables£82.45 Other additional costs (Plowman model) £298.05 Cost of one CAUTI £1,563 each At a CAUTI rate of 32% total annual cost: £185,997
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Strategy … Aseptic Non-Touch Technique Chain of Prevention Trial silver catheters
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Bone Infection Unit
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After….
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If you think you’re too small to make a difference you’ve obviously never been in a room with a mosquito!!!
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