Скачать презентацию June 16 th 2010 Outcomes Successes Insert Скачать презентацию June 16 th 2010 Outcomes Successes Insert

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June 16 th 2010 Outcomes & Successes Insert name Nicola Williams, ABM University Health June 16 th 2010 Outcomes & Successes Insert name Nicola Williams, ABM University Health Board Presenter: of presentation on Master Slide

The SKIN Bundle Works! • Significant Reduction in incidents of all grades of pressure The SKIN Bundle Works! • Significant Reduction in incidents of all grades of pressure sores (from grade 1) • Increasing Days Between Pressure Ulcer Incidents • Delivered in partnership with patient & family Outcomes & Successes

How do we know? Hospital / Ward Type Days Since Pressure Ulcer developed on How do we know? Hospital / Ward Type Days Since Pressure Ulcer developed on ward POW Wd 2 Medicine 375 POW Wd 8 Surgery 270 POW Wd 11 Gynaecology 287 POW Wd 18 Rehabilitation 375 POW Wd 19 Rehabilitation 376 POW Wd 20 Rehabilitation 406 POW Wd 5 Stroke Care 190 Morriston CCU Coronary Care 198 Morriston Ward E Neurosurgery 291 Morriston Danino Cardiac 375 Moriston Ward B Orthopaedic 454 Morriston Wd F Stroke 201 Morriston Cyril Evans Cardiac 213 Morriston Wd W Orthopaedic 185 Morriston Cardiac HDU Cardiac High Dependency 217 Outcomes & Successes

Outcomes & Successes Outcomes & Successes

Outcomes & Successes Outcomes & Successes

Outcomes & Successes Outcomes & Successes

Outcomes & Successes Outcomes & Successes

BUT. . . . • • • We are still on the journey The BUT. . . . • • • We are still on the journey The Human Factor is vital Patient / family true partners Visible leadership & support at all levels Organisational Commitment Continual Feedback Outcomes & Successes

Whole system approach • • • Assessment Areas Primary Care Critical Care Theatres & Whole system approach • • • Assessment Areas Primary Care Critical Care Theatres & Maternity Pressure relieving devices / Mattresses Stepping patients down Outcomes & Successes

Ward to Board Reporting • Ongoing visual measures critical to success reporting through performance Ward to Board Reporting • Ongoing visual measures critical to success reporting through performance framework from ward level to Board • Ward – Directorate – Locality – Board Dashboard with enquiry • Full investigation of EVERY Incident – lessons learnt shared with team & wider • Celebrate Success Outcomes & Successes

Culture Shift Pressure Ulcers Happen We can stop Pressure Ulcers from Occurring Pressure Ulcers Culture Shift Pressure Ulcers Happen We can stop Pressure Ulcers from Occurring Pressure Ulcers do not happen here Outcomes & Successes

Culture Shift • • Passive Acceptance – Active Avoidance Organisation Wide Aim Full Active Culture Shift • • Passive Acceptance – Active Avoidance Organisation Wide Aim Full Active Ward to Board Commitment Pride Outcomes & Successes

We are not at Zero Yet. . . 5 Incidents in May. . . We are not at Zero Yet. . . 5 Incidents in May. . . We are well on our way! Outcomes & Successes