Quality Account 2010/11 - James Paget University Hospitals

More documents

Recommendations

Info

Current position: Patient Falls 120 111 Monthly Total (Total = 1063) Trajectory 111 Number of Incidents 100 80 60 40 99 96 92 91 88 85 83 78 76 76 76 76 76 76 76 76 76 76 75 76 76 49 20 0 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Month and Year During 2010/11 18 patients suffered a fracture as a result of a fall whilst in our care; 14 hip fractures, 1 fractured nose, 1 fractured shoulder and 2 fractured wrists. All of these incidents were comprehensively investigated. A number of significant improvements have been achieved during 2010/11 to help reduce inpatient falls. These include: • Significantly raised awareness • 10 Key Responsibilities for falls prevention • Revised documentation in all ward areas • Communication cascade regarding falls prevention care • Assistive Technology – Sensor Care Trigger Alert • Patient Safety Action Planning & Development Day for nursing staff • Dedicated resource to support the change process • Refocussed Trust Falls Steering Group • Redesign of mandatory training package and inclusion of falls prevention in induction • Hospital at night (H@N) team link nurse involvement to achieve promotion of the standards 24/7 • Allocation of Strategic Workforce Investment Fund for Tomorrow (SWIFT) funding for falls prevention • Increased regional networking – proposal for standardised practice expectation across Norfolk. However, there remain a number of concerns including: • Volume of in-patient falls; • Volume of fractures sustained as a result of an in-patient fall; and • Current capacity and demand issues and perceived impact on ability to maintain prevention standards. James Paget University Hospitals NHS Foundation Trust Quality Account 2010/11 Page 8 of 62
The further reduction in in-patient falls will be achieved by embedding the 10 key responsibilities below: Case Study 1: Assistive Technology Technology is also a part of our falls prevention work. The Trust has recently invested in a sensitivity trigger alarm system called Sensor Care. The Sensor Care Alarm System is a device that has been developed to alert staff when a patient at risk of falls has moved from their bed or chair. The device works by having a sensitivity plate under the bed mattress or chair cushion. The sensitivity level on the plate is programmed in accordance with the patient’s size. When the patient stands up or moves sufficiently to change the sensitivity level an alert is created through a bleep which is specifically paired with the plate or cushion e.g. if bleep 1 alarmed, it would be telling you that the patient on mattress 1, is trying to get out of bed or has succeeded. This acts as an alert to investigate what the patient is doing and therefore reduce the level of risk of the patient falling if you didn’t know they were moving. At the current time we have enough systems to cover the top floor of the hospital. A bid is being developed to try to extend this to cover all areas of the hospital. Lowestoft Hospital already has the sensor care system in place. James Paget University Hospitals NHS Foundation Trust Quality Account 2010/11 Page 9 of 62
Page 1: James Paget University Hospitals NH
Page 4 and 5: Contents Page Foreword by Chief Exe
Page 6 and 7: The old and the very young are know
Page 8 and 9: Statement of directors' responsibil
Page 12 and 13: Priority 1b: Patient safety - Reduc
Page 14 and 15: Five work streams have been agreed
Page 16 and 17: No Commissioning for Quality and In
Page 18 and 19: No Commissioning for Quality and In
Page 20 and 21: The services provided by James Page
Page 22 and 23: Clinical Audits Audit Name Applicab
Page 24 and 25: (NHSBT UK Transplant Registry) Audi
Page 26 and 27: Case Study 2: Upper Gastrointestina
Page 28 and 29: The Trust has a dedicated lead for
Page 30 and 31: NHS number and GMC code validity Ja
Page 32 and 33: What others say about the Trust Car
Page 34 and 35: Current Position: Inpatient Pressur
Page 36 and 37: Metric 3 - Venous Thromboembolism (
Page 38 and 39: Monthly CVC BSI Rates 14 12 Rate of
Page 40 and 41: Metric 8 - Nutrition & Hydration Ma
Page 42 and 43: Patient Safety Incidents As at 18 t
Page 44 and 45: Never Events Never Events are serio
Page 46 and 47: Existing Commitments and National P
Page 48 and 49: Patient Experience National In-pati
Page 50 and 51: An action plan has been developed f
Page 52 and 53: Maternity National Survey The respo
Page 54 and 55: Question Area Conclusions Recommend
Page 56 and 57: Case Study: Health Service Ombudsma
Page 58 and 59: Patient Experience Measures Patient
Page 60 and 61:
• 100 Key Scores Comparison 90% 8
Page 62 and 63:
NHS Great Yarmouth & Waveney NHS Gr
Page 64:
Glossary of Abbreviations A&E C dif
show all

Quality Account 2010/11 - James Paget University Hospitals

Create successful ePaper yourself

Delete template?

Save as template?