January 2012 - Sandwell & West Birmingham Hospitals

SWBTB (1/12) 275 (a)
3.2 Nursing Quality Audits
Audits are conducted on all adult in patient areas where the patient stay is usually longer
than 12 hours (excludes Critical Care) by peer reviewers and quality assured by the nursing
division. The audit is in 2 parts:
‐ Observation of care
‐ Record keeping of care
There has been improvement against most standards again in the quarter.
Observed care comparison December September
Comparison of Trust Wide Data from the audits undertaken in September 2011 and December 2011
Part A: General and Observation of Care
September 2011
(Base: 48 wards/units)
Not
observed
December 2011
(Base: 49 wards/units)
Not
Observed
Yes No removed Yes No removed
Generic 89% 11% ‐ 93% 7% ‐
Observations of Care 91% 9% ‐ 97% 3% ‐
Promoting health and well being 81% 19% ‐ 76% 34% ‐
Bladder and Bowel care (HIA‐8) 89% 11% ‐ 97% 3% ‐
Environment and staff 89% 11% ‐ 94% 6% ‐
Self care 91% 9% ‐ 94% 6% ‐
Eating and drinking (HIA‐3) 91% 9% ‐ 94% 6% ‐
Safety (HIA‐2) 88% 12% ‐ 95% 5% ‐
DSSA compliance 67% 33% ‐ 84% 16% ‐
Records of care comparison December September
Comparison of Trust Wide Data from the audits undertaken in September 2011 and December 2011
Part B: Patients being risk assessed against prescribed benchmarks
September 2011
(Base: 524 patients)
December 2011
(Base: 571 patients)
Yes No Spoilt Yes No Spoilt
Pressure Ulcers 92.4% 1.4% 6.2% 97.4% 1.6% 1.0%
Safety(falls) 92.4% 1.6% 6.0% 98.6% 0.7% 0.7%
Bladder & Bowel Care 91.2% 3.4% 5.4% 97.5% 1.6% 0.9%
Communications 90.8% 3.4% 5.8% 97.5% 1.9% 0.6%
Personal Hygiene/Self care 91.2% 3.1% 5.7% 96.8% 2.1% 1.1%
Manual Handling 90.8% 3.4% 5.8% 95.6% 3.3% 1.1%
Pain 90.1% 4.3% 5.6% 95.4% 3.7% 0.9%
Oral Hygiene 92.3% 2.0% 5.7% 98.2% 1.4% 0.4%
Record Keeping (mean value) 82.1% 11.7% 6.2% 87.8% 11.1% 1.1%
Mental Health 82.9% 11.3% 5.8% 87.4% 11.9% 0.7%
Nutrition 81.1% 12.9% 6.0% 89.3% 10.0% 0.7%
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