Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality Reportl Provide ward scorecard on riskassessment compliance (monthlyreport to Clinical Leaders meeting)l Update patient information includingpatient story filmReducing catheter associatedurinary tract infectionsLess than 1.5% (1.25%) of hospitalinpatients surveyed using the nationalNHS Safety Thermometer tool in2012/13 had a new catheter relatedurinary tract infection during admission.This compares to a national acute trustaverage score of 1.56%.Quality improvements in year andaction plan priorities for 2013/14l Education and training, includingward based training and specificcompetencies have been improved.Within the Trust there are NursePractitioners with well-establishedpractice and competencies forcatheter insertion. Further work withthe Trust’s Professional DevelopmentTeam and external agencies andhealthcare organisations will continuein 2013/14l Policies for insertion and managementof urinary and supra pubiccatheters. Workstreams on policydocumentation, criteria for urinarytract infections, risk assessments andreview/removal procedures have beenled by the Infection Control Team.A full review of the Urinary CatheterManagement Policy has taken place,and a revised policy approved. Thenew policy includes the agreeddiagnostic criteria and reason forcatheter use. Recommendations forreview of use and consideration forremoval have also been incorporatedinto the policy. All tenets of the policyare reflected in a new pathway tool,which has also been incorporated intonew documentationl Compliance and documentation.Clinical leadership has been supportedby the Continence Group, the InfectionControl Directorate Leads and theClinical Leaders in compliancewith the NHS Safety Thermometerscorecardl Recording. To further improvedocumentation, and facilitate theaudit of compliance, a label to identifyinformation about urinary catheterinsertion clearly within the healthcarerecords has been formatted, and iscurrently in use. The initial responsehas been favorable and an audit of useis in progress. Further work is requiredto gain an overall view of compliancewith use of urinary devicesAnnual Report and Accounts 2012/13 63