Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality Reportl Recording of urinary tract infectionrates. The data that has beenprovided by the wards as part of themonthly NHS Safety Thermometerdata collection is validated by theInfection Control Nurses. The datanow provides the Trust with a routinereport which will support prevalence ofcatheter use and infection rates. Thisalso allows further development ofWard to Board reporting, comparisonby ward and, also benchmarking withother similar trusts.Our quality p riorities for2013/14In order to identify priorities for qualityimprovement in 2013/14, we have used awide range of information sources to helpdetermine our approach. These includegathering the views of patients, publicand carers using real-time feedback;collating information from claims,complaints and adverse incidents; andusing the results of internal and externalclinical audits and patient surveys to tellus how we are doing in relation to patientcare, experience and safety. We havealso used risk reports and listened towhat staff have told us during ExecutiveDirector Patient Safety Walkrounds.We have considered the results of thenational staff survey to help us decidewhere we need to focus our qualityimprovement efforts and actions. Wehave also taken on board the nationalpicture for patient safety and collaboratedwith other acute Trusts (as part of SouthWest networks and NHS QUEST) to lookat how joint initiatives may be undertakenand best practice developed together.The Trust has formally consulted withkey stakeholders (general public,governors and commissioners) to helpidentify quality improvement prioritiesfor 2013/14. Priorities have beenconsidered with clinical staff as part ofservice delivery and clinical governancemeetings.Following consultation, the Boardof Directors have agreed that thepriorities for 2013/14 should be furtherimprovement in:l Reducing Harm from Inpatient Fallsl Reducing Harm from HospitalAcquired Pressure Ulcersl Reducing Urinary Tract Infectionscaused by cathetersl Reducing Hospital Acquired VenousThromoboembolism (VTE blood clots)The rationale for adopting the samepriorities for 2013/14 as 2012/13 hasbeen endorsed by the Board of Directorsand Council of Governors and is to ensureeffective implementation of all new qualityinitiatives and to focus on embedding andsustaining change.A specific objective is to improve on2012/13 compliance and achieve anaverage of 95% ‘harm free’ care for2013/14. A further objective is to reducethe 2012/13 NHS Safety Thermometerbaseline number of hospital acquiredsevere harms from falls and pressureulcers by 50% in 2013/14.The Trust will continue to monitor ‘harmfree’ care using the Safety Express NHSSafety Thermometer tool across allward and inpatient areas. All inpatientareas will continue to complete theNHS Safety Thermometer tool eachmonth and this tool will be enhancedto include monthly risk assessmentcompliance data. Data collection and‘harm free’ care performance will continueto be reported monthly to the Trust’sHealthcare Assurance Committee andBoard of Directors as part of a QualityDashboard. Where the information isavailable the Trust will review complianceagainst published national and localbenchmarking.64Annual Report and Accounts 2012/13