Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality ReportThe Department of Health have alsorecently produced their own equivalent ofHSMR - the Summary Hospital MortalityIndicator (SHMI), which includes deathsin the 30 day period following dischargefrom an acute hospital.The chart above shows the mostrecent SHMI report available from theDepartment of Health for the Trust. ASHMI value of 1 represents an average“expected” value and therefore a scorebelow 1 demonstrates a better thanaverage position.The Trust has taken the opportunity towiden its review of mortality in 2012/13and has initiated a Mortality Improvementthrough Clinical Engagement (MICE)group, chaired by the Director of Nursingand Midwifery. This draws togetherseveral significant strands of workincluding the work of the Mortality Groupdescribed above. The other programmesdrawn under this umbrella includeSeven Day Working, End of Life Care,the Deteriorating Patient and SpecialistMortality Reviews.The current focus of the latter componenthas been our work in managing sepsis. ASepsis Group was formed in early 2012and has undertaken significant work in anumber or areas including:l Sepsis card introducedl New fluid chart introducedl Sepsis added to educationprogrammes for all medical staffThere has been a substantial reduction inmortality attributed to sepsis in 2012/13in an environment of an increase in thenumber of patients admitted with sepsiswithin their diagnosis. To ensure ongoingquality improvement the action plan forthe year ahead includes:l To continue to raise awarenessthrough education and training forclinical staffl Develop additional continuingmulti-professional education and skillslab trainingl Audit antibiotic arrangements andsepsis pathway management - withparticular focus on EmergencyDepartment proceduresl Development and introduction of asepsis management pack to supporttimely patient carel Arrange a Sepsis Champion forumto enable sharing and disseminationof quality improvement ideas andinitiativesl Undertaken regular audits to reviewpracticeAnnual Report and Accounts 2012/13 79