Paper 02 - NHS Ayrshire and Arran.

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Sustainable improvement (shift of nine data points) noted in pilot theatre forperioperative glucose control. This has not yet impacted on progress in othertheatres and learning from the improvement achieved by the pilot theatre willsupport other theatre teams.Although this measure appears to be experiencing less variation, there areongoing issues which prevent consistent achievement of >95% compliance innormothermia management postoperatively. The team are testing differentapproaches to achieve a reliable process for maintenance of patient temperature inthe post operative period.4 of 8
Reliable process is now evident in the pilot theatre. Reduced variation is becomingevident in compliance with perioperative briefings across a number of theatres, andwhilst there is a trend of improvement in the spread theatres, sustainedimprovement has not been achieved.2.6 Heart Failure BundleProgress being made in relation to the Heart Failure bundle work is being led byone of the current cohort of SPSP Fellows. It is anticipated that testing of newapproaches will lead to improved processes that can be evidenced throughmeasurement of compliance and included for national reporting in the near future.2.7 SPSP Paediatric ProgrammeThe SPSP Paediatric Programme has been embraced by the paediatric wardteams at Crosshouse Hospital with change packages and measurement plansbeing taken forward with improvement methodology. The multidisciplinary team isengaged in a variety of improvement activities to drive forward the programme andis beginning to monitor and report progress on performance on the ClinicalImprovement Portal.2.8 Sepsis/VTE CollaborativeSPSP launched the Sepsis/VTE Collaborative in January 2012 as a further steptowards driving forward the programme aims of 15% reduction in mortality and30% reduction in harm. In NHS Ayrshire & Arran this has led to the forming of twomultidisciplinary teams to support the progress of improvement work being takenforward by current SPSP Fellows. Testing of improved practices and processes tosupport the change packages is underway and Plan, Do, Study, Act (PDSA) cyclesare being adopted and monitored to guide the learning and progress of the work.This work will contribute to national data reporting as the programme progresses.5 of 8
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Paper 02 - NHS Ayrshire and Arran.

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