Christmas staff magazine
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Staff <strong>magazine</strong><br />
Winter 2016<br />
THE IMPROVEMENT CYCLE<br />
Make changes in cycles, testing your<br />
ideas before moving to the next cycle.<br />
P<br />
D<br />
NHS NUMBER<br />
keeping patients safe<br />
S<br />
STARTING AN<br />
IMPROVEMENT<br />
JOURNEY<br />
P<br />
D<br />
A<br />
S<br />
A<br />
What are you trying<br />
to accomplish?<br />
How will you know<br />
that a change is an<br />
improvement?<br />
What changes can you<br />
make that will result<br />
in an improvement?<br />
This is the safest and easiest way to record a patient’s<br />
identity and reduces the risk of errors.<br />
1. PLAN<br />
Think about what would you like to improve or change and why.<br />
Be clear about what you want to achieve as it will help<br />
you move through the next steps<br />
Try setting some SMART objectives<br />
Think about what the best way might be to test your idea<br />
What information do you need to collect<br />
to measure whether the change has had<br />
the impact you wanted<br />
Who needs to know about your change –<br />
think about the people it may impact on<br />
Cycles of improvement<br />
2. DO<br />
Follow your plan<br />
Deliver the change cycle over a time period that makes<br />
most sense – an hour, a day or a number of weeks<br />
Remember to collect your data<br />
Communications is important to success so make sure<br />
people understand what you are doing and why<br />
Encourage involvement and seek feedback –<br />
good and bad<br />
One of the largest single sources of nationally<br />
reported patient safety incidents relates to the<br />
misidentification of patients, according to the<br />
National Patient Safety Agency.<br />
The safest way to record a patient’s identity is<br />
to include their NHS number in their records.<br />
Staff should not use the trust identification number,<br />
known as the T number, as the sole identification<br />
of a patient. This is because patients with the same<br />
name known to the trust prior to 2001 can have T<br />
numbers with only one digit difference.<br />
Always use the NHS number if it is known.<br />
This will reduce the risk of errors in patient<br />
identification. Only use the T number if the NHS<br />
number is not available. And whether you use<br />
the NHS number or the T number, be sure to also<br />
check the patient’s surname, forename, date of<br />
birth and first line of their address.<br />
NHS number - If you have it, use it.<br />
The NHS number makes it easier to find<br />
the right patient quickly.<br />
4. ACT<br />
3. STUDY<br />
Share your learning and<br />
progress with others<br />
Think about what worked well<br />
and implement it<br />
Consider what areas may require a further change<br />
What might you need to stop doing?<br />
Start to plan your next cycle<br />
Analyse the information you collected<br />
to measure the change<br />
Determine whether your change has had the<br />
impact you want<br />
Think about what you have learnt<br />
Is there anything missing that you should consider collecting next time?<br />
Were there any unexpected benefits or implications of your change?<br />
Let the transformation team know if you are making an improvement or if you need help.