Northampton General Hospital NHS Trust Quality Account 2016-2017

On observation, are care rounds in operation on the ward?
Do staff ask you the care round questions every 1-2 hours?
100%
98%
96%
94%
92%
90%
88%
86%
Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17
The key actions in place to support further improvements in the reliable
completion of Intentional Rounding are:
A task and finish group for Intentional Rounding (essential care rounds) has
been established. A revised Intentional Rounding tool is being developed
using Quality Improvement methodology.
An Intentional Rounding Best Practice Guideline is being developed,
incorporating guidance for completion.
Placemats are on each Adult in-patient bed table with information for
patients and carers on Intentional Rounding.
A patient bedside booklet including information on Intentional Rounding has
been developed.
We said we would: Provide care that is safe by reducing in-patient falls with harm.
What we achieved:
What: To reduce the number of in-patient falls with harm compared with 2015/2016
How Much:
The falls assessments will be completed within 12 hours of admission for 92% or
more of our patients.
Falls care plans will be completed within 12 hours of admission for 87% or more
of our patients.
We will review and improve the current process for post-fall reviews.
We will develop a delirium policy to improve the management patients with
confusion.
We will improve the medication review process for patients who are admitted with
a fall and those at risk of falls.
We will ensure that more than 85% of relevant staff have had Falls Prevention
Training.
Examples of harm occurring from falls includes:
Low harm – a graze or a bruise
Moderate harm – a fracture of a wrist or a laceration that requires sutures
Severe harm – a fracture of the hip
Catastrophic – death as a direct result of the fall
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