AH ANNUAL REPORT 2018

Improving the Quality of Care Provided:
Human factors has been cited as a contributory cause
during root cause analysis into many incidents within
the department over the past year. It was felt that a
multi-faceted approach would be the best way to
embed and sustain a change to a human factors way
or working to ensure that this becomes the “way we do
things around here”.
The quality assurance team with the assistance of
some of our clinical staff, clinicians and allied health
professionals have worked together to create a model
of implementation for human factors training which
is currently under way. This will see the development
later this year of a clinical simulation package which
support team training and communication; with the aim
to facilitate a more open culture and improvement in the
quality of care for our patients and job satisfaction for
our staff.
Improving Care for Patients Requiring Emergency
Surgery:
A full time band 7 clinical lead was introduced into
the emergency theatre last year. Since this we have
seen improvement in the flow and efficiency of the
emergency list.
A large part of improving the efficiency has been
the development of the electronic booking system
(Emergency List information System - ELIS) which
now enables staff all over the hospital to observe
who is currently waiting on the emergency list and for
what procedure without attending the department.
It also allows remote booking of patients as well as
prioritisation of list order and better oversight of how
long children have been waiting for a procedure.
ELIS was the culmination of months of work across
clinical and support teams; and the whole team were
ecstatic to be given the award for game changing
research and innovation at the annual staff awards.
Key Points of Focus For The Year Ahead:
• Creation of theatre/anaesthetics quality dashboard.
• Development of ‘in-department’ mandatory training
package for all theatre staff to access.
• Plan for human factors training development and
implementation.
• Work with the regional network to develop a peer
review strategy to support benchmarking and
consistency of care within the region.
• Embed the TRiM (Trauma Risk Management) model
of peer support within the department to enable rapid
debrief and support following traumatic incidents.
• Develop and manage a clear SOP database for the
whole department which enables us to review our
SOPs in a timely way and ensures they are easily
locatable for all staff using them.
Alder Hey Children’s NHS Foundation Trust 135
Annual Report & Accounts 2017/18