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Jan Warner Director of Patient Safety and Performance Assessment

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a measure how much by when Study. review spread Act. Networks ... Study 1 patient, 1 nurse, 1 shift learn and adapt. Act spread ... – PowerPoint PPT presentation

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Title: Jan Warner Director of Patient Safety and Performance Assessment


1
Jan WarnerDirector of Patient Safety and
Performance Assessment
Health and HomelessnessSharing the Learning
2
NHS QIS is
  • A Special Health Board set up in 2003
  • Independent in our advice, assessment and
    recommendations
  • Focus on Implementation and Improvement

3
Our approach is
  • evidence-based
  • set within the Scottish Government policy context
  • open and transparent
  • collaborative

4
We
  • provide advice and guidance
  • facilitate the implementation of continuous
    improvement
  • assess performance, following up and reporting on
    our findings

5
Context health inequalities
Right Blood Right Patient _at_ Right Time
6
Today is an opportunity to
  • consider if and how we can add value to your
    work, particularly in improving services for the
    homeless
  • share examples of our work
  • learn more about existing work on quality
    improvement in health and homelessness
  • look ahead

7
Improvement model
  • an aim what impact Plan
  • a method what action Do
  • a measure how much by when Study
  • review spread Act

8
Networks
  • Accountable officers - Risk Managers
  • Sexual health leads - midwives
  • Suicide reviews - Non execs
  • AHPs - PD nurses
  • 20 x managed clinical/care networks

9
Improvement Example 1
Plan to reduce ventilator acquired
pneumonia Do raise bed heads daily sedation
vacation Study 1 patient, 1 nurse, 1 shift
learn and adapt Act spread Result 120 days
without a VAP in intensive care
10
Improvement Example 2
Plan introduce new controlled drug
regulations Do set up network and
prioritise Study 1 change, 1 area learn and
adapt Act spread through network Result safer
practice fewer errors
11
Times of change
12
Improvement Example 3
Plan reduce suicide in patients using mental
health services concentrate on post
discharge Do provide additional support in
week 1 post discharge Study 1 area learn and
adapt Act spread Result 24 reduction over
14 months
13
Adding value ?
  • Improvement methodology
  • Reliability
  • Implementation
  • ?through Network model?

14
Testing the model HH Network PDSA
  • What could we achieve by when impact/improvement
  • How and who
  • Testing options
  • Sharing and learning

15
Getting on board
16
What next?
17
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