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Welcome to this E4E and QIPP Safe Care Measurement webex How can we use the data available to us?. The call will start at 12. Did you know that every year in England there are…. Get Staffing Right. Deliver Care. Measure Impact. Patient Experience. Staff Experience. Safer Nursing - PowerPoint PPT Presentation
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Did you know that every year in England there are…
Safer Nursing Care Tool (AUKUH)HURSTPANDABirth Rate+E Rostering
Safer Nursing Care Tool (AUKUH)HURSTPANDABirth Rate+E Rostering
Productive CareSafety Express High Impact ActionsEssence of CareNW Care Indicators
Productive CareSafety Express High Impact ActionsEssence of CareNW Care Indicators
Productive CareSafety ExpressHigh Impact ActionsNurse Sensitive Outcome Measures
Productive CareSafety ExpressHigh Impact ActionsNurse Sensitive Outcome Measures
Real-time MonitoringExperience Based DesignSingle Sex AccommodationPatient Stories
Real-time MonitoringExperience Based DesignSingle Sex AccommodationPatient Stories
High Impact Actions Real-time MonitoringHealth and Well Being
High Impact Actions Real-time MonitoringHealth and Well Being
Get Staffing Right
Get Staffing Right Deliver CareDeliver Care Measure
ImpactMeasure Impact
Patient Experience
Patient Experience
Staff Experience
Staff Experience
People often say the NHS is data rich…….
……..they’re not joking!
– Reduce• Identify what reporting requirements you have to meet
and whether this covers what you want to collect– Reuse
• Think about the overlaps, what can be collected once and reused in another collection mechanism
– Recycle• All data is useful. Use what you have already collected
in retrospective reporting
– Consider triangulating different data sources to give a broader picture
– If you’re going to undertake a new data collection start by carefully considering what you need to answer your question
– Design a collection tool that minimises burden and maximises data quality (i.e. keep it simple!)
Has anyone on the call succeeded in using data to show improvement?
Or have you made some brilliant improvements which you are struggling to
show in your data?
Administrative Point of Care Case Note Review Incident Reporting
Pressure Ulcers
HES at 0.3% (underreported)
No categoryPrevalence
Safety Thermometer 8%Category II – IVPrevalence and
incidenceData over time
each month
Global Trigger Tool ??
Local audit carried out yearly by the TVNs – 3%
incidence
Category III – IV40 on NRLS
(underreported?)
Falls No admin data Safety Cross completed each month – no data
over timeSafety
Thermometer – variation 0 – 2.5%
Global Trigger Tool??
Falls reported through NRLS
35 falls reported last year
Catheters & UTIs
No admin data Safety Thermometer 16%
catheters, 2% catheter and UTI
Yearly audit of catheters
No data
VTE HES at 1% patients with VTE
UNIFY 85% risk assessed
Safety Thermometer
68% risk assessed 66% prophylaxis
2% new VTE
Global Trigger Tool??
Diagnosed with VTE 0.2%
New VTEs after surgery reported
in NRLS3 reported last
year
Administrative Point of Care Case Note Review Incident Reporting
Pressure Ulcers
HES at 0.3% (underreported)
No categoryPrevalence
Safety Thermometer 8%Category II – IVPrevalence and
incidenceData over time
each month
Global Trigger Tool ??
Local audit carried out yearly by the TVNs – 3%
incidence
Category III – IV40 on NRLS
(underreported?)
Falls No admin data Safety Cross completed each month – no data
over timeSafety
Thermometer – variation 0 – 2.5%
Global Trigger Tool ??
Falls reported through NRLS
35 falls reported last year
Catheters & UTIs
No admin data Safety Thermometer 16%
catheters, 2% catheter and UTI
Yearly audit of catheters
No data
VTE HES at 1% patients with VTE
UNIFY 85% risk assessed
Safety Thermometer
68% risk assessed 66% prophylaxis
2% new VTE
Global Trigger Tool -
Diagnosed with VTE 0.2%
New VTEs after surgery reported
in NRLS3 reported last
year
Administrative Point of Care Case Note Review Incident Reporting
Pressure Ulcers
HES at 0.3% (underreported)
No categoryPrevalence
Safety Thermometer 8%Category II – IVPrevalence and
incidenceData over time
each month
Global Trigger Tool ??
Local audit carried out yearly by the TVNs – 3%
incidence
Category III – IV40 on NRLS
(underreported?)
Falls No admin data Safety Cross completed each month – no data
over timeSafety
Thermometer – variation 0 – 2.5%
Global Trigger Tool ??
Falls reported through NRLS
35 falls reported last year
Catheters & UTIs
No admin data Safety Thermometer 16%
catheters, 2% catheter and UTI
Yearly audit of catheters
No data
VTE HES at 1% patients with VTE
UNIFY 85% risk assessed
Safety Thermometer
68% risk assessed 66% prophylaxis
2% new VTE
Global Trigger Tool -
Diagnosed with VTE 0.2%
New VTEs after surgery reported
in NRLS3 reported last
year
Administrative Point of Care Case Note Review Incident Reporting
Pressure Ulcers
HES at 0.3% (underreported)
No categoryPrevalence
Safety Thermometer 8%Category II – IVPrevalence and
incidenceData over time
each month
Global Trigger Tool ??
Local audit carried out yearly by the TVNs – 3%
incidence
Category III – IV40 on NRLS
(underreported?)
Falls No admin data Safety Cross completed each month – no data
over timeSafety
Thermometer – variation 0 – 2.5%
Global Trigger Tool ??
Falls reported through NRLS
35 falls reported last year
Catheters & UTIs
No admin data Safety Thermometer 16%
catheters, 2% catheter and UTI
Yearly audit of catheters
No data
VTE HES at 1% patients with VTE
UNIFY 85% risk assessed
Safety Thermometer
68% risk assessed 66% prophylaxis
2% new VTE
Global Trigger Tool -
Diagnosed with VTE 0.2%
New VTEs after surgery reported
in NRLS3 reported last
year
ResearchJudgementImprovement!!
• View data over time
• View different data sources side by side
• Look for similarities and understand the reasons for differences; don’t be afraid of uncertainty
– Plot as you go; set up a spreadsheet to help you– The more the better; try to measure as often as possible– Print and scribble; annotate your charts to add context
and additional qualitative information– Display your charts for all to see– Assess trends, not absolute numbers– Use run chart or SPC methods to help detect a change– Embrace your analytical resource……
Julie Jones, Patient Safety Lead, Birmingham Community Health Care NHS Trust www.ihi.org for advanced measurement for
improvement
WEST MIDDLESEX UNIVERSITY HOSPITAL NHS TRUSTLONDON SHA
Total falls
Show national benchmark
All
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
Pressure ulcers
0%
1%
2%
3%
4%
5%
6%
7%
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
Falls
0%
5%
10%
15%
20%
25%
30%
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
% patients with catheter % patients with catheter AND UTI
Catheters
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
% patients assessed % patients given prophylaxis
VTE
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
No Harms 1 Harm 2 Harms
Harm free care
Total number of patients at selected organisation surveyed to date: 1069Safety Thermometer Results
DashboardStep 1: select SHA Step 2: select organisation
All Total falls
Patients with a new VTE
0%
1%
1%
2%
2%
3%
3%
4%
4%
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
Has anyone on the call succeeded in using data to show improvement?
Or have you made some brilliant improvements which you are struggling to
show in your data?
Are there any gaps in the data you collect?