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Welcome to this E4E and QIPP Safe Care Measurement webex What do all of the harm measures mean?. The call will start at 12. Did you know that every year in England there are…. Welcome and Introductions. People often say the NHS is data rich……. ……..they’re not joking!. - PowerPoint PPT Presentation
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Did you know that every year in England there are…
Complaints
Audit data
Adverse incident reporting
Productive ward data
Risk assessments
Safety Cross
Performance data
Global trigger tool
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
Complaints Patient derived, view from the patient perspective
Qualitative data can be hard to interpret
Audit Clear purpose and definition of data collection
Difficult to re-use in wider context
Adverse incidents Well established reporting process with standards
Variation in reporting culture and standards
Productive ward Lots of high quality detail We don’t always record it centrally or consider it useful in the wider context
Safety cross Immediate access, simple to use, quick
We don’t always record to use after patient has left the ward
Performance data Everyone reports it so we can use it for benchmarking
Specific definitions may not fit with our requirements
Case note review
Incorporates details of the whole care episode, not just what happened on our ward
Time intensive
– 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!)
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 – IV1% on NRLS
(underreported)Data over time
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
What measures do you find the most useful for improvement work?
Are there any gaps in the data you collect?
Have you been able to use data to show improvement?
