Open and Honest Care in your Local Hospital
|
|
- Dominic Dean
- 5 years ago
- Views:
Transcription
1 Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience and improvement data; with the overall aim of improving care, practice and culture. Report for: The Newcastle upon Tyne Hospitals NHS Foundation Trust April 216
2 Open and Honest Care at The Newcastle upon Tyne Hospitals NHS Foundation Trust : April 216 This report is based on information from April 216. The information is presented in three key categories: safety, experience and improvement. This report will also signpost you towards additional information about The Newcastle upon Tyne Hospitals NHS Foundation Trust's performance. 1. SAFETY NHS Safety thermometer On one day each month we check to see how many of our patients suffered certain types of harm whilst in our care. We call this the safety thermometer. The safety thermometer looks at four harms: pressure ulcers, falls, blood clots, and urine infections for those patients who have a urinary catheter in place. This helps us to understand where we need to make improvements. The score below shows the percentage of patients who did not experience any harms. 94.7% of patients did not experience any of the four harms whilst an in patient in our hospital 98.1% of patients did not experience any of the four harms whilst we were providing their care in the community setting Overall 95.6% of patients did not experience any of the four harms in this Trust. For more information, including a breakdown by category, please visit: Health care associated infections (HCAIs) HCAIs are infections acquired as a result of healthcare interventions. Clostridium difficile (C.difficile) and methicillin-resistant staphylococcus aureus (MRSA) bacteremia are the most common. C.difficile is a type of bacterial infection that can affect the digestive system, causing diarrhoea, fever and painful abdominal cramps - and sometimes more serious complications. The bacteria does not normally affect healthy people, but because some antibiotics remove the 'good bacteria' in the gut that protect against C.difficile, people on these antibiotics are at greater risk. The MRSA bacteria is often carried on the skin and inside the nose and throat. It is a particular problem in hospitals because if it gets into a break in the skin it can cause serious infections and blood poisoning. It is also more difficult to treat than other bacterial infections as it is resistant to a number of widely-used antibiotics. We have a zero tolerance policy to infections and are working towards eradicating them and have already made great progress; part of this process is to set improvement targets. If the number of actual cases is greater than the target then we have not improved enough. The table below shows the number of infections we have had this month, plus the improvement target and results for the year to date. Patients in hospital setting C.difficile MRSA This month 7 Annual Improvement 6 Target to date Actual to date 7* ^ * successful appeals for C.Diff For more information please visit: Further information about HCAIs and C.difficile appeals is on pages 5 and 6. ^ MRSA third party assignment agreed with CCG
3 Pressure ulcers Pressure ulcers are localised injuries to the skin and/or underlying tissue as a result of pressure. They are sometimes known as bedsores. They can be classified into four categories, with one being the least severe and four being the most severe. The pressure ulcers reported include all avoidable/unavoidable pressure ulcers that occured at any time during a hospital admission that were not present on initial assessment. This month 57 Category 2 - Category 4 validated pressure ulcers were acquired during Acute hospital stay and in the community. Number of Pressure Ulcers in our Severity Number of Pressure Ulcers in our Acute Hospital setting Newcastle Community setting Category 2 56 Category 3 1 Category 4 The pressure ulcers reported include all pressure ulcers that occurred from zero hours after admission In the hospital setting, so we know if we are improving even if the number of patients we are caring for goes up or down, we calculate an average called 'rate per 1, occupied bed days'. This allows us to compare our improvement over time, but cannot be used to compare us with other hospitals, as their staff may report pressure ulcers in different ways, and their patients may be more or less vulnerable to developing pressure ulcers than our patients. For example, other hospitals may have younger or older patient populations, who are more or less mobile, or are undergoing treatment for different illnesses. Rate per 1, bed days: 1.53 Hospital Setting In the community setting we also calculate an average called 'rate per 1, Clinical Commisioning Group population'. This allows us to compare our improvement over time, but cannot be used to compare us with other community services as staff may report pressure ulcers in different ways, and patients may be more or less vulnerable to developing pressure ulcers than our patients. For example, our community may have younger or older patient populations, who are more or less mobile, or are undergoing treatment for different illnesses. Rate per 1, Population:. Newcastle Further information about our work to reduce harms is on pages 4 and 5. Falls This measure includes all falls in the hospital that resulted in injury, categorised as moderate, severe or death, regardless of cause. This includes avoidable and unavoidable falls sustained at any time during the hospital admission. Falls within the community setting are not included in this report. This month we reported 7 fall(s) that caused at least 'moderate' harm. Severity Moderate Severe Death Number of falls 7 So we can know if we are improving even if the number of patients we are caring for goes up or down, we also calculate an average called 'rate per 1, occupied bed days'. This allows us to compare our improvement over time, but cannot be used to compare us with other hospitals, as their staff may report falls in different ways, and their patients may be more or less vulnerable to falling than our patients. For example, other hospitals may have younger or older patient populations, who are more or less mobile, or are undergoing treatment for different illnesses. Rate per 1, bed days:.19 Further information about our work to reduce harms is on pages 4 and 5.
4 2. EXPERIENCE To measure patient and staff experience we ask a number of questions.the idea is simple: if you like using a certain product or doing business with a particular company you like to share this experience with others. The answers given are used to give a score which is the percentage of patients who responded that they would recommend our service to their friends and family. Patient experience The Friends and Family Test The Friends and Family Test requires all patients, after discharge from hospital, to be asked: How likely are you to recommend our ward to friends and family if they needed similar care or treatment? We ask this question to patients who have been an in-patient and/or attended Acccident & Emergency (A&E) and has most recently been rolled out to Community Services. All scores (if applicable) are below: In-patient FFT score 98 % recommended This is based on 2131 responses A&E FFT score 92 % recommended This is based on 24 responses Community FFT score 97 % recommended This is based on 71 responses In addition to asking FFT questions we asked 62 patients in April 216 the following questions about their care in the hospital: Yes Always/Most of Time or Excellent/Good Do you feel able to ask any questions about your treatment or condition? 1% Are you involved as much as you want to be in decisions about your care and treatment? 97% If you have needed to use your nurse call button, has this been responded to in a timely manner? 98% Overall do you feel safe, secure and supported in this hospital? 1% How likely are you to recommend this ward to your family/friend if they needed similar care or Treatment? 1% A patient's story Mrs X was admitted to the Intensive Care Unit (ITU) following complex cardiac surgery. Her condition deteriorated when on ITU, requiring her to be connected to a ventilator and sedated, which meant she required all cares to be provided by staff. Following episodes of faecal incontinence and periods of immobility, she developed Category II pressure ulcers on her sacrum (buttocks). The staff involved in looking after Mrs X reviewed her care to identify why this occurred and to look for potential changes in practice. The lessons learned and changes made to practice are explained in the improvement story below in Section 3. Staff experience In the fourth quarter of 215/16 we carried out a survey on a sample of our staff, we asked 344 staff in the hospital the following questions: Extremely Likely/Likely How likely are you to recommend the Trust to friends and family if they needed care or treatment? 96% How likely are you to recommend the Trust to friends and family as a place to work? 77% See supporting information for more detail on the Staff Survey
5 3. IMPROVEMENT Improvement story: we are listening to our patients and making changes The staff involved in looking after Mrs X reviewed her care with the Senior Staff from the unit and staff from Tissue Viability to see if they could identify any lessons to learn and recommend changes in practice to reduce the chances of a similar patient developing skin damage. This review identified that Mrs X experienced several days of diarrhoea, before the use of a bowel management system was considered. (Bowel Management Systems are used to manage faecal incontinence related to diarrhoea, but are not suitable in all circumstances) Prior to being ventilated, Mrs X needed to be prompted regularly to change her position, she developed a bruised sacrum immediately following a period of immobility, where gaps in positional changes were identified (4 hourly turning regime instead of 2 hourly) and this then deteriorated into a pressure damage. It was unclear from the documentation whether the immobility was due to treatment being undertaken that prevented positional changes taking place or if there were gaps in care delivered. A systematic analysis of the root causes identified lessons to be learned: *Several gaps in documentation were identified, where it was not clear whether the patient had always been turned. *Mrs X was assessed as Very High Risk of pressure damage from admission and increasing risk factors including renal dialysis and intubation meant a 2 hourly repositioning regime should always have been in place. *Mrs X experience several episodes of diarrhoea (type 5-7 stool), lasting 7 days before bowel management was considered. Although initially continent, following intubation faecal incontinence was an issue. *Mrs X was assessed as being unsuitable for a bowel management system (BMS) due to haemorrhoids by unit staff, but advice was not sought from the Colorectal team about this (Mrs X s haemorrhoids were not severe and therefore she may have been a candidate for a BMS). The use of a faecal collector bag : an alternative to a BMS, may also have been an option. As a result of the issues identified, bedside teaching about the lessons learnt in this case related to pressure ulcer prevention took place focusing on the importance of adhering to turning regimes and completing associated documentation thoroughly and seeking advice from Colorectal Specialists. The 24 hour bedside observation charts have recently been amended to enable staff to clearly document reasons why turns have not been completed e.g. monitoring or infusion line insertion. The Tissue Viability link nurses and Tissue Viability lead are also currently working together to deliver group teaching sessions to staff on pressure ulcer prevention and the prevention of moisture associated skin damage. Faecal collector bags are now on regular supply on the unit and staff members are using these appropriately for patients who are unsuitable for bowel management systems. Supporting information The Trust regularly reports a low rate of harm from the Safety Thermometer. This is demonstrated on the graph below which shows that the Trust (blue line) has reported a low rate of harm maintaining 95.63% or above harm free care and a 12 month average of 96.37%, both of which are above the national average of 94.16%. In order to achieve and maintain this position the Trust has done significant work to minimise Falls, Infections and Pressure Ulcers. This report is an opportunity for us to share with you some of our learning and what we have done to reduce harm.
6 Falls Prevention Prevention of patient falls, particularly those which may cause patients harm, is a key priority for the Trust. There has been a lot of work done to make sure all staff working in our hospitals take responsibility for preventing falls. This has included: *A new falls assessment for all adult in-patients (some hospitals only do a falls assessment on patients who are aged 65 and over) *A falls prevention campaign called No Falls On My Patch. This includes posters being displayed in all wards and departments to highlight falls prevention. * Call Don t Fall posters are displayed at patient bed spaces and in toilets and bathrooms to prompt patients to press their call bell when they need assistance. *We have over 1 beds that lower to the floor for the highest risk patients who may fall out of a standard bed. These beds reduce the risk of injury for our patients. *For patients who do not bring in footwear or don t have appropriate footwear for their stay in hospital, we can provide well-fitting slippers and also non-slip slipper socks so that all patients have access to safe footwear. *All patients who are assessed as being at risk of falling whilst in hospital have regular comfort and safety checks using the FOCUS Chart. These checks include making sure the patient has everything they need close by, including a drink and the call bell. Also, staff can offer assistance with activities such as going to the toilet for those patients who are not safe enough to do this on their own. *We have a specialist Falls Prevention Coordinator who reviews all falls incidents and carries out an investigation if a patient suffers serious injury following a fall e.g. a broken hip. Lessons learnt from looking at data about when and why falls have occurred and Root Cause Analysis are shared with clinical staff through briefings at professional forums, link nurse meetings and formal falls prevention education. We are committed to reducing harm and review the circumstances when patients have fallen to identify learning we also review the clinical evidence and network with other care providers to see what we can learn. Safety Thermometer - Funnel plot for Falls with Harm (Newcastle is the selected trust) and demonstrates the Trust's positive position when compared with others. Pressure Ulcers The Trust is committed to reducing the incidence of Trust acquired pressure damage to an absolute minimum. At times, pressure ulcers develop and this is inevitable, for example when patients have to be nursed flat on a mattress and cannot be turned because they are too medically unstable to do this; or when they spend long times in theatre (some patients can be on a theatre table for hours for very long life-saving operations). Nevertheless, the majority of pressure damage can be prevented with frequent and regular repositioning regime. We have been working very closely with all our wards to embed turning regimes in every ward routine; we have invested in a selection of excellent mattresses that redistribute pressure to minimise risks and improve comfort; we have invested in renewing all the pillows so that patients can be repositioned from side to back to side with comfort and efficacy; we have invested in a Time2Turn campaign where care plans, documentation and turning discs assist nurses and all other health professionals to turn patients. Finally we have designed a patient leaflet to remind patients and carers that we are partners in the fight against pressure damage and that they can help and support us achieve our very ambitious target.
7 Pressure Damage Numbers by Category, Category II and Moisture Lesions being our highest numbers of damage The above line graph demonstrates a steady reduction over time from April 13 to October 15. In December 14 and then in December 15 we saw a sudden increase; this was disappointing but not unexpected as the Trust saw a marked increase in emergency admissions with increased numbers of very sick patients and staff working very hard to meet the needs of patients. This pattern of increased emergency activity, which decreases as pressure reduces demonstrates the link between number of sick frail patients where damage can occur very quickly. Every instance of harm is formally reviewed using a Root Cause Analysis tool to ensure that lessons to learn are identified; These lessons are then shared across the organisation and used to inform education for staff as well as develop practice improvements such as those identified in our improvement story this month. Whilst number of pressure ulcers have shown variation, the overall trend is down and staff are encouraged to report even very small skin breaks as this ensures all damage is identified and treated appropriately. The Tissue Viability Team continues to work with all Trust staff to achieve zero tolerance to Trust acquired pressure damage. Achieving our aim is a continuous challenge but we are determined to succeed, and several wards have already achieved significant numbers of harm free days. We have some exciting success stories, for example, one busy surgical ward that used to have 2-3 pressure ulcers per month, has now been pressure damage free for almost two years (Ward 46 at the Royal Victoria Infirmary); this was following the implementation of strict turning regimes for all their patients at risk of developing pressure ulcers as well as intensive skin care. Strong leadership and team-working complemented their action plan and sustained their progress during the last two years. When pressure ulcer develop, an open and honest investigation takes place to ascertain the origin of the skin damage. Any lessons to be learnt are shared to all staff through our Trust-wide monthly Safety Briefings. Infection Prevention and Control Preventing healthcare-acquired infection (HCAI) is a top priority for the Trust and the infection prevention and control team work very closely with clinical staff to help them reduce risks and deliver safe care. These are some of the ways we try and achieve this: We talk and listen to each other If there is a case of C. difficile or MRSA blood infection, we take this very seriously. We want to know what has happened and why, so we meet with the doctors and nurses caring for the patient to review the care given; the most senior nurse and doctor in the Trust are also involved in this. We look at what went well; identifying areas of good practice but also talk about what we could have been done better. We share this with all other departments in the Trust so that everyone learns. We also regularly meet with the infection prevention and control experts from other local Trusts to share ideas and experiences. We also benchmark with other similar Trusts to share best practice and learning. We remind staff what is best practice Hand hygiene is the most effective action staff can take to prevent the spread of infection. We have eye-catching posters, designed specifically for the Trust, to remind staff, patients and visitors how and when to clean their hands. We also use soaps, hand gels and moisturisers which are kind to the skin. We run regular campaigns to raise awareness on how to reduce HCAI; most recently we have focused on an awareness campaign on Clostridium difficile, which was targeted at all groups of clinical staff in both the hospital and the community. A range of campaigns to promote best practice are in development for the coming year. We deliver care in a safe, clean environment We work with Hotel Services and Estates to ensure our wards and departments are clean and well-maintained. In addition to our routine cleaning staff, we have Rapid Response Cleaning Teams who are not based on one ward or department, but are ready and available to go to any area that requires additional cleaning. We have also increased the frequency of routine of cleaning that occurs throughout the wards. How do we know what we think happens, does happen? We undertake a whole range of observations of practice and audits so that we can be assured we are delivering safe care and reducing harm. Examples of these i include assessment of staff knowledge, practice and cleanliness. C.difficile Appeals There is an appeal process in place in relation to C.difficile cases as it is recognised that not all cases are avoidable. Last year the Trust successfully appealed 27 of the 94 cases recorded, which demonstrates that all care was appropriate and well documented. Up to date progress on this years appeals can be seen in Section 1 of this report. MRSA Third Party Assignment Third Party assignment of an MRSA bacteraemia provides an acknowledgement of the complex nature of MRSA bloodstream infections and is designed to capture instances where an MRSA case cannot legitimately be assigned to either the Trust or the CCG. Following the Post Infection Review (PIR), cases considered to be Third Party are reviewed via an arbitration process which is lead by the Regional Director of Nursing or the Regional Medical Director, this panel is responsible for the final case assignment (See Section 1). Staff Family & Friends Test (FFT) Staff Family & Friends Test (FFT) is completed by staff across the year via an online survey. It is a chance for our employees to anonymously feedback views on our
8 organisation, with each Directorate getting invited to take part in one of the quarters. Within the region we are the best performing Trust for recommending us as a place for care and in 2 nd place for being recommended as a place to work. When compared to a National Benchmarking Group we are again the best performing Trust for recommending us as a place for care and within the top 3 Trust s recommended as a place to work.
Open and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support The Open and Honest Care: Driving Improvement organisations to become more transparent
More informationOpen and Honest Care in your Local NHS Trust
Open and Honest Care in your Local NHS Trust The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospitals
Open and Honest Care in your Local Hospitals The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support The Open and Honest Care: Driving Improvement organisations to become more transparent
More informationOpen and Honest Care in your Local NHS Trust
Open and Honest Care in your Local NHS Trust The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital Report for: Royal Wolverhampton NHS Trust January 2016 The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationOpen and Honest Care in your local Trust. Open and Honest Report for. Black Country Partnership NHS Foundation Trust
Open and Honest Care in your local Trust Open and Honest Report for Black Country Partnership NHS Foundation Trust May 2016 NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations
More informationOpen and Honest Care in your local Trust
Agenda Item: 3 Encl. 3.3 Open and Honest Care in your local Trust Open and Honest Report for Black Country Partnership NHS Foundation Trust February 2017 NHS England INFORMATION READER BOX Directorate
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationReducing the risk of healthcare associated infection
i Reducing the risk of healthcare associated infection Healthcare associated infection Introduction The Royal Marsden takes the safety of our patients very seriously. That means doing everything we can
More informationReducing the risk of healthcare associated infection
i Reducing the risk of healthcare associated infection Healthcare associated infection Introduction The Royal Marsden takes the safety of our patients very seriously. That means doing everything we can
More informationNorthumbria Healthcare NHS Foundation Trust. Infection Control Information for Patients and Visitors. Issued by The Infection Control Team
Northumbria Healthcare NHS Foundation Trust Infection Control Information for Patients and Visitors Issued by The Infection Control Team Introduction The purpose of this leaflet is to help you understand
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Your Questions Answered Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force
More informationHEALTHCARE ASSOCIATED INFECTION PREVENTION AND CONTROL REPORT JUNE 2016
Appendix--75 Borders NHS Board HEALTHCARE ASSOCIATED INFECTION PREVENTION AND CONTROL REPORT JUNE Aim The purpose of this paper is to update Board members of the current status of Healthcare Associated
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Your Questions Answered Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force
More informationWhat you can do to help stop the spread of MRSA and other infections
MRSA wash it away As a patient it is important that you get better quickly and stay well. This leaflet gives you information about MRSA and other health care associated infections, so that you know what
More informationThe safety of every patient we care for is our number one priority
HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Your Questions Answered Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST HEALTHCARE ASSOCIATED INFECTIONS (HCAI)
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST HEALTHCARE ASSOCIATED INFECTIONS (HCAI) Agenda item A4(i) EXECUTIVE SUMMARY The paper highlights the increasingly challenging HCAI targets for the
More informationTRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013
TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 1. EXECUTIVE SUMMARY As reported to the Board last month, the reporting on safety and quality to the Trust Board has changed. Each month a summary
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Queen Elizabeth Medical Centre Edgbaston, Birmingham, B15 2TH
More informationCarbapenemase Producing Enterobacteriaceae (CPE) Prevention and Management Toolkit for Inpatient Areas
Carbapenemase Producing Enterobacteriaceae (CPE) Prevention and Management Toolkit for Inpatient Areas This toolkit includes examples advice leaflets and forms which may be helpful for use by teams or
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Fitzwilliam Hospital Milton Way, South Bretton, Peterborough,
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT
Agenda item A5(iv) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT EXECUTIVE SUMMARY The Tissue Viability Team assists wards and departments to reduce
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 24 June 2013 Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
More informationInspecting Informing Improving. Hygiene code inspection report: West Hertfordshire Hospitals NHS Trust
Inspecting Informing Improving Hygiene code inspection report: West Hertfordshire Hospitals NHS Trust December 2008 Outcome of inspection for: Hospital(s) visited: West Hertfordshire Hospitals NHS Trust
More informationPrevention and Control of Infection in Care Homes. Infection Prevention and Control Team Public Health Norfolk County Council January 2015
Prevention and Control of Infection in Care Homes Infection Prevention and Control Team Public Health Norfolk County Council January 2015 Content for today Importance of IPAC -refresher IPAC audits in
More informationTRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality
TRUST BOARD Document Title: Presenter: Quality Report Jo Hunter, Deputy Chief Nurse Authors: Contact details for further information: Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director Jo Hunter,
More informationMRSA Meticillin-resistant
MRSA Meticillin-resistant Staphylococcus aureus Information leaflet for patients and visitors What is MRSA? MRSA is meticillin (previously known as methicillin) resistant Staphylococcus aureus. Staphylococcus
More informationFor further information please contact: Health Information and Quality Authority
For further information please contact: Infection Prevention and Control 13-15 The Mall Beacon Court Bracken Road Sandyford Dublin 18 Phone: +353 (0)1 293 1140 Email: ipc@hiqa.ie URL www.hiqa.ie Guide
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST NHS SAFETY THERMOMETER
Agenda item A5(vi) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST NHS SAFETY THERMOMETER EXECUTIVE SUMMARY The NHS Safety Thermometer is a point of care survey, which is a local improvement tool
More informationInfection Prevention. & Control. Report
Infection Prevention & Control Report April 2012 March 2013 Author Joanne Raper, Infection Prevention & Control Nurse Manager Page 1 of 10 1.0 Purpose of the Paper The purpose of this report is to provide
More informationPublic Services Reform (Scotland) Bill. Scottish Independent Hospitals Association
Public Services Reform (Scotland) Bill Scottish Independent Hospitals Association The following submission is presented to the Health and Sport Committee of the Scottish Government as an outline of the
More informationClostridium difficile GDH positive (Glutamate Dehydrogenase) toxin negative
Patient information Clostridium difficile GDH positive (Glutamate Dehydrogenase) toxin negative i Important information for all patients. Golden Jubilee National Hospital Agamemnon Street Clydebank, G81
More informationPatient Information Service. Infection prevention and control department MRSA
Patient Information Service Infection prevention and control department MRSA Meticillin-resistant Staphylococcus aureus This is an information leaflet to help explain MRSA SOU859_054394_0116_V1.indd 1
More informationEveryone Involved in providing healthcare should adhere to the principals of infection control.
Infection Control Introduction The prevention and control of infection is an integral part of the role of all health care personnel. Healthcare Associated Infections (HCAIs) affect an estimated one in
More informationPublic health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36
Healthcare-associated infections: prevention ention and control Public health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36 NICE 2017. All rights reserved. Subject to Notice of rights
More informationinfection control MRSA Information for patients (Methicillin Resistant Staphylococcus aureus)
infection control MRSA (Methicillin Resistant Staphylococcus aureus) Information for patients What is MRSA and why is it a problem in the hospital? Many of us carry bacteria called Staphylococcus aureus
More informationInfection Prevention and Control Strategy (NHSCT/11/379)
Infection Prevention and Control Strategy (NHSCT/11/379) September 2010 September 2010 Contents Page No. 1. Foreword 1 2. Introduction 2-3 3. Key Principles 4-5 4. Objectives 6-13 5. Organisational Arrangements
More informationChecklists for Preventing and Controlling
Checklists for Preventing and Controlling Clostridium difficile Infection (CDI) This document has been developed to specifically assist senior management and all ward staff to take appropriate actions,
More informationCLOSTRIDIUM DIFFICILE ACTION PLAN
CLOSTRIDIUM DIFFICILE ACTION PLAN Action plan to address the rise in cases of Clostridium difficile (C.diff) at Sheffield Teaching Hospitals NHS Foundation Trust ACTION KEY MILESTONES PERSON RESPONSIBLE
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Your Questions Answered Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force
More informationAyrshire and Arran NHS Board
Paper 6 Ayrshire and Arran NHS Board Monday 11 December 2017 SPSP Update: Acute Adult Programme Author: Laura Harvey, QI Lead for Acute Services, Person Centred & Customer Care Sponsoring Director: Liz
More informationHCAI Data Capture System User Manual. Case Capture: Main Data Collections
User Manual Case Capture: Main Data Collections About Public Health England Public Health England exists to protect and improve the nation's health and wellbeing, and reduce health inequalities. It does
More informationMRSA. Information for patients Infection Prevention and Control. Large Print
MRSA Information for patients Infection Prevention and Control Large Print page 2 of 16 What is MRSA? MRSA is a bacterium (germ), which can be found living on the skin of healthy individuals, particularly
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 22 FEBRUARY 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS C 22 FEBRUARY 2012 Subject: Supporting : Author: Status (see footnote): Update on the Clostridium difficile (C.diff)
More informationIQC/2013/48 Improvement and Quality Committee October 2013
Item 9.4 IQC/2013/48 Improvement and Quality Committee October 2013 Pressure Ulcer Prevalence Improvement Plan 1. SITUATION AND BACKGROUND This paper is to update the Improvement and Quality Committee
More informationWRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT
WRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT 2006-2007 Author(s) Gill Harris, Director of Infection Prevention and Control EXECUTIVE
More informationMRSA. Information for patients Infection Prevention and Control
MRSA Information for patients Infection Prevention and Control What is MRSA? MRSA is a bacterium (germ), which can be found living on the skin of healthy individuals, particularly in the lining of the
More informationInvestigation into the two outbreaks of Clostridium difficile at Stoke Mandeville Hospital between October 2003 and June 2005
Monday 24 July - for immediate release Investigation into the two outbreaks of Clostridium difficile at Stoke Mandeville Hospital between October 2003 and June 2005 The Healthcare Commission s report into
More informationA Total Colectomy is the surgical removal of the entire colon (last part of the intestine/gut). It does not involve the removal of the rectum.
Total Colectomy What is a Total Colectomy? A Total Colectomy is the surgical removal of the entire colon (last part of the intestine/gut). It does not involve the removal of the rectum. Before an ileostomy
More informationThe Clatterbridge Cancer Centre. NHS Foundation Trust MRSA. Infection Control. A guide for patients and visitors
The Clatterbridge Cancer Centre NHS Foundation Trust MRSA Infection Control A guide for patients and visitors Contents Information... 1 Symptoms... 1 Diagnosis... 2 Treatment... 2 Prevention of spread...
More informationAchieving Consensus in Pressure Ulcer Reporting
Achieving Consensus in Pressure Ulcer Reporting Tina Chambers Chair of Tissue Viability Society 2013-2015 Co-Chair TVS Pressure Ulcer Reporting Group Purpose of Document This document is for all organisations
More informationTowards cleaner hospitals and lower rates of infection A summary of action
Towards cleaner hospitals and lower rates of infection Foreword by the Secretary of State DH INFORMATION READER BOX Policy Estates HR / Workforce Performance Management IM & T Planning Finance Clinical
More informationAbdomino-perineal Resection/Excision of the Rectum
Abdomino-perineal Resection/Excision of the Rectum What is an Abdomino-perineal Resection/Excision of Rectum? An Abdomino-perineal Resection/Excision of Rectum is the surgical removal of part of the large
More information: Hand. Hygiene Policy NAME. Author: Policy and procedure. Version: V 1.0. Date created: 11/15. Date for revision: 11/18
: Hand NAME Hygiene Policy Target Audience Author: Type: Clinical staff BD Policy and procedure Version: V 1.0 Date created: 11/15 Date for revision: 11/18 Location: Dropbox/website Hand Hygiene Policy
More informationPRESSURE ULCER PREVENTION SIMPLIFIED
10 PRESSURE ULCER PREVENTION SIMPLIFIED This simplified leaflet is intended to give you information about pressure ulcer and aid your clinical practice PRESSURE ULCER PREVENTION SIMPLIFIED Pressure ulcer
More informationAppendix 5. Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures
Appendix 5 Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to
More informationPRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH The aim of this report is to provide NHS Borders Board with a thematic review of:-
Appendix-15-35 Borders NHS Board PRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH 15 Aim The aim of this report is to provide NHS Borders Board with a thematic review of:- Avoidable hospital developed
More informationMRSA INFORMATION LEAFLET for patients and relatives. both in hospital and the community. MRSA is a type of
MRSA INFORMATION LEAFLET for patients and relatives WHAT DOES MRSA STAND FOR? Meticillin Resistant Staphylococcus aureus. WHAT IS MRSA? Staphylococcus aureus is a germ that is commonly found both in hospital
More informationUrology Enhanced Recovery Programme: Laparoscopic/open simple/radical/partial/donor nephrectomy. Information For Patients
Urology Enhanced Recovery Programme: Laparoscopic/open simple/radical/partial/donor nephrectomy Information For Patients 2 This information leaflet aims to help you understand the Enhanced Recovery Programme
More informationEmbedding a hospital-wide culture of infection control to reduce MRSA bacteraemia rates
International Journal of Infection Control www.ijic.info ISSN 1996-9783 Embedding a hospital-wide culture of infection control to reduce MRSA bacteraemia rates Anne Dyas Worcester Acute Hospitals NHS Trust,
More informationFF C.DIFF C.DIFF C CLOSTRIDIUM DIFFICILE INFECTION
IFF IFF DIFF. DIFF C. DIFF FF C.DIFF C.DIFF C CLOSTRIDIUM DIFFICILE INFECTION Information for patients, their families and carers. What does it mean if someone has Clostridium difficile, or C. diff? These
More informationHEALTHCARE ASSOCIATED INFECTIONS RISK ASSESSMENT PROCEDURE
HEALTHCARE ASSOCIATED INFECTIONS RISK ASSESSMENT PROCEDURE Author: Jenny Boyce, Lead Infection Prevention & Control Nurse Approved by and date: March 2016 Any other linked ICP 000 - Infection Prevention
More informationA guide for patients and visitors MRSA. A guide for patients and visitors
MRSA A guide for patients and visitors 1 The purpose of this leaflet is to provide information to you and your family about MRSA. The word bacteria has been used in this leaflet to describe commonly used
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationThis paper provides an update on the the recent national SPSP conference the programme of work for Tissue Viability Acute Adult Care SPSP
Greater Glasgow and Clyde NHS Board Board Meeting December 2016 Board Paper No. 16/81 Scottish Patient Safety Programme Update 1. Background The Scottish Patient Safety Programme (SPSP) is one of the family
More information2.0 Base Shrewsbury and Telford Hospital NHS Trust
1.0 Post Title Healthcare Assistant 2.0 Base Shrewsbury and Telford Hospital NHS Trust 3.0 Department Nursing 5.0 Accountable to Ward Manager 6.0 Post purpose The post holder will provide support and assist
More informationEAST AND NORTH HERTFORDSHIRE NHS TRUST CHIEF EXECUTIVE S REPORT
EAST AND NORTH HERTFORDSHIRE NHS TRUST CHIEF EXECUTIVE S REPORT Agenda Item No. 7 23 rd January 2008 1. Christmas Day Visit From Mayor of Stevenage and General Secretary, Royal College of Nursing Alison
More informationMRSA: Help us to help to help you
MRSA: Help us to help to help you Information on MRSA within The Queen Elizabeth Hospital 1 At QE Gateshead we are committed to reducing the risk of infection. What is MRSA? There are many different types
More informationMETICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (M.R.S.A.) DECOLONISATION GUIDANCE PRIMARY CARE. Purpose of Issue/Description of Change
METICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (M.R.S.A.) DECOLONISATION GUIDANCE PRIMARY CARE First Issued by/date Issue Version Purpose of Issue/Description of Change Planned Review Date 10/2008 1 Guidance
More informationBoard Meeting 01/12/16 Open Session Item 10. Performance and Quality Report to the Board December 2016
Board Meeting 01/12/16 Open Session Item 10 Performance and Quality Report to the Board ember Introduction This report summarises key areas of performance which includes, but is not limited to, Local Delivery
More informationPressure Ulcers (pressure sores)
Pressure Ulcers (pressure sores) How to reduce the risk of acquiring pressure sores in hospital Other formats If you need this information in another format such as audio tape or computer disk, Braille,
More informationStatus: Information Discussion Assurance Approval. Claire Gorzanski, Head of Clinical Effectiveness
Report to: Trust Board Agenda item: Date of Meeting: 2 October 2017 SFT3934 Report Title: Annual quality governance report 2016-2017 Status: Information Discussion Assurance Approval X Prepared by: Executive
More informationReducing HCAI- What the Commissioner needs to know.
Reducing HCAI- What the Commissioner needs to know. Sarah Mantle HCAI/AMR project lead NHS England #NHSEngAMR Do Tweet Introduction Healthcare Associated Infections (HCAI) can develop as a result of direct
More informationExtracorporeal Shockwave Lithotripsy (E.S.W.L.)
Extracorporeal Shockwave Lithotripsy (E.S.W.L.) For Urinary Stones Information for patients, relatives and carers Department of Urology For more information, please contact: Mr Richard Khafagy, Consultant
More informationRoot Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted.
Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted. What is this for? This root cause analysis (RCA) tool is used when a patient acquires
More information