Quality, safety and experience
Our quality priorities 2020/21
Priority 1
Improve patient experience
What
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How
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Improve patient, family and carer experience of loved ones with dementia
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- Implement the Trust’s Dementia Strategy
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Improve the quality of complaint investigations and responses
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- Implement the Complaints Quality Improvement Plan
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Provide timely and useful patient information
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- Information leaflets will be accessible and in a format that meets patient, carer and family needs
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Priority 2
Improve patient safety
What
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How
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Escalate and respond to deteriorating patients in a timely manner
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- The national NEWS2 CQUIN will be used as a lever to support improvements in care of the acutely unwell patient (with an ambition to reduce unplanned ward transfers to Critical Care)
- A focus on A-E patient assessment (and standardised management planning) will form part of high-quality reviews of acutely unwell patients
- A Trust, Division and Speciality QLik app will be developed to make visible key measures of care of the acutely unwell patient to measure and monitor for improvement
- Investment in the City Hospital campus medical specialities through SPR level twilight cover will be implemented
- NUH will scope the feasibility of implementing an electronic fluid balance system via Nervecentre
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Reduce the incidence of grade 3 and 4 pressure ulcers
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- The Trusts pressure ulcer prevention strategy will be reviewed, updated and implemented to positively impact the care of patients who are at risk of developing pressure ulcers.
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Optimise information flow by implementing a standardised handover process
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- A standardised handover process will be defined and implemented to improve the transfer of critical information within and across teams.
- Initial work will focus on a daily clinical handover at the end of the day on city-based medical admission areas.
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Priority 3
Improve clinical effectiveness
WHAT
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HOW
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Improve the way we plan and respond at the end of life with patients and families
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- Focus on improving conversations and documentation of Do Not Attempt Resuscitation (DNACPR) decisions
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Improved Local Surveys Programme
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- Develop and enhance our Local Surveys Programme to identify actions for improvement
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Align improvement resources to support the delivery of Trust objectives
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- Develop a programme of Trust-wide Quality Improvement projects aligned to Trust objectives
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