In Venous We will achieve the The Trust has achieved the 95% 2014/15 Thromboembolism 95% national target for national target consistently each we said (VTE) quality standards month since May 2014. our No. relating to VTE. 4 goal VTE (a blood clot) is a was: major contributor to We will develop a A database and dedicated VTE severe illness or death database and clerk are in place to monitor in the UK. mechanism to work in assessments of patients. “real time” so that we We have improved our know which, if any, performance and patients have not been embedded this change assessed. in our clinical practice. In Medication safety. We will reduce our We achieved this target. During 2014/15 number of drug errors 2013/14 2% of our drug errors we said Medications safety is a that cause moderate caused moderate harm or worse. our No. crucial element of an harm or worse. In 2014/15 none of our drug errors 5 goal overall patient safety caused moderate harm or worse. was: programme. High risk medications such as blood thinning agents Ongoing education will Feedback to relevant staff and the pose a greater risk of occur for all staff sharing of lessons learned has serious harm to involved in medication occurred via our Medicines patients if they are errors. Optimisation Group. incorrectly prescribed or administered. Missed doses of All reports from Where errors have caused low medication can lead to incidents with harm harm, individual staff training significant harm for graded moderate or needs have been assessed patients. above will be sent to following each incident as part of all staff concerned root cause analysis. following Quality We have also introduced Improvement Team calculation training for nurses. sign off.
In 2014/15 we said our No. 4 goal was: Venous Thromboembolism (VTE) VTE (a blood clot) is a major contributor to severe illness or death in the UK. We have improved our performance and embedded this change in our clinical practice. We will achieve the 95% national target for quality standards relating to VTE. We will develop a database and mechanism to work in “real time” so that we know which, if any, patients have not been assessed. The Trust has achieved the 95% national target consistently each month since May 2014. A database and dedicated VTE clerk are in place to monitor assessments of patients. In 2014/15 we said our No. 5 goal was: Medication safety. Medications safety is a crucial element of an overall patient safety programme. High risk medications such as blood thinning agents pose a greater risk of serious harm to patients if they are incorrectly prescribed or administered. Missed doses of medication can lead to significant harm for patients. We will reduce our number of drug errors that cause moderate harm or worse. Ongoing education will occur for all staff involved in medication errors. All reports from incidents with harm graded moderate or above will be sent to all staff concerned following Quality Improvement Team sign off. We achieved this target. During 2013/14 2% of our drug errors caused moderate harm or worse. In 2014/15 none of our drug errors caused moderate harm or worse. Feedback to relevant staff and the sharing of lessons learned has occurred via our Medicines Optimisation Group. Where errors have caused low harm, individual staff training needs have been assessed following each incident as part of root cause analysis. We have also introduced calculation training for nurses.
Quality%20Account%202014-15%20Final%2026.06.15.docx