4.3 Clinical Effectiveness The table below sets out our 3 key priorities for Clinical Effectiveness last year and outlines how we performed. Our Clinical Effectiveness What we aimed to How did we do? quality priorities and why we achieve chose them In 2014/15 Embedding the Keogh 50% of deceased Pressures on our medical we said our review of mortality. patients’ care will be workforce caused by No. 1 goal reviewed using the increased demand and was: Global Trigger Tool. staff vacancies affected our ability to audit patient records using this tool. Approximately a third of deceased patients’ care was reviewed using the Global Trigger Tool – so we did not achieve this in year. In 2014/15 Best practice in managing 100% of eligible 33% patients had Lactate we said our patients with sepsis patients will receive test within an hour of No. 2 goal Sepsis 6 tests in line arrival in A&E. This reflects was: with best practice the increase in Emergency Department attendances and ongoing difficulties in leadership and recruitment in the Emergency Departments locally and nationally. Patients with Urinary We did not achieve this Tract Infection as a target. Our average length primary diagnosis will of stay slightly increased. stay in hospital less In 2013/14 it was 8.1 time. nights and in 2014/15 it was 8.3. Patients with a primary Our average length of stay diagnosis of did decrease – but only pneumonia will stay in slightly. In 2013/14 it was hospital less time 8.4 nights and in 2014/15 whilst maintaining it was 8.2. levels of readmissions.
4.3 Clinical Effectiveness The table below sets out our 3 key priorities for Clinical Effectiveness last year and outlines how we performed. Our Clinical Effectiveness quality priorities and why we chose them What we aimed to achieve How did we do? In 2014/15 we said our No. 1 goal was: Embedding the Keogh review of mortality. 50% of deceased patients’ care will be reviewed using the Global Trigger Tool. Pressures on our medical workforce caused by increased demand and staff vacancies affected our ability to audit patient records using this tool. Approximately a third of deceased patients’ care was reviewed using the Global Trigger Tool – so we did not achieve this in year. In 2014/15 we said our No. 2 goal was: Best practice in managing patients with sepsis 100% of eligible patients will receive Sepsis 6 tests in line with best practice Patients with Urinary Tract Infection as a primary diagnosis will stay in hospital less time. Patients with a primary diagnosis of pneumonia will stay in hospital less time whilst maintaining levels of readmissions. 33% patients had Lactate test within an hour of arrival in A&E. This reflects the increase in Emergency Department attendances and ongoing difficulties in leadership and recruitment in the Emergency Departments locally and nationally. We did not achieve this target. Our average length of stay slightly increased. In 2013/14 it was 8.1 nights and in 2014/15 it was 8.3. Our average length of stay did decrease – but only slightly. In 2013/14 it was 8.4 nights and in 2014/15 it was 8.2.
Quality%20Account%202014-15%20Final%2026.06.15.docx