Priority Five: Reducing delays in hospital to improve patient safety Executive Lead: Director of Operations Where will the Milestones/ Key Objective Suggested Outcome measures Comments / Next Steps data be collected Trajectory NHS Improvement Daily report on SAFER in all Work with University Audit. 50% SAFER patient flow areas Hospitals Bristol to improve consultant bundle - will be 75% attendance by consultant on Cardiology pathway. Monthly attendance by embedded within all board round. Performance September areas of the Trust. Ensure consistent Management 75% by March Multidisciplinary team Review (PMR). 2019. (MDT) attendance at board rounds every day. Embed the national End PJ paralysis information on Recommence Assessment Education Posters in all campaign for End all wards and bays via poster. Fit training. attendance lists. ward areas on Pyjama (PJ) Paralysis end PJ (#endpjparalysis) within Information on all admission Launch of #endpjparalysis National Audit Paralysis by the Trust to reduce letters and discharge information in April 2018. on app for Sept 2018. length of stay of patients. #endpjparalysis. Admission booklets updated by December 2018. Utilise Red and Green Informing all staff what a red day Board rounds. Ticket home in Trial ‘Ticket Home’ initiative days to increase is on Cheddar Ward then place by Sept discharge. Work with NHS Improvement implement across Monthly PMR. 2018. Emergency Care Improvement organisation. Programme (ECIP) to increase staff awareness. Increase morning discharges. Increase use of discharge lounge Reduce Length of Stay to national average as indicated by Healthcare intelligence and quality improvement services - CHKS. Reduce bed occupancy. Right patient in right place Increase used of Cerner Cerner Twice daily including speciality bed. Millenium computer system Millenium (PAS). updated to include speciality of information – patients so flow team can Sept 2018
Priority Five: Reducing delays in hospital to improve patient safety Executive Lead: Director of Operations Key Objective Suggested Outcome measures Comments / Next Steps Where will the data be collected Milestones/ Trajectory NHS Improvement SAFER patient flow bundle - will be embedded within all areas of the Trust. Daily report on SAFER in all areas 75% attendance by consultant on board round. Work with University Hospitals Bristol to improve Cardiology pathway. Ensure consistent Multidisciplinary team (MDT) attendance at board rounds every day. Audit. Monthly Performance Management Review (PMR). 50% consultant attendance by September 75% by March 2019. Embed the national campaign for End Pyjama (PJ) Paralysis (#endpjparalysis) within the Trust to reduce length of stay of patients. End PJ paralysis information on all wards and bays via poster. Information on all admission letters and discharge information Recommence Assessment Fit training. Launch of #endpjparalysis in April 2018. Education attendance lists. National Audit on app for #endpjparalysis. Posters in all ward areas on end PJ Paralysis by Sept 2018. Admission booklets updated by December 2018. Utilise Red and Green days to increase discharge. Informing all staff what a red day is Work with NHS Improvement Emergency Care Improvement Programme (ECIP) to increase staff awareness. Increase morning discharges. Increase use of discharge lounge Reduce Length of Stay to national average as indicated by Healthcare intelligence and quality improvement services - CHKS. Trial ‘Ticket Home’ initiative on Cheddar Ward then implement across organisation. Board rounds. Monthly PMR. Ticket home in place by Sept 2018. Reduce bed occupancy. Right patient in right place including speciality bed. Increase used of Cerner Millenium computer system to include speciality of patients so flow team can Cerner Millenium (PAS). Twice daily updated information – Sept 2018
Quality%20Account%202017-2018%20v10.docx