2b) Central line The current rate Rate of CLAB reduced Rate maintained at <1 per 1000 line days in all associated is estimated at to <1 per 1000 line ICUs bacteraemia between 6 and 8 days in all 24 ICUs (CLAB) per 1000 line Extend programme to other high risk areas (eg, days neonatal, renal) establish baselines and Reducing infection measure reductions rates that result from central line insertions Measurement annually of lives saved based on baseline mortality rate for CLAB (which will be measured during the first year), and estimate of reduced health costs through avoidance of CLAB incidence 2c) Surgical site Establish accurate Reduction in the percentage of surgical infection baseline data for infections for hip joint replacements and knee surveillance surgical infections for joint replacement procedures high volume Improving patient procedures (ie, hip Literature suggests that a reduction of between outcomes and replacements and 25% and 27% should be possible generating savings knee joint through reducing replacement surgical site infections procedures) 3. Falls reduction Reducing the number Establish accurate Reduction in number of FNOF over two years and impact of falls in baseline data for: and maintained in future years. Literature hospital settings suggests that a reduction of around 30% should number of be possible fractured Associated reduction in mortality and additional neck of femur occupied bed days and cost will be measured (FNOF) per 1000 admissions (age/sex standardised) mortality following in hospital FNOF – actual lives lost and rate per 1,000 admissions additional occupied bed days associated with FNOF cost of additional occupied bed days associated with FNOF 4. Surgical safety Reducing preventable Establish accurate Reduction in rates of surgical harm and complications of baseline levels for: mortality rates over two years and maintained surgery by supporting in future years. Literature suggests that a rates of surgical use of good practice reduction of around 30% should be possible harm (or tools and practices complications) Associated reduction in additional occupied bed additional
2b) Central line associated bacteraemia (CLAB) Reducing infection rates that result from central line insertions The current rate is estimated at between 6 and 8 per 1000 line days Rate of CLAB reduced to <1 per 1000 line days in all 24 ICUs Rate maintained at <1 per 1000 line days in all ICUs Extend programme to other high risk areas (eg, neonatal, renal) establish baselines and measure reductions Measurement annually of lives saved based on baseline mortality rate for CLAB (which will be measured during the first year), and estimate of reduced health costs through avoidance of CLAB incidence 2c) Surgical site infection surveillance Improving patient outcomes and generating savings through reducing surgical site infections Establish accurate baseline data for surgical infections for high volume procedures (ie, hip replacements and knee joint replacement procedures) Reduction in the percentage of surgical infections for hip joint replacements and knee joint replacement procedures Literature suggests that a reduction of between 25% and 27% should be possible 3. Falls reduction Reducing the number and impact of falls in hospital settings Establish accurate baseline data for: number of fractured neck of femur (FNOF) per 1000 admissions (age/sex standardised) mortality following in hospital FNOF – actual lives lost and rate per 1,000 admissions additional occupied bed days associated with FNOF cost of additional occupied bed days associated with FNOF Reduction in number of FNOF over two years and maintained in future years. Literature suggests that a reduction of around 30% should be possible Associated reduction in mortality and additional occupied bed days and cost will be measured 4. Surgical safety Reducing preventable complications of surgery by supporting use of good practice tools and practices Establish accurate baseline levels for: rates of surgical harm (or complications) additional Reduction in rates of surgical harm and mortality rates over two years and maintained in future years. Literature suggests that a reduction of around 30% should be possible Associated reduction in additional occupied bed
Statement-of-Intent-2012-2015-Word-version.docx