Embed Size (px)
Citation preview
Be The Change
A bottom-up approach to engaging staff in speaking out about patient
safety concerns and getting involved with quality improvement
Claire Matthews1
Rameez Rahman2
Abhinav Vepa2
Ashford and St. Peter’s Hospital (UK)1
King’s College London (UK)2
Why?
Why?
Why?
• The Francis report: need to overcome the “Somebody Else’s Problem” attitude
Why?
• The Keogh report: ambition to harness the energy and creativity of junior doctors
The Junior Doctor
The Junior Doctor
The Idea:
Engage ground-floor staff of all roles and
responsibilities in suggesting and initiating quality
improvements, whilst developing the clinical
leadership skills of the trust’s junior doctors.
The Idea:
Engage ground-floor staff of all roles and
responsibilities in suggesting and initiating quality
improvements, whilst developing the clinical
leadership skills of the trust’s junior doctors.
…create a junior doctor led movement
The Project
The Project
Change Champ
ion• HCA
Change Champ
ion
• Staff nurse
Change Champ
ion
• Ward clerk
Change
Champion
• Consultant
The Project
The Project
The Project
ClaireFY1
IzzyPlay specialist
NikkiNurse
SimonPorter
Children’s A&E:
Prioritised problems
The Project
Problem Solution Effect
Staff frustrated no feedback from
complaints
Monthly departmental newsletter with
managers response column
63% increase incomments submitted,
83% increase insatisfaction of response
PATHOLOGY
The Project
Problem Solution Effect
Average 3day delay on discharge for patients needing placement as
72hr care diary
Redesign of nursing documentation
Eliminated the need for separate 72hr diary;
approved by local RH/NH’s
MAPLE WARD (Medical)
The Project
Problem Solution Effect
55% porters English not first language
Language section in library and weekly
English lunchtime club Accredited language courses for all staff
PORTERS & SECURITY
The Project
Problem Solution Effect
Urgent need of child friendly redecoration DIY SOS funded by
donations from parents & local school
Family friendly oncology bay
OAK WARD (Paediatrics)
The Project
Problem Solution Effect
Low staff morale due to restructuring
Staff teambuilding away day – had to experience living with effects of a
stroke
Improved staff morale, better understanding of
care needs
CEDAR WARD (Stroke)
The Project
Problem Solution Effect
Frequent complaints from patients due to length of assessment
Patient journey mapped and an ECG machine procured to reduce
biggest rate limiting step
Average journey time reduced from 3hr 14min
to 2hr 5min
PRE-OP ASSESSMENT
The Project
Problem Solution Effect
Poor recycling in the trust due to poor visibility of
bins
All lids replaced with green lids and campaign
help
Recycling rates increased 42%; potential cost saving
£1,200
HOUSEKEEPING
The Project
The ResultsTotal number of areas: 40 (2 hospitals)
Total number of FY1 coordinators: 23Total number of Change Champions: 82 (18 roles)
Total number of problems raised: 253Total number of QI initiatives: 88Total number of patient / public votes: 1,677
The Results
The Results
Video
Thank youTo all of the FY1’s involved:
Kimmee KhanDan HaslamRandeep DhariwalAmar JesselDavid McCearRainu BawaKirsten ThomasHebah TaufikYize WanNiroshan NeminathanNoel MurphyTom BeaneyMatt HarcusJack RobertsDaniel CottamAmos MakAlexa DeanDana KhoriatiBawani SivagurunathanCarly ChuSangeetha Sathianandan
