patient comfort rounds our experience of rapid adoption and spread methodology sarah fiori senior...

Patient Comfort RoundsOur experience of rapid

adoption and spread methodology

Sarah FioriSenior Nurse Quality & Safety Team

Falls and Pressure UlcersNot nice things happen in nice places too

What went well?• Doing it all together• Nurse led• Framework with timescales• Working with DH team• Ideas and approaches not tried or thought of

before• Built confidence• Blame the DH!• Raised profile of the Implementation Team and of

the issue• Exposed and focused ‘festering issues’• Rapid immersion event• Comms activity• Would we do this again……..?

622 April 2023

722 April 2023

What were / are the challenges?

• Legacy of previous patient safety successes and current use of PDSA

• Existing Champions• Too fast for some and too fast between

immersion and getting started• The skill of winning hearts and minds is

not inbuilt• Our internal structures hampering

success• Baseline data

822 April 2023

• Timing of getting together the delivery team, survey, stakeholder analysis

• Managing the message of results• Sustainability to be built in throughout• Ability of hindsight• Mattresses – national shortage &

our processes • Changing Documentation

What were / are the challenges cont’d?

922 April 2023

Impact• Everybody’s talking!• Complete shell shock on start day• Workload• Raised profile in cost savings of improving

quality• Patients have equipment they need• Improved communication• Improved data and assurance• 2 grade 4 hospital acquired ulcers in past

year

Nursing Staff at York have triumphed!!!!!!!!!

National prevalence: 8-10%

York Hospitals prevalence 2010: 7%

York Hospitals prevalence 2011: 5%

Approximate hospital acquired 2010, YorkHospitals:4%

Approximate hospital acquired 2011, YorkHospitals:2%

Cost Savings of Pressure Ulcer Associated Costs

• 2009: £5,730,590

• 2010: £4,526,695

• 2011: £3,103,221

A saving accomplished over the past year of

£1,423,474!!!!!

Total of £2,627,369!!!!!!!

Falls focus on..

• Lying / Standing BP• Toilet Tagging• Dementia Assessments / care plans• Comfort Rounds• Post Falls Procedure• Medication Reviews• Appropriate Footwear / slipper socks?• OOH access to walking aids• Patient Information Leaflets• Representation at Falls Group meetings

Whats Next……………

• Spread to Scarborough Hospital

• Community hospitals

• Virtual wards

• Sharing practice with other Trusts

• Method of measurement for safety thermometer

Definition = absence of VTE, pressure ulcers,

falls and ca-uti.

‘I had just been told I had cancer. I was worried about losing a chunk of my breast, worried that I might get lymphoedema from losing my lymph nodes and worried that the cancer might have spread. I wasn't, worried about the nursing. It had never occurred to me that the thing you should worry about when you went into hospital was the nursing’.

Christina PattersonThe Independent, 2012

A Patients Perspective;

But…………

'Nurses do not wake up each morning intent on delivering poor care...'

Christina Patterson

The Independent, 2012

Patients are at the heart of everything we do. They inspire us to change. We are committed to improving their experience of healthcare and protecting them

from harm.