leadership and changing clinical practice november 2014
TRANSCRIPT
Leadership and Changing Clinical Practice
November 2014
Consent rates April 2013 - Sept 2014
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90
100Co
nsen
t rat
e %
Consent rate when ODR status known
Overall consent rate
Consent rate when not on ODR or ODR status unknown
Deceased donors April 2013 - Sept 2014
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Act
ual D
onor
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Total DBD DCD
Consented organs utilised April 2013 - Sept 2014
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Num
ber o
f uti
lised
org
ans f
rom
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ng d
onor
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Utilised organs
2012/13 average
5% increase on 2012/13 average
2013/14 average
2014/15 average
Transplants from deceased donors April 2013 - Sept 2014
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100
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Tran
spla
nts
Month
Total DBD DCD
0.0
5.0
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45.0
50.0
Country
do
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rs p
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LD
DD
What about living donation?Organ donors pmpEurope and USA, 2013
Source: Council of Europe – Transplant Newsletter
Total transplant rates from deceased and living donors for Europe and the USA, 2013
92.888.8 87.6
82.376.5
73.2 72.9 72.4 72.3
58.153.8
50.7 50.347.7
42.138 36.2
28.2
17.2
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Country
tran
spla
nts
pm
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Total transplant rates
Source: Council of Europe – Transplant Newsletter
Deceased and living donor transplants pmpEurope and USA, 2013
Source: Council of Europe – Transplant Newsletter
Congratulations & thank you• Practice has been transformed in most hospitals most
of the time
• Referrals, brainstem death testing, family approach, Specialist Nurse involvement and donor numbers have all improved.
• Transplant numbers have increased and the kidney waiting list has fallen.
Does leadership matter
• Direction and expectations
• Accountability
• Encouragement & support
• Environment & Resources
SuccessWhen we have helped everyone to have the courage to choose donation we will have saved and transformed the lives of thousands of people...then we will be successful.
Success
There are no secrets to success. It is the result of preparation, hard work and learning from failure.~Colin Powell
Is everyone prepared for success?• Policy
• People
• Plans
• Practice
= Perfection
I attribute my success to this – I never gave or took any excuse
~Florence Nightingale
What is hard work?
• It’s knowing what needs to happen and making sure it does.
• It’s setting clear expectations & helping people meet them, recognising achievements & holding people to account when they let you down.
• It’s thinking hard, finding new solutions, being visible, taking action.
Failure
A failure is not always a mistake, it may simply be the best one can do under the circumstances. The real mistake is to stop trying.
~B F Skinner (US psychologist)
How do you learn from failure?• Recognise and accept it – don’t explain it away
• Examine the situation – what would you do differently?
• Try a different approach – did it work this time? Will it work every time?
• Keep thinking deeply & be creative.
How do you motivateyourself & others?• Know yourself
• Find out what works for the people in your team
• Link expectations with aims and values
• Recognise that change is always difficult & know who will embrace it & who won’t – use different tactics that meet their needs
Resources to help
• Other members of the collaborative
• ACCORD hospitals ~& toolkit to spread PDSA methodology
• http://www.ihi.org
6807 people on the waiting list
Waiting for us to save or transform their lives