Data …… An Improvers Best Friend Joanne Matthews Head of Improvement and Safety

6%...

13%...

Harm in Healthcare

Source: General Medical Council, 2017

of patients experience preventable harm across the healthcare service in the UK

of this harm causes prolonged or permanent disability or leads to death

27 22

Home Away Total

Teams P W D L W D L W D L F A +/- Pts

1 England 10 5 0 0 3 2 0 8 2 0 18 3 15 26

2 Slovakia 10 4 0 1 2 0 3 6 0 4 17 7 10 18

3 Scotland 10 3 2 0 2 1 2 5 3 2 17 12 5 18

4 Slovenia 10 3 2 0 1 1 3 4 3 3 12 7 5 15

5 Lithuania 10 1 1 3 0 2 3 1 3 6 7 20 -

13 6

6 Malta 10 0 1 4 0 0 5 0 1 9 3 25 -

22 1

Reduction HSMR 9.7%

Reduction Cardiac Arrest rate 12%

Reduction Sepsis mortality 21%

Reduction in Pressure Ulcers (Grade 2-4) 12%

Reduction in the percentage of patients who self harm of up to 68%

Reduction in the rates of restraint of up to 80%

Reduction in the rates of violence of up to 80%

Reduction Stillbirth 19.5%

“By what method?... only the method counts”

W Edwards Deming

Leadership, project planning, communication and measurement

Method….

System “An interdependent group of items, people, or processes working together toward a common

aim”

Leadership, project planning, communication and measurement

Method….

Run chart: 22% reduction in PU rate since Dec 2014

Leadership, project planning, communication and measurement

Method….

Leadership, project planning, communication and measurement

Method….

Run chart: 22% reduction in PU rate since Dec 2014

Recognise this approach ?

Leadership, project planning, communication and measurement

Method….

Run chart: 22% reduction in PU rate since Dec 2014

Leadership/

governance

Tissue Viability resource

Understanding/ using data

Risk assessment & care planning

Education

Equipment

The role of the MfI

Learning from Pressure Ulcer reduction

5 boards have an improvement or sustained

improvement

The average number of grade 2-4 PU acquired in Scotland’s hospitals has

dropped by 30 each month

Two Jobs ………..

“...everyone in healthcare really has two jobs when they come to work every

day:

to do their work and to improve it.”

What is ‘‘quality improvement’’ and how can it transform healthcare? Batalden,P; Davidoff.F Qual Saf Health Care. 2007 February; 16(1): 2–3

Twitter: @joanne37m

Email: joanne.matthews1@nhs.net

Web: ihub.scot/spsp

Thank you