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Quality and Safety Improvement Strategy

Quality and Safety Improvement Strategy

The purpose of the Quality and Safety Improvement Strategy is to support the delivery of the organisation’s vision and mission.

The strategy links closely with other key initiatives including the clinical services and the organisational development strategies. It is when these strategies work hand in hand that collectively we deliver the vision and mission of the organisation. 

The values and behaviours developed with our staff underpin delivery and success of the strategy. We recruit and nurture our staff so that we see these values and behaviours at all times from all staff. 

In 2008, we developed and implemented a comprehensive quality and safety improvement strategy. This focused on the delivery of the 10 out of Ten programme of quality improvement, underpinned by a programme of work to reduce overall harm. This five-year strategy was implemented in April 2008 and concluded in March 2014. This strategy had many successes and has been evaluated and reported annually in our quality account. 

 
Priorities for 2016-2018

Since 2008, when High Quality Care for All was published, the NHS has used a three part definition of quality. This highlights that high quality care consists of experience, safety and effectiveness.

These key elements of quality were enshrined into the Health and Social Care Act 2012 to ensure that quality is both safeguarded and improved.

This Quality and Safety Improvement Strategy focuses its key areas of improvement under these three central requirements for quality. 


Experience

  • We will ensure we have appropriate levels of nurse staffing and skill mix that meet the needs of our patients

  • We will continue to support patients who have concerns about their memory and we will work with patients who have dementia and their carers to promote a positive experience whilst in hospital

  • We will ensure the use of safe and effective medication across the organisation.


Effectiveness

  • We will ensure the prompt recognition and treatment of Acute Kidney Injury (AKI) ensuring that 90% of patients are receiving appropriate care as per the AKI pathway by January 2018
  • We will ensure the prompt recognition and treatment of sepsis, ensuring that 90% of patients are receiving appropriate care as per the sepsis pathway by January 2018
  • We will have zero tolerance of Never Events in the organisation.

 

Safety 

  • Our Summary Hospital-Level Mortality Indicator (SHMI) will remain at or below 100 from April 2015

  • We will reduce in-patient fall incidents by 10% by January 2018

  • We will eliminate avoidable pressure ulcers by January 2018.

 

Download the Strategy

 

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