Pr Ulcer Risk Assessment Risk Management Nutrition & Hydration Medication Equipment Continence Falls CA-UTI VTE One plan – four harms
{"Image DocumentName": "One plan \u2013 four harms Risk Assessment Risk Management", "Image ImageDescription": "Pr Ulcer. Risk Assessment. Risk Management. Nutrition & Hydration. Medication. Equipment. Continence. Falls. CA-UTI. VTE. The changes we will introduce are based on empirical evidence, widely recognised in best practice guidelines but simplified for execution. This simplification should not be misinterpreted as \u2018dilution\u2019. Our experience of improving healthcare quality has clearly shown that focussing a small number (3-4) key interventions and figuring out strategies for local implementation are key to breakthrough improvement. The rationale is clear, find the key interventions which make the biggest difference and implement reliably for every patient, all the time. However, in requiring that four clinical specialist areas work together with frontline teams to create a single plan for harm free care this design concept forces teams to agree on a single model, for example, in the active risk management domain clinical specialists in pressure ulcers and falls are moving towards intentional or hourly rounding to manage \u2018risk\u2019, by combining their requirements in a single rounding proforma we can deliver against multiple agendas with the ultimate design being a form which is elegantly designed to accommodate ALL areas.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}