This document outlines a daily reporting process for recording incidents in a hospital. It instructs staff to write the name of the person reporting an issue, and to record any actual or near miss incidents, marking the affected body part. It describes using traffic light indicators to identify if key metrics are meeting expected targets. Ward staff identify issues impacting care, satisfaction, and engagement. Charts and graphs visualize outcomes as problems are solved over time.

1. Name of the person raising the issues is the jey source of information Daily report of any actual or near miss recorded… if no incident then write zero (0) Place a ‘X’ to identify the body part effected by the incident Traffics lights identify if the indicators is at, close to or not hitting the expected results Actual result is written in the colour circle according to the set range >10% >7% 2 Ward staff highlight issues or concerns that are impacting on their ability to achieve 100% RIGHT CARE 100% PATIENT SATSIFACTION 100% NURSE ENGAGEMENT >6% >6% 5.4 0 Each ward has the ability to determine traffic light indicators important to them indictor 5% 4.5% 5.6 Ranges are set by Nurse Manager in conjunction with Nurse Director Targets are set by Nurse Manager in conjunction with Nurse Director Charts/graphs are used to visualise the outcomes of improvements based on the current problems being solved. Issues and concerns are discussed at ward meetings and the team agree on the one or two problem to be solved over the month. The Nurse Manager will initiate the agreed problem solving process