Patient Safety WalkRounds Leadership WalkRounds
WalkRounds –the concept <ul><li>An Executive  </li></ul><ul><li>An Independent Member of the Board </li></ul><ul><li>Possi...
WalkRounds – a history <ul><li>1999 Concept developed by IHI </li></ul><ul><li>2000-2003 piloted in several US hospitals <...
Aim of WalkRounds <ul><li>To demonstrate a visible senior leadership role in patient safety </li></ul><ul><li>To combine a...
What can we gain? <ul><ul><li>Patients </li></ul></ul><ul><ul><ul><li>Benefit from decreased risk  </li></ul></ul></ul><ul...
Safer Patients Initiative experience of  WalkRounds Some comments from Chief Executives … “ A walkround is like a choreogr...
Last years events Completed  –report submitted Q&SC Llanidloes July, August, Sept 2010 Completed  –report submitted Q&SC B...
Plan Do  Study  Act <ul><li>What went well?   </li></ul><ul><li>Staff enjoyed the opportunity of meeting the Board members...
Plan Do  Study  Act <ul><li>What didn’t go well </li></ul><ul><li>Organisation of visits a bit hit and miss – a number had...
Plan Do Study  Act <ul><li>What we plan to change in the next phase </li></ul><ul><li>We have arranged “walkround” trainin...
Walkround Questions <ul><li>Were you able to care for your patients this weeks as safely as possible?  If not, why not? </...
An introduction to Patient Safety Leadership Walkrounds. The 1000 Lives Plus programme is an All-Wales initiative to impro...
 
<ul><li>If we can improve </li></ul><ul><li>care for  one patient , </li></ul><ul><li>then we can do it for  ten . </li></...
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Leadership walkround talk

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leadership walkrounds in healthcare concept

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  • This is the challenge for us all Thank you I look forward to hearing of your progress and achievements over the coming months
  • Leadership walkround talk

    1. 1. Patient Safety WalkRounds Leadership WalkRounds
    2. 2. WalkRounds –the concept <ul><li>An Executive </li></ul><ul><li>An Independent Member of the Board </li></ul><ul><li>Possibly a Scribe </li></ul><ul><li>.. meeting with </li></ul><ul><li>Front line staff teams to discuss safety </li></ul>
    3. 3. WalkRounds – a history <ul><li>1999 Concept developed by IHI </li></ul><ul><li>2000-2003 piloted in several US hospitals </li></ul><ul><li>2003 First published research on Walkrounds </li></ul><ul><li>2004 incorporated into the UK Safer Patient’s Initiative (SPI) </li></ul><ul><li>2007 identified as a key leadership intervention for the 1000 Lives Campaign </li></ul>
    4. 4. Aim of WalkRounds <ul><li>To demonstrate a visible senior leadership role in patient safety </li></ul><ul><li>To combine a top-down and bottom-up approach to safety awareness and management </li></ul><ul><li>Gain information and act on safety problems and issues </li></ul>
    5. 5. What can we gain? <ul><ul><li>Patients </li></ul></ul><ul><ul><ul><li>Benefit from decreased risk </li></ul></ul></ul><ul><ul><li>Leaders </li></ul></ul><ul><ul><ul><li>Directly interact with staff </li></ul></ul></ul><ul><ul><ul><li>Learn unfiltered truth </li></ul></ul></ul><ul><ul><ul><li>Directly influence culture </li></ul></ul></ul><ul><ul><li>Front line staff </li></ul></ul><ul><ul><ul><li>Opportunity to discuss concerns </li></ul></ul></ul><ul><ul><ul><li>Opportunity to be heard and respected </li></ul></ul></ul>
    6. 6. Safer Patients Initiative experience of WalkRounds Some comments from Chief Executives … “ A walkround is like a choreographed dance and careful preparation is essential” “ Walkrounds are simple to do – but hard to do well” “ A Walkround is the essence of ‘Servant Leadership’” “ Of all the interventions we have tried, Walkrounds have probably had the most impact”
    7. 7. Last years events Completed –report submitted Q&SC Llanidloes July, August, Sept 2010 Completed –report submitted Q&SC Bronllys July, August, Sept 2010 Completed –report submitted Q&SC Builth Wells July, August, Sept 2010 ? Brecon July, August, Sept 2010 Cancelled Welshpool July, August, Sept 2010 Cancelled Newtown July, August, Sept 2010 ? Ystradgynlais April, May, June 2010 Completed –report submitted Q&SC Llandrindod Wells: April, May, June 2010 Cancelled Machynlleth April, May, June 2010 Status Site Date
    8. 8. Plan Do Study Act <ul><li>What went well? </li></ul><ul><li>Staff enjoyed the opportunity of meeting the Board members and talking about their work </li></ul><ul><li>Some important patient safety concerns were identified </li></ul><ul><li>- incident reporting form too complex </li></ul><ul><li>- poor transfer information from DGH’s </li></ul><ul><li>- problems with equipment supplies from NRS </li></ul>
    9. 9. Plan Do Study Act <ul><li>What didn’t go well </li></ul><ul><li>Organisation of visits a bit hit and miss – a number had to be cancelled – or staff were not told they were to be visited. </li></ul><ul><li>No robust pathway for visit reports to be developed into improvement actions </li></ul><ul><li>Conversations tended to drift into areas not directly concerned with patient safety </li></ul>
    10. 10. Plan Do Study Act <ul><li>What we plan to change in the next phase </li></ul><ul><li>We have arranged “walkround” training for Independent members of the Board from NLIAH </li></ul><ul><li>All visit reports are to be submitted to the Quality and Safety Committee </li></ul><ul><li>An explanatory leaflet and a defined question set have been created. </li></ul>
    11. 11. Walkround Questions <ul><li>Were you able to care for your patients this weeks as safely as possible? If not, why not? </li></ul><ul><li>Does communication between different staff groups and professionals either enhance or inhibit safe care on your unit? </li></ul><ul><li>Have there been any adverse events recently or “near misses” that almost caused patient harm but didn’t? If so was there any improvement actions taken? </li></ul><ul><li>Is there anything in the work environment that fails you on a consistent basis, or is likely to lead to the next adverse event? </li></ul><ul><li>Examples, consider </li></ul><ul><ul><li>All aspects of admission, hospital stay and discharge </li></ul></ul><ul><ul><li>Movement within the hospital </li></ul></ul><ul><ul><li>Communication </li></ul></ul><ul><ul><li>Informatics/computer issues </li></ul></ul>
    12. 12. An introduction to Patient Safety Leadership Walkrounds. The 1000 Lives Plus programme is an All-Wales initiative to improve patient safety and reduce the waste, harm and variation that can be present in all types of healthcare. You may have already seen or heard of some of the early 1000 Lives campaign projects such as reducing hypothermia, the ‘track and trigger’ observation form and the hand hygiene audits. Feedback The Walkround team will respond to the questions you raise as quickly as possible and will report the findings of their visit to the Quality and Safety Committee Produced by the Powys tHB Quality and Safety Unit, Mansion House Bronllys LD3 0LS The Patient Safety Leadership Walkrounds are another aspect of the 1000 Lives Plus programme. Originally developed in Boston USA by Dr Allan Frankel they are now widely undertaken in the UK. To Learn more about 1000 Lives Plus go to our intranet site If we can improve care for one patient , then we can do it for ten . If we can do it for ten, then we can do it for a 100 . If we can do it for a 100, we can do it for a 1000 And if we can do it for a 1000, we can do it for everyone in Wales. An introduction to Patient Safety Leadership Walkrounds. The 1000 Lives Plus programme is an All-Wales initiative to improve patient safety and reduce the waste, harm and variation that can be present in all types of healthcare. You may have already seen or heard of some of the early 1000 Lives campaign projects such as reducing hypothermia, the ‘track and trigger’ observation form and the hand hygiene audits. Feedback The Walkround team will respond to the questions you raise as quickly as possible and will report the findings of their visit to the Quality and Safety Committee Produced by the Powys tHB Quality and Safety Unit, Mansion House Bronllys LD3 0LS The Patient Safety Leadership Walkrounds are another aspect of the 1000 Lives Plus programme. Originally developed in Boston USA by Dr Allan Frankel they are now widely undertaken in the UK. To Learn more about 1000 Lives Plus go to our intranet site If we can improve care for one patient , then we can do it for ten . If we can do it for ten, then we can do it for a 100 . If we can do it for a 100, we can do it for a 1000 And if we can do it for a 1000, we can do it for everyone in Wales.
    13. 14. <ul><li>If we can improve </li></ul><ul><li>care for one patient , </li></ul><ul><li>then we can do it for ten . </li></ul><ul><li>If we can do it for ten, </li></ul><ul><li>then we can do it for a 100 . </li></ul><ul><li>If we can do it for a 100, </li></ul><ul><li>we can do it for a 1000 </li></ul><ul><li>And if we can do it for a 1000, </li></ul><ul><li>we can do it for everyone in Wales. </li></ul>

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