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Safer Start

Safer Start. 8am Monday 08 th February – 8am Monday 15 February. The Need to Change. Challenges in relation to patient flow both within the hospital and across the whole Health and Social Care system.

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Safer Start

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  1. Safer Start 8am Monday 08th February – 8am Monday 15 February

  2. The Need to Change • Challenges in relation to patient flow both within the hospital and across the whole Health and Social Care system. • Fire fighting daily with issues such as high bed occupancy levels, delayed discharges, outliers and long bed waits. • Overcrowding in ED becomes the norm. • Consistently declaring ‘Black’ status This is detrimental to patient safety, quality of care and negatively impacts on the patient experience.

  3. The Components of Safer Start

  4. Command and Control:Summary of Gold Actions:

  5. Command and Control:Summary of Silver Actions:

  6. Command and Control:Summary of Bronze/WLO Actions:

  7. Your Role:

  8. Your Role:

  9. Structure of the Day: Morning

  10. Structure of the Day: Afternoon

  11. KPIs: • Based on the SAFER discharge bundle for each area • Will be reported against at each Silver Command Meeting • Will be added onto Kitbag under a specifically set up for the week to allow us to track performance • Performance against these will determine plans for each CBU for the following day

  12. SAFER Discharge Bundle (key components): S - Senior Review. Consultant on ward for board handover at 0800 hrs A - Assessment. All patients will have a Planned Discharge Date and management plan within 24 hours of arrival to ward. F - Flow of patients. Wards will commence ‘pull’ the correct patients to their ward before 10am. Pull to beds will occur within 30 mins of declaration. E – Early discharge. Discharge targets commence from 10am and patients should leave ward within 2 hours of decision to discharge made R – Regular review. A systematic review of patients with extended lengths of stay. Review of every patient by Consultant.

  13. Questions…..

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