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SPSPP Visit to Cincinnati Children’s Hospital Medical Centre – Oct 2011

SPSPP Visit to Cincinnati Children’s Hospital Medical Centre – Oct 2011. CCHMC – 523 beds / Liberty Campus / Medical Centre . Key Lessons from Visit. Prediction – Situational Awareness – from ward to hospital level . Prediction – Situational Awareness: Ward Bed Huddles. SBAR for Parents.

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SPSPP Visit to Cincinnati Children’s Hospital Medical Centre – Oct 2011

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  1. SPSPP Visit to Cincinnati Children’s Hospital Medical Centre – Oct 2011

  2. CCHMC – 523 beds / Liberty Campus / Medical Centre

  3. Key Lessons from Visit

  4. Prediction –Situational Awareness – from ward to hospital level

  5. Prediction –Situational Awareness: Ward Bed Huddles

  6. SBAR for Parents

  7. Prediction • RHSC E – re-vamping morning huddle; • NHS GG & C – testing morning huddle; • RACH – to begin testing morning huddles; • NHS Tayside: • Spread “Capacity, Safety and Situational Awareness” methodology to Maternity Services • Asked to present “situational awareness” to winter planning table top event • To incorporate “family concerns” into new capacity manager post within Medicine • Redesigning complaints process and adding family concerns

  8. Organisational Improvement Capacity • CCHMC – Quality Improvement Education: • Online Modules (all CCHMC employees); • Rapid Cycle Improvement Collaborative (develop team leader’s ability to lead 120-day improvement project using Model for Improvement); • Intermediate Improvement Science (develop intermediate level of knowledge & skill to do & lead improvement); • Advanced Improvement Methods (AIM) (application of improvement science, leadership of projects); • Quality Scholars Program (develop Faculty capability).

  9. Organisational Capacity - Developing SPSPP team improvement capacity • Tayside Children’s Hospital Improvement event – testing reporting template, no more than 8 slides, 8 minutes. • Conversations with NHS Tayside Centre for Organisation Effectiveness re facilitating training and learning support for all four children's hospital sites: • 120 day rapid improvement collaborative / focused on aims of SPSPP; • Involving teams from hospitals across Scotland.

  10. Measurement –how to incorporate Serious Harm Index into SPSPP How do we integrate the measurement of the Serious Harm Index into SPSPP?

  11. Measurement –how to incorporate Serious Harm Index into SPSPP

  12. Measurement –how to incorporate Serious Harm Index into SPSPP • Test recording measure of harm index in Paediatrics • Pilot – four children’s hospitals: • agree operational definitions; • test measurement processes; • define levels of harm. • Report findings – February 2012

  13. Measurement –how to incorporate Serious Harm Index into SPSPP

  14. Personal Reflections • One of the best events/visits ever been to in 29 years of health career! • Re-energised improvement knowledge and time out to think from reactive day job • Developed links and networks to other staff in children’s hospitals across Scotland • Brought back and implemented many ideas and spread further that Paediatrics • Asked to present visit experience to NHS Tayside’s Executive Team • Scotland are firmly on the same journey as Cincinnati! • Mid-West hospitality – developed supportive links for SPSPP

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