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Faster Flow, Safer Care - Breaking the Cycle week Day 3

Friday 17 April 2015

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DAY 3 BY ELDERLY CARE CLINICAL DIRECTOR DR LOUISE HOGH

Day 3 and ironically breaking the cycle has resulted in the ‘fixing‘ of a number of pieces of equipment on the Care of the Elderly ward; these range from printers (fixed in an hour), secure doors and Blood Pressure machines.  A bit frustrating that a week like this is how we have got stuff fixed, but we’re all delighted that other people in the organisation are recognising the barriers we face in our daily lives and do what they can to help us and ultimately help our patients.  We know that recognition is proven as among the best methods for improving work motivation and employee engagement and obviously another big driver for engagement and motivation is having achievements and successes recognised which is another benefit to do breaking the cycle.

So what have we been doing differently in elderly care? We have shifted our day forward so meet at 8.30am, half an hour earlier, to discuss all the status of all the patients on the ward and agree on potential discharges for the day, what additional tests and treatments might be needed and other agencies that we need to contact to start planning for patients’ discharge.    We have also added in an additional meeting to review the patients again at 3 in the afternoon, which means we get an update on what has happened during the day.   As Jane mentioned yesterday, moving patients late in the evening is not good for them or the teams looking after them so we have been working with the Acute Assessment Unit to get new admissions brought up to the ward as soon after the bed becomes available on our ward.  This is helping us to do a number of things; avoid late transfers in the evening and gives the ward doctors time to meet the new patients in the afternoon and make care management plans earlier.  This will all help to shave time off the Length of Stay.

I’m also pleased to see that we have exceeded the target for the number of discharges we should do every week on my wards and it was fantastic to hear that yesterday we discharged 70 patients across the Hospital and met the 95% four hour A&E target.  I personally think we still have a long way to go, and a lot more we can do, but we have definitely planted the seeds for more good stuff and improvements for patients.  And I’m on call this weekend and looking forward to breaking the Saturday and Sunday cycle too.

Go Liverpool for Sunday!

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