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Page 1: How we're approaching Quality Improvement in NHSScotland
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spread  is  ‘the  ac*ve    dissemina*on  of  best    prac*ces  and  knowledge  about  interven*ons  and  the  implementa*on  of  interven*ons    in  every  applicable  care  se:ng2  

sustainability  is  when  ‘new  ways  of  working  and  improved  outcomes  become  the  norm1  

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     THE  10  KEY  FACTORS    

 

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…..listen  to  the  voices,  sugges*ons  and  opinions  of  staff……  

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….tell  us  what  difference  the  change  makes  to  improving  pa*ent  care…  

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 ….the  change  made  towards  person-­‐centred  care  resonates  with  staff  and  helps  to  drive  change  forward….  

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THE FACTS 15-­‐20%  of  inpa*ents  had  diabetes  !  33%  of  insulin  treated  pa*ents  had  a  chart  error  !  >25%  experienced  a  hypoglycaemic  episode    !  One  in  30  acquired  a  new  foot  lesion  as  in-­‐pa*ent  !  One  in  six  described  their  experience  as  nega*ve  

IN SCOTLAND 12-­‐20%  of  inpa*ents  have  diabetes  12%  of  Sco:sh  inpa*ent  expenditure  spent  on  pa*ents  with  diabetes  

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Level  9,  Western  Infirmary,  NHS  Greater  Glasgow  and  Clyde  Suit  of  Measures,  control  charts  

PROCESS  

OUTCOME  OUTCOME  

OUTCOME  

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©  with  thanks  to  Dr  Christopher  Sainsbury  for  the  data  

Interven*on  L9  vascular:  %  episodes  hypoglycaemia  resolved/month  Oct  2010  –  May  2014  

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©  with  thanks  to  Dr  Christopher  Sainsbury  for  the  data  

Individuals  with  2  hypos  during  admission  LOS  by  number  resolved  (n=1675)  

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