Safety programme reduces ICU mortality
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KeywordsHand Hygiene Standardise Mortality Ratio Pandemic H1N1 Ward Round Safety Programme
One in 10 patients admitted to Scottish hospitals are unintentionally harmed and around 50% of these events could have been avoided if lessons from previous incidents had been learned. A National Audit Office report estimated that patient safety incidents cost the NHS an estimated £2 billion a year.
We identified a minimum of eight main elements that we should concentrate on in order to produce reliable critical care. They included VAP, CVC insertion and maintenance, peripheral vascular catheter maintenance, daily goals, multidisciplinary ward rounds, hand hygiene, and glycaemic control.
The public display of our infection rates has helped change the culture in our ICU to one of transparency and safety. Multiple small-scale tests of change are integral to changing practice in a high-risk environment. Bundles of care, daily goals and checklists all help produce high-quality reliable healthcare.
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