Pressure Injuries - Safeguarding (#2470)

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Initial
Detailed
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Idea Description
Overview of Innovation:
NHS England guide on:
Pressure Injury
Safeguarding and Neglect
Avoidable v Unavoidable
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Overview of Innovation:
This Pressure Ulcer toolkit was developed for care home staff as part of the SPACE (Safer Provision and CARING Excellence) Quality Improvement Programme.
The toolkit includes resources to support the reduction of avoidable harm with residents who are at risk of developing pressure ulcers. 

Resources include:
  • Introduction to Quality Improvement Tools
  • The model for Improvement
  • PDSA (Plan Do Study Act) template
  • Measurement tools – Pressure Injury Safety Cross
  • Guidance on how to gather baseline information and explore reliability of care processes
  • Aim setting and staff engagement activities
  • Example Improvement plan (in the form of a driver diagram)
  • Workforce Education resources
  •  
Initial Review Rating
1.00 (1 ratings)
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Overview of Innovation:
WaitLess is a free to download App which allows  people with minor injuries to select the location which will get them access the quickest treatment facility. It combines live feeds from A&E departments and all types of Urgent Treatment Centres showing the number of people waiting and waiting time in the department. The App combines this with travel time to the location and expresses both wait and travel as a single figure. It draws on live feeds from A&E departments and all types of Urgent Treatment Centres
It has reduced attendances at A&E departments in the pilot area by 5% and transferred 11% of minor injury attendances to MIUs, which typically have significantly shorter waiting times.
Waitless was designed as part of the Vanguard New Care Model and adopted by the National Inovation Accelerator programme for 2018 as best practice nationally.
Most A&E attendances are from self-presenting patients, attending A&E with conditions that are associated with minor injuries, ailments and minor emergencies which can be seen in other departments like the Minor Injuries Unit or the Urgent Care Centre. Various studies, undertaken both locally and nationally recognise that many patients could be treated more quickly closer to home.
It is designed by patients, for patients. It removes facilities that are closed, or that will be closed before you can reach them.
Since its launch in east Kent, Transforming Systems have tracked a significant reduction in minor A&E activity. Our observations have been confirmed as statistically significant by the University of Greenwich and the Behavioural Insights Team.
 Benefits
Reduction in “A&E minors” attendances by 11% against an end of year target of 5%. On days where there is significant pressure on majors, it is common for waiting times in minors to increase. As waiting times increase in one facility, patients choose other locations with lower waits. This spreads activity more proportionately across the system, giving pressured A&Es much needed time to recover. Studies show patients commit quickly in an emergency to a venue of care. Providing information that is easy for patients to access and understand at the point of decision enables them to make an informed decision about the best place to access care. In most cases, patients access care closer to home with lower waiting times.
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Overview of Innovation:


WaitLess is a free to download App which allows  people with minor injuries to select the location which will get them access the quickest treatment facility. It combines live feeds from A&E departments and all types of Urgent Treatment Centres showing the number of people waiting and waiting time in the department. The App combines this with travel time to the location and expresses both wait and travel as a single figure. It draws on live feeds from A&E departments and all types of Urgent Treatment Centres
It has reduced attendances at A&E departments in the pilot area by 5% and transferred 11% of minor injury attendances to MIUs, which typically have significantly shorter waiting times.
Waitless was designed as part of the Vanguard New Care Model and adopted by the National Inovation Accelerator programme for 2018 as best practice nationally.
Most A&E attendances are from self-presenting patients, attending A&E with conditions that are associated with minor injuries, ailments and minor emergencies which can be seen in other departments like the Minor Injuries Unit or the Urgent Care Centre. Various studies, undertaken both locally and nationally recognise that many patients could be treated more quickly closer to home.
It is designed by patients, for patients. It removes facilities that are closed, or that will be closed before you can reach them.
Since its launch in east Kent, Transforming Systems have tracked a significant reduction in minor A&E activity. Our observations have been confirmed as statistically significant by the University of Greenwich and the Behavioural Insights Team.
 Benefits
Reduction in “A&E minors” attendances by 11% against an end of year target of 5%. On days where there is significant pressure on majors, it is common for waiting times in minors to increase. As waiting times increase in one facility, patients choose other locations with lower waits. This spreads activity more proportionately across the system, giving pressured A&Es much needed time to recover. Studies show patients commit quickly in an emergency to a venue of care. Providing information that is easy for patients to access and understand at the point of decision enables them to make an informed decision about the best place to access care. In most cases, patients access care closer to home with lower waiting times.
Initial Review Rating
3.50 (1 ratings)
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