Chris Hancock1. 1. NHS Wales, Innovation House, Bridgend Road, Llanharan CF72 9RP, United Kingdom. Electronic address: Christopher.hancock2@wales.nhs.uk.
Abstract
AIMS: The Rapid Response to Acute Illness (RRAILS) Programme is a quality and service improvement initiative which is participated in by all Welsh healthcare organisations including the Welsh Ambulance Service Trust (WAST) and Velindre Cancer Centre. The aims of the programme were and are: Implementing the National Early Warning Score (NEWS) as standard in all clinical areas in all 18 acute hospitals. Quantifying the incidence of sepsis and acute deterioration in the non Critical Care setting. Improving reliability of systems for identification, escalation and treatment of sepsis. Demonstrably improving outcomes from sepsis and other causes of acute deterioration. METHODS: Clinical teams participated in learning sets at which they were trained in service improvement and human factors principles and then supported to implement 'bundles' of best evidence whilst measuring both processes and outcomes. FINDINGS: All organisations have implemented standardised tools and operating procedures including NEWS, sepsis screening tools, Patient Status at A Glance (PSAG) boards, sepsis response bags and an antibiotic formulary. All organisations have demonstrated improvements in the reliability of detection and escalation of acute deterioration whilst many have started to demonstrate local improvements in outcomes. CONCLUSION: The collaborative learning set is an effective method for improving quality of sepsis care throughout a single healthcare economy.
AIMS: The Rapid Response to Acute Illness (RRAILS) Programme is a quality and service improvement initiative which is participated in by all Welsh healthcare organisations including the Welsh Ambulance Service Trust (WAST) and Velindre Cancer Centre. The aims of the programme were and are: Implementing the National Early Warning Score (NEWS) as standard in all clinical areas in all 18 acute hospitals. Quantifying the incidence of sepsis and acute deterioration in the non Critical Care setting. Improving reliability of systems for identification, escalation and treatment of sepsis. Demonstrably improving outcomes from sepsis and other causes of acute deterioration. METHODS: Clinical teams participated in learning sets at which they were trained in service improvement and human factors principles and then supported to implement 'bundles' of best evidence whilst measuring both processes and outcomes. FINDINGS: All organisations have implemented standardised tools and operating procedures including NEWS, sepsis screening tools, Patient Status at A Glance (PSAG) boards, sepsis response bags and an antibiotic formulary. All organisations have demonstrated improvements in the reliability of detection and escalation of acute deterioration whilst many have started to demonstrate local improvements in outcomes. CONCLUSION: The collaborative learning set is an effective method for improving quality of sepsis care throughout a single healthcare economy.
Authors: Tamas Szakmany; Robert M Lundin; Ben Sharif; Gemma Ellis; Paul Morgan; Maja Kopczynska; Amrit Dhadda; Charlotte Mann; Danielle Donoghue; Sarah Rollason; Emma Brownlow; Francesca Hill; Grace Carr; Hannah Turley; James Hassall; James Lloyd; Llywela Davies; Michael Atkinson; Molly Jones; Nerys Jones; Rhodri Martin; Yousef Ibrahim; Judith E Hall Journal: PLoS One Date: 2016-12-01 Impact factor: 3.240
Authors: Maja Kopczynska; Ben Sharif; Harry Unwin; John Lynch; Andrew Forrester; Claudia Zeicu; Sian Cleaver; Svetlana Kulikouskaya; Tom Chandy; Eshen Ang; Emily Murphy; Umair Asim; Bethany Payne; Jessica Nicholas; Alessia Waller; Aimee Owen; Zhao Xuan Tan; Robert Ross; Jack Wellington; Yahya Amjad; Vidhi Unadkat; Faris Hussain; Jessica Smith; Sashiananthan Ganesananthan; Harriet Penney; Joy Inns; Carys Gilbert; Nicholas Doyle; Amit Kurani; Thomas Grother; Paul McNulty; Angelica Sharma; Tamas Szakmany Journal: J Clin Med Date: 2019-08-29 Impact factor: 4.241