We have spread the programme and are now working with 95 teams across 23 organisations across the region. Now forecasting is at less than four fractures per year, with significant reduction in other forms of injury.
To date patients who could have fallen have not done so. Which national priorities does this work address? The intervention has avoided 13 fractures forecast including NOF. Three months after we started working with the four ward teams there were 23 falls per month, which are continuing to decrease.
Patients at risk of falling in hospital are defined as aged 65 and older and those between 50 and 64 with an underlying condition that puts them at a higher risk of falling. Inpatient groups who are seen as at most risk of falling are: The work has resulted in impressive results, including: The human cost of falling includes distress, pain, injury, loss of confidence, loss of independence and mortality.
Sustained periods of time without any falls.
One ward has moved from an average of one fall per week to repeatedly achieving 30 days between falls, and up to 60 days. The event was attended by over delegates. Variations in quality of care, variations in safety of care. AHSNs will need to be supported to develop their own capability in delivering the active ingredients of this methodology — and then supported to use the spread methodology.
We have reached the milestone of 30 days without a fall today, which given the history of falls on this ward is really significant. Results We are now actively working with more than 66 front line teams across 18 organisations in Yorkshire and Humber, including two private nursing care homes and two general practice teams.
Before we started at Leeds Teaching Hospitals NHS Trust there were 54 falls per month across four care of the elderly wards, and eight fractures and multiple other significant injuries per year.
The whole ward team have really embraced the safety huddle concept. Inpatient falls can lead to hip fractures and other injuries, while even falls without harm can lead to loss of confidence and increased length of stay.
All patients aged 65 or older Patients aged 50 to 64 who are judged by a clinician to be at higher risk of falling because of an underlying condition.
Our Improvement Academy support and coach frontline teams as part of the HUddles for Safety Healthcare HUSH programme that includes safety culture surveys, visual data and celebrating successes.
The financial cost of a fall can include both significant clinical and legal costs. We have made significant, evidenced reductions to the number of patient falls and costs, increased bed availability and achieved measurable improvements in staff morale, with teams choosing to extend their remit to include reducing pressure area injury, deteriorating patients and delayed discharge.
We have extended our programme to include pressure ulcers, care of deteriorating patients and reducing delayed discharges. There is a substantive evaluation of the impact of the patient safety huddle work at whole hospital level being provided by University of Bradford.
Further health economics work is underway as part of the funded scaling up initiative.The Yorkshire & Humber Academic Health Science Network (AHSN) is one of fifteen innovative health networks set up to create and harness a strong, purposeful partnership between patients, health services, industry, and academia.
16 Yorkshire & Humber AHSN Programme and Project Detail 72 Risks 73 Appendix. 3 Professor William Pope Chair business-like and systematic in the way we support members, implement plans and in the YHAHSN’s /16 business plan.
VISION. The programme is a key part of our /17 business plan with a target to ensure every trust within the region is engaged with the programme. Find out more Visit the Yorkshire & Humber AHSN website. What is the role of the Yorkshire & Humber AHSN? Academic Health Science Networks were given licence to operate by NHS England in May The Yorkshire and Humber AHSN is one of 15 innovative health networks set up to create and harness a strong, purposeful partnership between patients, health services, industry, and academia.
The Yorkshire & Humber AHSN Health Innovation Exchange Portal provides a platform for colleagues across the health and care sector to connect and share innovative solutions, projects and products to support our collective ambition to provide world class patient care in a cost effective and efficient manner.
List of Academic Health Science Networks (AHSN), their Chairs, MDs, websites, Twitter feeds, priorities Academic Health Science Networks (AHSN) map and tender details for new AHSCs An interactive map of the AHSNs areas can be found on the Yorkshire and Humber AHSN site here.
But just so you know the areas look like this.Download