SLIDE 1 SKINtelligence:
Developing a new culture around safety and avoiding skin breakdown
Cathy O’Sullivan
Chief Executive, Thames Valley HIEC
SLIDE 2 Cross-sector, cross-discipline, partnership working
Everyone
and the solutions = RESPECT and UNDERSTANDING
SLIDE 3 Cross-sector, cross-discipline, partnership working
Everyone
and the solutions = RESPECT and UNDERSTANDING
Local LEADERSHIP and bottom up CHANGE
SLIDE 4 Cross-sector, cross-discipline, partnership working
Everyone
and the solutions = RESPECT and UNDERSTANDING
Local LEADERSHIP and bottom up CHANGE COMPETENCE and EVIDENCE
SLIDE 5 Cross-sector, cross-discipline, partnership working
Everyone
and the solutions = RESPECT and UNDERSTANDING
Local LEADERSHIP and bottom up CHANGE COMPETENCE and EVIDENCE
SHARED LEARNING
SLIDE 6 The evidence
Different sites using the SSKIN bundle
SLIDE 7 The evidence
Eton House Residential Home SSKIN bundle
SLIDE 8
SKINtelligence:
Developing a new culture around safety and avoiding skin breakdown
SLIDE 9
A culture of openness
Transparent reporting to residents, families and staff
SLIDE 10 The evidence
The Safety Cross in use
SLIDE 11 A culture of openness
Root cause analysis
SLIDE 12 The evidence
Transparent displays of days since last avoidable harm
31st January 2014 28th February 2014 31st March 2014 30th April 2014 31st May 2014 19th June 2014 20th June 2014 30th June 2014 31st July 2014 26th August 2014 Days without Avoidable Pressure Sore 170 198 229 259 290 308 1 11 42 68
170 198 229 259 290 308 1 11 42 68 50 100 150 200 250 300 350 Days without Avodable Pressure Sore
Eton House Residential Home - Days without Avoidable Pressure Sore
One Self-care resident / grade 2
SLIDE 13
A culture of openness
Sharing outcomes collaboratively
SLIDE 14
SKINtelligence:
Developing a new culture around safety and avoiding skin breakdown
SLIDE 15
A culture of openness
Buy-in at all levels
SLIDE 16
Evidencing harm and improvement No common reporting
SLIDE 17
Evidencing harm and improvement Initial audits
Baseline assessments
SLIDE 18
Initial audits Evidencing harm and improvement
Baseline assessments
Common standards, tools and reporting mechanisms
SLIDE 19 The evidence
Oxford University Hospitals NHS Trust
SLIDE 20 A bottom-up approach to change
- Culture change takes time
- We developed the idea of
MAGNIFIERS at every level of the care system…
SLIDE 21
A bottom-up approach to change
SLIDE 22 A bottom-up approach to change
- Magnifiers
- Role modeling
- Peer learning
- Combination of more formal
training and practical, on the job, coaching
- Involving residents, patients and
families
SLIDE 23
SKINtelligence The Learning Location for Skin Care
SLIDE 24
The Learning Location for Skin Care
SLIDE 25
Website
On this site you will find all sorts of materials aimed at staff with different skills levels and learning needs. There are learning materials, assessment tools, locally useful information and national policy guidelines. Please have a look at the resource base and encourage your friends and colleagues to do the same. You will find it at: http://www.learning-location.com/skin-care/
SLIDE 26
Learning Links contains Resources relating to Skin Health
SLIDE 27
Resources are matched to competency areas and to roles
SLIDE 28
Confidence Tool to track progress
SLIDE 29
Answering questions relating to your competence on a scale from High to Low
SLIDE 30
How confident do I feel results graph
SLIDE 31 Practical examples and cases
- Learning and Development Needs Tool
This tool, which will be available from March 2015, will allow you to view different care scenarios and reflect on your approach by answering questions. The results will then direct you to the most appropriate 'Learning Links' for you.
SLIDE 32 Feedback
Please send us your feedback
- what works or doesn’t work
- what can be improved
- Any resources you find useful to share
- Anything you would like us to source to help you do
your job better You will find a feedback form on the website at:
http://www.learning-location.com/skin-care/contact/feedback
SLIDE 33
Communicating success for sustainability
Recognise and celebrate
SLIDE 34
Communicating success for sustainability
Recognise and celebrate
Patient pull
SLIDE 35
Communicating success for sustainability
Recognise and celebrate
Patient pull
Sharing creative ideas
SLIDE 36 Communicating success for sustainability
Recognise and celebrate
Patient pull
Publishing and displaying progress to understand what works
Sharing creative ideas
SLIDE 37 Communicating success for sustainability
Recognise and celebrate
Patient pull
Publishing and displaying progress to understand what works
Sharing creative ideas
Communicating
ambition
SLIDE 38 Communicating success for sustainability
Recognise and celebrate
Patient pull
Publishing and displaying progress to understand what works
Sharing creative ideas Regular stakeholder events
Communicating
ambition
SLIDE 39 Communicating success for sustainability
Recognise and celebrate
Patient pull
Publishing and displaying progress to understand what works Communicating evidence of improvement to build sustainability
Sharing creative ideas Regular stakeholder events
Communicating
ambition
SLIDE 40 Communicating success for sustainability
Recognise and celebrate
Patient pull
Publishing and displaying progress to understand what works Communicating evidence of improvement to build sustainability
Sharing creative ideas Regular stakeholder events
Communicating
ambition
Shared Learning resources
SLIDE 41 “From what I have seen today, remarkably simple changes make remarkably dramatic differences.”
George Moncrieff, Local Oxfordshire GP and Chair of the Dermatology Council for England
SLIDE 42
THE LEARNING LOCATION
On this site you will find all sorts of materials aimed at staff with different skills levels and learning needs. There are learning materials, assessment tools, locally useful information and national policy guidelines. You will find it at: http://www.learning-location.com/skin-care/
