1. The Health Roundtable Leadership, Governance and Pressure Injury Prevention –it’s our culture! Presenter: Cherie Franks & Tracy Nowicki The Prince Charles Hospital Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012 1 4-4a_ HRT1215-Session_FRANKS_PCHosp_QLD

2. The Health Roundtable KEY PROBLEM  No clear governance structure or plan  Leadership – difficult to maintain engagement with many competing agendas  Difficult to get staff involved in pressure injury audits  Limited local ownership of data  Incident reporting was not consistent – staff did not feel their incidents reports were influencing change in practice  Practice was often based on habits not best evidence 2

3. The Health Roundtable AIM OF THIS INNOVATION  Improve patient outcomes & reduce harm  Reduce incidence of HA pressure injuries and prevalence  Consistent clear leadership  Governance for reporting/ reviewing results  Ensure pressure injury prevention is everyone's business  Encourage interdisciplinary staff involvement in pressure injury audits and the value in doing them  Local ownership of data  Create and maintain a CULTURE of incident reporting  Practice based best evidence not habits 3

4. The Health Roundtable KEY CHANGES IMPLEMENTED  Timely Waterlow assessment  Standardisation of continence & skin care management  Completion of MST& appropriate referral to Dietician  Protected Meal Times - promotion and implementation  Practice Partnership model – eg regular rounding  Appropriate equipment acquisition  Creating a culture of Incident reporting via AIMS and pressure injury prevention  Documentation ( pressure injury sticker, wound forms)  Improvement in ICD -10 coding & documentation  Pressure injury prevention is now everyone’s business! 4

5. The Health Roundtable BASELINE DATA 5

6. The Health Roundtable WHAT CHANGES HAVE CONTRIBUTED TO THE SUCCESS?  Engagement from all staff – from CEO KPI, Executive, Nursing Directors, interdisciplinary team and ward staff.  Identification of pressure injury as a priority in Nursing Strategy 2010 – 2013  Tissue Viability Committee and interdisciplinary collaboration  Standardising skin care and continence management & education  PIP Champions on wards created local buy in – meet regularly  Raised awareness  Presentations to Grand Rounds & Senior Nurses Planning Day  Creating and maintaining a culture of pressure injury prevention & incident reporting  Involve the patient in their care and management plan  Progressed from traditional habits to evidence based practice  Publications, promotion and awareness 6

7. The Health Roundtable And They Welcomed The Crowds 2011 – Pressure injury prevention is everyone’s business 7

8. The Health Roundtable LESSONS LEARNT  Don’t underestimate the value of leadership  Involve everyone – interdisciplinary  Include the patient/carer and value their contribution  Local ownership of results/data is vital  Clear actions on pressure injury prevalence and incident reports  Consistent governance for reporting and evaluating results  Make it fun! 8