1. Introducing 1000 Lives Plus
6 October 2010
Introducing 1000 Lives Plus
Mike Davidge, Senior Improvement Advisor
Insert name of presentation on Master Slide

2. Introducing … 1000 Lives Plus
1000 Lives Plus aims to
improve patient safety
and reduce avoidable
harm, waste and
variation across NHS
Wales.
1000 Lives Plus - Making patient safety a priority

3. – why it’s still important
Patient safety
– why it’s still important
More than one in ten people admitted to hospital are harmed unintentionally by its care.
There is a one in 300 chance of accidental death through errors in care.
1000 Lives Plus - Making patient safety a priority

4. What - A national programme
1000 Lives Plus will align with several other national programmes in the five year Strategic Framework for NHS Wales
It draws together existing work from the 1000 Lives Campaign and Intelligent Targets.
1000 Lives Plus - Making patient safety a priority

5. What’s new? Increased emphasis on patient-centred care
Ongoing commitment to working across primary and secondary care
New clinical areas targeted for improvement
Local aims for reducing mortality and harm
Safer care for every patient – every where in Wales
1000 Lives Plus - Making patient safety a priority

6. What’s not The Model for Improvement 3 questions
A proven method to accelerate change
1000 Lives Plus - Making patient safety a priority

7. Quality Improvement 23 days 60 days 397 days 504 days
In an article in the Journal
of Quality Improvement,
92 QI projects were
compared. What was the
timeframe from problem
Identification to completion
of first pilot?
23 days
60 days
397 days
504 days
1000 Lives Plus - Making patient safety a priority

8. Quality Improvement
504 days from problem identification to completion of first pilot
397 days from first team meeting to the end of first cycle
75 days to describe current situation in flowchart
62 days for data collection if change was improvement
Alemi, Safaie, Neuhauser
“A Survey of 92 Quality Improvement Projects.”
Journal of Quality Improvement
2001, 27(11):
1000 Lives Plus - Making patient safety a priority

9. Model for Improvement AIM What are we trying to accomplish?
How will we know
that a change is an improvement?
What change can we make that will result in improvement?
AIM
Ginna:
First question leads us to the AIM of the project. So why is this question so important?
1000 Lives Plus - Making patient safety a priority

10. Model for Improvement What are we trying to accomplish?
How will we know
that a change is an improvement?
What change can we make that will result in improvement?
Measurement
Mike :
Thanks Ginna. Why is this question important ??
Model for Improvement & PDSA Cycles

11. % medicines reconciled in a Medical Admissions Unit
Pharmacy included
Form printed
Letter from CDs
Form piloted

12. Change(s) What are we trying to accomplish? How will we know
that a change is an improvement?
What change(s) can we make that will result in improvement?
Change(s)
Ginna
Thanks Mike so the next question is …
Model for Improvement & PDSA Cycles

13. The Mini-collaborative structure
Based on a model developed by IHI
1000 Lives Plus - Making patient safety a priority

14. Tools for improvement Improving clinical communication using SBAR
Using patient stories
The Model for Improvement
Using the Extranet
Using Trigger Tools
1000 Lives Plus - Making patient safety a priority

15. Embedding best practice
“1000 Lives Plus is designed to
ensure that the new ways of
working are embedded in
everyday practice, enabling
everyone to meet the shared
vision of putting patients and
patient safety above all else.”
Dr Tony Jewell, Chief Medical Officer for Wales
1000 Lives Plus - Making patient safety a priority

16. If we can improve
care for one patient,
then we can do it for ten.
If we can do it for ten,
then we can do it for a 100.
If we can do it for a 100,
we can do it for a 1000
And if we can do it for a 1000,
we can do it for everyone in Wales.

17. Thank you
Mike Davidge Senior Improvement Advisor 1000 Lives Plus
Model for Improvement & PDSA Cycles