Trust performance & learning from deaths

Indicator  Q1
Apr-Jun
Q2
Jul-Sep
Q3
Oct-Dec
Q4
Jan-Mar
Year End Learning Points
Patient Safety: Total % inpatient deaths subject to a case record review 100.00% 100.00% 100.00% N/A 100% Learning points identified (Requirement from Q3):

Apr-17: Referral pathways implemented for long term conditions  to inform specialist nursing/medical care.
July-17: Improved safer transfer of patient care between CWP and acute trust. 
Patient Safety: Total number of inpatient deaths subject to a case record review identifying that there may have been a problem in the care provided 1 2 0 N/A 3
Patient Safety: Total % deaths reported by and to the Trust (including inpatient deaths) subject to a case record review 15% 17% 18% 20% 18% Learning points identified (Requirement from Q3):

Oct-17: Need to review adequacy of systems to reliably contact the District Nursing Service out of hours.
Nov-17: Improvements required to communication with families in relation to medication regimens in place for people receiving palliative care.
Patient Safety: Total number of deaths (including inpatient deaths) subject to a case record review identifying that there may have been a problem in the care provided 0 2 2 0 4

                                                                                                                                                                                                                                     
You can read the Trust performance 
2017/18 report here. 

Indicator  Q1
Apr-Jun
Q2
Jul-Sep
Q3
Oct-Dec
Q4
Jan-Mar
Year End Learning Points
Patient Safety: Total % inpatient deaths subject to a case record review 100.00% N/A N/A N/A 100% N/A
Patient Safety: Total number of inpatient deaths subject to a case record review identifying that there may have been a problem in the care provided          
Patient Safety: Total % deaths reported by and to the Trust (including inpatient deaths) subject to a case record review 34% 54%        
Patient Safety: Total number of deaths (including inpatient deaths) subject to a case record review identifying that there may have been a problem in the care provided          

 

You can read the Trust performance 2018/19 report here. 

Click here to see the Learning from Experience report – trimester 3 2017/18

 

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