Nursing Led Implementations of tech solutions
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Nursing Led Implementation
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Paper is failure.
Audit results from King’s Early Warning Track and Trigger paper charts (POTTS) showed:
●80% POTTS charts completed fully●91% Associated EWS scored●90% EWS calculated correctly●49% Escalated + responded correctly to EWS
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Paper is failure.
Audit results from King's; January – June 2012:
55 separate SUIs● Failure to do obs - 25%● Incorrect EWS calculation - 16% ● Failure to recognise deterioration - 29%● Failure to follow protocol - 31%● Failure to respond appropriately - 49%
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Nursing Leadership
Engagement: Chair of the Trust Patient Deterioration Committee also IT geek!
Evidence: POTTS audit consistently showed inadequate calculation of scores and poor escalation
Engineering: Build it ourselves
Education: Iterate and learn
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Nursing Implementation
● Piloted on two wards● Ward sisters engaged and provided feedback
to improve system● Nurses LOVED IT!!!!● Adopted by Trust IT Dept and team set up for
implementation● Nursing Led Training and Roll-out … Senior PM
was a Nurse
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Trust Wide Deployment
95,000 observations a month
● Failure to do observations - 0%● Incorrect EWS calculation - 0% ● Failure to recognise deterioration - 2%● Failure to follow protocol – 3%● Appropriate escalation response – 98.7%
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Engage nurses from the start!
Nurses know the reality of practice and what is “doable”
Make systems easy, friendly, playful!
Deploy systems that make a tangible and real difference to Patient Safety (not just managers....)
Some learnings...
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
We can do better...
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Meaningful Dialogue
Nurses and Developers working together
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
This is not a process
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
Localised NEWS as Process
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Tactix4 at BCS HC2014 19/03/14
Rob Dyke, [email protected]@robdykedotcom @tactix4
@code4health
Come and see Tactix4NHS England Open Source Pavilion