Area for improvement
Action taken
Outcome
Re-design pathway to clarify clinical responsibility on transfer from Resuscitation Area
Sepsis pathway published
Clinical responsibility for Patient care is transferred according to the protocol in the Pathway
Effective response times when patients trigger parameters that suggest severe infections. (A MEWS score of 4 or above)
Explore feasibility of a 60 minute standard from decision to admit to admission to the general Critical Care Unit. (Score to Door)
Sepsis pathway compliance ensures timely transfer to Intensive Care when indicated
Use ‘Run Charts’ to identify further changes to pathway and improvements in practice Sustain best practice in avoiding, identifying and treating Sepsis
2.3.4
Sepsis champions in clinical areas
Champions are in place
Sepsis champions in clinical areas
Displayed in clinical areas
On-line training tool for all staff available
Due to be implemented in 2013
Nutritional Management (2010/11)
Nutrition and hydration are always important issues for patients in hospital. But beyond concerns about the quality of food or the timing of meals there is an important clinical agenda. The right diet, offered at the right time in the right way can make all the difference in the speed and quality of recovery. So work continues to improve nutritional management standards across UHCW.
Patient meals Dieticians have been working with ISS to optimise nutrition in a planned 7 day patient menu. This takes into account patient feedback, incorporating popular menu items and offering more choices at each meal. A smooth nutritious soup will be introduced as a post operative option and for those with a very small appetite. A main course soup adds further choice to the main menu. We are developing a pictorial menu to improve access to choice of meals for patients with communication difficulties including dementia and learning disabilities.
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University Hospitals Coventry and Warwickshire NHS Trust