Safety and Quality Award

Projects in the Safety and Excellence category reflect an open and learning culture with robust systems, providing assurance to service users and the public of the safety and quality of services.

STOP ALL is an acronym for Success Through Ownership, Prevention, Audit, Learning and Leadership. Anyone who is ill or immobile is at risk of developing pressure ulcers. In severe cases, these painful wounds affect deep tissues like muscles and bones and lead to severe infections which threaten life and limb.

The Tissue Viability Nurse Team introduced the SKIN™ Bundle into all acute adult inpatient wards and departments. *SKIN™ is an acronym for the basic themes underpinning pressure ulcer prevention: Skin checks and support surface, Keep moving (repositioning), Incontinence/ Increased moisture management, Nutrition & hydration.

The Team worked with Risk and Governance to change the Trust’s incident management system to allow recording of where and why pressure ulcers were occurring in patients. This information is shared with service groups on a monthly basis. It has helped staff to improve practice.

Over the last 6 months, there has been a 22% reduction in the incidence of ‘avoidable’ full thickness pressure ulcers. This means that patients are more likely to receive safe and effective SKIN care. In monetary terms, the 22% reduction represents a conservative saving of ~ £117K (DOH Pressure Ulcer Calculator).

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Pictured are the winners of the Safety and Excellence category ‘STOP ALL Pressure UIcers’. The category reflects an open and learning culture with robust systems, providing assurance to service users and the public of the safety and quality of services.