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Improving the Quality of Care Provided:                now enables staff all over the hospital to observe
                                                               who is currently waiting on the emergency list and for
        Human factors has been cited as a contributory cause
                                                               what procedure without attending the department.
        during root cause analysis into many incidents within   It also allows remote booking of patients as well as
        the department over the past year. It was felt that a
                                                               prioritisation of list order and better oversight of how
        multi-faceted approach would be the best way to
                                                               long children have been waiting for a procedure.
        embed and sustain a change to a human factors way
        or working to ensure that this becomes the “way we do
                                                               ELIS was the culmination of months of work across
        things around here”.
                                                               clinical and support teams; and the whole team were
                                                               ecstatic to be given the award for game changing
        The quality assurance team with the assistance of
                                                               research and innovation at the annual staff awards.
        some of our clinical staff, clinicians and allied health
        professionals have worked together to create a model   Key Points of Focus For The Year Ahead:
        of implementation for human factors training which
        is currently under way. This will see the development   • Creation of theatre/anaesthetics quality dashboard.
        later this year of a clinical simulation package which   • Development of ‘in-department’ mandatory training
        support team training and communication; with the aim
                                                                package for all theatre staff to access.
        to facilitate a more open culture and improvement in the
        quality of care for our patients and job satisfaction for   • Plan for human factors training development and
        our staff.                                              implementation.
        Improving Care for Patients Requiring Emergency        • Work with the regional network to develop a peer
                                                                review strategy to support benchmarking and
        Surgery:                                                consistency of care within the region.

        A full time band 7 clinical lead was introduced into   • Embed the TRiM (Trauma Risk Management) model
        the emergency theatre last year. Since this we have     of peer support within the department to enable rapid
        seen improvement in the flow and efficiency of the      debrief and support following traumatic incidents.
        emergency list.                                        • Develop and manage a clear SOP database for the
                                                                whole department which enables us to review our
        A large part of improving the efficiency has been       SOPs in a timely way and ensures they are easily
        the development of the electronic booking system
                                                                locatable for all staff using them.
        (Emergency List information System - ELIS) which




        Alder Hey Children’s NHS Foundation Trust          135                          Annual Report & Accounts 2017/18
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