Nurses in Scotland given list of ‘essential actions’
A list of 10 patient safety “essentials” are to be rolled out for use by all NHS staff in Scotland, ministers have announced.
The list sets out 10 of the most successful elements of NHS Scotland’s patient safety programme, which have already been implemented widely.
The Scottish government said the new list was intended to ensure all of the elements would now be implemented by every member of staff, for every patient receiving hospital care.
Health secretary Alex Neil is due to launch the initiative at a conference on the Scottish Patient Safety Programme on Wednesday.
Speaking ahead of the conference, Mr Neil said: “These ten patient safety essentials encompass the principles of our safety programme and are measures which are evidence based and proven to help ensure patient safety.
“The Scottish Patient Safety Programme has worked with NHS boards to create and test these actions and they are ready to be rolled out across Scotland.”
The list includes a number of areas where good practice should be followed, such as hand washing, as well as a number of evidence-based care bundles.
Susan Went, director of evidence and improvement for Healthcare Improvement Scotland, which manages the Scottish Patient Safety Programme, said: “As a result of the first five years’ work to embed safety within our acute hospitals, the 10 essentials are the actions that have been shown to work most consistently and comprehensively.
“Based upon this information, we are confident to recommend to the Scottish Government that these actions be moved from testing and become patient safety ‘must dos’ for NHS Scotland.”
The list of patient safety essentials encompasses the following 10 areas:
- Hand Washing – hands will be washed at all of the World Health Organization “5 Moments”
- Leadership Walk Rounds – walk rounds will take place to strengthen the opportunity for senior leaders to obtain learning and oversight of the safety issues, and work closely with patients and front line carers to further create and support the capability for leaning
- Surgical Pause and Brief – a pre-operative list briefing will be held including all members of the surgical team and a pre-operative pause will take place before every surgery
- General Ward Safety Brief – on every ward, every day a short team briefing will take place when ward staff will gather together to highlight any patient or equipment safety issues for the day or shift
- Intensive Care Unit Daily Goals – every patient in an Intensive Care Unit will have a set of daily goals agreed and documented in the case notes
- Ventilator Associated Pneumonia (VAP) Bundle – this evidence based bundle of care will be administered
- Early Warning Scoring – a simple series of observations used by nursing and medical staff to determine the degree of illness of a patient, identify patients who may need closer monitoring or more intensive levels of treatment
- Central Venous Catheter (CVC) Insertion – an evidence based CVC insertion bundle to prevent central line associated blood steam infections will be used every time central lines are inserted
- CVC Maintenance – an evidence based CVC maintenance bundle to prevent central line associated blood steam infections will be used every day on every patient
- Peripheral Venous Cannula (PVC) Bundle – an evidence based PVC maintenance bundle to prevent blood steam infections will be used every day on every patient