Spotlight on SPSP Acute Adult

SPSP Acute Adult sits within the Acute Care Portfolio with the aim of improving experiences and outcomes for people in acute care.

Workstreams within SPSP Acute Adult include:

Deteriorating patient, including sepsis, cardiac arrest reduction and Acute Kidney Injury
Falls
Pressure Ulcers
Catheter Associated Urinary Tract Infections (CAUTI)

Some recent areas of work for the SPSP Acute Adult programme include:

The sepsis toolkit

The sepsis toolkit brings together the tools and resources developed during and after the Sepsis Collaborative. http://ihub.scot/sepsis-toolkit/

Pressure Ulcer reduction

Based on the latest data there is a 31% improvement across 20 Scottish acute hospitals since 2015. This represents an average reduction of 46 pressure ulcers (grades 2-4) acquired each month by people in acute hospitals in Scotland (fallen from 149 to 103 per month).

View the poster - Reducing pressure ulcers in acute hospitals in Scotland (PDF)

National Early Warning Score (NEWS)

NEWS is an evidence based tool that supports recognition, escalation and communication of acute illness, which includes sepsis. The wide uptake of NEWS across NHSScotland has contributed to significant improvements in outcomes experienced by people using health care services.
All boards were sent a position statement to outline the revision of the NEWS 2 and the impact on the approach to deteriorating patients and sepsis. This is based on the recommendations from the Royal College of Physicians (RCP) and is aligned to our work on sepsis.
NEWS Learning module – SPSP and NES have created a NEWS 2 learning module to help health care staff keep their skills up to date. The module will be available shortly. (will send link when available on 23^rd April).

Falls Case Studies

The team have recently undertaken case studies in four boards who are showing early signs of improvement. The case studies will show reasons behind these improvements and information on the barriers experienced in boards in reducing falls. These case studies will inform a revision of the falls driver diagram which will be circulated shortly.