Professor Sir Bruce Keogh KBE.
14 HOSPITALS REVIEWED
Deficiencies in :
BED MANAGEMENT – FLOW (1)
BED MANAGEMENT – OUTLIERS (5)
MEDICAL STAFFING LEVELS (5)
NURSING STAFFING LEVELS (6)
STAFFING LEVELS (Unspecified) (6)
OUT OF HOURS / OVERNIGHT STAFFING (6)
EQUIPMENT SAFETY CHECKS (4)
INFECTION CONTROL (4)
RECOGNITION OF ILL AND DETERIORATING PATIENTS (3)
DELAY DISCHARGE LETTERS (1)
DELAY REPORTING SCANS AND XRAYS (1)
Huh! There is not much point in measuring mortality, morbidity, complaints, legal compensation costs etc as indicators of poor quality care when staffing levels are inadequate to examine, diagnose, treat, observe and provide even the most basic care for patients, if these patients are difficult for doctors to find because they are continually being moved around or are “outliers” (i.e. boarded out in inappropriate wards) or the equipment is unsafe.
Maybe correct all of this first, then count things if funds allow?
But then, these are just the views of a simple witch’s cat with a preference for hands on activities like hunting rats rather than measuring them.