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& NEONATES. Reflections from Day 1 Dr Katherine McKay. & NEONATES. Reflections - Project Plans Further refinement during day 2 Segmentation and manageability. & NEONATES. Reflections - Cross fertilisation Working with your neonatal colleagues and wider safety teams

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Reflections from Day 1 Dr Katherine McKay

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& NEONATES

Reflections from Day 1

Dr Katherine McKay


& NEONATES

Reflections - Project Plans

  • Further refinement during day 2

  • Segmentation and manageability


& NEONATES

Reflections - Cross fertilisation

  • Working with your neonatal colleagues and wider safety teams

  • Learning Session ideas


& NEONATES

Reflections – Buddying

  • Sharing concerns and successes


Impressions

3 words


& NEONATES

Icebreaker

David Maxwell


& NEONATES

Who’s who?

Workings as a group:

  • Identify a scribe

  • Write all of your first names in the grid provided: NOT YET!!


& NEONATES

Who’s who?

  • In 3 minutes write as many words you can find on the grid (3 letters or more)

  • Letters must adjoin each other in the grid, but do not have to be in a straight line

  • Scoring:

    • 3 or 4 letter words = 1 point

    • 5 letter word = 2 points

    • 6 letter word = 3 points


Who’s who?

& NEONATES


& NEONATES

Exploring Safety & Size

Chair: Fiona Dagge-Bell


& NEONATES

Exploring Safety & Size

Dr Katherine McKay


We don’t have lots of neonates admitted every year.

Not all of the driver diagram applies to our service

We have half of all neonatal annual admissions through our unit

& NEONATES

The juxtaposition of Safety V’s Size

How can we see improvement if the numbers are so low?

We don’t use CVCs here very often

We have neonates from all over Scotland admitted to our unit.


& NEONATES

Quality Improvement Activity


Matt Jobson

NHS Grampian


Does size really matter?

  • Ward 2 - Elgin

  • District General Hospital

  • 8 Beds

  • General Paeds

  • Surgical – Acute & Elective

  • OPD

  • 29 staff (most part-time)

  • Management structure via RACH

  • 70 miles from RACH

  • 1 service over 2 sites


Does size really matter?

All general ward SPSPP undertaken in Ward 2

Ideal area for small tests of change / rapid improvement

Dedicated & motivated team

Excellent links developed with RACH

Excellent links with adult acute sector

Sharing of knowledge & ideas

Combined approach to quality improvement work

No… it doesn’t matter!


& NEONATES

de Bono: The 6 Thinking Hats

Bernie McCulloch, Improvement Advisor


& NEONATES

Guidance

  • simple and fun method

  • allows delegates to look at problems from non-traditional perspectives.

  • adds depth to the planning process by ensuring that all possibilities are explored

  • good critical-thinking tool for students.


& NEONATES

Objective

Encourage critical thinking.

Explore project ideas from a variety of viewpoints.

Add depth to the planning process


& NEONATES

Intuitive Informative Constructive

Cautious Creative Reflective


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The Control Hat - organising thinking itself

Sets the focus, calls for the use of other hats.

Monitors and reflects on the thinking processes used.

Blue is for planning.

The blue hat


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The white hat

The Information Seeking Hat

What are the facts?

What information is available? What is relevant?

When wearing the white hat we are neutral in our thinking.


& NEONATES

The Feelings Hat

What do you feel about the suggestion?

What are your gut reactions?

What intuitions do you have?

Don’t think too long or too hard.

The red hat


& NEONATES

The Caution Hat

In the black hat a thinker points out errors or pit-falls.

What are the risks or dangers involved?

Identifies difficulties and problems.

The black hat


& NEONATES

The Sunshine at

It is positive and constructive.

It is about effectiveness and getting a job done.

What are the benefits, the advantages

The yellow hat


& NEONATES

This is the creative mode of thinking.

Green represents growth and movement.

In the green hat we look to new ideas and solutions.

Lateral thinking wears a green hat.

The green hat


& NEONATES

Intuitive Informative Constructive

Cautious Creative Reflective


& NEONATES

Six thinking hats

  • Blue hat—cool and controlled; rule over other hats.

  • White hat—pure facts, figures and objective information.

  • Red hat—emotions and feelings; hunches and intuition.

  • Black hat—devil’s advocate; logical negative judgment; why it won’t work.

  • Yellow hat—sunshine, brightness and optimism; positive constructive thought.

  • Green hat—fertile, creative, new ideas, movement, provocation.


& NEONATES

Scenario

“Cars should be banned from the city centre”

  • Apply different hat thinking to this suggestion.

  • Don’t worry if you agree or disagree with the statement


& NEONATES

The control hat, organising thinking itself

Sets the focus, calls for the use of other hats.

Monitors and reflects on the thinking processes used.

Blue is for planning.

The blue hat


& NEONATES

The white hat

The information seeking hat

What are the facts?

What information is available? What is relevant?

When wearing the white hat we are neutral in our thinking.


& NEONATES

The feelings hat

What do you feel about the suggestion?

What are your gut reactions?

What intuitions do you have?

Don’t think too long or too hard.

The red hat


& NEONATES

The black hat

The Caution hat

In the black hat a thinker points out errors or pit-falls.

What are the risks or dangers involved?

Identifies difficulties and problems.


& NEONATES

The sunshine hat

It is positive and constructive.

It is about effectiveness and getting a job done.

What are the benefits, the advantages

The yellow hat


& NEONATES

This is the creative mode of thinking

Green represents growth and movement.

In the green hat we look to new ideas and solutions.

Lateral thinking wears a green hat.

The green hat


& NEONATES

The control hat, organising thinking itself

Sets the focus, calls for the use of other hats.

Monitors and reflects on the thinking processes used.

Blue is for planning.

The blue hat


& NEONATES

Exploring Safety & Size

Chair: Fiona Dagge-Bell


& NEONATES

Learning Session 3 - breakouts

Kirsty Ellis


& NEONATES

Neonates: 3 breakout

Sessions

  • Formal storyboard session

  • Quality improvement refresher

  • Measurement

  • Human Factors

  • What else?

Paediatrics: 3 breakout

Sessions

  • Formal storyboard session

  • National PEWS update

  • National Sepsis update

  • Human Factors

  • What else?


& NEONATES

Next steps

Dr Katherine McKay & Bernie McCulloch


& NEONATES

Priorities from a Scottish Government perspective:

  • Improving care for patients & families using neonatal & children’s services in Scotland

  • Delivery of the programme

  • Funding and accountability of the National Programme


& NEONATES

Priorities from the national team perspective:

  • Improving care for patients & families using neonatal & children’s services in Scotland

  • Delivery of the programme

  • Funding and accountability of the National Programme


& NEONATES

Priorities from a local team perspective:

  • Improving care for patients & families using neonatal & children’s services in Scotland

  • Delivery of the programme


& NEONATES

Project plans & Board planning

  • Further develop your project plans taking into account the discussions you have had this morning

  • Spend 20 minutes in your boards discussing your local plans to support the work you have described.

    • What do you need to do

    • Who is responsible for doing it

    • Clear time scales – quick turn around


& NEONATES

Close Day 2

Paediatric & Neonatal Networking Event

21st & 22nd January 2014


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