Reducing harm and improving patient safety
Sepsis and Acute Kidney Injury (AKI)
1000 Lives Improvement has a key role in supporting several networks and targeted work programmes across NHS Wales aimed at reducing harm.
Rapid Response for Acute Illness Learning Set (RRAILS)
We lead a Rapid Response for Acute Illness Learning Set (RRAILS) programme which brings together all health boards and trusts in Wales to reduce harm and death caused by acute deterioration, and to achieve consensus on an integrated approach to the treatment of sepsis and Acute Kidney Injury (AKI).
Sepsis prevention and treatment
Sepsis is thought to be the cause of around 2200 deaths per year in Wales. For over 8 years, the RRAILS programme has been supporting the prevention of harm and death due to sepsis in NHS Wales. The Global Sepsis Alliance recognised the work of NHS Wales for its sepsis awareness and education initiatives at the 2016 Global Sepsis Awards.
Tools supporting early sepsis intervention across NHS Wales
NEWS (National Early Warning Score)
Wales became the first country to implement NEWS as the standard. The life-saving intervention is now an integral part of care in hospitals nationwide.
Single-use sepsis box
This tool under trail at Cwm Taf University Health Board (developed with the health board and 1000 Lives Improvement, and produced by Rocialle as part of the Bevan Commission's Healthcare Technology Exemplars) has been designed to facilitate the early and effective treatment of sepsis at the earliest time.
The single-use box contains all the items required to ensure early intervention and prompt delivery of the sepsis six care bundle. Items are stored in the correct order for administration, in their own compartment and in their own sterile packaging to promote infection control.
AKI - PRO
A collaboration between 1000 Lives Improvement, NHS Wales health boards and trusts, the Institute for Nephrology at Cardiff University and funded by a Health Foundation grant.
AKI-PRO uses tools developed by clinicians from Wales and London, together with designers from the Helen Hamlyn Centre for Design to:
Tools supporting NHS Wales and patients to recognise AKI
A calculator wheel that supports nurses in looking after patients with AKI by gauging whether patients’ volume of urine output is enough.
Kidney Safe Wristband
A wrist band worn by patients to remind them to check whether their urine is concentrated and to alert clinical teams to their condition.
Launch of ABC Sepsis
RAPID RESPONSE TO ACUTE ILLNESS LEARNING SET (RRAILS) & National outreach forum
19th October 2016
Rapid Response to Acute Illness Learning Set (RRAILS) Study Day
Thursday 22nd January 2015
Premier Suite, SWALEC Stadium, Cardiff
Pre Hospital Recognition of and Response to Sepsis by Welsh Ambulance Service, Mike Jenkins, Jacqui Jones, Steve Johnson, Welsh Ambulance Service Trust (WAST)
Identification and treatment of Sepsis in the Emergency Department, Jennie Palmer
Size of Sepsis Study: Spread to all Wales for 2015?, Robert Lundin, Ben Sharif