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Opportunities in Paediatrics Mind map - Coggle Diagram
Opportunities in Paediatrics
Mind map
Reduce retrieval rates
Why are we highest in Scotland
and significantly higher than similar boards
that provide level 1 critical care
Deterioration
Improve escalation
around deterioration
PEWS
Paper is not fit for purpose
More evidence
Alternatives
Local modifications
Early intervention
Trigger points for discussions
Appropriate clinical pathways
Correct, timely escalation
Identifying the sick child
Competence/confidence
Training and experience from experts in the ward
Rotation programme to Glasgow
Competency tracking from Critical Care Society
What will get in the way?
Staffing levels
Compliance with national standards
Risk
Mitigation plan
Money
Costs around personal development
Risk management
approach
Reducing competency with no assurance mechanisms to keep us right
Service is not clearly defined
Define it with a Service Spec
(Scotstar collab)
Risk of no development / governance with clear direction
There is a risk that patients will deteriorate through avoidable harm due to staff not receiving training to assure competence
There is a risk that lack of service development and clarity of purpose will result in avoidable harm
Lack of lead consultant
Vision and purpose
Appropriate training for the junior doctors
Chairing of leadership group
There is a risk of litigation due to staff not receiving formal training to assure competence
Project closedown
learnPro capture process
A&E referrals data
closedown checklist
attica wants multidisciplinary approach to all guidelines
measure respiratory
zero day admissions work
new work
Ambulatory care work
Day care
day cases
could offer saturday service
child protection pathways