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Reflections from Day 1 Dr Katherine McKay

& 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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  1. & NEONATES Reflections from Day 1 Dr Katherine McKay

  2. & NEONATES Reflections - Project Plans • Further refinement during day 2 • Segmentation and manageability

  3. & NEONATES Reflections - Cross fertilisation • Working with your neonatal colleagues and wider safety teams • Learning Session ideas

  4. & NEONATES Reflections – Buddying • Sharing concerns and successes

  5. Impressions 3 words

  6. & NEONATES Icebreaker David Maxwell

  7. & NEONATES Who’s who? Workings as a group: • Identify a scribe • Write all of your first names in the grid provided: NOT YET!!

  8. & 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

  9. Who’s who? & NEONATES

  10. & NEONATES Exploring Safety & Size Chair: Fiona Dagge-Bell

  11. & NEONATES Exploring Safety & Size Dr Katherine McKay

  12. 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.

  13. & NEONATES Quality Improvement Activity

  14. Matt Jobson NHS Grampian

  15. 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

  16. 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!

  17. & NEONATES de Bono: The 6 Thinking Hats Bernie McCulloch, Improvement Advisor

  18. & 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.

  19. & NEONATES Objective Encourage critical thinking. Explore project ideas from a variety of viewpoints. Add depth to the planning process

  20. & NEONATES Intuitive Informative Constructive Cautious Creative Reflective

  21. & 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

  22. & 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.

  23. & 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

  24. & 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

  25. & 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

  26. & 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

  27. & NEONATES Intuitive Informative Constructive Cautious Creative Reflective

  28. & 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.

  29. & 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

  30. & 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

  31. & 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.

  32. & 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

  33. & 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.

  34. & 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

  35. & 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

  36. & 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

  37. & NEONATES Exploring Safety & Size Chair: Fiona Dagge-Bell

  38. & NEONATES Learning Session 3 - breakouts Kirsty Ellis

  39. & 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?

  40. & NEONATES Next steps Dr Katherine McKay & Bernie McCulloch

  41. & 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

  42. & 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

  43. & NEONATES Priorities from a local team perspective: • Improving care for patients & families using neonatal & children’s services in Scotland • Delivery of the programme

  44. & 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

  45. & NEONATES Close Day 2 Paediatric & Neonatal Networking Event 21st & 22nd January 2014

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