Southend MatNeo

QI Team Develop safe and highly relia-

ble systems, processes and Creating a learning board
Our journey kicked off in pathways of care
Manchester at the first learning
set. This paved the way for our
QI Project at Southend Hospital. Creating conditions for a cul-
Performing culture survey
ture of safety and continuous
improvement
We reviewed baseline data for all five primary drivers of Improve the prevention, early identification
the MatNeo Programme. Our baseline data identified that and management of sepsis during and
we were above the national average for term neonatal Improve the experience of Develop neonatal observation chart
admissions. 18.8% of these babies were admitted for immediately after birth by 20% by MARCH women, families and staff
suspected sepsis. It also highlighted that only 5% of
2019
women who triggered sepsis screening were screened.
Learn from excellence and Increase the reliability, completion and
Sepsis was therefore our chosen primary driver. error or incidents management of sepsis screening tool

Improve the quality and sa-

fety of care through clinical Increase the use and uptake of NERVE
excellence

NEXT STEPS OF OUR

JOURNEY...
 Our chart had no clear parameters for normal vs. abnormal observations
Future
 Escalation and care varied greatly on a staff to staff user basis dependent on knowledge, training and PDSA’S
Change
experience on a sick-well baby and their observations
ideas
 To create a new born observation chart adapted from the BAPM NEWTT (New born Early Warning
Trigger and Track) Framework and implement into neonatal postnatal care for sick-well babies as a
replacement for our current neonatal observation chart. Staff feedback was key.
 Mantain results for Sepsis screening tool
 We developed a guideline prior to implementing the chart, which caused a delay in implementation
use: sustain the changes
 Sustainability of the sign in/out process for
Nerve devices
 Despite the use of Nerve devices being implemented in Maternity ,there was a reluctance among
 Implement SCORE action plan
staff to use the devices
 Launch event for NEWTT tool & guideline
 The devices are costly, therefore the sign in/out process for tracking purposesis time consuming
 Learning board improvement
 Started teaching on Midwifery Update days and mandatory multidisciplinary teaching the importance
of using Nerve devices what they are for, why they are important and how they work. We also simpli-
fied the process of signing out the devices, however there are limitations due to the high cost
 We have observed improvement however is not consistent : There are more midwifes using the devi-
ces, but there is not consistency in the signing out process or the number os women with the obser-
vations plotted.

 Only 5% of women triggering where screened appropiately

 There was confusión and lack of understanding of the sepsis tool
 Teaching on Midwifery Update days and mandatory multidisciplinary teaching the importance
of using sepsis screening, what they are for, why they are important and how they work.
Contact us!
 We have observed improvement in the use of the sepsis screening tool and women were
consequently screened for sepsis. Suzie Ayre (suzie.ayre@southend.nhs.uk)
 Created a feedback form so staff can fill out how confident they feel using the sepsis scree- Libertad Romero-Valencia (libertad.valencia@southend.nhs.uk)
ning tools and also are able to include any changes they feel would make the screening tool
easier to use.