At the Mater Hospital, we are fully committed to continuously improving the quality of services that we deliver to our patients and their families.
On our wards you will see noticeboards called "Knowing how and what we are doing". These boards highlight the improvement initiatives that are ongoing and display information on how we are performing in relation to various aspects of care.
The boards were introduced to improve how we share information with patients and visitors and to showcase the ward's commitment to improving care.
The boards also help to empower staff to take an active role in quality improvement initiatives. Staff can see up to date, hard data about how we are doing - and this helps to motivate us by verifying that things are improving or flagging when they are not.
Falls are a serious problem for patients. As well as physical injuries, the psychological and social consequences of falling can have negative impacts on a patient. Evidence shows that falls are associated with increased risks of patients being hospitalised for longer periods of time and a decline in patient health.
There is also strong evidence to show that by increasing the awareness of falls risks, the number of falls can be greatly reduced. In response to this, we introduced our Falls Prevention Programme. Through this programme we aim to improve the accuracy in assessing the falls risks of our patients. We then aim to ensure that staff are aware of patients that are at risk of falling so that they can implement actions that are known to reduce the risks of falls.
End of life care is an experience that touches the lives of everyone on a personal or professional level. 43% of all people that will die in Ireland this year will die in adult acute hospital settings. We believe that all patients who die in our care should live well to the end. The Hospice Friendly Hospice Initiative was set up to ensure that we deliver on this.
Through the programme, we aim to provide patients and their families with a seamless experience of care in hospital at a difficult time in their lives. Some examples of how the programme achieves this includes:
Find out more information on our end of life care quality improvement programme.
High performing hospitals all have one thing in common: an effective and active Board of Directors that is fully engaged with quality improvement and takes a decisive role in improving delivery of quality care in hospitals.
In 2014, to enhance the role of our Board of Directors in leading quality improvement, in we undertook the 'Mater Board on Board project' in collaboration with the HSE. This project was the first of its kind in Ireland.
This project has helped provide our Board with practical tools and skills to assume greater responsibility for, and strengthen its impact on, quality improvement initiatives in the hospital. One example is the introduction of a Board of Directors’ Quality Dashboard. This is a spreadsheet that provides clear information on how the hospital is performing in relation to a set of quality of clinical care indicators. It ensures that the the board members can see the right information, in the right way to improve their knowledge and understanding of quality of clinical care provided in the hospital.
To read more about this project, download the HSE's case report on the Board on Board project.
We have published our quality improvement plan in response to the unannounced monitoring assessment by HIQA (Health Information & Quality Authority) on 27 October 2017 for the National Standards for the Prevention and Control of Healthcare Associated Infections.
For more information on our inspection reports please see HIQA's website here.
Our Hospital Standardised Mortality Ratio 2015: Statistical Outlier Report is as a result of our engagement with the National Office for clinical audit (NOCA) and the National Hospital Mortality Audit. Mater Misericordiae University Hospital was a statistical outlier for the full year 2015 data for COPD/Bronchiectasis and we undertook a complete interrogation of the data to include a consultant-led clinical review of healthcare records. We have produced a report to share our learning with other institutions.