Abstract
Between 2016 and 2021, HSC Trust reported 1,383 choking-related adverse incidents, highlighting a pressing concern for patient safety. This Quality Improvement (QI) Initiative was developed within a Nursing Home specializing in caring for residents with learning disabilities who faced an elevated risk of eating and drinking difficulties. The primary objective was to enhance safety during meal times by integrating a structured safety pause, aligned with the "7 Rights" framework. The initiative leveraged various QI tools, including process mapping, PDSA (Plan-Do-Study-Act) cycles, structured observations, and interviews.
Results of the initiative demonstrated a notable increase in patient satisfaction, a boost in staff confidence, and a reduction in near-miss incidents. The success of the program prompted its expansion to other nursing homes, involving families in the process. To further support patient safety, each staff member and family member now possesses a small card outlining the "7 Rights," which can be readily utilized before assisting patients with eating and drinking difficulties. This initiative represents a valuable step forward in safeguarding vulnerable individuals and has the potential to positively impact patient care across various healthcare settings.