pdf-to-markdown/examples/Safe-Communication/calculateStatistics.json
Johannes Zillmann 55ae236928 Improve header detection
- fix tests
- still run header detection based on heights even if TOC headlines have been identified
2024-03-28 11:39:34 -06:00

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{"page":17,"change":"none","str":"how you engage leaders, staff, patients and cli","dir":"ltr","width":"226.25","height":"11.04","transform":["11.04","0.00","0.00","11.04","99.26","351.55"],"x":99.264,"y":351.55}
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{"page":17,"change":"none","str":"changes, to celebrating success at the end of your project.","dir":"ltr","width":"284.35","height":"11.04","transform":["11.04","0.00","0.00","11.04","99.26","337.03"],"x":99.264,"y":337.03}
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{"page":17,"change":"none","str":"OSSIE Guide to Clinical Handover Improvement","dir":"ltr","width":"234.70","height":"11.04","transform":["11.04","0.00","0.00","11.04","128.54","253.61"],"x":128.54,"y":253.61}
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{"page":17,"change":"none","str":"associated implementation toolkit are highly recommended for ","dir":"ltr","width":"305.10","height":"11.04","transform":["11.04","0.00","0.00","11.04","106.46","239.09"],"x":106.46,"y":239.09}
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{"page":18,"change":"none","str":"does not have to be onerous","dir":"ltr","width":"139.56","height":"11.04","transform":["11.04","0.00","0.00","11.04","252.14","440.02"],"x":252.14,"y":440.02}
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{"page":18,"change":"none","str":"You will find some more on measures for the smaller pieces ","dir":"ltr","width":"294.02","height":"11.04","transform":["11.04","0.00","0.00","11.04","99.26","215.21"],"x":99.264,"y":215.21}
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{"page":18,"change":"none","str":"after we have described the 7 steps to measurement. ","dir":"ltr","width":"262.16","height":"11.04","transform":["11.04","0.00","0.00","11.04","402.77","215.21"],"x":402.77,"y":215.21}
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{"page":19,"change":"none","str":"1: Decide project ","dir":"ltr","width":"83.25","height":"9.96","transform":["9.96","0.00","0.00","9.96","105.38","483.22"],"x":105.38,"y":483.22}
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{"page":19,"change":"none","str":"You will have already done this. ","dir":"ltr","width":"143.18","height":"9.96","transform":["9.96","0.00","0.00","9.96","206.18","483.22"],"x":206.18,"y":483.22}
{"page":19,"change":"none","str":"2: Choose your ","dir":"ltr","width":"75.42","height":"9.96","transform":["9.96","0.00","0.00","9.96","105.38","445.30"],"x":105.38,"y":445.3}
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{"page":41,"change":"none","str":"......","dir":"ltr","width":"18.72","height":"11.04","transform":["11.04","0.00","0.00","11.04","755.14","388.75"],"x":755.14,"y":388.75}
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{"page":41,"change":"none","str":"Appendix C: The Model for Improvement","dir":"ltr","width":"198.12","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","364.87"],"x":53.88,"y":364.87}
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{"page":41,"change":"none","str":".......","dir":"ltr","width":"21.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","752.02","364.87"],"x":752.02,"y":364.87}
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{"page":41,"change":"none","str":"Appendix D: SMAR","dir":"ltr","width":"94.71","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","340.87"],"x":53.88,"y":340.87}
{"page":41,"change":"none","str":"T aims","dir":"ltr","width":"33.11","height":"11.04","transform":["11.04","0.00","0.00","11.04","148.58","340.87"],"x":148.58,"y":340.87}
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{"page":41,"change":"none","str":"Appendix E: Team Selection Grid Examples","dir":"ltr","width":"214.03","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","316.87"],"x":53.88,"y":316.87}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","268.34","316.87"],"x":268.34,"y":316.87}
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{"page":41,"change":"none","str":"..","dir":"ltr","width":"6.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","767.62","316.87"],"x":767.62,"y":316.87}
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{"page":41,"change":"none","str":"Appendix F: Example project template","dir":"ltr","width":"185.94","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","292.85"],"x":53.88,"y":292.85}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","240.26","292.85"],"x":240.26,"y":292.85}
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{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","439.97","292.85"],"x":439.97,"y":292.85}
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{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","639.70","292.85"],"x":639.7,"y":292.85}
{"page":41,"change":"none","str":"...........","dir":"ltr","width":"34.32","height":"11.04","transform":["11.04","0.00","0.00","11.04","739.54","292.85"],"x":739.54,"y":292.85}
{"page":41,"change":"none","str":"50","dir":"ltr","width":"12.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","775.30","292.85"],"x":775.3,"y":292.85}
{"page":41,"change":"none","str":"Appendix G: Dot voting","dir":"ltr","width":"113.15","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","268.85"],"x":53.88,"y":268.85}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","168.50","268.85"],"x":168.5,"y":268.85}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","268.34","268.85"],"x":268.34,"y":268.85}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","368.21","268.85"],"x":368.21,"y":268.85}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","468.07","268.85"],"x":468.07,"y":268.85}
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{"page":41,"change":"none","str":"Append","dir":"ltr","width":"37.94","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","244.97"],"x":53.88,"y":244.97}
{"page":41,"change":"none","str":"ix H: Good practice checklist ","dir":"ltr","width":"141.83","height":"11.04","transform":["11.04","0.00","0.00","11.04","91.82","244.97"],"x":91.824,"y":244.97}
{"page":41,"change":"none","str":"","dir":"ltr","width":"6.14","height":"11.04","transform":["11.04","0.00","0.00","11.04","233.78","244.97"],"fontName":"Arial","x":233.78,"y":244.97}
{"page":41,"change":"none","str":"suggested measures","dir":"ltr","width":"102.09","height":"11.04","transform":["11.04","0.00","0.00","11.04","243.02","244.97"],"x":243.02,"y":244.97}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","346.37","244.97"],"x":346.37,"y":244.97}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","446.21","244.97"],"x":446.21,"y":244.97}
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{"page":41,"change":"none","str":".........","dir":"ltr","width":"28.08","height":"11.04","transform":["11.04","0.00","0.00","11.04","745.78","244.97"],"x":745.78,"y":244.97}
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{"page":41,"change":"none","str":"Appendix I: Example PDSA for testing a new handover template","dir":"ltr","width":"311.88","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","220.97"],"x":53.88,"y":220.97}
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{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","667.78","220.97"],"x":667.78,"y":220.97}
{"page":41,"change":"none","str":"..","dir":"ltr","width":"6.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","767.62","220.97"],"x":767.62,"y":220.97}
{"page":41,"change":"none","str":"53","dir":"ltr","width":"12.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","775.30","220.97"],"x":775.3,"y":220.97}
{"page":41,"change":"none","str":"Appendix J: Example PDSA for testing new transfer of care process","dir":"ltr","width":"329.60","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","196.94"],"x":53.88,"y":196.94}
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{"page":41,"change":"none","str":".............................","dir":"ltr","width":"90.48","height":"11.04","transform":["11.04","0.00","0.00","11.04","683.38","196.94"],"x":683.38,"y":196.94}
{"page":41,"change":"none","str":"54","dir":"ltr","width":"12.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","775.30","196.94"],"x":775.3,"y":196.94}
{"page":41,"change":"none","str":"Appendix K: Examples of standardised communication templates","dir":"ltr","width":"316.83","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","172.94"],"x":53.88,"y":172.94}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","371.33","172.94"],"x":371.33,"y":172.94}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","471.19","172.94"],"x":471.19,"y":172.94}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","571.03","172.94"],"x":571.03,"y":172.94}
{"page":41,"change":"none","str":"................................","dir":"ltr","width":"99.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","670.90","172.94"],"x":670.9,"y":172.94}
{"page":41,"change":"none","str":".","dir":"ltr","width":"3.07","height":"11.04","transform":["11.04","0.00","0.00","11.04","770.74","172.94"],"x":770.74,"y":172.94}
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{"page":41,"change":"none","str":"Appendix L: Example of how a poster can be used to spread the word about new processes","dir":"ltr","width":"446.40","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","149.06"],"x":53.88,"y":149.06}
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{"page":41,"change":"none","str":"M: Summary of the six step improvement process for transfer of care","dir":"ltr","width":"334.34","height":"11.04","transform":["11.04","0.00","0.00","11.04","102.86","125.06"],"x":102.86,"y":125.06}
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{"page":42,"change":"none","str":"Quality Improvement Clinic Ltd. ","dir":"ltr","width":"155.86","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","30.84"],"x":53.88,"y":30.84}
{"page":42,"change":"none","str":"P a g e","dir":"ltr","width":"34.79","height":"11.04","transform":["11.04","0.00","0.00","11.04","391.49","30.84"],"x":391.49,"y":30.84}
{"page":42,"change":"none","str":"| ","dir":"ltr","width":"5.72","height":"11.04","transform":["11.04","0.00","0.00","11.04","432.41","30.84"],"x":432.41,"y":30.84}
{"page":42,"change":"none","str":"43","dir":"ltr","width":"12.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","438.29","30.84"],"x":438.29,"y":30.84}
{"page":42,"change":"none","str":"August","dir":"ltr","width":"34.26","height":"11.04","transform":["11.04","0.00","0.00","11.04","682.78","31.68"],"x":682.78,"y":31.68}
{"page":42,"change":"none","str":"2015","dir":"ltr","width":"24.48","height":"11.04","transform":["11.04","0.00","0.00","11.04","720.22","31.68"],"x":720.22,"y":31.68}
{"page":42,"change":"none","str":"Appendix A: ","dir":"ltr","width":"73.84","height":"12.00","transform":["12.00","0.00","0.00","12.00","53.88","524.38"],"x":53.88,"y":524.38}
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{"page":42,"change":"none","str":"This case study tells the story of a real NHS patient. The patient ","dir":"ltr","width":"335.54","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","481.78"],"x":53.88,"y":481.78}
{"page":42,"change":"none","str":"did not die ","dir":"ltr","width":"58.61","height":"11.04","transform":["11.04","0.00","0.00","11.04","389.69","481.78"],"x":389.69,"y":481.78}
{"page":42,"change":"none","str":"as a result of ","dir":"ltr","width":"70.84","height":"11.04","transform":["11.04","0.00","0.00","11.04","448.37","481.78"],"x":448.37,"y":481.78}
{"page":42,"change":"none","str":"a series of errors ","dir":"ltr","width":"92.34","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","467.26"],"x":53.88,"y":467.26}
{"page":42,"change":"none","str":"and was ","dir":"ltr","width":"46.50","height":"11.04","transform":["11.04","0.00","0.00","11.04","146.30","467.26"],"x":146.3,"y":467.26}
{"page":42,"change":"none","str":"thankfully ","dir":"ltr","width":"54.88","height":"11.04","transform":["11.04","0.00","0.00","11.04","192.74","467.26"],"x":192.74,"y":467.26}
{"page":42,"change":"none","str":"not clinically harmed. But ","dir":"ltr","width":"143.13","height":"11.04","transform":["11.04","0.00","0.00","11.04","247.70","467.26"],"fontName":"Arial,Bold","x":247.7,"y":467.26}
{"page":42,"change":"none","str":"he ","dir":"ltr","width":"15.79","height":"11.04","transform":["11.04","0.00","0.00","11.04","391.01","467.26"],"x":391.01,"y":467.26}
{"page":42,"change":"none","str":"could have been, as ","dir":"ltr","width":"107.70","height":"11.04","transform":["11.04","0.00","0.00","11.04","406.73","467.26"],"x":406.73,"y":467.26}
{"page":42,"change":"none","str":"his care was compromised more than once through poor handover practices","dir":"ltr","width":"401.64","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","452.62"],"x":53.88,"y":452.62}
{"page":42,"change":"none","str":". ","dir":"ltr","width":"6.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","455.59","452.62"],"x":455.59,"y":452.62}
{"page":42,"change":"none","str":"Overview of situation:","dir":"ltr","width":"114.96","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","428.14"],"x":53.88,"y":428.14}
{"page":42,"change":"none","str":"Over a one year period Ollie, as ","dir":"ltr","width":"158.41","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","403.39"],"x":53.88,"y":403.39}
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{"page":45,"change":"none","str":"d communication tool","dir":"ltr","width":"94.42","height":"9.96","transform":["9.96","0.00","0.00","9.96","548.11","198.14"],"x":548.11,"y":198.14}
{"page":45,"change":"none","str":"s","dir":"ltr","width":"4.98","height":"9.96","transform":["9.96","0.00","0.00","9.96","642.58","198.14"],"x":642.58,"y":198.14}
{"page":45,"change":"none","str":"(","dir":"ltr","width":"3.32","height":"9.96","transform":["9.96","0.00","0.00","9.96","650.38","198.14"],"x":650.38,"y":198.14}
{"page":45,"change":"none","str":"eg ","dir":"ltr","width":"13.91","height":"9.96","transform":["9.96","0.00","0.00","9.96","653.74","198.14"],"x":653.74,"y":198.14}
{"page":45,"change":"none","str":"SBAR, ISOBAR, ","dir":"ltr","width":"76.06","height":"9.96","transform":["9.96","0.00","0.00","9.96","667.66","198.14"],"x":667.66,"y":198.14}
{"page":45,"change":"none","str":"RSVP","dir":"ltr","width":"27.16","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","184.82"],"x":420.89,"y":184.82}
{"page":45,"change":"none","str":"etc.","dir":"ltr","width":"16.19","height":"9.96","transform":["9.96","0.00","0.00","9.96","450.79","184.82"],"x":450.79,"y":184.82}
{"page":45,"change":"none","str":")","dir":"ltr","width":"3.32","height":"9.96","transform":["9.96","0.00","0.00","9.96","466.99","184.82"],"x":466.99,"y":184.82}
{"page":45,"change":"none","str":"or develop your own?","dir":"ltr","width":"95.48","height":"9.96","transform":["9.96","0.00","0.00","9.96","473.11","184.82"],"x":473.11,"y":184.82}
{"page":45,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","402.89","170.90"],"fontName":"Symbol","x":402.89,"y":170.9}
{"page":45,"change":"none","str":"What happens to documentation following the transfer of care? How could it ","dir":"ltr","width":"340.40","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","170.90"],"x":420.89,"y":170.9}
{"page":45,"change":"none","str":"be designed to go directly into patient notes?","dir":"ltr","width":"198.19","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","157.70"],"x":420.89,"y":157.7}
{"page":45,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","402.89","143.78"],"fontName":"Symbol","x":402.89,"y":143.78}
{"page":45,"change":"none","str":"How is the agreed transfer of care process documented? How d","dir":"ltr","width":"285.40","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","143.78"],"x":420.89,"y":143.78}
{"page":45,"change":"none","str":"o new staff ","dir":"ltr","width":"51.20","height":"9.96","transform":["9.96","0.00","0.00","9.96","706.66","143.78"],"x":706.66,"y":143.78}
{"page":45,"change":"none","str":"and patients/clients find out about the process?","dir":"ltr","width":"208.73","height":"9.96","transform":["9.96","0.00","0.00","9.96","420.89","130.58"],"x":420.89,"y":130.58}
{"page":46,"change":"none","str":"Quality Improvement Clinic Ltd. ","dir":"ltr","width":"155.86","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","30.84"],"x":53.88,"y":30.84}
{"page":46,"change":"none","str":"P a g e","dir":"ltr","width":"34.79","height":"11.04","transform":["11.04","0.00","0.00","11.04","391.49","30.84"],"x":391.49,"y":30.84}
{"page":46,"change":"none","str":"| ","dir":"ltr","width":"5.72","height":"11.04","transform":["11.04","0.00","0.00","11.04","432.41","30.84"],"x":432.41,"y":30.84}
{"page":46,"change":"none","str":"47","dir":"ltr","width":"12.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","438.29","30.84"],"x":438.29,"y":30.84}
{"page":46,"change":"none","str":"August","dir":"ltr","width":"34.26","height":"11.04","transform":["11.04","0.00","0.00","11.04","682.78","31.68"],"x":682.78,"y":31.68}
{"page":46,"change":"none","str":"2015","dir":"ltr","width":"24.48","height":"11.04","transform":["11.04","0.00","0.00","11.04","720.22","31.68"],"x":720.22,"y":31.68}
{"page":46,"change":"none","str":"Appendix C","dir":"ltr","width":"66.56","height":"12.00","transform":["12.00","0.00","0.00","12.00","53.88","524.38"],"x":53.88,"y":524.38}
{"page":46,"change":"none","str":": The Model for Improvement","dir":"ltr","width":"164.72","height":"12.00","transform":["12.00","0.00","0.00","12.00","120.50","524.38"],"x":120.5,"y":524.38}
{"page":46,"change":"none","str":"T","dir":"ltr","width":"6.75","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","481.42"],"x":53.88,"y":481.42}
{"page":46,"change":"none","str":"he Model for Improvement ","dir":"ltr","width":"131.40","height":"11.04","transform":["11.04","0.00","0.00","11.04","60.72","481.42"],"x":60.72,"y":481.42}
{"page":46,"change":"none","str":"give","dir":"ltr","width":"20.16","height":"11.04","transform":["11.04","0.00","0.00","11.04","192.14","481.42"],"x":192.14,"y":481.42}
{"page":46,"change":"none","str":"s","dir":"ltr","width":"5.52","height":"11.04","transform":["11.04","0.00","0.00","11.04","212.30","481.42"],"x":212.3,"y":481.42}
{"page":46,"change":"none","str":"you a simple, adaptable and ","dir":"ltr","width":"140.70","height":"11.04","transform":["11.04","0.00","0.00","11.04","220.94","481.42"],"x":220.94,"y":481.42}
{"page":46,"change":"none","str":"thorough","dir":"ltr","width":"43.55","height":"11.04","transform":["11.04","0.00","0.00","11.04","361.61","481.42"],"x":361.61,"y":481.42}
{"page":46,"change":"none","str":"framework for ","dir":"ltr","width":"70.35","height":"11.04","transform":["11.04","0.00","0.00","11.04","408.05","481.42"],"x":408.05,"y":481.42}
{"page":46,"change":"none","str":"developing, testing and implementing changes","dir":"ltr","width":"226.25","height":"11.04","transform":["11.04","0.00","0.00","11.04","478.51","481.42"],"x":478.51,"y":481.42}
{"page":46,"change":"none","str":". Using the ","dir":"ltr","width":"55.60","height":"11.04","transform":["11.04","0.00","0.00","11.04","704.86","481.42"],"x":704.86,"y":481.42}
{"page":46,"change":"none","str":"Model for ","dir":"ltr","width":"48.97","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","466.90"],"x":53.88,"y":466.9}
{"page":46,"change":"none","str":"Improvement means your changes are more likely to lead to the improvement you set out to make","dir":"ltr","width":"476.23","height":"11.04","transform":["11.04","0.00","0.00","11.04","102.86","466.90"],"x":102.86,"y":466.9}
{"page":46,"change":"none","str":". ","dir":"ltr","width":"6.00","height":"11.04","transform":["11.04","0.00","0.00","11.04","579.31","466.90"],"x":579.31,"y":466.9}
{"page":46,"change":"none","str":"The first thing you need to do when using the model is answer ","dir":"ltr","width":"277.09","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.21","382.03"],"x":404.21,"y":382.03}
{"page":46,"change":"none","str":"these three key questions","dir":"ltr","width":"113.73","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.21","369.07"],"x":404.21,"y":369.07}
{"page":46,"change":"none","str":"Then you carry out the plan, do, study, act (PDSA) cycles. ","dir":"ltr","width":"263.76","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","304.01"],"fontName":"Arial","x":404.09,"y":304.01}
{"page":46,"change":"none","str":"These cycles are used to test an idea by trialling a change and ","dir":"ltr","width":"279.25","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","290.81"],"x":404.09,"y":290.81}
{"page":46,"change":"none","str":"assessing its impact.","dir":"ltr","width":"92.20","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","277.61"],"x":404.09,"y":277.61}
{"page":46,"change":"none","str":"The key to","dir":"ltr","width":"46.53","height":"9.96","transform":["9.96","0.00","0.00","9.96","499.15","277.61"],"x":499.15,"y":277.61}
{"page":46,"change":"none","str":"PDSA cycles is to repeat them; ","dir":"ltr","width":"140.64","height":"9.96","transform":["9.96","0.00","0.00","9.96","548.47","277.61"],"x":548.47,"y":277.61}
{"page":46,"change":"none","str":"keep testing small changes until they deliver the sustainable ","dir":"ltr","width":"268.11","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","264.41"],"x":404.09,"y":264.41}
{"page":46,"change":"none","str":"improvement you are looking for.","dir":"ltr","width":"145.46","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","251.21"],"x":404.09,"y":251.21}
{"page":46,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","422.09","227.45"],"fontName":"Symbol","x":422.09,"y":227.45}
{"page":46,"change":"none","str":"P","dir":"ltr","width":"6.64","height":"9.96","transform":["9.96","0.00","0.00","9.96","440.09","227.45"],"x":440.09,"y":227.45}
{"page":46,"change":"none","str":"lan","dir":"ltr","width":"14.37","height":"9.96","transform":["9.96","0.00","0.00","9.96","446.69","227.45"],"x":446.69,"y":227.45}
{"page":46,"change":"none","str":"the change and how you will test it","dir":"ltr","width":"152.27","height":"9.96","transform":["9.96","0.00","0.00","9.96","463.87","227.45"],"x":463.87,"y":227.45}
{"page":46,"change":"none","str":".","dir":"ltr","width":"2.77","height":"9.96","transform":["9.96","0.00","0.00","9.96","616.27","227.45"],"x":616.27,"y":227.45}
{"page":46,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","422.09","213.53"],"fontName":"Symbol","x":422.09,"y":213.53}
{"page":46,"change":"none","str":"Do","dir":"ltr","width":"13.29","height":"9.96","transform":["9.96","0.00","0.00","9.96","440.09","213.53"],"x":440.09,"y":213.53}
{"page":46,"change":"none","str":"the change and tests","dir":"ltr","width":"92.76","height":"9.96","transform":["9.96","0.00","0.00","9.96","456.19","213.53"],"x":456.19,"y":213.53}
{"page":46,"change":"none","str":".","dir":"ltr","width":"2.77","height":"9.96","transform":["9.96","0.00","0.00","9.96","549.07","213.53"],"x":549.07,"y":213.53}
{"page":46,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","422.09","199.61"],"fontName":"Symbol","x":422.09,"y":199.61}
{"page":46,"change":"none","str":"Study","dir":"ltr","width":"27.83","height":"9.96","transform":["9.96","0.00","0.00","9.96","440.09","199.61"],"x":440.09,"y":199.61}
{"page":46,"change":"none","str":"the data before and after the change and learn ","dir":"ltr","width":"208.88","height":"9.96","transform":["9.96","0.00","0.00","9.96","470.59","199.61"],"x":470.59,"y":199.61}
{"page":46,"change":"none","str":"from it","dir":"ltr","width":"27.81","height":"9.96","transform":["9.96","0.00","0.00","9.96","440.09","186.26"],"x":440.09,"y":186.26}
{"page":46,"change":"none","str":".","dir":"ltr","width":"2.77","height":"9.96","transform":["9.96","0.00","0.00","9.96","467.95","186.26"],"x":467.95,"y":186.26}
{"page":46,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","422.09","172.46"],"fontName":"Symbol","x":422.09,"y":172.46}
{"page":46,"change":"none","str":"Act","dir":"ltr","width":"15.94","height":"9.96","transform":["9.96","0.00","0.00","9.96","440.09","172.46"],"x":440.09,"y":172.46}
{"page":46,"change":"none","str":"on the learning by refining the change and planning ","dir":"ltr","width":"229.98","height":"9.96","transform":["9.96","0.00","0.00","9.96","458.95","172.46"],"x":458.95,"y":172.46}
{"page":46,"change":"none","str":"another PDSA cycle to test it.","dir":"ltr","width":"129.86","height":"9.96","transform":["9.96","0.00","0.00","9.96","440.09","159.14"],"x":440.09,"y":159.14}
{"page":46,"change":"none","str":"For more ","dir":"ltr","width":"43.42","height":"9.96","transform":["9.96","0.00","0.00","9.96","404.09","122.66"],"x":404.09,"y":122.66}
{"page":46,"change":"none","str":"Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP, ","dir":"ltr","width":"240.51","height":"9.00","transform":["9.00","0.00","0.00","9.00","53.88","152.78"],"x":53.88,"y":152.78}
{"page":46,"change":"none","str":"The ","dir":"ltr","width":"18.08","height":"9.00","transform":["9.00","0.00","0.00","9.00","294.53","152.78"],"x":294.53,"y":152.78}
{"page":46,"change":"none","str":"Improvement Guide: A Practical Approach to Enhancing ","dir":"ltr","width":"225.48","height":"9.00","transform":["9.00","0.00","0.00","9.00","53.88","142.46"],"x":53.88,"y":142.46}
{"page":46,"change":"none","str":"Organizational Performance","dir":"ltr","width":"112.05","height":"9.00","transform":["9.00","0.00","0.00","9.00","53.88","132.02"],"x":53.88,"y":132.02}
{"page":46,"change":"none","str":"(2nd Edition). Jossey Bass, San ","dir":"ltr","width":"129.82","height":"9.00","transform":["9.00","0.00","0.00","9.00","168.62","132.02"],"x":168.62,"y":132.02}
{"page":46,"change":"none","str":"Francisco (2009)","dir":"ltr","width":"67.61","height":"9.00","transform":["9.00","0.00","0.00","9.00","53.88","120.74"],"x":53.88,"y":120.74}
{"page":46,"change":"none","str":"v","dir":"ltr","width":"3.60","height":"6.48","transform":["6.48","0.00","0.00","6.48","123.38","124.22"],"x":123.38,"y":124.22}
{"page":46,"change":"none","str":"More online...","dir":"ltr","width":"90.24","height":"14.04","transform":["14.04","0.00","0.00","14.04","446.69","132.50"],"x":446.69,"y":132.5}
{"page":46,"change":"none","str":"For more on the Model for Improvement see: ","dir":"ltr","width":"201.01","height":"9.96","transform":["9.96","0.00","0.00","9.96","446.69","117.62"],"x":446.69,"y":117.62}
{"page":46,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","464.71","93.74"],"fontName":"Symbol","x":464.71,"y":93.744}
{"page":46,"change":"none","str":"Quality and service improvement tools","dir":"ltr","width":"169.26","height":"9.96","transform":["9.96","0.00","0.00","9.96","482.71","93.74"],"x":482.71,"y":93.744}
{"page":46,"change":"none","str":"","dir":"ltr","width":"4.58","height":"9.96","transform":["9.96","0.00","0.00","9.96","464.71","80.04"],"fontName":"Symbol","x":464.71,"y":80.04}
{"page":46,"change":"none","str":"Improvement Leaders Guides ","dir":"ltr","width":"136.59","height":"9.96","transform":["9.96","0.00","0.00","9.96","482.71","80.04"],"fontName":"Arial","x":482.71,"y":80.04}
{"page":46,"change":"none","str":"","dir":"ltr","width":"5.54","height":"9.96","transform":["9.96","0.00","0.00","9.96","619.39","80.04"],"fontName":"Arial","x":619.39,"y":80.04}
{"page":46,"change":"none","str":"Process Mapping","dir":"ltr","width":"77.11","height":"9.96","transform":["9.96","0.00","0.00","9.96","627.79","80.04"],"x":627.79,"y":80.04}
{"page":46,"change":"none","str":", ","dir":"ltr","width":"5.52","height":"9.96","transform":["9.96","0.00","0.00","9.96","704.98","80.04"],"x":704.98,"y":80.04}
{"page":46,"change":"none","str":"Analysis and ","dir":"ltr","width":"59.38","height":"9.96","transform":["9.96","0.00","0.00","9.96","710.62","80.04"],"x":710.62,"y":80.04}
{"page":46,"change":"none","str":"Redesig","dir":"ltr","width":"36.60","height":"9.96","transform":["9.96","0.00","0.00","9.96","482.71","66.72"],"x":482.71,"y":66.72}
{"page":46,"change":"none","str":"n","dir":"ltr","width":"5.54","height":"9.96","transform":["9.96","0.00","0.00","9.96","519.31","66.72"],"x":519.31,"y":66.72}
{"page":47,"change":"none","str":"Quality Improvement Clinic Ltd. ","dir":"ltr","width":"155.86","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","30.84"],"x":53.88,"y":30.84}
{"page":47,"change":"none","str":"P a g e","dir":"ltr","width":"34.79","height":"11.04","transform":["11.04","0.00","0.00","11.04","391.49","30.84"],"x":391.49,"y":30.84}
{"page":47,"change":"none","str":"| ","dir":"ltr","width":"5.72","height":"11.04","transform":["11.04","0.00","0.00","11.04","432.41","30.84"],"x":432.41,"y":30.84}
{"page":47,"change":"none","str":"48","dir":"ltr","width":"12.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","438.29","30.84"],"x":438.29,"y":30.84}
{"page":47,"change":"none","str":"August","dir":"ltr","width":"34.26","height":"11.04","transform":["11.04","0.00","0.00","11.04","682.78","31.68"],"x":682.78,"y":31.68}
{"page":47,"change":"none","str":"2015","dir":"ltr","width":"24.48","height":"11.04","transform":["11.04","0.00","0.00","11.04","720.22","31.68"],"x":720.22,"y":31.68}
{"page":47,"change":"none","str":"Appendix D","dir":"ltr","width":"66.56","height":"12.00","transform":["12.00","0.00","0.00","12.00","53.88","524.38"],"x":53.88,"y":524.38}
{"page":47,"change":"none","str":": SMART aims","dir":"ltr","width":"80.74","height":"12.00","transform":["12.00","0.00","0.00","12.00","120.50","524.38"],"x":120.5,"y":524.38}
{"page":47,"change":"none","str":"SMART aims are a good way to ","dir":"ltr","width":"158.28","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","481.42"],"x":53.88,"y":481.42}
{"page":47,"change":"none","str":"ensure your project aim is clearly defined","dir":"ltr","width":"199.86","height":"11.04","transform":["11.04","0.00","0.00","11.04","212.30","481.42"],"x":212.3,"y":481.42}
{"page":47,"change":"none","str":".","dir":"ltr","width":"3.07","height":"11.04","transform":["11.04","0.00","0.00","11.04","412.25","481.42"],"x":412.25,"y":481.42}
{"page":47,"change":"none","str":"Set a SMART improvement project aim:","dir":"ltr","width":"224.64","height":"12.00","transform":["12.00","0.00","0.00","12.00","78.24","436.66"],"x":78.24,"y":436.66}
{"page":47,"change":"none","str":"Specific:","dir":"ltr","width":"45.89","height":"11.04","transform":["11.04","0.00","0.00","11.04","78.24","415.87"],"x":78.24,"y":415.87}
{"page":47,"change":"none","str":"Have a clear and specific improvement aim","dir":"ltr","width":"210.12","height":"11.04","transform":["11.04","0.00","0.00","11.04","127.34","415.87"],"x":127.34,"y":415.87}
{"page":47,"change":"none","str":", e.g.","dir":"ltr","width":"24.52","height":"11.04","transform":["11.04","0.00","0.00","11.04","337.61","415.87"],"x":337.61,"y":415.87}
{"page":47,"change":"none","str":"","dir":"ltr","width":"2.45","height":"11.04","transform":["11.04","0.00","0.00","11.04","78.24","401.11"],"fontName":"Arial","x":78.24,"y":401.11}
{"page":47,"change":"none","str":"structured transfer of care, right each time","dir":"ltr","width":"204.22","height":"11.04","transform":["11.04","0.00","0.00","11.04","80.64","401.11"],"x":80.64,"y":401.11}
{"page":47,"change":"none","str":".","dir":"ltr","width":"5.42","height":"11.04","transform":["11.04","0.00","0.00","11.04","285.05","401.11"],"fontName":"Arial","x":285.05,"y":401.11}
{"page":47,"change":"none","str":"Measurable: ","dir":"ltr","width":"67.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","78.24","380.71"],"x":78.24,"y":380.71}
{"page":47,"change":"none","str":"Ensure data is available to measure the scale of the ","dir":"ltr","width":"255.59","height":"11.04","transform":["11.04","0.00","0.00","11.04","145.58","380.71"],"x":145.58,"y":380.71}
{"page":47,"change":"none","str":"problem and your success in addressing it","dir":"ltr","width":"205.41","height":"11.04","transform":["11.04","0.00","0.00","11.04","78.24","366.07"],"x":78.24,"y":366.07}
{"page":47,"change":"none","str":".","dir":"ltr","width":"3.07","height":"11.04","transform":["11.04","0.00","0.00","11.04","283.73","366.07"],"x":283.73,"y":366.07}
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{"page":51,"change":"none","str":"are timing and location appropriate?","dir":"ltr","width":"159.47","height":"9.96","transform":["9.96","0.00","0.00","9.96","505.39","227.93"],"x":505.39,"y":227.93}
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{"page":51,"change":"none","str":"does it start on time","dir":"ltr","width":"87.19","height":"9.96","transform":["9.96","0.00","0.00","9.96","481.03","215.69"],"x":481.03,"y":215.69}
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{"page":51,"change":"none","str":"There is an agreed process for ","dir":"ltr","width":"138.95","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","166.82"],"x":166.7,"y":166.82}
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{"page":51,"change":"none","str":"This includes an ","dir":"ltr","width":"74.85","height":"9.96","transform":["9.96","0.00","0.00","9.96","247.34","153.62"],"x":247.34,"y":153.62}
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{"page":51,"change":"none","str":"set). This is communicated in a ","dir":"ltr","width":"140.43","height":"9.96","transform":["9.96","0.00","0.00","9.96","166.70","113.90"],"x":166.7,"y":113.9}
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{"page":51,"change":"none","str":"Is documentation complete?","dir":"ltr","width":"124.99","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","173.42"],"x":379.85,"y":173.42}
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{"page":51,"change":"none","str":"is appropriate information included in transfer of care? Is ","dir":"ltr","width":"254.92","height":"9.96","transform":["9.96","0.00","0.00","9.96","502.75","149.06"],"x":502.75,"y":149.06}
{"page":51,"change":"none","str":"anything missing or not required?","dir":"ltr","width":"147.71","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","137.66"],"x":379.85,"y":137.66}
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{"page":51,"change":"none","str":"is standard communication process followed each ","dir":"ltr","width":"223.25","height":"9.96","transform":["9.96","0.00","0.00","9.96","494.83","125.42"],"x":494.83,"y":125.42}
{"page":51,"change":"none","str":"t","dir":"ltr","width":"2.77","height":"9.96","transform":["9.96","0.00","0.00","9.96","718.42","125.42"],"x":718.42,"y":125.42}
{"page":51,"change":"none","str":"ime?","dir":"ltr","width":"21.74","height":"9.96","transform":["9.96","0.00","0.00","9.96","721.18","125.42"],"x":721.18,"y":125.42}
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{"page":51,"change":"none","str":"Number of pieces of information in minimum data set which are communicated","dir":"ltr","width":"347.05","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","113.18"],"x":379.85,"y":113.18}
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{"page":51,"change":"none","str":"Number of pieces of documentation filed in patient notes (or wherever process says they ","dir":"ltr","width":"393.50","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","101.06"],"x":379.85,"y":101.06}
{"page":51,"change":"none","str":"should be)","dir":"ltr","width":"46.51","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","89.66"],"x":379.85,"y":89.664}
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{"page":51,"change":"none","str":"Number of outstanding actions not completed at end of shift.","dir":"ltr","width":"266.69","height":"9.96","transform":["9.96","0.00","0.00","9.96","379.85","77.40"],"x":379.85,"y":77.4}
{"page":52,"change":"none","str":"Quality Improvement Clinic Ltd. ","dir":"ltr","width":"155.86","height":"11.04","transform":["11.04","0.00","0.00","11.04","53.88","30.84"],"x":53.88,"y":30.84}
{"page":52,"change":"none","str":"P a g e","dir":"ltr","width":"34.79","height":"11.04","transform":["11.04","0.00","0.00","11.04","391.49","30.84"],"x":391.49,"y":30.84}
{"page":52,"change":"none","str":"| ","dir":"ltr","width":"5.72","height":"11.04","transform":["11.04","0.00","0.00","11.04","432.41","30.84"],"x":432.41,"y":30.84}
{"page":52,"change":"none","str":"53","dir":"ltr","width":"12.24","height":"11.04","transform":["11.04","0.00","0.00","11.04","438.29","30.84"],"x":438.29,"y":30.84}
{"page":52,"change":"none","str":"August","dir":"ltr","width":"34.26","height":"11.04","transform":["11.04","0.00","0.00","11.04","682.78","31.68"],"x":682.78,"y":31.68}
{"page":52,"change":"none","str":"2015","dir":"ltr","width":"24.48","height":"11.04","transform":["11.04","0.00","0.00","11.04","720.22","31.68"],"x":720.22,"y":31.68}
{"page":52,"change":"none","str":"Appendix ","dir":"ltr","width":"57.80","height":"12.00","transform":["12.00","0.00","0.00","12.00","57.36","524.50"],"x":57.36,"y":524.5}
{"page":52,"change":"none","str":"I","dir":"ltr","width":"3.34","height":"12.00","transform":["12.00","0.00","0.00","12.00","115.22","524.50"],"x":115.22,"y":524.5}
{"page":52,"change":"none","str":":","dir":"ltr","width":"4.00","height":"12.00","transform":["12.00","0.00","0.00","12.00","118.58","524.50"],"x":118.58,"y":524.5}
{"page":52,"change":"none","str":"Example PDSA for testing a new handover template","dir":"ltr","width":"294.55","height":"12.00","transform":["12.00","0.00","0.00","12.00","126.02","524.50"],"x":126.02,"y":524.5}
{"page":52,"change":"none","str":"Plan","dir":"ltr","width":"18.03","height":"8.58","transform":["8.58","0.00","0.00","8.58","59.47","481.11"],"x":59.468935107136,"y":481.11385157773}
{"page":52,"change":"none","str":"We plan to.... ","dir":"ltr","width":"56.22","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","481.11"],"fontName":"Arial,Bold","x":174.329911705504,"y":481.11385157773}
{"page":52,"change":"none","str":"in ","dir":"ltr","width":"10.05","height":"8.58","transform":["8.58","0.00","0.00","8.58","230.19","481.11"],"x":230.18742043006,"y":481.11385157773}
{"page":52,"change":"none","str":"order to (aim)","dir":"ltr","width":"55.01","height":"8.58","transform":["8.58","0.00","0.00","8.58","240.05","481.11"],"x":240.04516476621995,"y":481.11385157773}
{"page":52,"change":"none","str":"Aim","dir":"ltr","width":"14.64","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","470.89"],"x":174.329911705504,"y":470.89406268204993}
{"page":52,"change":"none","str":"Get staff input to ","dir":"ltr","width":"64.43","height":"8.58","transform":["8.58","0.00","0.00","8.58","193.50","470.89"],"x":193.497747914704,"y":470.89406268204993}
{"page":52,"change":"none","str":"improve the design of the ","dir":"ltr","width":"97.69","height":"8.58","transform":["8.58","0.00","0.00","8.58","257.94","470.89"],"x":257.93514522813996,"y":470.89406268204993}
{"page":52,"change":"none","str":"new handover template","dir":"ltr","width":"88.36","height":"8.58","transform":["8.58","0.00","0.00","8.58","355.46","470.89"],"x":355.46292136876,"y":470.89406268204993}
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{"page":52,"change":"none","str":"Use the new ISOBAR handover template for 1 bay of patients at afternoon shift handover.","dir":"ltr","width":"337.09","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","440.20"],"x":195.140705304064,"y":440.20427995663}
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{"page":52,"change":"none","str":"Feedback will be gathered during the test and via a flipchart in the nurses office.","dir":"ltr","width":"300.21","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","429.98"],"x":195.140705304064,"y":429.98449106095}
{"page":52,"change":"none","str":"Risk ","dir":"ltr","width":"18.99","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","409.54"],"x":174.329911705504,"y":409.54491326959}
{"page":52,"change":"none","str":"Management","dir":"ltr","width":"49.66","height":"8.58","transform":["8.58","0.00","0.00","8.58","193.13","409.54"],"x":193.13264627262402,"y":409.54491326959}
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{"page":52,"change":"none","str":"All staff will have copies of both the old and new handover templates for the chosen bay. ","dir":"ltr","width":"334.02","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","399.33"],"x":195.140705304064,"y":399.32512437390994}
{"page":52,"change":"none","str":"Measurement ","dir":"ltr","width":"54.59","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","379.07"],"x":174.329911705504,"y":379.06804281282996}
{"page":52,"change":"none","str":"Plan","dir":"ltr","width":"17.03","height":"8.58","transform":["8.58","0.00","0.00","8.58","228.36","379.07"],"x":228.36191221965998,"y":379.06804281282996}
{"page":52,"change":"none","str":"Handover will be timed and number of patients used to calculate handover time per patient.","dir":"ltr","width":"342.25","height":"8.61","transform":["8.62","0.00","0.00","8.61","174.33","368.80"],"x":174.329911705504,"y":368.80262985957995}
{"page":52,"change":"none","str":"The following questions will be asked:","dir":"ltr","width":"142.34","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","358.58"],"x":174.329911705504,"y":358.58284096389997}
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{"page":52,"change":"none","str":"Suggestions to improve the template? Content, layout, design?","dir":"ltr","width":"236.40","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","348.36"],"x":195.140705304064,"y":348.36305206822}
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{"page":52,"change":"none","str":"Any other information needed during the shift","dir":"ltr","width":"169.40","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","338.14"],"x":195.140705304064,"y":338.14326317253995}
{"page":52,"change":"none","str":"? Or not needed?","dir":"ltr","width":"65.89","height":"8.58","transform":["8.58","0.00","0.00","8.58","364.59","338.14"],"x":364.59046242076,"y":338.14326317253995}
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{"page":52,"change":"none","str":"What ","dir":"ltr","width":"22.65","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","327.92"],"x":195.140705304064,"y":327.92347427685996}
{"page":52,"change":"none","str":"support would you like to help you use the template","dir":"ltr","width":"193.12","height":"8.58","transform":["8.58","0.00","0.00","8.58","217.04","327.92"],"x":217.04376131518,"y":327.92347427685996}
{"page":52,"change":"none","str":"?","dir":"ltr","width":"4.77","height":"8.58","transform":["8.58","0.00","0.00","8.58","410.26","327.92"],"x":410.2585928176,"y":327.92347427685996}
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{"page":52,"change":"none","str":"Time to handover Bay 3 ","dir":"ltr","width":"92.39","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","287.35"],"x":195.140705304064,"y":287.34847907794}
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{"page":52,"change":"none","str":"is required for it to feel comfortable","dir":"ltr","width":"130.68","height":"8.58","transform":["8.58","0.00","0.00","8.58","375.36","205.73"],"x":375.36096086212,"y":205.728560887129}
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{"page":52,"change":"none","str":"What we plan to do next is .... (state next ","dir":"ltr","width":"166.71","height":"8.58","transform":["8.58","0.00","0.00","8.58","174.33","115.21"],"fontName":"Arial,Bold","x":174.329911705504,"y":115.21043066824899}
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{"page":52,"change":"none","str":"Make agreed changes and test template again with night staff for 2 bays","dir":"ltr","width":"270.58","height":"8.58","transform":["8.58","0.00","0.00","8.58","195.14","104.99"],"x":195.140705304064,"y":104.99064177256899}
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{"page":53,"change":"none","str":"Appendix J","dir":"ltr","width":"64.57","height":"12.00","transform":["12.00","0.00","0.00","12.00","53.88","524.38"],"x":53.88,"y":524.38}
{"page":53,"change":"none","str":": Example PDSA for testing new transfer of care process","dir":"ltr","width":"321.97","height":"12.00","transform":["12.00","0.00","0.00","12.00","118.58","524.38"],"x":118.58,"y":524.38}
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{"page":54,"change":"none","str":": ","dir":"ltr","width":"7.50","height":"12.00","transform":["12.00","0.00","0.00","12.00","120.50","524.38"],"x":120.5,"y":524.38}
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{"page":54,"change":"none","str":"Dr ","dir":"ltr","width":"14.69","height":"11.04","transform":["11.04","0.00","0.00","11.04","719.14","461.02"],"x":719.14,"y":461.02}
{"page":54,"change":"none","str":"S","dir":"ltr","width":"7.36","height":"11.04","transform":["11.04","0.00","0.00","11.04","733.90","461.02"],"x":733.9,"y":461.02}
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{"page":57,"change":"none","str":": Example of how a poster can be used to spread the word about ","dir":"ltr","width":"371.41","height":"12.00","transform":["12.00","0.00","0.00","12.00","119.18","524.50"],"x":119.18,"y":524.5}
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{"page":58,"change":"none","str":"August","dir":"ltr","width":"34.26","height":"11.04","transform":["11.04","0.00","0.00","11.04","682.78","31.68"],"x":682.78,"y":31.68}
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{"page":58,"change":"none","str":"Appendix M: Summary of the six step improvement process for tran","dir":"ltr","width":"387.28","height":"12.00","transform":["12.00","0.00","0.00","12.00","53.88","524.50"],"x":53.88,"y":524.5}
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{"page":58,"change":"none","str":"Start out (page 10)","dir":"ltr","width":"92.86","height":"12.00","transform":["12.00","0.00","0.00","12.00","153.77","487.49"],"fontName":"ABCDEE+Calibri,Bold","x":153.77,"y":487.49}
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{"page":58,"change":"none","str":"Refer to existing policies and procedures for transfers of care in your organisation","dir":"ltr","width":"394.25","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","472.13"],"fontName":"ABCDEE+Calibri","x":162.77,"y":472.13}
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{"page":58,"change":"none","str":"Observe, measure and process map the current communication process","dir":"ltr","width":"349.33","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","456.77"],"fontName":"ABCDEE+Calibri","x":162.77,"y":456.77}
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{"page":58,"change":"none","str":"What does good look like? Compare your policy and communication process with the good practice checklist. ","dir":"ltr","width":"535.99","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","441.26"],"fontName":"ABCDEE+Calibri","x":162.77,"y":441.26}
{"page":58,"change":"none","str":"(Appendix B)","dir":"ltr","width":"62.51","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","428.06"],"fontName":"ABCDEE+Calibri","x":162.77,"y":428.06}
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{"page":58,"change":"none","str":"Define and scope (page 13)","dir":"ltr","width":"134.66","height":"12.00","transform":["12.00","0.00","0.00","12.00","153.77","415.30"],"fontName":"ABCDEE+Calibri,Bold","x":153.77,"y":415.3}
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{"page":58,"change":"none","str":"Begin to answer the three questions of the model for improvement (Appendix C)","dir":"ltr","width":"391.66","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","399.94"],"fontName":"ABCDEE+Calibri","x":162.77,"y":399.94}
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{"page":58,"change":"none","str":"Set your project aim and scope and link this to your organisational big issues on a driver diagram (page 22)","dir":"ltr","width":"516.44","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","384.58"],"fontName":"ABCDEE+Calibri","x":162.77,"y":384.58}
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{"page":58,"change":"none","str":"Engage staff, patients, clients and residents using patient stories and evidence from useful resources","dir":"ltr","width":"485.92","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","369.10"],"fontName":"ABCDEE+Calibri","x":162.77,"y":369.1}
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{"page":58,"change":"none","str":"Choose your project team, include senior and frontline staff and patients/clients/residents","dir":"ltr","width":"438.58","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","353.74"],"fontName":"ABCDEE+Calibri","x":162.77,"y":353.74}
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{"page":58,"change":"none","str":"Document your project plan (Appendix F) and use the sustainaiblity guide to think about long term impact of change","dir":"ltr","width":"565.57","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","338.38"],"fontName":"ABCDEE+Calibri","x":162.77,"y":338.38}
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{"page":58,"change":"none","str":"Choose and define your outcomes and process measures, collect baseline data and display on run or SPC charts","dir":"ltr","width":"546.31","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","306.91"],"fontName":"ABCDEE+Calibri","x":162.77,"y":306.91}
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{"page":58,"change":"none","str":"Design your standard transfer of care template and test using Plan Do Study Act (PDSA) cycles (Appendix I & J)","dir":"ltr","width":"533.18","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.19","269.83"],"fontName":"ABCDEE+Calibri","x":162.19,"y":269.83}
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{"page":58,"change":"none","str":"Use dot voting to define your minimum data set (Appendix G)","dir":"ltr","width":"299.48","height":"12.00","transform":["12.00","0.00","0.00","12.00","171.19","254.47"],"fontName":"ABCDEE+Calibri","x":171.19,"y":254.47}
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{"page":58,"change":"none","str":"Generate and test other change ideas using the good practice checklist (Appendix B) and examples (Appendix K)","dir":"ltr","width":"543.49","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.19","223.63"],"fontName":"ABCDEE+Calibri","x":162.19,"y":223.63}
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{"page":58,"change":"none","str":"Choose process measures (Appendix H) collect data and display on run or SPC charts","dir":"ltr","width":"412.38","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.19","208.27"],"fontName":"ABCDEE+Calibri","x":162.19,"y":208.27}
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{"page":58,"change":"none","str":"Plan your tests for implementation using PDSA cycles. Plan training, measurement, resources & stakeholder ","dir":"ltr","width":"527.51","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","160.87"],"fontName":"ABCDEE+Calibri","x":162.77,"y":160.87}
{"page":58,"change":"none","str":"engagement. (Appendix I & J)","dir":"ltr","width":"142.97","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","147.67"],"fontName":"ABCDEE+Calibri","x":162.77,"y":147.67}
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{"page":58,"change":"none","str":"Consider 'flexible standardisation' and spread good practice to other teams, departments and organisations","dir":"ltr","width":"522.48","height":"12.00","transform":["12.00","0.00","0.00","12.00","162.77","132.17"],"fontName":"ABCDEE+Calibri","x":162.77,"y":132.17}
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{"page":58,"change":"none","str":"Sustain and share (page 38)","dir":"ltr","width":"136.61","height":"12.00","transform":["12.00","0.00","0.00","12.00","153.24","113.33"],"fontName":"ABCDEE+Calibri,Bold","x":153.24,"y":113.33}
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{"page":58,"change":"none","str":"Use the sustainability guide to ensure your changes will be sustained","dir":"ltr","width":"333.66","height":"12.00","transform":["12.00","0.00","0.00","12.00","161.64","97.97"],"fontName":"ABCDEE+Calibri","x":161.64,"y":97.968}
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{"page":58,"change":"none","str":"Celebrate and spread your success through conferences, posters, journal articles etc. (Appendix L)","dir":"ltr","width":"474.72","height":"12.00","transform":["12.00","0.00","0.00","12.00","161.64","82.61"],"fontName":"ABCDEE+Calibri","x":161.64,"y":82.608}
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{"page":59,"change":"none","str":"QI project, Patient Safety Leaders Programme, NHS Institute for Innovation and Improvement ","dir":"ltr","width":"420.61","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","449.14"],"fontName":"ABCDEE+Calibri","x":111.07,"y":449.14}
{"page":59,"change":"none","str":"Ali Cole, Quality Improvement Project Lead. Nicola Davey, Topic Expert ","dir":"ltr","width":"321.05","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","432.34"],"fontName":"ABCDEE+Calibri","x":111.07,"y":432.34}
{"page":59,"change":"none","str":"Staff at George Eliot Hospital NHS Trust (see acknowledgements on page 3) ","dir":"ltr","width":"340.80","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","415.54"],"fontName":"ABCDEE+Calibri","x":111.07,"y":415.54}
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{"page":59,"change":"none","str":"Sandra McNerney, Freelance Writer","dir":"ltr","width":"160.63","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","340.73"],"fontName":"ABCDEE+Calibri","x":111.07,"y":340.73}
{"page":59,"change":"none","str":"Focus Groups x 2, NHS Institute Associates, Fellows and Critical Friends","dir":"ltr","width":"316.01","height":"11.04","transform":["11.04","0.00","0.00","11.04","111.07","323.93"],"fontName":"ABCDEE+Calibri","x":111.07,"y":323.93}
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