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The aim of the 1000 Lives Campaign is to save an additional 1000 lives and prevent 50,000 episodes of harm in Welsh healthcare between April 2008 and April 2010.
Every Health Board and NHS Trust in Wales is taking part and has been implementing agreed interventions, monitoring their impact and reporting on progress.
A national HSMR (Hospital Standardised Mortality Ratio) is being used to measure the mortality and a methodology using case note reviews will measure harm on a Wales-wide level.
1. Mortality – 1000 lives
HSMR (Hospital Standardised Mortality Ratio)
From 21 April 2009 onwards, we will be publishing the number of "lives saved" every six months for the remaining duration of the Campaign.
The Hospital Standardised Mortality Ratio (HMSR) is calculated as a ratio of the actual number of deaths, to the expected number of deaths among patients in acute hospitals. In Wales, this information is being provided at a national level by Dr Foster Intelligence.
An HSMR of 100 means that the number of patients who died is the number that would be expected. An HSMR above 100 means more patients died than would be expected, and one below 100 means fewer died than expected.
HSMR Baseline published – 06.04.09
The Campaign has calculated a baseline rate of 76.8 in order to compare future HSMR values. It is an estimate, based on the full year period of October 2006 to September 2007. Read more for further information
2. Harm – 50,000 episodes
Global Trigger Tool
The IHI Global Trigger Tool method identifies adverse events (harm) and measures the rate of adverse events over time.
The methodology includes a retrospective review of a random sample of patient records, using "triggers" (or clues) to identify possible adverse events.
Figures for two years: April 2008 to April 2010 - Press Release; Supporting Notes
Last updated: 01/02/2011