Figure 2 Driver Diagram Increase of identifying which

Figure 2: Driver Diagram Increase of identifying which patients on fluid balance chart - Correlation of doctors and nurses identification of patients on fluid balance Increase percentage of charts correctly completed - recording/audit Magnets on hand-over board Stickers on jugs Modify chart Increase of completion - staff questionnaire Increase staff understanding of the importance of fluid balance - quiz before and after Patients if able to fill out Education teaching sessions on the ward for nurses/HCAs Information on page 2 of chart

Figure 3: Modified chart

Figure 4: Effectiveness of Education – Before and after quiz results 5, 0 4, 5 4, 0 Score out if 5 3, 0 Before 2, 5 After 2, 0 1, 5 1, 0 0, 5 0, 0 Nurses HCA

Figure 5: Correlation between doctors and nurses Percentage correlation between doctors and nurses 100 90 80 70 60 50 40 30 20 10 0 Before magnets After magnets

Figure 6: Running Chart – Number of charts in use Number of charts per ward per day 16 14 12 Number of charts Labels 10 8 New Chart 6 4 Educatio 2 0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 Collection day

Figure 7: Ease of completion (out of 10): Current chart and Modified chart 10 9 8 7 6 5 4 3 2 1 0 Old Chart New chart

Figure 8: Running Chart – Percentage of Correctly completed charts Percentage of Charts correctly filled out 100 90 New Chart 80 Education Labels 70 Percentage 60 50 40 30 20 10 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Collection Day