1. Patient Safety; Our Improvement Story Sue Smith Executive Director of Nursing & Patient Safety Director of Infection Prevention & Control

2. The Patient

3. High Quality Care for All: Next Stage Review (DH 2008); Equity and Excellence; Liberating the NHS White Paper (2010) –Patient safety –Effectiveness of care –Patient experience Trust Board –Patient Safety is No. 1 priority – Putting Patients First –Quality accounts – measurement for improvement Strategic context

4. Taking responsibility for what happens in our practice Learn from patients/users to form an evidence base for improvements Engage front-line staff to take measures to keep healthcare environments safe and efficient Build a continuous improvement culture from Ward to Board Clinical leadership

5. Your role is key Continuous review – fresh eyes Measurement for improvement Balance safety/quality with finite resources and service needs Ensure skills and knowledge in place Leadership Your role

6. Improvement goal; Reduce mortality and harm Improvement Methodology

7. Reduce mortality SUI panel GTT reviews Mortality reviews SBAR Documentation Incident reporting PEQS panels Patient safety walkabouts

8. The Patient Voice

9. Mortality - benchmark

10. 10 Each quarter reports figures for the previous 12 months NTH -324

11. Thank you And let’s keep improving