What can we learn about safety and frailty? Jo Evans Senior Improvement Advisor and Programme Lead – Safer Salford

A workshop of two halves A common understanding of safety Safety in the context of frailty

Where does safety fit? STEEEP Principles* as outlined in the IOM report, Crossing the Quality Chasm: A New Health System for the 21st Century S – Safe Care: The patient's safety comes first. T – Timely Care: Patient care will be delivered in the most timely manner possible. E – Effective Care: Patient care will be based upon the best science available. E – Efficient Care: Patient care will avoid waste of time, money, and resources. E – Equitable Care: Access to care will be provided to all in an equitable manner. P – Patient-Centered Care: Patients will participate fully in care decisions.

How do you know you are safe? What information and data do you use to think about safety? – write on post-it notes for later

Avoiding sleepless nights Safer Salford will learn from the latest thinking about safety in health and care, applying this to ensure care delivered in Salford is the safest in the UK. Measuring and Monitoring of Safety Framework (Vincent et al, 2013)

Safer intelligence in practice Available online at http://safersalford.org/our-work/safer-intelligence-dashboard/

Safer intelligence in practice Number of falls Number of falls risk assessments completed and who completed by Where falls occur and in what population group? How are we completing our risk assessments? Has this changed over time? Are there other factors we need to be aware of? Measuring performance Measuring safety Improving safety What happened? How did this happen? Triangulating information to support learning

Are we mature? Think about your role in your setting on a day-to-day basis Consider how often and in what format you use data and information related to safety Highlight the section which best matches YOUR experience Collect individually on paper and then get whole group to assess on the whiteboard. In second workshop give time to complete individual assessment and review whiteboard, but not in depth.

Are we measuring the right things?

Proposed GM frailty standards

Safety and frailty?

What do we want to learn? The “standards” What measure could give us the right information? What question do we want to answer? How does this interact with the wider system? How can we share this learning? Identifying and assessing frailty Frailty care planning Frailty interventions and care Draw on whiteboard, get measures written down earlier on post it notes stuck on this board in the appropriate section

What do you want the next group who come in here to know / focus on? Closing comments What do you want the next group who come in here to know / focus on? What do you want the