Oxford AHSN Patient Safety Collaborative November 2014 1.

Slides:

Advertisements

Similar presentations

Mapping Diabetes against the needs for London

Advertisements

West Midlands Academic Health Science Network

West Midlands Academic Health Science Network Mental Health Clinical Priority Event October 10 th, 2013 Peter Lewis Medical Director, Birmingham and Solihull.

West Midlands Academic Health Science Network

The Healthcare Commission and Patient Safety AvMA NPSA Patients for patients safety partnership event Richard Elson 18th March 2008.

AHSNs Patients and Patient Opinion NHS Commissioners workshop 24th September 2013.

NHS Services, Seven Days a Week Professor Sir Bruce Keogh National Medical Director NHS England.

North West Coast Patient Safety Collaborative Presented by: Aly Hulme Associate Director.

Closing the Gap in Patient Safety Programme Safer Care Pathways in Mental Health: Project Overview Presented by Tim Bryson Project Manager.

Health Improvement Programmes Professor Oliver James Medical Director, AHSN NENC.

Diabetes Programme Progress Report Dr Charles Gostling, Joint Diabetes Clinical Director October 2013.

The Measurement and Monitoring of Safety: Drawing together academic evidence and practical experience to produce a framework for safety measurement and.

Mary Emurla, SCN Manager Caroline Dollery, SCN Clinical Director

4 Nations Thematic Activity Conference CQC - 11 November 2011 RQIA Thematic Activity in Northern Ireland.

SAFE Care - ‘Safety Express’ – Mental Health & Learning Disabilities

Patient Safety in Mental Health Wednesday 1 st April 2015 Chris Stanbury, Director of Nursing and Governance.

CCG Strategy Update Lewisham Children and Young People Strategic Partnership Board 26 th January 2015.

First, Do No Harm Falls work Karen O’Keeffe Clinical Lead Presentation 7 to National Falls Programme Expert Advisory Group meeting 13 July 2012, HQSC.

AHSN Stakeholder Event Centre for Life, Newcastle Tuesday 23 rd June 2015 Patient Safety Collaboratives: the North East approach Tony Roberts, Interim.

Your hospitals, your health, our priority ST05_Mar12 Preventing Malnutrition at WWL Linda Smyth Head of Quality Improvement.

Clinical Risk Unit University College London International Perspectives Feedback from the review board Charles Vincent Clinical Risk Unit University College.

Is healthcare getting safer ? The challenge of measurement Charles Vincent Department of Psychology & Oxford Academic Health Science Network.

South West Strategic Clinical Network and Senate Annual Conference Joint working between the AHSNs and the Strategic Clinical Networks Deborah Evans Renny.

NHS | Presentation to [XXXX Company] | [Type Date]1 Senates - the interface with SCNs and AHSNs Nigel Acheson Medical Director NHS England (South)

The Patient Safety Collaborative Programme World Stop Pressure Ulcers Day Fiona Thow 20 November 2014Network.

Ramside Hall, 14th May 2015 The Academic Health Science Network for North East and North Cumbria Patient Safety Collaborative An introduction to the PSC.

Our Journey So Far Rose Baker, Head of Nursing – Division 1 Mandy Gibbs, Patient Safety Manager QIPP Safe care.

National Patient Safety Programme Clydebank 9 th November 2007.

Aneurin Bevan Health Board 11 May 2010 Reducing Mortality and Harm.

Medicines Optimisation Tony Jamieson Clinical Lead for Medicines 13/07/2015.

How can Geriatricians help PCTs?. What on earth is world class commissioning? Department of health has set criteria by which it wishes PCTs to operate.

First, Do No Harm Northern Region patient safety campaign Jacqueline RyanKaren O’Keeffe Programme ManagerClinical Lead Peter LeongKelly FraherImprovement.

Running with change Kate Schneider, NHS South of England (West), December 2012.

Wessex Patient Safety Collaborative Keith Lincoln Director of Quality & Improvement Wessex Academic Health Science Network.

Better Care Fund 3 rd sector engagement event 17 March 2014 Matt Ward and Dennis Holmes.

NHS Southern Derbyshire Clinical Commissioning Group Southern Derbyshire CCG Quality Improvement CQUIN & other AKI stories Sally Bassett SDCCG AKI Pathfinder.

UNDERSTANDING AND DEFINING QUALITY Quality Academy – Cohort 6 April 8, 2013.

We Want To Be The Best Salford Royal has an ambitious plan: - to be the safest hospital in the NHS.

Kent, Surrey and Sussex Patient Safety Collaborative Pressure Damage is Everybody's Business A National Perspective Caroline Lecko Patient.

Patient Safety Collaborative Pressure Ulcer Harm Reduction Dr Paul Durrands Chief Operating Officer, Oxford AHSN.

Using CQUINS to improve COPD care on discharge from Acute Trust

Durham and Teesside Patient Safety Conference Teesside University Tuesday 31 st March 2015 Patient Safety Collaboratives: the North East approach Tony.

P1P1 Kaiser Permanente Northern California: Set-up Phase Dr. Carmen Adams This presenter has nothing to disclose.

Patient Safety Federation Sarah Mussett Head of Patient Safety South Central SHA.

Passing the Baton 29/09/15 Geoff Cooper – Patient Safety Collaborative Manager Wessex Patient Safety Collaborative.

NHS West Kent Clinical Commissioning Group West Kent Urgent Care DRAFT Strategy Delivering a safe and sustainable urgent care system by

Philip Dylak Director of Innovation, Nursing and AHPs Deputy CEO and AQuA Associate (with additional material contributed by Michael Wood, NHS Confederation,

1 Dr Julie Hankin Medical Director. 2 Listen, Learn, Act  Listening to patients, carers and staff.  Learning from what they say when things go wrong.

HEALTH AND CARE STANDARDS APRIL Background Ministerial commitment 2013 – Safe Care Compassionate Care Review “Doing Well Doing Better” Standards.

HENW Integrated Care Workforce Demonstrator Site Showcase Event Elizabeth Bradbury, Director 3 rd November 2015.

Sally Cheshire Chair North West Local Education & Training Board.

Brokering Beneficial Collaborations Opportunities for working in partnership Lucy Chatwin - Head of Programmes West Midlands AHSN

We’re counting the benefits of EPR Find out at: epr.this.nhs.uk We’re counting the benefits of EPR Find out at: epr.this.nhs.uk The introduction of EPR.

Optimal Nutritional Care for All UK Update report In partnership with NHS England and the Malnutrition Taskforce With support from NHS Improvement Funded.

Diabetes Research Network Professor Azeem Majeed Imperial College, London.

GM AHSN Technology Innovation Challenge Pip Peakman.

South West London Landscape

BREAK THE CIRCLE OF HARM and eliminate avoidable pressure ulcers

Improving Patient Safety in the NHS

The Patient Safety Collaboratives Programme

Introducing 1000 Lives Plus

Patient Safety Goals for BCUHB

Patient Safety Goals for BCUHB

Share and learn Co-produce and co-design

Improving Care for Older People in Acute Care

Introduction to the Academic Health Science Network (AHSN NENC)

MCQIC: Phase 2 Prepared by: Bernie McCulloch

Introducing 1000 Lives Plus

Presentation transcript:

Oxford AHSN Patient Safety Collaborative November

What is patient safety? Broadly the reduction of harm Incident? Adverse events? Or major failures in care with implications for patients? Or the risk of such events? Building a safer system Safety as an aspiration in a hazardous environment This has implications for what we do and how we approach the programme 2

Oxford Region Partnerships Patients and carers Patient Safety Federation South of England Mental Health & Community PSC Patient Safety Academy AHSN Partners – Universities, NHS and Industry 3

Oxford AHSN Patient Safety Landscape Sepsis/ Infection Medicines management Human Factors Avoidable Harm/ Death Falls Prevention Malnutrition Board engagement Patient Experience Pressure Ulcers UTI prevention Patient Safety Federation  South of England Patient Safety in Mental Health Collaborative  Patient Safety Academy  Oxford AHSN Clinical Networks  Oxford AHSN Clinical Innovation Adoption programme  OUHT  OHFT  Bucks New University  Oxford Brookes University  University of West London  4

Prioritisation Sources: National priorities (essentials – assume this is leadership and measurement) Local priorities (Trusts, commissioners and clinical networks) chosen from: Falls Pressure ulcers Nutrition and hydration Acute kidney injury UTIs and other infections Missed and delayed diagnosis Failure to return to mental health wards Deterioration of patients Medication safety Sepsis Handover & discharge 5

Prioritisation Sources: National priorities (essentials – assume this is leadership and measurement) Local priorities (Trusts, commissioners and clinical networks) chosen from: Falls Pressure ulcers Nutrition and hydration Acute kidney injury UTIs and other infections Missed and delayed diagnosis Failure to return to mental health wards Deterioration of patients Medication safety Sepsis Handover & discharge Process to agree future priorities 6

Measurement & Evaluation Our major challenge will be to demonstrate change (rather than activity) This has bedevilled all safety programmes in NHS Measurement is therefore number 1 priority because: It focuses minds and priorities It has been the major headache for all safety programmes The time taken to get measures in place has been consistently underestimated It is essential for the programme teams to function effectively It is fundamental to evaluation We should not initiate any programme in early phase unless measures are already available 7

Types of safety initiative Clinical topic programmes Thematic clinical programmes which address issues which cross the best care programmes (e.g. handover, transitions etc) Thematic programmes which address organisational and system level issues (e.g. regulation) And others …. In the longer term we need to build a safer system 8