1. First, Do No Harm Northern Region Patient Safety Campaign
Karen O’Keeffe Jacqueline Ryan
Clinical Lead Programme Manager
Peter Leong Debbie Monigatti
Improvement Specialist Communication Specialist

2. How is regional approach going?
Raising awareness of patient safety
Helping to build capacity and capability
Use of a formal improvement methodology to guide improvement activities
Strong linkages and partnership with other work programmes (i.e. Health Quality and Safety Commission, HOP Network) to ensure alignment with national and regional programmes

3. Components for effective improvement
Will
Having the will (desire) to
change the current state
to one that is better
Execution
Ideas
Having capacity to
apply quality theories, tools
and techniques that
enable execution of ideas
Developing ideas that will
contribute to making processes
and outcomes better
Copyright Institute for Healthcare Improvement

4. First, Do No Harm Falls/PI Collaborative

5. First, Do No Harm Falls/PI Collaborative
Agreed measurement metrics for falls and pressure injuries
Learning Session June 2012
Learning Session November 2012
Mini-Learning Sessions held with DHBs and ARRC
Cluster / hui approach
One DHB showing a ‘shift’ in the reduction of harm from falls
Reduction in Grade 3 and 4 pressure injuries
‘How to’ guides

6. Additional FDNH activities
Transfer of clinical information ‘yellow envelope’
Check list of vital patient information for use on transfer between residential aged care and hospital
Essential information in one, easily recognisable place
Adapted from Northland DHB yellow envelope
Launched 18 March 2013
Global Trigger Tool
GTT is an internationally-recognised process to identify adverse events associated with harm to patients
Look for triggers which could indicate that an adverse event may have occurred
Collecting this data over time can identify areas to focus improvement efforts
Workshop May 2012, national workshop held April 2013

7. Issues / Learning to-date
Front–line leadership is critical
Senior leaders remove obstacles
Ability to run Plan-Do-Study-Act (PDSA) cycles – small and frequent
Process to support the work and clinical staff
Value of teams attending learning sessions together reinforced at Learning Session 2
Importance of measurement - cannot improve what is not being measured
Need to build capacity and capability for teams to undertake improvement work
All change is challenging

9. What does FDNH campaign offer?
Support from Improvement Specialist to work with teams to:
progress quality improvement projects using Plan-Do-Study-Act (PDSA) cycles
provide support appropriate to needs of team
assist progress on falls and pressure injuries work
Increase awareness and showcase improvement activities on website and e-newsletters
Access to resources such as Learning Sessions and supplemental mini learning sessions at no cost