“Patient Safety is the avoidance of unintended or unexpected harm to people during the provision of healthcare”.
Although the NHS strives to provide patients with the safest possible care, there are times, unfortunately, when things go wrong. Around two million patient safety related incidents are reported every year, with most occurring within the acute, mental health and community care sectors.
The NHS Long Term Plan highlighted several safety issues that need to be addressed; the fear of blame and retribution which curtails reporting and learning, lack of staff understanding of patient safety matters and workforce issues. With the aim to make the NHS the safest healthcare system in the world, a new strategy for patient safety sets out plans to focus on continuous learning and measurable improvement.
Based on three principles which are; A Just Culture, Openness and Transparency and Continuous Improvement, the strategy recognises three areas of work priority: Insight, Infrastructure and Initiatives.
A New Strategy for Patient Safety-Insight, Infrastructure, Initiatives is a conference designed to bring together all stakeholders who have a responsibility to deliver safe patient care. The conference will provide delegates with improved insight of:
- The aims of the strategy and the principles on which it has been created
- The areas of work identified as priority and the elements within them that will bring about quality improvement
- The strategy implementation, including the latest developments and initiatives to deliver the desired results
Through the agenda, delivered by key expert speakers, delegates will gain an essential update on the future direction of patient safety within the NHS and hear how it intends to become the safest place in the world to receive treatment.
“Every patient – whether in hospital, at home, in a GP surgery – expects compassionate, effective and safe care. To achieve that, we need to improve learning, we need to better shout about the work that the best trusts are doing, and the NHS must be as open and transparent as we can.” Matt Hancock, Secretary of State for Health and Social Care
The State of Care report by the CQC states that safety is the most significant cause for concern within the NHS. To support safety improvement, the new strategy proposes national action to ensure patients receive safer care. It aims to concentrate on the key areas of concern which are based upon the amount of harm caused, where mitigation is highest, and where the greatest levels of variation occur. Across these three areas the ambition is to reduce avoidable harm by 50% including the occurrence of ‘never event’s and medication errors.
There are three guiding principles:
A Just Culture- Blaming people for non-malicious errors is not conducive to improved safety. The focus should be on changing systems and procedures to allow people to conduct their job more safely.
Open and Transparency-Encouraging staff to be open and honest when mistakes happen allows for shared discussion, learning and revisions to be made.
Continuous Improvement-A continuous focus to make quality improvements to the system by assessing what needs to be improved, how changes will make things better and how the impact can be measured. Empowering staff and patients to recognise and respond is crucial.
The three areas of work identified as priorities are:
As part of the insight theme, the aim is for an improved ability to draw insight from multiple sources of information by acquiring, reviewing, understanding, analysing and exchanging patient safety data. The National Reporting and Learning System (NRLS) will be replaced by a new system, the Patient Safety Incident Management System. Within this system, the use of new technologies, such as Artificial Intelligence and Machine Learning and new techniques, such as Safety-II, can be utilised to best effect.
It is important that all staff have the skills and tools to influence patient safety. A universal safety curriculum is to be developed for all staff and a network of safety specialists plus a dedicated patient safety support team are to be created to support the capability and capacity of staff to improve levels of safety.
The ambition to deliver a 50% reduction in measurable harm is to be achieved through effective improvement initiatives such as the Patient Safety Collaboratives (PSC) programme, the falls collaborative programme, the Stop the Pressure programme (STPP), plus specialised work in mental health and maternal and neonatal health.
This conference, A New Strategy for Patient Safety-Insight, Infrastructure, Initiatives, will populate the strategy’s template with detailed information and practical guidance on the future plans for improved patient safety throughout the NHS.
The new strategy for patient safety is designed to develop the NHS into the safest healthcare system in the world. It will focus on three principles that should underpin implementation of
the strategy: a just culture, openness and transparency and continuous improvement. The strategy aims to: draw insight from multiple sources of patient safety information; give staff at all levels the skills and support they need to help improve patient safety and decrease harm in key areas by 50% by 2023/24.
A national report by the CQC found that too many people are being injured or suffering unnecessary harm because NHS staff are not supported by sufficient training, and because the complexity of the current patient safety system makes it difficult for staff to ensure that safety is an integral part of everything they do. In another report, all hospitals told the CQC that patient safety was their top priority, but too often they did not have an effective safety culture or reliable systems to ensure this.
One of the guiding principles of the Patient Safety Strategy is Openness and Transparency.
Adopting a ‘Just Culture’ enables staff to speak up when things have gone wrong, rather than fear blame and punishment. Supporting staff to be open and honest allows for learning from the mistakes and changes to be made to improve future safety, thus promoting another of the strategies principles of Continuous Improvement.
A Blueprint for Action sets out the action needed to progress towards the patient-safe future. Underpinned by systemic analysis and evidence, it proposes practical actions to address the foundations of safer care for patients and to share details of the hub through a new learning platform for patient safety
North Middlesex University Hospitals were one of four NHS trusts to take part in a Human Factors program delivered in collaboration between UCLPartners and Medled. This involved a week-long training course, followed by 10 months of support including workshops, site visits with coaching and access to a network of like-minded professionals.
During the program, the North Middlesex Human Factors Team implemented changes in a host of areas. Examples included streamlining forms to make them easier to complete; adopting a new type of needle to prevent medical errors; designing a patient safety walkabout programme and changing the sepsis pathway to help escalate treatment.
Vikki and her colleagues have also trained 350 staff in the trust to use the principles they were taught and launched a Learning from Excellence Program.
This talk will highlight the following;
- What do we really mean by Human Factors? And why does it matter in Patient Safety?
- The training and support approach taken in this program – moving beyond ‘raising awareness’ to embedding change
- The impact on staff and patients at North Middlesex University Hospitals
- How other organisations can implement a similar approach
More of our everyday life is becoming digital and reliant on new technology such as artificial intelligence, and healthcare is no exception. Patients, healthcare professionals, and policymakers are becoming increasingly aware of the culture clash between the ‘move fast and break things’ world of tech, and the ‘safety first’ world of healthcare. How do we ensure that digital health products are safe, yet still dynamic and responsive to individual users’ needs?
The Patient Safety Academy has been formed from collaboration between two research groups in the University of Oxford, with expertise in patient safety, human factors/ergonomics and improvement science; the Quality, Reliability, Safety and Teamwork Unit (QRSTU) and Oxford Simulation Teaching and Research (OxSTaR).Project support involves provision of human factors patient safety training to all team members involved in a project. The PSA team provide support which enables the staff to choose the areas of concern they want to focus on, work together to generate potential solutions and then trial these solutions. The result is staff –led projects with improvements which fit their service and with successes and learning they can share with other teams.
The ambition for the NHS is to be one of the safest places in the world to give birth and aims to halve the rates of stillbirth, maternal and neonatal deaths and birth-related brain injuries in babies by 2030.
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