The Role of the Patient Safety Manager

1
The Role of the Patient Safety Manager
2
Seven steps to patient safety
3
Step One

• Build a safety culture

4
(No Transcript)
5
Build a Safety Culture

• Promote Patient Safety onto Board Agendas
  locally
• Promote NRLS reporting by various routes
• Support Root Cause Analysis Training using a
  systems based approach to reviews and encourage
  an open and fair culture
• Organisational Safety Assessment Tool MaPSaF
  working centrally to assist in production of the
  framework
• Incident Decision Tree

6
Create a culture where safety is considered in
everything they do
7
Step Two

• Lead and support staff

8
Lead and support your staff
9
Lead and Support Staff

• Meetings with Executive Directors
• Deliver Non Executive Directors training
• Issue the Chief Executives checklist
• Local Patient Safety Champions
• Bursary places (patient safety 2004) offered to
  key individuals to promote local initiatives

10
Step Three

• Integrate your risk management activity

11
(No Transcript)
12
Integrate Risk Management Activity

• Encourage organisations to develop an
  integrated approach to patient safety
• Work closely with other external bodies to
  ensure consistency of approach e.g. Welsh Risk
  Pool
• Main contacts include
• Risk Managers
• Clinical Governance Leads
• Complaints managers
• Claims Managers

13
Step Four

• Promote Reporting

14
Spot and report mistakes when they happen
15
Promote reporting

• Work closely with organisations to achieve NRLS
  connection
• Assist organisations with promotion of Incident
  Reporting processes and policies
• Target areas where reporting rates are
  low Primary Care
• Ambulance

16
Step Five

• Patient And Public Involvement

17
Involve communicate with patients the public

• Work in partnership with central NPSA Patient
  Experience Public Involvement team
• Develop links with patients, carers their
  representatives
• Assist with development of patient/public
  incident reporting form
• Ensure patient/public voice is heard at regional
  forums
• Engage patients/public in solution development
  e.g.. facilitate patient forums
• Promote NPSA Being Open products guidance

18
Step Six

• Learn and share safety lessons
• Root Cause Analysis

19
Learn and share safety lessons

• Deliver Root Cause Analysis (RCA) training
• Assist NHS organisations establish robust
  mechanisms for incident investigation
• Advice on the incident investigation process as
  required
• Facilitate aggregate themed RCA
• Provide regional feedback eg. PSO report,
  regional Patient Safety Networks, etc.

20
Step Seven

• Implement solutions to prevent harm

21
Make solutions simple and intuitive
22
Implement solutions to prevent harm

• Provide information for Patient Safety
  Observatory/Prioritisation
• Assist/Lead Safer Practice Solution Projects
• Assist with testing and implementation of
  national solutions/guidance
• Wide promotion of NPSA solutions/products
• To initiate and/or participate in research re
  patient safety

23
Building a memory Preventing harm, reducing
risks and improving patient safetyThe first
report of the National Reporting and Learning
System and the Patient Safety Observatory
24
(No Transcript)
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)