DEVELOPING A SAFETY STRATEGY

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University Hospitals of Leicester NHS trust
DEVELOPING A SAFETY STRATEGY SAFETY
SOLUTIONS AT AN ACUTE TRUST
MOIRA DURBRIDGE ASSISTANT DIRECTOR OF CORPORATE
LEGAL AFFAIRS
Friday 9th March 2007
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WHY DEVELOP A PATIENT SAFETY STRATEGY?

• Mission
• Vision
• Values
• Outputs

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PATIENT SAFETY STRATEGY

• Review and analyse the data
• Identify organisational learning captured
  following RCA
• Identify and implement patient safety solutions
• Mechanism by which success and progress can be
  monitored

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STEP 1BUILD A SAFETY CULTURE

• Largest patient safety culture study in the UK
  (1461 responses)
• Lessons
• Improve handovers and transitions
• Review staffing arrangements in some teams
• Senior management support for patient safety
• Teamwork across hospital wards and departments

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STEP 2LEAD AND SUPPORT YOUR STAFF

• Patient Safety leadership from Trust Board down
• Patient safety at core of policy development
• Review and further develop Patient Safety Training

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STEP 3INTEGRATE YOUR RISK MANAGEMENT ACTIVITY

• Risk Assessment
• Risk Register
• Tools RCA / FMEA
• Incident analysis, trend and cluster spotting
  acted and reported upon

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STEP 4PROMOTE REPORTING

• Increase electronic web-based reporting
• Improve timeliness of reporting
• Share reports internally and externally

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STEP 5INVOLVE COMMUNICATE WITH PATIENTS AND
THE PUBLIC

• Increase involvement of patients and relatives
  in incident investigation
• Being Open integrate into risk management
  policy and culture

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STEP 6LEARN AND SHARE SAFETY LESSONS

• Improve risk consciousness
• Design out error
• Patient Safety training programme
• RCA

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STEP 7IMPLEMENT SOLUTIONS TO PREVENT HARM

• Medication Error Reduction Strategy
• Validation of Results
• Alerts

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STRATEGY FOR IMPLEMENTATION
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ANY QUESTIONS?