Developing practice and improving quality

1
Developing practice and improving quality its
everyones business

• Dr Bob Brown
• Senior Professional Officer (Practice and
  Quality)
• Northern Ireland Practice Education Council for
  Nursing and Midwifery (NIPEC)

2
Orthopaedic and trauma nursing opportunities
into the future

• Maintaining and developing high standards of
  practice in a changing context
• Managing performance
• Improving patient and public experience
• Developing professionally

3
What is quality improvement?

• The combined and unceasing efforts of everyone
  healthcare professionals, patients and their
  families, researchers, planners, commissioners
  and educators to make the changes that will
  lead to better patient outcomes (health), better
  system performance (care) and better professional
  development (learning).
• Ref - Batalden and Davidoff, Quality and Safety
  in Healthcare, 2007.

4
Integrating processes for safety, quality and
risk management

• One of the most frustrating aspects of patient
  safety is the apparent inability of health care
  systems to learn from their mistakes. Tragic
  errors recur in new places over and over again.
  The solution to this problem is to investigate
  our errors and share lessons learned through a
  reporting system.
• Lucian Leape Harvard School of Public Medicine
• (Local context DHSSPS Quality Standards, 2006
  Safety First A Framework for sustainable
  improvement in the HPSS, DHSSPS 2006

5
Why do we need to change?

• In England the National Patient Safety Agency
  (NPSA) estimates that 900,000 incidents a year
  result in harm or near harm to NHS patients.
  Nearly a quarter of incidents and 39 of near
  misses go unreported.
• December 2006

6
What is needed for change?

• Understanding of roles joined up thinking and
  doing
• Aligning of belief systems organisational
  culture
• Transformational change
• Leadership
• Focus on improving individual experience
• Systems and processes for developing practice and
  improving quality

7
NIPECs contribution to practice and quality
improvement

• Development of Practice Vision Statement (2004)
• All-Ireland Practice and Quality Development
  Database (2006)
• Regional review of Clinical Supervision (2006/07)
• Organisational Guide to Practice and Quality
  Improvement (2007) www.nipec.n-i.nhs.uk
• Regional review of Essence of Care benchmarking
  (2007)
• Practice and Quality Regional Alliance
  (established 2007)
• NIPECs transition into the HSCA (April 2008)
• Contact bob.brown_at_nipec.n-i.nhs.uk