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Sharing to Sustain – making PCT land a safer place!

Sharing to Sustain – making PCT land a safer place!. Peter Mansell & Maureen Baker NPSA March 9 th 2004. Three questions. What information is going to be most useful to inform safer choices? How do we best involve users to improve patient safety?

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Sharing to Sustain – making PCT land a safer place!

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  1. Sharing to Sustain – making PCT land a safer place! Peter Mansell & Maureen Baker NPSA March 9th 2004

  2. Three questions • What information is going to be most useful to inform safer choices? • How do we best involve users to improve patient safety? • How can the NPSA complement the work of PCTs?

  3. Context 4 - GP adverse events frequency • medication - wrong drug - wrong dose - known allergy • misdiagnosis • minor surgery • referral • delayed diagnosis:- - malignancy, orthopaedics, infection 15% 50% 5% 7% Sources: MDU Claims settled 1990-2000

  4. Sources of information What are some of the ways of engaging patients and the public about a safer choices? Complaints RCAs Patient Surveys Patient Forums NRLS Thematic reviews

  5. Involving users for making things safer • Providing information on safety performance of healthcare organisations and services • How do we guard against unintended outcomes? • Jointly developing national patient safety goals/standards • Can we assure a core level of safety? • Publishing data • What will be meaningful and not unduly erode trust? • Working with patients on solutions • Decisions about when and how we involve people will always be difficult

  6. Motivation to act • Variation in quality exists and I may not get the best quality • Failure to act will have a negative effect on health • The harm that will result from failure to act: • is greater than any risk which is perceived to be associated with the action; • is greater than the burden of time and effort involved in taking action OPM/The Nuffield Trust Involving People in Public Disclosure of Clinical Data

  7. Which is the safer organisation? Reported incidents per annum

  8. Supporting Choice • 7 steps to patient safety – developing tools to help you: • Build safer cultures • Lead and support your staff • Integrate your risk management activity • Promote reporting • Involve patients and the public • Learn and share safety lessons • Implement solutions

  9. Discussion and Questions

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