SPSP / NES 31 st March 2010 Dr Helen Allbutt NHS Education for Scotland

1. SPSP / NES • 31st March 2010 • Dr Helen Allbutt • NHS Education for Scotland

2. NES Research Investment in Patient Safety • NES Educational R&D Strategy (2005 - 2009) (central vs directorate or programme funding) • Focus on multidisciplinary educational research in three programme areas: • Patient safety • Team-based education and collective learning • Assessment and clinical skills • Over 2005-2009 NES invested a total of £250,426 to fund multidisciplinary research in patient safety initiatives

3. NES Research in Patient Safety (central funding) • 12 research projects (2005-2009) within 7 topic areas: • Patient safety incidents arising from the prescribing, dispensing and use of medicines • Barriers and facilitators to implementing evidence-based practice on decontamination • Feedback on performance in applying quality improvement methods (significant event analysis and criterion based audit) • Barriers and facilitators in implementing clinical audit approaches • Impact of the foundation programme on postgraduate medical education • Instrument development for measuring, benchmarking and improving safety climate perceptions in primary care teams • Collective learning from error and adverse events

4. Evidence from NES patient safety research • - Importance of learning environment to drive and effect quality improvements in health care • - Need to prioritise and embed a culture of safety amongst health care teams to optimise collective learning about quality improvement • - QI methods must be perceived as relevant to health care staff • - Using self-generated patient safety data creates a sense of ownership • - Change can be best effected through teams developing their own quality improvement activities

5. Patient Safety Research using NES programme or directorate funding • Various stages of development • Understanding the feasibility, utility and predictive validity of a primary care safety climate tool (Lead: Steven Wilson, NHS QIS) • Development and testing of a trigger tool to identify preventable patient harm in electronic primary care records (Lead: Carl de Wet, NES) • Systematic review of PDSA Rapid Cycles of Change • (Lead: Esther Curnock, NES) • Development and testing of a safety checklist for primary care practices • (Lead: Paul Bowie, NES)

6. Patient Safety Research using NES programme or directorate funding • Various stages of development (cont) • Enhancing medicine-related patient safety through collective learning in secondary care teams (Lead: Diane Kelly, NES) • A pilot of the team strategies which facilitate learning and improvement associated with SEA meetings (Lead: Annabel Shepherd, NES) • Assessing the patient safety attitudes, skills and knowledge of foundation year doctors (Lead: Jean Robson, NHS Dumfries and Galloway) • A pilot to design, test and evaluate a quality framework for primary care • (Lead: Paul Bowie, NES)

7. NES Research Strategy 2010 - • Currently in development (June 2010) • Likely to be 2 broad programmes which will include QI • Funding • How to maximise QI research efforts in a tight financial climate?