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Head of Patient Safety at South Central SHA leads workstreams to improve patient safety in healthcare organizations, nationally and internationally. Focus areas include reducing needless deaths, falls, ignorance, skin breakdown, malnutrition, infection, medication errors, and harm in mental health. Achievements include implementing mortality review template, launching Sepsis symposium training, delivering reductions in healthcare-associated infections, and more. Future plans include shadow hosting, financial and corporate responsibilities, and supporting innovation and improvement.
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Patient Safety Federation Sarah Mussett Head of Patient Safety South Central SHA
Patient Safety Federation Workstreams To improve Patient Safety in all health care organisations in the South Central area and to lead the way nationally and internationally in reducing harm to patients”
8 workstreams • No needless deaths • No needless falls • No needless ignorance – human factors • No needless skin breakdown • No needless malnutrition • No needless infection • No needless medication errors • No needless harm in mental health
www.patientsafetyfederation.nhs.uk/workstreams/no-needless-ignorance.aspxwww.patientsafetyfederation.nhs.uk/workstreams/no-needless-ignorance.aspx
Metric 1 – Medicines reconciled within 24hrs of admission Metric 2 – Avoid all preventable NSAID related incidents Potential saving of £6.5 million if all patients admitted with POD bag Trust loses 4K treating GI bleed. Save 100k annually No needless medication errors
PSF Achievements • Mortality review template • Launch of Sepsis symposium training across South Central • 23K for Hydrant project • Implementing intentional rounding across South Central • Delivered real reductions in HCAIs • Part of a national Falls Safe project
Future • Shadow hosting - July 2011-January 2012 • RBH – financial & corporate responsibilities • HIECs – comms, networks & project management support. Crucial link between innovation & improvement • Host Executive – Cathy and Chris HIEC representatives • Papers to Execs – risks & mitigations