Patient Safety; Our Improvement Story

1. Patient Safety; Our Improvement Story Sue Smith Executive Director of Nursing & Patient Safety Director of Infection Prevention & Control

2. The Patient

3. Strategic context • High Quality Care for All: Next Stage Review (DH 2008); Equity and Excellence; Liberating the NHS White Paper (2010) • Patient safety • Effectiveness of care • Patient experience • Trust Board • Patient Safety is No. 1 priority – Putting Patients First • Quality accounts – measurement for improvement

4. Clinical leadership • Taking responsibility for what happens in our practice • Learn from patients/users to form an evidence base for improvements • Engage front-line staff to take measures to keep healthcare environments safe and efficient • Build a continuous improvement culture from Ward to Board

5. Your role • Your role is key • Continuous review – fresh eyes • Measurement for improvement • Balance safety/quality with finite resources and service needs • Ensure skills and knowledge in place Leadership

6. Improvement goal; Reduce mortality and harm Improvement Methodology

7. Reduce mortality • SUI panel • GTT reviews • Mortality reviews • SBAR • Documentation • Incident reporting • PEQS panels • Patient safety walkabouts

8. The Patient Voice

9. Mortality - benchmark

10. NTH -324 10 Each quarter reports figures for the previous 12 months

11. Thank you And let’s keep improving