Wessex Patient Safety Collaborative – Learning Event 2

Wessex Patient Safety Collaborative (PSC) supports staff working in practice across Wessex to deliver the safest care possible, through a collaborative structure where organisations, networks and teams can learn from each other and from experts in topic areas.

Collaborative teams from Wessex organisations participate throughout the year attending 4 learning events and then testing improvements in practice using Plan-Do-Study-Act [PDSA] cycles in between events.

Copies of the materials used during the second Learning Event can be found on this page. Any enquiries about these materials should be made to the Patient Safety Team at the Wessex Academic Health Science Network (AHSN) via email at patientsafety@wessexahsn.net or by telephone on 023 8202 0844.

You can also follow us on Twitter @WessexPSC and use the hashtag #saferwessex.

Second Learning Event Wednesday July 22nd 2015

The aims of this learning event were to:

• Spread learning across Wessex; through presentations from improvement teams on their work to date and sharing of team storyboards
• Review and discuss application in practice; including current/best practice and challenges to delivery
• Allow space for teams to plan their next cycle of patient safety improvement PDSA cycles
• Deliver sessions from experts on sepsis, transfers of care, measurement and leadership
• Support staff to undertake measurement at a PDSA level and start to think about organisational level data
• Facilitate networking and shared learning across teams
• Ensure co-design and co-production with patients.
  

References to relevant articles.

Corfield, AR, Lees, F, Zealley, I, Houston, G, Dickie, S, Ward, K & McGuffie, C 2014, ‘Utility of a single early warning score in patients with sepsis in the emergency department’ Emergency Medicine Journal, vol 31, no. 6, pp. 482-487., 10.1136/emermed-2012-202186

Keep, JW, Messmer, AS, Sladden, R, Burrell, N, Pinate, R, Tunnicliff, M, Glucksman, E 2014, ‘National early warning score at Emergency Department triage may allow earlier identification of patients with severe sepsis and septic shock: a retrospective observational study’ Emergency Medicine Journal emermed-2014-204465 Published Online First: 13 May 2015

Inada-Kim, M & Viswesvaraiah, G. (2015). Sepsis on the AMU – Time to Pick up the Baton. Acute Medicine. 14 (2), p43-46.

Links to Additional Resources:

Human Factors in Healthcare: a Concordat from the National Quality Board

As set out in the response to the Mid Staffordshire NHS Foundation Trust Public Inquiry, the National Quality Board (NQB) has published a ‘Human Factors in Healthcare Concordat’ signed by its member organisations and other partners.  The Concordat demonstrates the NQB’s commitment on behalf of the health system, to embedding a recognition and understanding of Human Factors across the NHS and in their activities, reflecting the value it can offer in respect of improving the quality and productivity of services to patients.

Appendix 4: Human Factors in sepsis

A short document prepared for the UK sepsis trust on Human Factors within sepsis modified from resources developed by the UK Sepsis Trust (Survive Sepsis Manual, 3rd edition 2013) and the Royal College of Physicians, with grateful acknowledgement to Dr Emma Joynes and Dr Matt Inada-Kim

The Health Foundation’s free online resource center

A online resource center containing tools for the delivery of safe and reliable care and providing access to a wealth of information and practical resources on patient safety, for use at all levels of practice and management. Some specific resources include:

 Safety culture and the evidence on patient outcomes

Communication and human factors in safety: a story by Martin Bromiley

Challenges in changing NHS culture: learning from Mid-Staffordshire

Tackling human and organisational factors: the human contribution

How a systems approach can change safety culture

Transition between inpatient hospital settings and community or care home settings for adults with social care needs

A consultation on draft guidance published by the National Institute for Health and Care Excellence (NICE) to help manage the complicated needs of adults being admitted to, and discharged from, hospital who are receiving or need support from social care. The consultation period will run from 25 June to 6 August 2015 with an anticipated publication date of Nov 15. Comments should be fedback during the consultation period via one of the registered stakeholder organisations listed.

The ‘Rose’ leadership report

The Secretary of State for Health asked Lord Rose to conduct a review into leadership in the NHS which asked: what might be done to attract and develop talent from inside and outside the health sector into leading positions in the NHS; how could strong leadership in hospital trusts might help transform the way things get done and how best to equip clinical commissioning groups to deliver the Five Year Forward View?

AHSN Impact Report

AHSNs were created in 2013 in response to the report Innovation, Health and Wealth: Accelerating Adoption and Diffusion in the NHS (DH 2011); Fifteen AHSNs cover the whole of England as autonomous bodies that operate under licence from NHS England and, amongst other aims, deliver the Patient Safety Collaborative programme.

The Impact Report identifies a number of examples to illustrate how the work of the AHSNs is starting to make a difference for patients and the public, for innovators, for clinicians and for the healthcare system.

Our Storify page shows how the event progressed, see here.