National patient safety programme
Download
1 / 20

National Patient Safety Programme - PowerPoint PPT Presentation


  • 106 Views
  • Updated On :

National Patient Safety Programme. Jane Murkin - National Coordinator and Jason Leitch National Clinical Lead. Adverse Events in Hospital . 3.7% Harvard 1991 16.6% Australia 1995 10.8% London 2001 3 million bed days in UK £1 billion per annum in UK 50% PREVENTABLE.

Related searches for National Patient Safety Programme

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'National Patient Safety Programme' - manasa


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
National patient safety programme l.jpg

National Patient Safety Programme

Jane Murkin - National Coordinator and

Jason Leitch National Clinical Lead


Adverse events in hospital l.jpg
Adverse Events in Hospital

  • 3.7% Harvard 1991

  • 16.6% Australia 1995

  • 10.8% London 2001

  • 3 million bed days in UK

  • £1 billion per annum in UK

  • 50% PREVENTABLE


Reliability in healthcare l.jpg
Reliability in Healthcare

  • Healthcare is a high hazard industry

  • Approx 10% ( 900,000 ) patients admitted to hospital experience an incident.

  • 72,000 of these incidents / adverse events contribute to the death of patients

  • Many go unrecognised



Current reliability l.jpg
Current Reliability

  • Good people working hard will not be able to overcome the complexities of today’s systems of care to prevent errors

  • Studies show that human beings make errors

    • Misreading errors 3 in 1000

    • Omission in the absence of reminders 1 in 100

      (BMJ March 18 2005 Tom Nolan)

  • NCEPOD report on critical care (May 2005) shows:

    • 27% of hospitals have no early warning system

    • 44% of hospitals have no outreach

    • 66% of admissions to ICU were unstable for >12hrs (in hospital >24hrs)

    • 25% were not reviewed by consultant intensivist in first 12 hrs

    • In ICU frequent deficiencies in care: less than good in 47%

    • Deficiencies in care may have contributed to death in 11%

      (National Confidential Enquiry into Perioperative Death)

  • Consensus across many studies that


A major study of reliability in american health care l.jpg
A Major Study of Reliability in American Health Care…

  • McGlynn, et al: The quality of health care delivered to adults in the United States. NEJM 2003; 348: 2635-2645 (June 26, 2003)

    • 439 indicators of clinical quality of care

    • 30 acute and chronic conditions

    • Medical records for 6712 patients

    • Participants had received 54.9% of scientifically indicated care (Acute: 53.5%; Chronic 56.1%; Preventative 54.9%)

  • Conclusion: The Defect Rate in technical quality of American health care is approximately

  • 45%


Nhs qis l.jpg
NHS QIS

  • established January 2003 by the Scottish Parliament

  • merger of six quality improvement organisations

  • special health board - independent in its advice, assessments and recommendations


Scottish patient safety alliance key partners l.jpg
Scottish Patient Safety Alliance- Key Partners

  • Scottish Government

  • NHS Scotland

  • QIS

  • Royal Colleges and Professional bodies

  • World leading experts on patient safety

  • Patients

  • NHS Education


The vision scotland leading the way in patient safety l.jpg
The vision – Scotland leading the way in Patient Safety

  • Scotland at the forefront - a whole healthcare system approach

  • A strategic development priority for NHS Scotland

  • An explicit and tested approach to improving patient safety

  • Build on foundations laid through audit, clinical effectiveness and clinical governance

  • Alignment with wider NHS QIS Patient Safety work


Key aims l.jpg
Key Aims

  • Build on what's already been achieved

  • Tried and tested interventions

  • Improve safety and reliability of boards and a safety focused culture

  • Capacity and capability for improvement methodology

  • Spread and sustainability


How will we do this l.jpg
How will we do this?

  • National approach – Advisory board CMO

  • National steering group

  • National Team / Clinical Lead

  • IHI

  • National learning sessions / site visits

  • Regional support

  • Evidence based interventions

  • Outputs from SPI 1 & 2


Outcome aims l.jpg
Outcome Aims

  • Reduce healthcare associated infections

  • Reduce adverse surgical incidents

  • Reduce adverse drug events

  • Improve critical care outcomes

  • Improve the organisational and leadership culture on safety

  • Reduce mortality by 15% in 3 years

  • Reduce adverse events by 30% in 3 years


Associated benefits l.jpg
Associated benefits

  • Reductions in length of stay

  • Reduction in complaints

  • Cost benefits

  • Care is given in the right place at the right time and in the right way

  • Increased improvement capability amongst staff



Integration of national work l.jpg
Integration of National work

  • HAI pilot work on care bundles

  • IHI / HPS bundle approach

  • Shared with IHI

  • IHI support in principal HPS bundle and definitions

  • Integration meeting planned 27/11/07


Programme learning sessions l.jpg
Programme / Learning sessions

  • Pre work period Oct – Dec

  • Jan 08 LS1 – 3 day event, work stream breakout sessions

  • Collaborative approach –

    Learn from faculty / colleagues

    Coaching from faculty

    Gather new information on the subject matter and process improvement

    Share information and build work on improvement plans


National team l.jpg
National Team

  • Experience , support, advise and guidance

  • Day to day contact

  • Site visits

  • Develop effective networks

  • Networking, sharing and learning opportunities


Communications l.jpg
Communications

  • Letters to Chief Execs

  • Pre work

  • Networking event – Nov 20th

  • Learning session 1 – Jan 14th, 15th, 16th

  • Learning session 2 – May

  • Learning session 3 – Nov

  • Regular and ongoing throughout the programme



ad