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Multidisciplinary Safety Briefings. Harinath Chandrashekar Acting Consultant Acute Medicine and Stroke Ninewells Hospital. Why??. Foster a culture of safety Create an environment with high awareness of safety issues and improvement work in the unit
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Multidisciplinary Safety Briefings Harinath Chandrashekar Acting Consultant Acute Medicine and Stroke Ninewells Hospital
Why?? • Foster a culture of safety • Create an environment with high awareness of safety issues and improvement work in the unit • Encourage reporting of safety issues without fear of reprisal. • Orientation of junior staff. • Reduce errors , unsafe transfers. • Identify capacity and workforce issues. • Improve quality of care.
Background • Safety Briefings must be brief and focussed. • Identify in advance a list of safety issues for discussion. • Use a data collection form to capture the briefing • Must be applicable to all patient safety issues. • Improvement driven. • Safety Briefings must be nonpunitive.
How does it work • Daily morning 8 am for 15mins ( 7 days) • Night medical staff, daytime consultants, junior doctors, senior charge nurse, pharmacists. • Review of any night time issues ( cardiac arrests, near misses, bad ward transfers, capacity and workforce issues). • Identify immediate problems ( acutely ill, agitated and wandering patients, infection risks, capacity issues). • Daily orientation of medical staff. • Daily discussion of common problem areas – medicines reconciliation, handover , sharps bins, improvement works (sepsis ,VTE , OPAC,AMU standards). • Document in the form. • Monthly feedback with themes identified.
Future • Afternoon/Evening MDT safety briefings. • Collection and dissemination of data. • Involvement of OT/PT/Domestics.
