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Developing practice and improving quality – it’s everyone’s business

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  1. Developing practice and improving quality – it’s everyone’s business Dr Bob Brown Senior Professional Officer (Practice and Quality) Northern Ireland Practice & Education Council for Nursing and Midwifery (NIPEC)

  2. Orthopaedic and trauma nursing: opportunities into the future • Maintaining and developing high standards of practice in a changing context • Managing performance • Improving patient and public experience • Developing professionally

  3. What is ‘quality improvement’? “The combined and unceasing efforts of everyone – healthcare professionals, patients and their families, researchers, planners, commissioners and educators – to make the changes that will lead to better patient outcomes (health), better system performance (care) and better professional development (learning)”. Ref - Batalden and Davidoff, Quality and Safety in Healthcare, 2007.

  4. Integrating processes for safety, quality and risk management “One of the most frustrating aspects of patient safety is the apparent inability of health care systems to learn from their mistakes. …………Tragic errors recur in new places over and over again. The solution to this problem is to investigate our errors and share lessons learned through a reporting system.” Lucian Leape – Harvard School of Public Medicine (Local context: DHSSPS Quality Standards, 2006; Safety First: A Framework for sustainable improvement in the HPSS, DHSSPS 2006

  5. Why do we need to change? In England the National Patient Safety Agency (NPSA) estimates that 900,000 incidents a year result in harm or near harm to NHS patients……. Nearly a quarter of incidents and 39% of ‘near misses’ go unreported. December 2006

  6. What is needed for change? • Understanding of roles – joined up thinking and doing • Aligning of belief systems – organisational culture • Transformational change • Leadership • Focus on improving individual experience • Systems and processes for developing practice and improving quality

  7. NIPECs contribution to practice and quality improvement • Development of Practice Vision Statement (2004) • All-Ireland Practice and Quality Development Database (2006) • Regional review of Clinical Supervision (2006/07) • Organisational Guide to Practice and Quality Improvement (2007) – www.nipec.n-i.nhs.uk • Regional review of Essence of Care benchmarking (2007) • Practice and Quality Regional Alliance (established 2007) • NIPECs transition into the HSCA (April 2008) Contact – bob.brown@nipec.n-i.nhs.uk