E-Health Awards 2010 - applications open!

Have your team used IT to improve the safety of patients? Made services more efficient? Transformed the working lives of clinicians?
Entries for the E-Health Insider Awards 2010 are now open and free to enter. Click here for further information and to submit your application. Nominations close on 4th June 2010!

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Listen to an audio recording of the Author in the Room call on preventing falls

In one of the most widely attended Author in the Room calls ever in the joint IHI and JAMA audio series, gerontology pioneer and MacArthur Foundation Fellow, Dr. Mary Tinetti, of the Yale University School of Medicine, shared her newest findings on preventing falls among the elderly. Her remarks were based on a recent study she co-authored, published in a special Care of the Aging series in JAMA Listen to an audio recording of the Author in the Room call on preventing falls

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Patient Safety Congress 25th & 26th May 2010

The Patient Safety Congress is an exceptional opportunity for you to join the discussion and debate the key questions arising out of the general election result -What are the implications for your Trust and for patient safety and where will the public sector axe fall?

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Clinical governance and adult safeguarding: an integrated process

The report on the consultation on the review of No Secrets highlighted that adult safeguarding systems were underdeveloped within the NHS. Respondents argued that there is a need to clarify the relationship between adult safeguarding, adverse incident reporting, patient safety and complaints.
The guidance and flow chart has been developed to encourage organisations to establish local robust arrangements to ensure that adult safeguarding becomes fully integrated into NHS systems.

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Patient Saftey Congress 2010

The Patient Safety Congress is the premier patient safety event in the UK. Over 1000 committed practitioners and managers will gather in Birmingham to share exceptional practice and innovation on 25th - 26th May 2010.
Click here for further information, to view the programme and to register for your place.

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New programme for Patient Safety Leaders

The NHS Institute launches a new programme for Patient Safety Leaders on 23 February with another programme planned for September. The programme is delivered through three separate units totalling six days. It equips staff with the passion, confidence and skills to improve patient safety. The aim is to help trusts build the capacity and capability for safety improvement within teams of frontline staff.
The programme is practical and hands on and shows how to use concepts such as Plan, Do, Study Act (PDSA) and the Model for Improvement (MFI.) It includes presentations, interactive discussions and teaching sessions led by leading improvement science specialists from the Safer Care teaching faculty, Warwick University, Professor Jean Penny from Derby University, the wider NHS and elsewhere. Please contact debbie.savage@institute.nhs.uk for more information.

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Seven steps to patient safety in general practice

The Seven steps to patient safety in general practice describes the key steps for a general practice to take to avoid harming the patients they care for. This guide is based on the full reference document, Seven steps to patient safety in primary care, and adapted specifically for general practice. Alongside each step is a set of activities that can be taken to develop policies, strategies and action plans. There are also practical hints and techniques that can be used to promote quality care. Click here to view the guide!

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Putting Patient Safety First: Global Trigger Tool for Paediatric Care

Putting Patient Safety First: Global Trigger Tool for Paediatric Care is a one day conference on Monday 1st of June where you can to hear more about the development of this powerful tool to identify and measure avoidable harm in paediatric services within secondary care.
This event will be run by the NHS Institute Safer Care Team with contributions and learning from a wide range of district general hospitals and tertiary care centres across NHS England.
For further information or to register on-line click here
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Web-based program from IHI: Using the IHI Global Trigger Tool for Measuring Patient Safety

IHI is pleased to introduce a new web-based program that will teach organizations how to use the IHI Global Trigger Tool to help them measure instances of harm often missed using traditional methods of reporting and tracking errors. The Web&ACTION, titled Using the IHI Global Trigger Tool for Measuring Patient Safety, is designed for teams of reviewers who will use the IHI Global Trigger Tool to identify patient harm and use the results gleaned from the tool to measure the effectiveness of safety improvements. The program also includes six additional telephone calls designed, in combination with the three webinars, to guide the beginner IHI Global Trigger Tool user into a sophisticated user able to create a system of tracking harm and improvement within their organization.

Learning to Manage Health Information: a conference for clinical educators

Learning to Manage Health Information is a FREE conference open for all educators and others interested in enabling students to utilise health information and technology effectively to enhance the quality of patient care and patient safety. The conference will provide you with the tools and ideas for bringing informatics competency into your programmes of learning.
The conference is a unique chance to meet others interested in this area, both educators and clinicians across all professions. You will find examples of good practice and be able to talk with people who can help support the embedding of informatics into clinical education programmes. It is an opportunity to become better informed and get involved in the ideas being discussed. Book your place now!

Significant Event Audit Toolkit

The National Patient Safety Agency (NPSA) has launched guidance for general practice teams enabling them to learn from patient safety incidents and 'near misses'. The Significant Event Audit guidance aims to improve the quality and safety of patient care in practice. There are two documents provided: A quick guide to conducting a Significant Event Audit and Significant Event Audit guidance for primary care teams. According to Dr Tom Heyes FRCGP, Head of Professional Development at NHS Leeds, "these are excellent documents and will be really useful for GP appraisers, practice clinical governance, QOF etc. Significant Event Audit has its roots firmly in general practice and is one of the most powerful educational and practice development tools available." If you would like to discuss how to implement these, Tom is happy to be contacted at tom.heyes@nhsleeds.nhs.uk or 0113 305 7606.

How a Simple Checklist Can Dramatically Reduce Medical Errors

Physician and patient safety leader, Dr. Peter Pronovost, recently joined an IHI Open School for Health Professions conference call to discuss the remarkable power of simple checklists in health care delivery. The checklists which include basic hygiene and sterilization practices that have helped clinicians across the world dramatically reduce the medical errors that lead to hospital infections.
Click here to watch the video and download one a sample checklist.

Patient Safety Congress 2009

HSJ and the Nursing TImes have teamed up with the National Patient Safety Agency, the NHS Institute for Innovation and Improvement, the Health Foundation, the Department of Heath HCAI and Cleanliness Division and NHS Connecting for Health.

This year's event is about providing the clear evidence and practical guidance needed to deliver real improvements. It is a unique opportunity to learn from the best examples in the UK, Europe and across the world, and to share their experiences of improving patient safety.

Click here for further information

National Patient Safety Agency - Significant Event Audit

The National Patient Safety Agency (NPSA) has launched guidance for general practice teams enabling them to learn from patient safety incidents and 'near misses'. The Significant Event Audit guidance aims to improve the quality and safety of patient care in practice.

Click here for further information.

Patient Safety First Resources Available

The Patient Safety First Campaign has launched a website with resources for trusts that have signed up to its patient safety initiative. The site includes a set of how-to guides detailing recommended interventions and measurement. For more details, see www.patientsafetyfirst.nhs.uk

When Things Go Wrong at Other Hospitals

“It could never happen here” is a natural response to news of a patient safety event at another institution, but this reaction may stifle potential for learning and improvement in our own organizations. Experts on this topic recently joined front-line teams for an important IHI “Campaign LIVE!” conference call. Listen to the call

Improving patient safety with MaPSaF

The Manchester Patient Safety Framework (MaPSaF) is a tool developed to help NHS organisations assess their progress in developing a safety culture. MaPSaF assists healthcare teams in measuring their progress towards making patient safety a central focus within their organisation. It can help them identify areas of particular strength or weakness. This will help to channel resources in the most appropriate fashion to best improve their patient safety culture.

Engaging physicians: How the team can incorporate quality and safety

The fifth in a series on IHI's 5 Million Lives Campaign intervention on governance leadership, this article discusses the critical importance of developing a shared physician/hospital quality and safety agenda to begin to get "real" results — that is, improved care for the patients we serve.

Improving patient safety through crucial conversations

Holding crucial conversations - emotional and risky discussions - is key to improving patient safety, reducing errors, improving morale and reducing staff turnover. Poor communication remains a dominating factor in many preventable incidents. Read Richard Pound's full HSJ article or the research study "Silence Kills: The Seven Crucial Conversations in Healthcare".

Leading Improvement in Patient Safety

The Safer Care team at the NHS Institute works with NHS trusts to help them gain the passion, confidence and skills to eliminate harm to patients. Last November, 23 trusts signed up to the Leading Improvement in Patient Safety (LIPS) programme, which focuses on building the capacity and capability within hospital teams to improve patient safety. More info can be found here. Applications are now invited for the second wave of the programme, which will start in May 2008. For more information or to register your interest, please contact debbie.savage@institute.nhs.uk