Post on 05-Dec-2014
description
North West Coast Patient Safety Collaborative
Presented by:
Dr Liz Mear Chief Executive
Aims of AHSNs • To spread innovation at pace and scale across regions
• To integrate the strengths of higher education, the
NHS, industry, third sector, local authorities
• To improve health of individuals and communities
• To focus on the needs of local populations
• To speed up adoption of innovation into health and
social care
• To build a culture of partnership and collaboration
• To create wealth
PSC Principles • Local engagement - structured quality improvement
initiatives leading to transformational change
• Continual improvement in system-wide capability in quality
and safety
• Local systematic spread of improved outcomes across
health and social care
• Networking between the AHSNs, partner organisations
and stakeholders to ensure the optimal spread of good
practice
• There is no blueprint – we create a regional approach
Focus on service users/ staff
Safety Priorities + others
NWC Clinical Safety Priorities
• Medicines Optimisation
• Sepsis
• Transition from paediatric to adult care
• Hydration
– Selected by NWC providers, commissioners and
universities
Leadership Priorities
• Board development in safety
• Safety training and development for staff working
at patient care level
• Developing safety champions or leads in each
organisation
• Setting up learning networks around safety
improvement themes
• Technology reviews to identify solutions
to safety issues
Link to PSC Event Video
Medicines Optimisation Realising the value and potential of medicines to
improve outcomes (may have to select a more
expensive drug/ invest in support for patients to
adhere to medicines)
•4 principles of medicines optimisation
• Understand the patient experience
• Evidence-based choice of medicines
• Safe use of medicines
• Medicines optimisation as part of routine
practice
Medicines Safety
• Medicines are the most common health intervention
• They prolong, save & improve quality of lives.
• 9% error rate in prescribing
• At least 6% of emergency re-admissions result from
avoidable adverse reactions
• In primary care it is estimated that there are over 1.5
million prescribing errors each year (GMC study of
secondary care)
Medicines Safety 2
• A multi-professional approach, with patients at the heart, is
required.
• Broadening use of technology
• Safer transfers of care
• Strengthening role of community pharmacy
• Working with care homes
• Better reporting from primary and secondary care
• Empowering patients & carers
North West Coast MO Programme
• Implementing a whole- systems approach to medicines optimisation, using global learning
• Supporting the development of clinical decision support devices – e.g. prescribing apps – right first time prescribing;
• Using simulation/intelligent data to predict where and why medication errors are likely to occur – identifying organisational reduction strategies
• Supporting the development of medication reviews with digital technology
• Trials of nano–technology to support patients to take their medicines at the prescribed time and dose.
• Using the medicines optimisation dashboard
Pressure Ulcers
• Any patient who lies or sits still for any length of time is
exposed to risk
• Prevention is better than cure. NICE identifies a number
of factors
– Effective, informed assessment of the patient and
their skin;
- Implementation of pressure reducing and systemic
(e.g. improved nutritional state, continence
management) preventive measures
Benefits of a Technology Review
• Filter out products which are unlikely to improve on what is
currently available
• Explore the health economics of different technologies upfront
• Work with manufacturers on behalf of the whole region to
develop solutions
• Identify forthcoming products so that organisations can plan
and resource their introduction
• Work with procurement experts to get best deals
Pressure Ulcers A Technology Review
• Silicone pressure relieving pads which give more
effective relief and improved performance than
traditional materials e.g sheepskin;
• “Intelligent” pressure relieving mattresses –work out
and apply the best interface pressures for individual
patients
• “Micro climate” management systems – designs
which take moisture away from the patient : mattress
interface, and maintain the patient’s skin at an optimised
temperature
Dr Liz Mear Chief Executive E: Liz.Mear@nwcahsn.nhs.uk T: 01772 520260 M: 07891 698692
If you would like to work with us and make a difference to the lives of millions of local people, please contact:
Philip Dylak Programme Manager, Patient Safety
/AQuA Associate E: Philip.Dylak@nwcahsn.nhs.uk T: 01772 520255 M: 07538 022771
info@nwcahsn.nhs.uk @nwcahsn
www.nwcahsn.nhs.uk