Patient Safety Education: What matters to you? · Patient Safety Education: What matters to you?...

Patient Safety Education: What matters to you? Annex to Report of the NES Patient Safety Educational Resources Stakeholder Consultation

Supplementary Data Annex 2 – Analyses of selected educational priority questions by selected main professions (organised by question) Nancy El-Farargy May 2014 Commissioned by NHS Education for Scotland Patient Safety Multi-Disciplinary Group Nancy El-Farargy, Fiona Gailey, Sabine Nolte, Mark Johnston http://www.nes.scot.nhs.uk/initiatives/patient-safety

mailto:Nancy%[email protected]?subject=What%20matters%20to%20you?%20Report:%20Supplementary%20Data%20Annex%202

http://www.nes.scot.nhs.uk/initiatives/patient-safety

Patient Safety Education: What matters to you? Supplementary Annex 2 of 16

Contents

1. Introduction .................................................................................................................. 3

2. WHO Curriculum Guide Topics ................................................................................... 4

2.1 All Stakeholders ....................................................................................................................... 4

2.2 General Practitioners .............................................................................................................. 4

2.3 Other Medical Specialty .......................................................................................................... 5

2.4 Nursing and Midwifery ............................................................................................................ 5

2.5 Management ............................................................................................................................. 6

2.6 Allied Health Professionals .................................................................................................... 6

3. Other Learning Topic Areas ........................................................................................ 7

3.1 All Stakeholders ....................................................................................................................... 7

3.2 General Practitioners .............................................................................................................. 7

3.3 Other Medical Specialty .......................................................................................................... 8

3.4 Nursing and Midwifery ............................................................................................................ 8

3.5 Management ............................................................................................................................. 9

3.6 Allied Health Professionals .................................................................................................... 9

4. Practical Patient Safety Tools ................................................................................... 10

4.1 All Stakeholders ..................................................................................................................... 10

4.2 General Practitioners ............................................................................................................ 10

4.3 Other Medical Specialty ........................................................................................................ 11

4.4 Nursing and Midwifery .......................................................................................................... 11

4.5 Management ........................................................................................................................... 12

4.6 Allied Health Professionals .................................................................................................. 12

5. Preferred Learning Approaches ................................................................................ 13

5.1 All Stakeholders ..................................................................................................................... 13

5.2 General Practitioners ............................................................................................................ 13

5.3 Other Medical Specialty ........................................................................................................ 14

5.4 Nursing and Midwifery .......................................................................................................... 14

5.5 Management ........................................................................................................................... 15

5.6 Allied Health Professionals .................................................................................................. 15


1. Introduction

Annex to report of the NES Patient Safety Educational Resources Stakeholder Consultation:

Supplementary Data Annex 2 – Analyses of selected questions by selected main professions (organised by question)

Colleagues from the NES Patient Safety Multi-Disciplinary Group1,2 designed and distributed a ‘NES patient safety educational resources’ consultation between 24 May 2013 and 30 June 2013. Its intention was to generate a mix of qualitative and quantitative viewpoints on supporting patient safety education in Scotland.

A targeted audience of educational, patient safety, and service contacts were invited to participate; and included team leads responding on behalf of their teams, clinicians, educationalists, patient safety/quality improvement fellows, and other interested stakeholders in patient safety. In particular leads that had a key role in the development of education and training for patient safety, and in championing the work were aimed at. Other forms of distribution involved links on the corporate NES website and social media platforms, in which all interested stakeholders were invited to take part.

This reference annex presents profession specific data that emanates from the main summary report3 and the corresponding data report4. Results are presented for the following four questions from our 2013 consultation:

1. Question 19: Please rate the current relevance of the following topic areas based on the WHO Patient Safety Curricula for your team/healthcare setting/area of work, in the context of other training available and workforce development to date.

2. Question 20: Please rate the current relevance of the following topic areas for your team/your healthcare setting/area of work, in the context of other training available and workforce development to date.

3. Question 21: Learning about the use of which of these patient safety tools from a practical perspective would you rate as relevant for your team/healthcare setting/area of work, in the context of other training available and workforce development to date?

4. Question 23: For your own learning, which of these learning approaches are the three most effective ones for you?

• Professions: All Stakeholders, General Practitioners, Other Medical Specialty, Nursing and Midwifery, Management, Allied Health Professionals.

1 NES Patient Safety component of the Scottish Patient Safety Programme, website: http://www.nes.scot.nhs.uk/education-and-training/by-theme-initiative/patient-safety-and-clinical-skills/ [Accessed 2014. 2 Questionnaire design contacts: Lead: Dr Fiona Gailey ([email protected]) and working group members: Sabine Nolte and Mark Johnston. 3 Patient Safety Education: What matters to you? Report of the NES Patient Safety Educational Resources Stakeholder Consultation. Edinburgh: NHS Education for Scotland, May 2014. 4 What matters to you? NES patient safety educational resources – Stakeholder prioritisation consultation. Edinburgh: NHS Education for Scotland. Available online: http://nes.scot.nhs.uk/media/2440848/psmg_consultation_data_report.pdf [Accessed April 2014].

http://www.nes.scot.nhs.uk/education-and-training/by-theme-initiative/patient-safety-and-clinical-skills/

mailto:[email protected]

http://nes.scot.nhs.uk/media/2440848/psmg_consultation_data_report.pdf


2. WHO Curriculum Guide Topics

2.1 All Stakeholders

Figure 1: Respondents’ views on the relevance of the WHO Curriculum Guide Topics (N=571-576), (Q19: Please rate the current relevance of the following topic areas based on the WHO Patient Safety Curricula for your team/healthcare setting/area of work, in the context of other training available and workforce development to date.).

2.2 General Practitioners

Figure 2: Q19: Please rate the current relevance of the following topic areas based on the WHO Patient Safety Curricula for your team/healthcare setting/area of work, in the context of other training available and workforce development to date – General Practitioners.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Patient safety and invasive procedures (N=574)

Infection prevention and control (N=574)

Using quality-improvement methods to improve …

What is Patient Safety? (N=575)

Understanding systems and the effect of …

Engaging with patients and carers (N=575)

Why applying human factors is important for …

Being an effective team player (N=576)

Improving medication safety (N=571)

Understanding and managing clinical risk (N=575)

Learning from errors to reduce harm (N=575)

Not relevant Relevant Highly relevant

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Patient safety and invasive procedures (N=136) Using quality-improvement methods to …

Infection prevention and control (N=135) Engaging with patients and carers (N=135)

Being an effective team player (N=136) Why applying human factors is important for …

What is Patient Safety? (N=136) Understanding systems and the effect of …

Understanding and managing clinical risk … Improving medication safety (N=136)


Relevance of WHO Patient Safety Curricula Topics for team/healthcare setting/area of work - GPs



2.3 Other Medical Specialty

Figure 3: Q19: Please rate the current relevance of the following topic areas based on the WHO Patient Safety Curricula for your team/healthcare setting/area of work, in the context of other training available and workforce development to date – Other Medical Specialty.

2.4 Nursing and Midwifery

Figure 4: Q19: Please rate the current relevance of the following topic areas based on the WHO Patient Safety Curricula for your team/healthcare setting/area of work, in the context of other training available and workforce development to date – Nursing and Midwifery.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%




Patient safety and invasive procedures (131)








Relevance of WHO Patient Safety Curricula Topics for team/healthcare setting/area of work - Other Medical Speciality


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%








Understanding and managing clinical risk …




Relevance of WHO Patient Safety Curricula Topics for team/healthcare settting/area of work - Nursing and Midwifery



2.5 Management

Figure 5: Q19: Please rate the current relevance of the following topic areas based on the WHO Patient Safety Curricula for your team/healthcare setting/area of work, in the context of other training available and workforce development to date – Management.

2.6 Allied Health Professionals

Figure 6: Q19: Please rate the current relevance of the following topic areas based on the WHO Patient Safety Curricula for your team/healthcare setting/area of work, in the context of other training available and workforce development to date – Allied Health Professionals.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%












Relevance of WHO Patient Safety Curricula Topics for team/healthcare setting/area of work - Management


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%












Relevance of WHO Patient Safety Curricula for team/healthcare setting/area of work - AHP's



3. Other Learning Topic Areas


Figure 7: Q20 - Please rate the current relevance of the following topic areas for your team/your healthcare setting/area of work, in the context of other training and workforce development to date.


Figure 8: Q20 - Please rate the current relevance of the following topic areas for your team/your healthcare setting/area of work, in the context of other training and workforce development to date – GPs.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Patient safety, facts, and figures, covering all … The managment of pressure ulcers (N=572)

The management of catheter associated … The management of falls (N=569)

VTE management for safer care (N=570) Explore what is currently going on with patient …

Leadership for safety, what does it mean for … Persuasion and influencing skills (N=569)

Finding out what educational resources are … Structured handovers for safer care (N=572)

Managing challenging interactions (N=570) The management of sepsis (N=571)

The management of high risk medicines such … Human Factors in daily work in NHS (N=574) Minimising medication errors, a whole system …

Critical communication when a patient is …


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Leadership for safety, what does it mean for … Patient safety, facts, and figures, covering … Persuasion and influencing skills (N=135) The management of catheter associated …

The managment of pressure ulcers (N=135) Explore what is currently going on with …

VTE management for safer care (N=135) The management of sepsis (N=134)

Managing challenging interactions (N=132) Structured handovers for safer care (N=134) Finding out what educational resources are …

Human Factors in daily work in NHS (N=135) The management of falls (N=134)

Critical communication when a patient is … The management of high risk medicines …

Minimising medication errors, a whole …

Current relevance of topic areas for team/healthcare setting/area of work, in the context of other training available and workforce

development to date - GP's




Figure 9: Q20 - Please rate the current relevance of the following topic areas for your team/your healthcare setting/area of work, in the context of other training and workforce development to date – Other Medical Specialty.


Figure 10: Q20 - Please rate the current relevance of the following topic areas for your team/your healthcare setting/area of work, in the context of other training and workforce development to date – Nursing and Midwifery.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

The management of falls (N=131) The managment of pressure ulcers (N=130)

Explore what is currently going on with patient … Patient safety, facts, and figures, covering all …

The management of catheter associated urinary … Leadership for safety, what does it mean for …

VTE management for safer care (N=130) Finding out what educational resources are …

Persuasion and influencing skills (N=129) Managing challenging interactions (N=130)

The management of high risk medicines such as … Minimising medication errors, a whole system …

The management of sepsis (N=131) Human Factors in daily work in NHS (N=131) Structured handovers for safer care (N=130)


Current relevance of topic areas for team / healthcare setting / area of work, in the context of other training available and workforce

development to date - Other Medical Specialty


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Patient safety, facts, and figures, covering all … The management of falls (N=117)

The managment of pressure ulcers (N=117) VTE management for safer care (N=115) The management of catheter associated …

Leadership for safety, what does it mean for … Explore what is currently going on with patient …

Persuasion and influencing skills (N=117) Finding out what educational resources are …

The management of sepsis (N=116) Human Factors in daily work in NHS (N=118) The management of high risk medicines such … Structured handovers for safer care (N=118)

Managing challenging interactions (N=118) Minimising medication errors, a whole system …



development to date - Nursing and Midwifery



3.5 Management

Figure 11: Q20 - Please rate the current relevance of the following topic areas for your team/your healthcare setting/area of work, in the context of other training and workforce development to date – Management.


Figure 12: Q20 - Please rate the current relevance of the following topic areas for your team/your healthcare setting/area of work, in the context of other training and workforce development to date – Allied Health Professionals.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

VTE management for safer care (N=35) The management of falls (N=35)

The management of pressure ulcers (N=35) Explore what is currently going on with patient …

The management of catheter associated … Critical communication when a patient is …

Structured handovers for safer care (N=35) Patient safety, facts, and figures, covering all …

The management of sepsis (N=35) Finding out what educational resources are …

Minimising medication errors, a whole system … The management of high risk medicines such …

Persuasion and influencing skills (N=35) Leadership for safety, what does it mean for …

Managing challenging interactions (N=35) Human Factors in daily work in NHS (N=35)


development to date - Management


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Patient safety, facts, and figures, covering all … The management of catheter associated urinary …

VTE management for safer care (N=30) Structured handovers for safer care (N=30)

The management of high risk medicines such as … Minimising medication errors, a whole system … Explore what is currently going on with patient …

The management of falls (N=30) Leadership for safety, what does it mean for me? …

The management of pressure ulcers (N=30) The management of sepsis (N=30)

Critical communication when a patient is … Persuasion and influencing skills (N=30)

Finding out what educational resources are … Human Factors in daily work in NHS (N=30)

Managing challenging interactions (N=30)

Current relevance of topic areas for team/healthcare setting/area of work, in the context of other training available and workforce development to

date - AHP's



4. Practical Patient Safety Tools


Figure 13: Q21 – Learning about the use of which of these patient safety tools from a practical perspective would you rate as relevant for your team/healthcare setting/area of work, in the context of other training available and workforce development to date?


Figure 14: Q21 – Learning about the use of which of these patient safety tools from a practical perspective would you rate as relevant for your team/healthcare setting/area of work, in the context of other training available and workforce development to date? GPs.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Driver diagrams (N=536)

Other (N=144)

Trigger tools (N=551)

Assessment of safety climate or culture (N=561)

Early warning scores (N=559)

Plan-Do-Study-Act (PDSA) (N=558)

Reflective learning (N=568)

Significant Event Analysis (SEA) (N=564)


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Other (N=36)





Trigger tools (133)



Relevance - Learning about Practical Patient Safety Tools - GP's




Figure 15: Q21 – Learning about the use of which of these patient safety tools from a practical perspective would you rate as relevant for your team/healthcare setting/area of work, in the context of other training available and workforce development to date? Other Medical Specialty.


Figure 16: Q21 – Learning about the use of which of these patient safety tools from a practical perspective would you rate as relevant for your team/healthcare setting/area of work, in the context of other training available and workforce development to date? Nursing and Midwifery.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


Other (N=41)







Relevance - Learning about Practical Patient Safety Tools - Other Medical Specialty


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%




Other (N=14)





Relevance - Learning about Practical Patient Safety Tools - Nursing and Midwifery



4.5 Management

Figure 17: Q21 – Learning about the use of which of these patient safety tools from a practical perspective would you rate as relevant for your team/healthcare setting/area of work, in the context of other training available and workforce development to date? Management.


Figure 18: Q21 – Learning about the use of which of these patient safety tools from a practical perspective would you rate as relevant for your team/healthcare setting/area of work, in the context of other training available and workforce development to date? Allied Health Professionals.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Other (N=14)








Relevance - Learning about Practical Patient Safety Tools - Management


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%







Other (N=5)


Relevance - Learning about Practical Patient Safety Tools - AHP's



5. Preferred Learning Approaches


Figure 19: Q23 – For your own learning, which of these learning approaches are the three most effective ones for you?


Figure 20: Q23 – For your own learning, which of these learning approaches are the three most effective ones for you? GPs.

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Other Scheduled web conferences/webinars for more …

Accessing other online learning resources Part of practice education

Participation in simulation exercises Face-to-face modules for patient safety topics

Part of clinical audit work Included in formal CPD with reflection or feedback

E-learning modules for patient safety topics

Attendance at conferences and workshops Part of team learning in general

Part of your job, including through project work Learning from error, involving team reflection

1st Priority (N=567) 2nd Priority (N=562) 3rd Priority (N=557)

0% 10% 20% 30% 40% 50% 60% 70%

Other Scheduled web conferences/webinars for more …

Accessing other online learning resources Participation in simulation exercises

Face-to-face modules for patient safety topics Included in formal CPD with reflection or feedback

Attendance at conferences and workshops Part of practice education Part of clinical audit work

E-learning modules for patient safety topics Part of your job, including through project work

Part of team learning in general Learning from error, involving team reflection

Preferred Learning Approaches - GP's


Patient safety learning embedded in other training…

Accessing published patient safety case studies online…

Patient safety learning embedded in other training and…




Figure 21: Q23 – For your own learning, which of these learning approaches are the three most effective ones for you? Other Medical Specialty.


Figure 22: Q23 – For your own learning, which of these learning approaches are the three most effective ones for you? Nursing and Midwifery.

0% 10% 20% 30% 40% 50% 60% 70%

Other Part of practice education

Accessing other online learning resources

Face-to-face modules for patient safety topics E-learning modules for patient safety topics

Participation in simulation exercises Attendance at conferences and workshops

Part of clinical audit work Part of team learning in general

Included in formal CPD with reflection or feedback Part of your job, including through project work

Learning from error, involving team reflection

Preferred Learning Approaches - Other Medical Specialty


0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Other

Accessing other online learning resources

Included in formal CPD with reflection or feedback Part of clinical audit work

Participation in simulation exercises Face-to-face modules for patient safety topics

Part of practice education Learning from error, involving team reflection

Attendance at conferences and workshops E-learning modules for patient safety topics

Patient safety learning embedded in other training … Part of team learning in general

Part of your job, including through project work

Preferred Learning Approaches - Nursing and Midwifery

1st Priority (N=117) 2rd Priority (N=117) 3rd Priority (N=117)


Scheduled web conferences/webinars for more indepth…


Patient safety learning embedded in other training and…



5.5 Management

Figure 23: Q23 – For your own learning, which of these learning approaches are the three most effective ones for you? Management.


Figure 24: Q23 – For your own learning, which of these learning approaches are the three most effective ones for you? Allied Health Professionals.

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Other Part of clinical audit work

E-learning modules for patient safety topics Scheduled web conferences/webinars for more …

Included in formal CPD with reflection or feedback Face-to-face modules for patient safety topics

Accessing other online learning resources Accessing published patient safety case studies …

Participation in simulation exercises Part of practice education

Learning from error, involving team reflection Part of team learning in general

Patient safety learning embedded in other training … Attendance at conferences and workshops

Part of your job, including through project work

Preferred Learning Approaches - Management


0% 5% 10% 15% 20% 25% 30% 35% 40%

Other Accessing published patient safety case studies …

Part of clinical audit work Participation in simulation exercises

Accessing other online learning resources Part of practice education

Patient safety learning embedded in other … Included in formal CPD with reflection or feedback

Face-to-face modules for patient safety topics Part of your job, including through project work

E-learning modules for patient safety topics Learning from error, involving team reflection

Attendance at conferences and workshops Part of team learning in general

Preferred Learning Approaches - Allied Health Professions



Patient Safety Education: What matters to you? Annex to Report of the NES Patient Safety Educational Resources Stakeholder Consultation

Supplementary Data Annex 2 – Analyses of selected educational priority questions by selected main professions (organised by question) Nancy El-Farargy, May 2014 NHS Education for Scotland Westport 102 West Port Edinburgh EH3 9DN

www.nes.scot.nhs.uk

© NHS Education for Scotland, 2014

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