Patient Safety; Our Improvement Story

The Patient

• High Quality Care for All: Next Stage Review (DH 2008); Equity and Excellence; Liberating the NHS White Paper (2010)– Patient safety– Effectiveness of care– Patient experience

• Trust Board– Patient Safety is No. 1 priority – Putting Patients First– Quality accounts – measurement for improvement

Strategic context

• Taking responsibility for what happens in our practice

• Learn from patients/users to form an evidence base for improvements

• Engage front-line staff to take measures to keep healthcare environments safe and efficient

• Build a continuous improvement culture from Ward to Board

Clinical leadership

• Your role is key • Continuous review – fresh eyes• Measurement for improvement • Balance safety/quality with finite resources

and service needs• Ensure skills and knowledge in place

Leadership

Your role

Improvement goal; Reduce mortality and harm

Improvement Methodology

Reduce mortality

• SUI panel• GTT reviews• Mortality reviews• SBAR • Documentation• Incident reporting• PEQS panels• Patient safety walkabouts

The Patient Voice

Mortality - benchmark

10Each quarter reports figures for the previous 12 months

08/09 Q3 08/09 Q4 09/10 Q1 09/10 Q2 09/10 Q3 09/10 Q4 10/11 Q1 10/11 Q2City Hospitals Sunderland 1825 1819 1745 1717 1689 1662 1693 1674County Durham and Darlington 2283 2296 2239 2244 2214 2151 2159 2120Gateshead Health 1190 1201 1117 1110 1147 1097 1107 1135North Tees and Hartlepool 1610 1613 1588 1528 1447 1414 1371 1306Northumbria Healthcare 2463 2489 2398 2365 2321 2287 2360 2403South Tees Hospitals 2008 1998 1942 1886 1866 1869 1939 1969South Tyneside 903 878 835 823 789 819 864 843The Newcastle upon Tyne Hospitals 2183 2132 2058 2080 2015 2001 2042 2000

0

500

1000

1500

2000

2500

3000

Spel

ls en

ding

in d

eath

(cou

nt)

Count of Deaths (All inpatient spells) for Acute Hospital Trusts in the North East NHSQuarter 3 2008/09 to Quarter 2 2010/11

Source: NHS North East Review of Mortalityacross the Health Economyquarterly reports 1-8produced by CHKS Ltd

NTH

-324

Thank you

And let’s keep improving