Patient Safety 2021: Driving Quality and Improvement in Care
Online Event 30 November 2021, 9:00am - 3:00pm
This agenda is available as a PDF download
Download PDF
Day 1
9:50am
Chair’s Welcome Address
Robert Waterson, Senior Lecturer, Nursing, University of East London
10:00am
Case Study: Addressing The Complexities of Patient Safety In Geriatric Medicine
- Reducing the risk of post-operative complications from surgery in older people with the POPS methodology
- Implementing multidisciplinary approaches to patients with multi-morbidities and complex needs
- The impacts of COVID-19 on geriatric and vulnerable patients
- Developing streamlined, patient-centred care whilst addressing the backlog and ensuring patient safety
Dr Jugdeep Dhesi, Deputy Director, Centre for Perioperative Care and Consultant Physician in Geriatrics and General Medicine
10:20am
Case Study: Rapid Response To COVID-19 To Reduce Risk In Cancer Patients
Sally Seymour, Deputy Chief Pharmacist - Cancer, Aseptic and Research Services, Royal Surrey NHS Foundation Trust
10:40am
Questions And Answers Session
11:05am
Break and Networking
11:35am
Keynote Address: Addressing Concerns Highlighted By The CQC To Drive Quality Improvement For Patient Safety
- Addressing concerns around staffing issues, unsafe culture and delays in patient handovers and assessments
- Confronting the challenges around safety culture and identifying why current systems had failed
- Increasing the Trust’s focus around patient safety and improving the knowledge and capability of quality improvement methods to design courses to train staff
- Bringing in measurement for improvement to performance reports and data
Nigel Acheson, Deputy Chief Inspector of Hospitals, Care Quality Commission (CQC)
11:55am
Keynote Address: Improving Patient Safety By Learning From Clinical Negligence Claims
- Appointing dedicated clinical staff to assist trust legal teams with sessions incorporated into job plans
- Providing forums for regular discussion of claims with clinicians such as clinical governance or multidisciplinary meetings
- Working in partnership with patients, families and carers and ensuring openness by involving them in investigations
- Reducing the risk of litigation by ensuring robust processes are in place for surgical consent, documentation and patient education
- Ensuring clinical staff are aware when a claim has been initiated and are fully supported through the process
Lorraine Cardill, Acting Deputy Director of Safety and Learning, NHS Resolution
12:15pm
Case Study: Using Innovative Real-Time Analytics Software To Co-Ordinate The Emergency Department And Reduce time Taken For Critical Imaging Diagnostics
- Prioritising the patients most in need through quicker decision making for A&E patients
- Using workflow analytics software to identify steps in the workflow and pinpoint where delays happen in real time
- Reducing the time to complete the imaging process including x-rays and MRI scans by 22% during peak hours and 27% at other times
- Providing a quicker, more streamlined service which often results in less time in hospital and a better experience for patients
- Introducing new ways of working and improving the way teams work together
- Rolling out the system across the hospital to ensure that more patients can benefit
Dr Subhro Banerjee, Consultant Emergency Medicine, Interim Medical Director, Croydon Health Services NHS Trust
12:35pm
Questions And Answers Session
12:55pm
Lunch And Networking
1:40pm
Case Study: Early Warning Scores And Measuring Patient Vitals
- Role of early warning scores in monitoring patient deterioration
- Development of the National Early Warning Score (NEWS)
- How frequently should vital signs be measured?
- Future of monitoring deterioration
Jim Briggs, Director of the Centre for Healthcare Modelling and Informatics (CHMI), University of Portsmouth
2:00pm
Case Study: Using Electronic Observation Systems To Ensure Accuracy And Compliance In Identifying, Escalating And Responding To Patient Deterioration
- Using a tool designed in collaboration with the Scottish Patient Safety Programme to encourage consistent and accurate measurement of the National Early Warning Score (NEWS) reliability
- Identifying a lack of reliability in the paper recording of the NEWS process by the emergency care team through errors in frequency, mathematical accuracy and patient escalation
- Undertaking a pilot study to evaluate whether electronic recording of vital signs was a potential solution
- Using an electronic system called Patientrack to automatically calculate a patient’s NEWS as a composite of seven vital signs and alert clinicians to take action when needed
- Addressing the challenges in implementing and running the system that could potentially affect patient safety such as IT infrastructure and training needs
David Watson, Senior Advanced Practitioner, NHS Lanarkshire
2:20pm
Case Study: Reducing Patient Harm Through Medication Errors By Identifying Patients Who Are At Risk
- Developing safety indicators to identify patients at risk of medication error
- Testing a pharmacist-led IR based intervention, PINCER, through a clinical trial focusing on medicines that are prescribed commonly for common conditions
- Delivering a comprehensive training package for pharmacists looking thoroughly at systems and processes, using tools and analysis to spot why patients slipped through the net, and changing processes to ensure errors were not repeated
- Scaling up the PINCER project in the East Midlands and achieving a 94% uptake of the intervention among general practices
- Monitoring changes in numbers of at-risk patients across localities and on a national basis through a national comparative data service
Anthony Avery, Professor of Primary Health Care, Faculty of Medicine & Health Sciences, University of Nottingham
2:40pm
Question And Answer Session
3:00pm
Chair’s Summary And Close
Robert Waterson, Senior Lecturer, Nursing, University of East London