Thinking Differently about Patient Safety
Date: Friday, January 26, 2018
Venue: Haydock Park Racecourse (Lancaster Suite)
Speakers: Sarah Garrett, Consultant in Quality Improvement and Patient Safety
Jane Carthey, Human Factors and Patient Safety Specialist
Sarah Garrett, Consultant in Quality Improvement and Patient Safety
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Tim Crowley, Managing Director, MIAA opened the workshop – Thinking Differently about Patient Safety by welcoming Jane Carthey, Human Factors and Patient Safety Specialist and Sarah Garrett, Consultant in Quality Improvement and Patient Safety to the event.
Jane opened the event by focusing on the Measurement and Monitoring of Safety framework developed and published by the Health Foundation in 2013, within the report titled The Measurement and Monitoring of Safety, by Prof Charles Vincent, Jane Carthey and Susan Burnett. Whilst the framework has been published for some time, it is still being tested across the NHS and Jane talked through the five key dimensions which should be included in any safety and monitoring approach in order to give a comprehensive and rounded picture of an organisation’s safety. The core of the framework is to help people think differently about safety as it starts from the question ‘how safe is our care?’ The framework moves us from thinking about the absence of harm, to the presence of safety and therefore presents a more holistic view of safety.
Past harm: this encompasses both psychological and physical measures.
Reliability: this is defined as ‘failure free operation over time’ and applies to measures of behaviour, processes and systems.
Sensitivity to operations: the information and capacity to monitor safety on an hourly or daily basis.
Anticipation and preparedness: the ability to anticipate, and be prepared for, problems.
Integration and learning: the ability to respond to, and improve from, safety information
Download a copy of the report/ framework
Sarah Garret then posed the question “What do we mean by ‘harm’? “ and in groups delegates explored the wider perspective on harm proposed in the report and framework. After coffee delegates listened to Gillian’s Story, a drama-documentary film, which tells the story of one family’s experience of harm. Delegates applied the learning from the earlier discussions and the framework to explore all the safety and monitoring issues Gillian and her family had faced and what could have been different.
Finally, Jane and Sarah discussed the application of the framework and maturity matrix and delegates were asked to reflect how their own organisations would rate currently, with particular emphasis upon the dimensions which need strengthening. Jane and Sarah reiterated the fantastic potential in using the framework.
Further information and learning
Updated by: Administrator on 2, Dec 02, 2016