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Patient Safety

 

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Page Contents

  • NPSA Training
  • Patient Safety Training for Doctors: VTS
  • Patent Safety Training for Foundation Doctors
  • Other Patient Safety Training 

NPSA

For general information about NPSA please use this link: www.npsa.nhs.uk 

CHEC has been involved in several projects with NPSA (National Patient Safety Agency).

  • Safe & Sound - a warfarin alert. (Please click on link to see report)

 

  • CleanYourHands - a review to see if the Secondary Care guidelines would transfer to Primary Care. (Please click on link to see report)

 

Documents from the launch of Seven Steps to Patient Safety in General Practice. Please click on the title to download.

Programme 12-06-09

Presentation - The Importance of Patient Safety in General Practice

Presentation - Seven Steps to Patient Safety in General Practice

Presentation - Measuring & Understanding Threats to Patient Safety

Handout - Measuring & Understanding Safety

Presentation - Safety First

Review on Patient Safety Launch 

Seven Steps to Patient Safety Welcomed by Medical Protection Society on 16-06-09

"The Medical Protection Society (MPS) - which represents around half of all GPs in the UK - is committed to working with its members through education to prevent avoidable harm to patients and has a wealth of experience and expertise in helping doctors when things go wrong. MPS welcomes the launch (12-06-09) of the National Patient Safety Agengy's (NPSA) guide: Seven Steps to Patient Safety in General Practice, as patient safety is at the core of what MPS does. 

Dr Stephanie Bown, MPS Director of Policy and Communications, says "Enhancing safe patient care is on everyone's agenda and our expertise tells us that GPs want to be the best they can for their patients.  The majority of patients within the NHS are treated in Primary Care and that's why guidance like this for GPs is vital. MPS is committed to assisting healthcare professionals reduce the risk of harm to patients and improve the quality of care provided.  Since the beginning of this year we have worked with general practices to carry out over 50 in-depth reviews of potential risks, called Clinical Risk Self-Assessments (CRSA's)."

CRSAs offer an opportunity for all members of the team - GPs, managers, nurses, receptionists and therapists - to work together, talk openly and develop practical solutions that promote safer practice.

In a study of 500 of its CRSAs, conducted over a period of seven years, MPS found that 95% of practices had risks associated with maintaining confidentiality; 92% risks associated with prescribing, and 85% risks around communication.  While 84% of practices had related to record keeping, test results also featured, with 84% showing risks in this area.  Infection control was demonstrated to be a risk for 71% of practices and 82% recorded risks around staff training.

General Practice brings with it the challenges of balancing limited resources, large patient populations and managing multi-disciplinary teams.

Dr Stephanie Bown adds, "GPs practice in an increasingly complex medicolegal environment and we believe that they can be supported through education and risk management tools to achieve the highest levels of patient care." 

For further information on MPS, please visit their website: www.mps.org.uk

PATIENT SAFETY TRAINING FOR DOCTORS

VTS Training Patient Safety Documents

This VTS (Vocational Training Scheme) work is being led by Dr Jane Carthey .

1.  Human Factors and Human Error Theory 
2. Significant Event Audit 
3. An Example NPSA Alert and Advice on Implementation 
4. Being Open 
Being Open - Glossary (pages 36-52) 
Being Open - Bill 
5. Foresight Training i.e. Incident Recovery 
6. Evaluation 

VTS Training In Lincoln 01-07-09

For more information about these materials, please contact CHEC

Foundation Doctor Training Materials 

The NPSA has useful information for Foundation Doctors on Patient Safety.

To access these, please click on

www.nrls.npsa.nhs.uk/resources/search-by-audience/junior-doctor/

OTHER PATIENT SAFETY TRAINING 

Lost In Translation: Bridging the Gap in Patient Safety across Healthcare Services

This was a conference at the East Midlands Conference Centre on Monday 8th June 2009

Please click on the link for further information:

Programme

Gaps in Medication Safety - Presentation

Measuring Harm & Understanding Significant Events in General Practice - presentation

Enrich Patient Safety Conference

(Enrich - European Network of Regions Improving Citizens' Health)

This was a conference about Patient Safety held in Thessalonika, Greece on 12-06-09

Programme

  1. The State of the Art on Patient Safety at European Level  - Zoi Kolitsi (European Working Group on Patient Safety at EU)
  2. Training Programme in Patient Safety - Joan Carles March (Citizen Training Network in Patient Safety in Spain), Tommaso Bellandi (Centre for Clinical Risk management & Patient Safety, Tuscany), Sally Seeley (Quality & Patient Safety Manager, NHS Nottinghamshire County, England)
  3. Organisational Models & Safety Management Systems - Riccardo Tartaglia (Centre for Clinical Risk Management & Patient Safety, Tuscany), Dimosthensis Andriopoulos (3rd Regional Health Authority, Macedonia), Daniela Schachner-Blazizek (Styrian Government), Christa Peinhaupt (Styrian Health Platform)
  4. Patient Safety Campaigns and Good Practices - Vincente Santana (Regional Patient Safety Observatory, Andulusia), Francesco Venneri (Clinical Risk Manager, Florence), Tzina Leptokaridou-Lakasa (EKEPIS, Northern Greece), Ermete Gallo (Hospital Citta di Castello, Umbria)

Please click on the link for Sally Seeley's presentation 

 
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