Which direction leads to safety? "Can you help me find my - - PowerPoint PPT Presentation

Which direction leads to safety?

• "Can you help me find my

way?"

• "That depends on where

you want to go"

• "It really doesn't matter"
• "Then it really doesn't

matter which way you go”

• Alice in Wonderland

Transformation to safer care

• Develop a patient-centred safety culture
• Improvement aims and measures
• Building will, ideas and execution

“To implement sustainable and effective change, health professionals must understand evidence- based measures combined with a knowledge of improvement science”.

What stops us transforming?

• The status quo – business, its hold on the purse

strings, no ‘space’ even to look forward

• Interdependence – the transformation we seek

requires cross sector collaboration…so not in one person’s control

• Still large gaps in will, capability to execute the

changes needed

• Improve vs transform…we are sill often trying to

improve the old…when do we stop and design the new?

Making transformation possible

• Reprioritise – turn away from the

status quo…something more attractive

• Collaborate - lead the way, share

stories, persuade others to join

• Educate – identify knowledge and

skill gaps…fix them

• Reconcile improve vs

transformation – new knowledge and skills – leaders who can improve the current processes - recognise and seize the time to transform rather than improve

First, Do No Harm strategy

• Raising awareness of patient safety
• Helping to build capacity and

capability

• Use of a formal improvement

methodology to guide improvement activities

• Strong linkages and partnership

with other work programmes (i.e. Health Quality and Safety Commission, HOP Network) to ensure alignment with national and regional programmes

What First, Do No Harm have discovered on this journey

• Front–line leadership is critical
• Senior leaders remove obstacles
• Ability to run Plan-Do-Study-Act

(PDSA) cycles – small and frequent

• Process to support the work and

clinical staff

• Value of teams
• Importance of measurement -

cannot improve what is not being measured

• Need to build capacity and

capability for teams to undertake improvement work

• Change is challenging –

prioritisation of effort is key