Patient Safety Community of Practice

Quarter 4 webinar on medications and safety.

A review of quarter four/year-end data and presentations on:  

•    A CQC perspective on Quality Improvement  
•    Medication incidents and Human Factors 
•    Feedback from the National Hospice Controlled Drug Working Group 
 

See the slide set

We were joined on 14 May 2024 by Karen Hayllar, the Senior Lead in NHS England’s ‘Making Data Count’ team.

Karen explained the value of statistical process control (SPC) charts to analyse patient safety incident data as part of a hospice’s continuous improvement journey.

We learnt:

the differences between quality assurance and performance management

how recognising variation in data over time can be used to support conversations about safety and quality.

Watch a recording of the webinar

Webinar part 1

Webinar part 2 

Topic: medications and safety

Our webinar welcomed:

Medication discrepancies: ‘Stand Up and Be Counted’ - Vicky Hill, Quality Assurance Lead, St Columba’s Hospice

Booklet for managing meds at home: Dr Sarah Mollart, Consultant in Palliative Medicine, St Nicholas Hospice Care and colleagues

A PSIRF journey: Lesley Munro, Director of Patient Care and Communities, Princess Alice Hospice

See the slide set and resources

Variations in palliative care - learning from the Health Services Safety Investigations Body.

Hospice UK worked closely with the Health Services Safety Investigation Body (HSSIB) on a report which includes valuable recommendations for local health systems.

Read the report

At our webinar we welcomed Helen Jones, Senior Safety Investigator and colleagues from the HSSIB.  

You can now access the webinar recording, including Q&A hosted by Toby Porter, CEO, Hospice UK.

Topics:

• Stop the Pressure Day! Tissue viability and falls.
• Review of quarter 2 data 2023/4

We welcomed Jacqui Fletcher OBE, Senior Clinical Advisor, The ASHN Network, who presented on updates to the Wound Care Strategy, along with Lynn Cornish, St Margaret’s Hospice Care, Faith Slater, St Wilfrid’s Hospice and Nichola Smith and Georgia Wood, Katherine House Hospice.

See the presentation from this webinar

PSIRF and Hospices with Claire Land, Policy Manager, Care Quality Commission

Slide set

Recording of webinar

Topics:

• A review of quarter 1 data
• Case Study on Clinical Audit by Joe Potts, Clinical Lead and Head of Inpatient Services, Douglas Macmillan Hospice, Stoke on Trent.
• Topic and curriculum setting for 2023/4 webinars

See the slide set from the day

Write-up of the webinar and your chosen topics

Topics:

• Review of 2022/3, quarter 4, year end data
• Governance 
• Recondition the nation - see the resource for this

See the slide set from the day

Topics:

Patient Safety Incident Response Framework (PSIRF) and implementation

See the presentation from this webinar

Topics:

• PSIRF Implementation
• Tissue viability
• Quarter 3 data

See the presentation from this webinar

Topics:

• A review of the Quarter 2, 2022/23 data
• Making data count

See the presentation from the webinar

Lunch and learn session on making data count, recorded on 27/10/22.

Watch the recording (You Tube video)

Topics:

• Quarter 1 of 2022/3 data review
• Patient Safety Incident Response Network (PSIRF)

See the presentation from the webinar

Topics:

• Q4, year-end reporting 
• Human Factors, Valerie Noble, Chartered Physiotherapist and Ergonomist, St Luke’s Plymouth
• Topic setting for future webinars – review of questionnaire sent in advance and whiteboard discussion to finalise topics

See the presentation from this webinar

Topics:

• Review of quarter 3 data 
• Falls research

See the presentation from this webinar

Topics:

• Review of 2021/22 quarter 2 data
• Falls audit dashboard
• Medication Incidents sub-group
• Pressure Ulcers sub-group

See the presentation from this webinar