safety measuring & monitoring learning from past harms peter weller director of quality and...
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Safety Measuring & MonitoringLearning from Past Harms
Peter WellerDirector of Quality and Governance
12th February 2015
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What did we do to understand our history?Review of 2 years – Reconciliation of learning
Organisational aggregation &
systematic analysis by theme, area,
location, Individual
Third party reports
Claims and pre-action
MAPSAF & Cultural
Assessments
Complaints & PALS
Inquests
External Reviews
Safety leadership
walk rounds
Practice Governance
reviews
Contract monitoring
issues including CQUINS
Organisation Internal
Feedback – Listening to
staff
Regulatory Outcomes
Incidents
SI’s
Patient Safety Programme
Quality Improvement Strategy
Patient Experience
Strategy
Values & Behaviours OD
Strategy
Nursing & Midwifery Strategy
Leadership development & Improvement
Programme
• Moving beyond incident reports was a necessity
• Health Economy measures (Keogh)
• Patient perspective is essential
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