First, Do No Harm Northern Region Patient Safety Campaign Karen O’Keeffe Jacqueline Ryan Clinical Lead Programme Manager Peter Leong Debbie Monigatti Improvement Specialist Communication Specialist

How is regional approach going? 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

Components for effective improvement Will Having the will (desire) to change the current state to one that is better Execution Ideas Having capacity to apply quality theories, tools and techniques that enable execution of ideas Developing ideas that will contribute to making processes and outcomes better Copyright Institute for Healthcare Improvement

First, Do No Harm Falls/PI Collaborative

First, Do No Harm Falls/PI Collaborative Agreed measurement metrics for falls and pressure injuries Learning Session 1 27-28 June 2012 Learning Session 2 5-6 November 2012 Mini-Learning Sessions held with DHBs and ARRC Cluster / hui approach One DHB showing a ‘shift’ in the reduction of harm from falls Reduction in Grade 3 and 4 pressure injuries ‘How to’ guides

Additional FDNH activities Transfer of clinical information ‘yellow envelope’ Check list of vital patient information for use on transfer between residential aged care and hospital Essential information in one, easily recognisable place Adapted from Northland DHB yellow envelope Launched 18 March 2013 Global Trigger Tool GTT is an internationally-recognised process to identify adverse events associated with harm to patients Look for triggers which could indicate that an adverse event may have occurred Collecting this data over time can identify areas to focus improvement efforts Workshop May 2012, national workshop held April 2013

Issues / Learning to-date 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 attending learning sessions together reinforced at Learning Session 2 Importance of measurement - cannot improve what is not being measured Need to build capacity and capability for teams to undertake improvement work All change is challenging

What does FDNH campaign offer? Support from Improvement Specialist to work with teams to: progress quality improvement projects using Plan-Do-Study-Act (PDSA) cycles provide support appropriate to needs of team assist progress on falls and pressure injuries work Increase awareness and showcase improvement activities on website www.firstdonoharm.org.nz and e-newsletters Access to resources such as Learning Sessions and supplemental mini learning sessions at no cost