Patient Safety Goals for BCUHB 11th May 2010 Patient Safety Goals for BCUHB Presenter: Dr. Brian Tehan, AMD- Patient Safety Insert name of presentation on Master Slide

Interventions Planned & proposed Outcome Primary Drivers Secondary Drivers Interventions Planned & proposed Leadership and a culture of safety P1. 1000 Lives implementation and spread Consolidate and spread Normalization through CPGs and workstreams The “New”- Stroke, Hospital acquired thrombosis, and Pressure Ulcers R&D process P2. Target the top causes of Death in BCU Develop the measures and use clinical data “Amenable Mortality”? The evidence base for what is efficacious Make care safer for patients As evidenced by reductions in RAMI and Adverse Event Rate The methodology for Improvement - Spread Collaborate- National Campaigns, SPN ,etc. P3. to identify and prioritise the causes of harm “Amenable Harm”? Notes Reviews, Global Trigger Tool, IR1, Complaints & Litigation, Serious Incident Reviews, External Notification BCU Governance, Stakeholder Groups etc. Involve patients and families in safety improvement P4. Validate and standardise the data Clinical engagement- challenge through use Dash-Boards for Safety

Top Priorities Rapid response to the deteriorating patient Safe provision of acute medical care CG50 NICE Infection prevention & Control Hospital Acquired thrombosis Outcome measure Compliance Patient Safety Goals for BCUHB