Dr Nick Harper Deputy Medical Director

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Presentation transcript:

Dr Nick Harper Deputy Medical Director

Why are we here? A patient is the most important person in our Hospital. He is not an interruption to our work, he is the purpose of it. He is not an outsider in our Hospital, he is a part of it. We are not doing a favour by serving him, he is doing us a favour by giving us an opportunity to do so.

To Care

The ‘Me Test’ Is the care I’m seeing good enough for me or my family?

House of Commons Patient Safety Health Committee 850,000 incidents pa Death 0.5% Serious harm 1.0% Minor harm 5.0% Near miss Risk taking behaviour 90.0% Significant under-reporting

The causes of patient harm Person/Human Factors System Forgetfulness Inattention Recklessness Poor communication Policies Blame Secondary to organisational processes Errors are consequences not causes Not who blundered but why did defences fail? Never events occurrence is an indication that the organisation may not have put in place the right systems and processes

Practice Clinical Pathways Talksafe Incident reporting Duty of Candour Medical records

MEDICAL RECORD KEEPING GMC Good Medical practice

Legibility

Medical Records SOAP Model Subjective component Objective component Assessment Plan

Medical Records

Why are we here?

Values Based Organisation

Values Based Organisation

Values Based Organisation

Values Based Organisation

Values Based Organisation

One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient