1. Dr Nick Harper Deputy Medical Director

2. 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.

3. To Care

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

5. 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

6. 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

8. Practice
Clinical Pathways
Talksafe
Incident reporting
Duty of Candour
Medical records

9. MEDICAL RECORD KEEPING
GMC Good Medical practice

10. Legibility

11. Medical Records SOAP Model Subjective component Objective component
Assessment
Plan

12. Medical Records

13. Why are we here?

14. Values Based Organisation

15. Values Based Organisation

16. Values Based Organisation

17. Values Based Organisation

18. Values Based Organisation

19. 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