1. Minimising Harm Parallel Session
Join in the conversation #1000lives
18th November 2014
Minimising Harm Parallel Session
Presenter: Christopher Hancock, Claire Roche, Dr Jason Shannon, Liz Smith and Iain Roberts

2. Session Overview Welcome and introductions. Prudent principle.
Minimising Harm and the role of 1000 Lives Improvement in supporting NHS Wales.
Mini World Café
Final discussions and comments.

3. Prudent Principle Do no harm
‘Safety does not just mean avoiding serious injury. Simply trying to avoid damage is not enough, it must reduce errors of all kinds and pursue high reliability as an essential component of high quality care’
‘The Measurement and Monitoring of Safety’ – The Health Foundation, 2013.

4. Reports 2014

5. 1000 Lives Improvement
Supporting organisations to build improvement capability.
Evidence-based programme areas.
Underpinned by measurement.
The national improvement programme supporting organisations and individuals to deliver the highest quality and safest healthcare for the people of Wales.
Every health board and trust in Wales, together with universities, voluntary organisations and charities, other public sector services, and commercial organisations are involved.
It is focussed on building capacity and sustaining and spreading improvements.
It supports frontline staff across Wales through  evidence-based ‘programme areas’ and provides clinical leadership through its Faculty.
It is committed to engaging patients and students in improvement work and promotes an internationally-recognised quality improvement methodology.
It is underpinned by measurement to illustrate improvement, and facilitates collaborative working to test new methods and protocols. The central team supports senior managers and frontline staff to deliver the quality of care that every person needs, everywhere and every time.

7. Deciding where to focus improvement efforts
How serious is the problem (frequency/severity)?
Strength of evidence for safety practice.
Evidence or potential for harmful unintended consequences.
Estimate of cost.
Difficulty of implementation.
March 2013

8. Strongly recommended practices

9. Encouraged safety practices

10. DRAFT

11. Please meet: Dr Jason Shannon – Mortality Reviews
Liz Smith – Trusted to Care / STOP / HCAI
Claire Roche – Maternity Network
Christopher Hancock – RRAILS / HAT / AKI

12. Mini World Café We are inviting you to spend 10 minutes on each table.
On each table, colleagues will give you an overview of the work that they are leading.
Please ask questions.
Please offer ideas and suggestions.
How can you maximise our offer of support?

13. Questions – in relation to each topic area:
What are the known causes in the literature?
Are there additional areas where harm could be detected?
Where could it be measured and monitored?
What support is needed to reduce the risks in terms of political will, organisational commitment and national improvement support?