1. Paediatric International Patient Safety and Quality Community (PIPSQC)

2. Developing a Collaborative approach to paediatric patient safety Building a social movement Peter Lachman

3. What is a collaborative? Collaboration is defined as working with another or others on a joint project to common goals or aims.

4. What is a social movement?

6. How do we create change at scale? Energy focus Imagination, engagement, participation, moving, mobilising, calling to action The ‘clinical system’ mindset for improvement Effectiveness and efficiency focus Metrics and measurement; clinical systems improvement, reducing variation, pathway redesign, evidence based practice The ‘mobilisation’ mindset for improvement Source; Helen Bevan NHS Institute for Innovation and Improvement 2010 Us as change leaders © PL Consultancy UK Ltd

7. How do we mobilise at scale? Source: Marshall Ganz Shared understanding Narrative heart/why? Strategy head/what? Ref Helen Bevan

8. Strategy is the process of resourcesturning the resources you have resources powerinto the resources you need power outcometo get the change you want outcome Us as change leaders

9. Approaches to change Deficit based what is wrong? solving problems identifying development and improvement needs gaps and deficiencies to be filled Asset based what is right that we can build on? exploiting existing assets and resources “positive deviance” amplifying what works

10. Values to Action Inertia Apathy Fear Self-doubt Isolation Urgency Anger Hope You can make a difference Isolation Action inhibitors Action motivators Overcome Us as change leaders

11. Telling your narrative Our aim is to tell the narrative – how we succeed and what are our challenges Us as change leaders Source: Marshall Ganz

12. Who and What is PIPSQC PIPSQC is an informal, international collaborative of professionals who share a passion for patient safety and quality in paediatrics, and who interact together across organizational and geographic boundaries, to advance learning and improvements in these areas.

13. PIPSQC Resources Resources Solutions for Patient Safety PIPSQC Presentations Publications Links Paediatric Patient Safety Solutions Patient Safety Solutions For Patients and Families

14. A Solution Children’s Hospitals’ Solutions for Patient Safety (SPS) The Children’s Hospitals’ Solutions for Patient Safety National Children’s Network represents the most herculean effort to date by the country’s children’s hospitals to create a universally safe and healing environment for all children who are in our care. Leaders from 79 children’s hospitals across the United States have stepped forward and committed to clear, shared network goals of harm reduction by December 31, 2014. 40 percent reduction in hospital-acquired conditions (HACs) 20 percent reduction in readmissions 25 percent reduction in serious safety events (SSEs) To achieve these goals, CEOs, hospital boards of trustees and clinical leaders are aligning their organizational goals with the network harm reduction goals in a way that is transforming the safety and quality of care delivered in children’s hospitals in the United States.

15. Global Spread MiST (Making it Safer Together) The Making it Safer Together (MiST) paediatric patient safety collaborative is a new alliance of hospitals. These organisations share a vision of achieving harm free paediatric healthcare through a process of a sustained, year on year, reduction in adverse events.

16. Global Spread Ontario Children’s Hospitals’ Solutions for Patient Safety (OSPS) Ontario Children’s Hospitals’ Solutions for Patient Safety (OSPS) is a partnership between the safety leads at five academic children’s hospitals in Ontario including: – Children’s Hospital of Eastern Ontario (CHEO) – Children’s Hospital London Health Sciences Centre (LHSC) – Hospital for Sick Children (SickKids) – Kingston General Hospital (KGH) – McMaster Children’s Hospital (MCH) OSPS’s mission is to work together to implement the SPS model in Ontario and eliminate serious harm across all children’s hospitals in the province.

17. Let’s Work Together for Safe Care, for Every Child, Everywhere.

19. @PeterLachman @PIPSQC @Mistcollab peter.lachman@gosh.nhs.uk