Congratulations to the regional Patient Safety Collaborative teams and their partners who scooped four wins, one highly commended and six finalist places at the HSJ Patient Safety Awards.
The achievements shone a spotlight on both the collaboratives and the Academic Health Science Networks which host them.
Here are brief summaries of the winners and finalists:
Winner: Serenity Integrated Mentoring
The Serenity Integrated Mentoring (SIM) project, run by Hampshire Constabulary and the Isle of Wight NHS Trust, and supported by Wessex AHSN, won the ‘Managing Long Term Conditions’ category. SIM – which previously won a royally-endorsed national health award, is also one of the 2016-17 NHS Innovation Accelerator Fellows supported by NHS England.
The project aims to professionalise and coordinate new standards of care between emergency and healthcare teams supporting people with complex mental illness and behavioural disorders.
The HSJ judging panel said: “This is an excellent demonstration of cross public sector working, tackling long standing issues and managing a significant large scale cultural change between services and client.”
Winner: Learning from Excellence
The West Midlands AHSN’s Learning from Excellence programme, which aims to learn from what goes well in healthcare, won the ‘Education and Training’ category. This is a collaboration with the Learning from Excellence team – a project led by Adrian Plunkett, Consultant Paediatric Intensivist at Birmingham Children’s Hospital, Emma Plunkett, Locum Consultant at University Hospitals Birmingham NHS Foundation Trust, and Appreciating People.
Safety in healthcare has traditionally focused on avoiding harm by learning from error, but this approach may miss opportunities to learn from excellent practice. The Learning from Excellence initiative believes that studying excellence in healthcare can create new opportunities for learning and improving team resilience.
The HSJ judging panel said: “This was a truly innovative approach that has the ability to transform the way we improve patient safety. This should be considered for national rollout both for patient safety and staff morale.”
Winner: Emergency Department (ED) safety checklist
The initiative to support the adoption and spread of the ED safety checklist across all trusts in the West of England won the ‘Best Patient Safety Initiative in A&E’ category.
The checklist was piloted at University Hospitals Bristol NHS Foundation Trust in 2014 with demonstrable success in improvements in patient safety. With the support of the West of England AHSN, this tool has been adopted by all seven EDs in the region, spanning six trusts and the ambulance service, in order to address the shared challenge of ensuring patient safety during periods of crowding.
The HSJ judging panel said: “This entry had a significant impact on patient safety in period of crowding in ED. It has already spread across multiple organisations and using established tools has potential for wider spread across the UK.”
Winner: Emergency Laparotomy Collaborative – Royal Surrey County Hospital
Royal Surrey County Hospital won the ‘Quality Lead of the Year’ award for their work on the Emergency Laparotomy Collaborative, a project run in collaboration with three AHSNs: Kent Surrey Sussex, Wessex and West of England.
This is a two-year quality improvement project funded by the Health Foundation, and involves 24 NHS Trusts comprising 28 hospitals in these three regions.
The aim of the Collaborative is to improve standards of care and outcomes for patients undergoing emergency laparotomy. The ELC has grown from the successful Emergency Laparotomy Pathway Quality Improvement Care bundle project (ELPQuiC) carried out three years ago in four hospitals in the South of England. Over an eight-month period, crude 30-day mortality was reduced by 25% and P-POSSUM risk adjusted 30-day mortality by 42%.
The HSJ judging panel said: “This is an ambitious programme delivering impressive reductions in mortality across a large number of hospitals by effective collaborative working, modern approaches and leadership”.
Highly commended: Reducing Harm from Urinary Catheters
The Health Innovation Network’s initiative Reducing Harm from Urinary Catheters: a Collaborative Approach in South London was a finalist in the ‘Infection Prevention Control in Patient Safety’ category. Last year’s Catheter Care Awareness Week (20 – 24 June) saw their Patient Safety team work hard in championing better care with the aim of and reducing catheter-associated urinary tract infections (CAUTIs) by 30% by January 2017.
This year’s Catheter Care Awareness week (19-24 June) saw 16 face to face events across HIN’s south London membership, with study days and workshops attended by over 900 healthcare professionals and 200 patients. The reach of the campaign went around the UK, with Aneurin Bevan University Health Board in Wales holding a week long set of seminars and stalls, and hospitals in Surrey and Bath sharing resources and training materials. On Twitter, the #cathetercare hashtag achieved 7.2 million impressions across 2,227 tweets.
The future aims of ‘Reducing Harm from Urinary Catheters’ are to: increase the spread of the programme across the UK, share learnings, and make sustainable changes that reduce infection rates.
Finalist: Life QI
Life QI was a finalist in the ‘Best Product or Innovation for Patient Safety – Private Sector’ category.
Life QI is a web platform designed to assist frontline health and social care staff in running safety and quality improvement (QI) projects. It has been developed as part of the Patient Safety Collaborative in partnership with the South West AHSN and SeeData Ltd.
Users can work on quality improvement projects and view projects that are happening across the region.
Beyond its initial use in the South West of England, the Life system is now in use across England with the aim of it becoming ‘the’ platform for safety and QI work within health and social care in the UK.
Finalists: Self Administration of Insulin, Reducing the Risks from Magnesium Sulfate Injection, Detect, Protect, Perfect in Atrial Fibrillation
Wessex AHSN’s Implementing Self Administration of Insulin in Hospital, and Reducing the Risks from Magnesium Sulfate Injection in Obstetrics projects were both finalists in the ‘Improving Safety in Medicines Management’ category. Diabetic patients admitted to hospital have been helped to manage their condition independently during their stay, cutting medication errors, improving diabetes control and reducing their length of stay. The AHSN team also helped obstetric teams to source ready-made IV magnesium sulfate preparations, avoiding the need for dilution and making its use safer in emergency or critical situations.
They were joined by quality improvement project, Detect, Protect, Perfect in Atrial Fibrillation, which was shortlisted in the Managing Long Term Conditions category. Over the past year (2016/17), the programme has seen fantastic engagement and results in its work to reduce stroke across Wessex through the use of anticoagulants in treating Atrial Fibrillation. The programme has delivered a 67% increase in anticoagulant prescribing across Wessex, with 60% of providers showing a reduction in stroke plus a 17% reduction in the variation in exception reporting.
Finalist: Electronic patient care record and NEWS
The West of England AHSN’s work to support the South Western Ambulance Service’s Electronic Patient Care Record & National Early Warning Score (NEWS) was a finalist in the ‘Information Technology to Improve Patient Safety’ category.
They collaborated with their regional ambulance service to build NEWS into its electronic Patient Care Record (ePCR), automating this functionality when clinical observations are taken. This ensures all acutely unwell patients have their NEWS calculated so they are treated in the most clinically appropriate manner. In addition this supports appropriate clinical prioritisation and early detection of sepsis.
Finalist: Emergency Laparotomy Collaborative
The Emergency Laparotomy Collaborative, which brings together three AHSNs (West of England, Kent Surrey Sussex, and Wessex), was also a finalist in the ‘Patient Safety in Surgical Care’ category.