patient safety

Risk Management

Identify Risks

Assess Risks

Risk Mitigation

Risk Monitoring

(In background a culture of psychological safety to speak up/report concerns and to share learning)

My Experience

Clinical

-pre op Assessment (look in advance so can act in time)

-risk scoring and SDM discussions with patients

-minimise risk on day (monitoring, post op location)

-report issues (recently did a form for missed group and save)

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Orgsnisationc

SALG

Health Services Safety Investigations Body (HSSIB).

FOUNDED 2023. FULLY independent arm’s length body of the Department of Health and Social Care.

We investigate patient safety concerns across the NHS in England and in independent healthcare settings where safety learning could also help to improve NHS care.

investigations aim to reduce patient harm by:

• Supporting involvement of patients, families and carers.

• Supporting staff to carry out their roles and care for patients safely.

• Creating safer healthcare environments and processes.

• Making healthcare services more efficient.

• Sharing best practice and innovations in patient care.

Governance involvement

Education

-wrote modules on cpoc and risk scoring

QI

-hat project and airway project

Prizes

-pt safety prize…

Thinking still..