First, Do No Harm

Northern Region patient safety campaign

Jacqueline Ryan Karen O’KeeffeProgramme Manager Clinical Lead

Peter Leong Kelly Fraher Improvement Specialist Improvement Specialist

Recent milestones• Patient safety booths held (SSI) • Reducing perioperative harm

focus launched with information stands, education sessions and morning teas with surgical teams

• ‘Reducing harm from falls’ workshop with Dr Frances Healey with 126 attendees from DHB and residential aged care teams

• Second National Global Trigger Tool Workshop

• Northland DHB falls prevention video ‘We won’t take falls anymore’

• Patient story

First, Do No Harm and Open for better care partnership

• First, Do No Harm is regional implementation of Open for better care campaign goals

• Working together on key areas such as reducing harm from falls, infections, surgery and medication

• First, Do No Harm has additional regional KPIs- capacity and capability building- residential aged care sector engagement- pressure injuries

• First, Do No Harm continues an approach of balancing awareness-raising on Open topics with process improvement activities

Update on progress• Residential aged care KPI • Around 34 teams in acute and

residential aged care sector engaged in coaching in two DHBs

• Seeing some reduction in ‘falls with major harm’ at one DHB and particular wards at other DHB

- focusing on high risk areas i.e. general medicine, older people’s health

- improvement teams get together- additional improvement coaching with

First, Do No Harm

• Falls with major harm not improving - how might we progress this as a region?

Northern Region data• Decrease in overall harm rate from

falls continues• Regular monthly falls and pressures

injuries data received from 34% of residential aged care facilities

• Significant decrease in grade 3 & 4 pressure injuries

• Intensive care units continue to see significant and sustained reduction in CLAB events

• Perioperative harm QSM data - all four DHBs show an increase in use of the checklist

Learning and challengesWhat’s working well• Value in a ground-up approach

supported by leadership – teams with this approach continue to make good progress

• Building capacity – residential aged care coaching and training

• Local ownership and display of data

• Engagement from middle managers is essential to support staff to undertake improvement activities

• Start small and focused with testing using plan-do-study-act (PDSA) cycles

Learning and challenges

Even better if •More teams engaged in improvement activities and supported to do the work•Ensuring messages reaching key people and groups•Spread of improvements accelerated

National Healthcare Group (2011)

What’s coming up• Falls and Pressure Injuries Collaborative

Learning Session 3, 26 June 2014• Perioperative harm focus activities• Ongoing training and coaching with

residential aged care and DHB teams facilitated by First, Do No Harm Improvement Specialists

• Support to Central Region residential aged care collaborative Learning Session

• Pocket improvement guide• Webinar with Frances Healey – 8.30am on

Friday 30 May at 8.30am ‘Insights and Observations: Reducing Harm from Falls’ contact lisa.burns@hqsc.govt.nz by Thursday 29 May

Where to from here?• How can we accelerate the spread?• With new projects coming on, how

best do we work as a region (i.e. perioperative harm, medication safety)?

• How can we improve the communication?

• What do you see as your role in supporting achieving the regional and national KPIs?

• How can First, Do No Harm support regional activities?

For more information

First, Do No Harm

www.firstdonoharm.org.nz

Open for better care

www.open.hqsc.govt.nz