Success and Challenges 2008

Mark Smithies Cardiff & Vale NHS Trust

Success

• Patient Safety campaigns– MRRT

• HCAI surveillance• Filling vacant posts

– Directorate management

– Consultant posts

• Improved Cross site communication• Improved communication with Cardiac• Network engagement with Critical Care Agenda

Challenges

• Building on the Success• Communication

– Within the Directorate

– Medicine

• Financial Stability• Team Behaviours

Sentinel Event Alert Issue 40, July 9, 2008

Behaviors that undermine a culture of safety

jointcommission.org

Intimidating and disruptive behaviors can…

• Foster medical errors• Contribute to poor patient satisfaction• Contribute to preventable adverse outcomes• Increase the cost of care• Cause qualified clinicians, administrators and managers to seek

new positions in more professional environments

• Safety and quality of patient care is dependent on teamwork, communication, and a collaborative work environment.

• To assure quality and to promote a culture of safety, health care organizations must address the problem of behaviors that threaten the performance of the health care team.

Ask Four Consultants

Success

• SPI

• MDT started

• Role definition

• Consultant expansion

• ICNARC

• Directorate structure

• Improved trainee training and teaching

• Better relationships with some other Directorates

Challenges

• MDT working

• Consultant engagement

• Directorate structure, direction of travel

• Manage staff to ensure cooperation

• Communication

• Relationship with other Directorates

• Quality agenda

Lots to do !