09.00 Registration & poster set up 10.15 - 10.45 The science and art of improvement: shifting the balance from evangelism to evidence John Wright, Director Bradford Institute of Hea
Trang 109.00 Registration & poster set up
10.15
-
10.45
The science and art of improvement: shifting the balance from evangelism to evidence
John Wright, Director Bradford Institute of Health Research & Clinical Director Improvement Academy
11.00
-
12.15
Breakout sessions (choose one session below)
A1 ‘Changing behaviour one conversation at a time’
A2 QI Basics workshop
A3 Return on Investment and the cost effectiveness of
improvement
A4 PRASE: Patient Reporting and Action for Safer Environment A5 Patient Engagement in Improvement and Patient Safety A6 Patient Safety and Human Factors
A7 Developing, evaluating and improving healthcare quality improvement
12.15 Comfort break
12.30
-
13.00
Are we really improving the safety of our patients? The national picture
Mike Durkin, Director of Patient Safety, NHS England 13.00 Lunch & poster viewing
14.15
–
14.45
To do the service no harm: assessing the quality of health care
Nick Black, Chair, National Advisory Group for Clinical Audit and Enquiries & Professor of Health Service Research 14.45
–
15.15
Why is it so difficult to stop making mistakes and harming patients?
Henry Marsh, Neurosurgeon, Patient Safety Expert and author of ‘Do No Harm’
15.15 Refreshments & poster viewing
15.45
-
17.00
Breakout sessions (choose one session below)
B1 Lego workshop: how to involve people in authentic
and meaningful co-production
B2 Innovative approaches to improvement
B3 Using data to drive improvement and improve care:
the Falls and Fragility Fracture Audit Programme
B4 How can I make patient safety huddle work for my area? B5 Measurement and Monitoring of safety: using the Vincent framework
B6 Learning from hospital deaths: from case note review to improvement
B7 Improvement Labs 17.00
–
17.30
The National Mortality Case Record Review Programme: From Mortality Review to Quality Improvement
Dr Kevin Stewart, Clinical Director CEEU and Dr Andrew Gibson, Clinical Lead for the NMCRR Programme RCP
The National Mortality Case Record Review Programme: The Official National Launch
Hosted by the Royal College of Physicians
Day 1—Monday 21st November 2016
Harrogate International Conference Centre, Yorkshire,
UK
Trang 2A1 Changing behaviour one conversation at a
time
improvement
A workshop to explore different methods to create
‘safe’ safety conversations
Suzette Woodwood, Director—Sign up to Safety
campaign
This workshop is an opportunity to share examples of methods, tools and techniques that engage multidiscipli-nary teams in Quality Improvement initiatives
Dr John Bibby, Quality Training Advisor
Building Quality Improvement capacity & capability through an improvement movement in an Acute Hospital setting
Andrew Seaton, Director of Safety, Gloucestershire Hospitals
NHS Foundation Trust UK
Victoria Collins, Safety Improvement Practice Educator,
Gloucestershire Hospitals NHS Foundation Trust UK
Improving the care of osteoarthritis in primary care: An evaluation of a new practitioner role
Andrew Walker (Innovation Fellow) Health Innovation Net-work (South London’s AHSN), St George’s, University of Lon-don & Kingston University et al
Economics of implementation based quality improve-ment in healthcare for non-economists
Professor Carl Thompson, Chair in Applied Health Research, School of Healthcare, University of Leeds
Social Return On Investment (SROI): An approach to cost-benefit analysis for improvement in health and social care?
Fay Sibley (Darzi Fellow), Health Innovation Network (South London’s AHSN) et al
A7.Developing, evaluating and improving
healthcare quality improvement
This workshop will how Social science can contribute
to developing, evaluating and improving healthcare
quality improvement
Explore the current state of the evidence base for
healthcare improvement,
Discuss the consequences for efforts to improve
quality,
And look at what we should do about it
Graham Martin, Professor of Health Organization and Policy,
SAPPHIRE Group, Department of Health Sciences, University of
Leicester,
Breakout Session A
Day 1, Monday 21st November, 11.00 – 12.15
Format: Workshops Format: Workshop and Case Study Format: Presentation sessions
Trang 3A4 PRASE: Patient Reporting and Action for a Safer
Environment
A5 Patient Engagement in Improvement and Pa-tient Safety
A6 Patient Safety and Human Factors
This workshop will present the development, testing and
evaluation of the PRASE intervention (Patient Reporting
and Action for a Safe Environment)
We will describe the co-design of theory-based
measure-ment tools to capture the patient perspective of the safety
of care Following this, we will present the results of a large
randomised controlled trial across 33 wards in three NHS
trusts within the north of England
Finally, we will discuss the findings from the qualitative
pro-cess evaluation, including staff engagement with the
inter-vention and challenges of making patient-centred service
improvement
Jane O’Hara, Lecturer in Patient Safety and Improvement
Sci-ence, Bradford Institute for Health Research/University of Leeds,
UK
Making use of patient experience feedback data: per-spectives of ward based staff
Rosemary Peacock, Senior Research Fellow, Bradford Institute for Health Research, et al
Can Patients be the ‘smoke detectors’ for the NHS?
What Patients tell us about safety within 3 Yorkshire and Humber NHS Trusts
Sally Moore, Patient Safety Research Nurse, Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary et al
Enhancing safety in maternity care: using social media
to tackle maternal obesity
Michaela Senek, PhD Researcher, Hora Soltani, Professor in Mater-nal and Infant Health, Madelynne Arden, Professor of Health Psy-chology, Tom Farrell Professor, Consultant Gynaecologist, David Rogerson, Phd Sport Nutritionist
Patient involvement in diagnosing cancer earlier in primary care: potential strategies and key components
Dr Jane Heyhoe, Senior Research Fellow,, Bradford Institute for Health Research, et al
Preventing dehydration by the early identification of pa-tients with low fluid intake: The Jug Round
Emma Cullingworth (HCA), William Lea (Clinical Leadership Fellow), Janet Meggitt (ACP), Elaine Wagg (HCA), Amanda Ward (Sister), York Teaching Hospital NHS Foundation Trust
Using Behavioural Theory to improve Sepsis 6 Improvement
Caitriona Stapleton- Patient Safety Programme , RFL Foundation Trust et al
How can I implement human factors into practice
Wayne Robson (Patient Safety Lead – Barnsley Hospital NHS Foundation Trust)
Day 1, Monday 21st November, 11.00 – 12.15
Format: Workshop Format: Presentation sessions Format: Presentation Sessions
Trang 4B1 Lego workshop: how to involve people in
au-thentic and meaningful co-production
B2 Innovative approaches to improvement B3 Using data to drive improvement and improve care:
the Falls and Fragility Fracture Audit
Co-production is a Zeitgiest theme within Healthcare
inno-vation work from a policy level, to research and right onto
frontline service improvement work Many different terms
are associated with it; PPI, participation, design,
co-creation Yet much of the activity that comes under this
broad umbrella could probably be defined as tokenistic in
the worst case scenarios and in the best and most well
in-tentioned cases, not achieving its full potential
We will use Lego and the Lego Serious Play Methodology to
demonstrate creative, participatory ways of involving
peo-ple in research and improvement work Through the ‘doing’
of a Lego Serious Play workshop you will experience the
benefits of co-production conducted in this way You will
also get to keep a small Lego kit! Who says work, learning
and conferences aren’t fun?
Dr Joe Langley Engineering Design Research Fellow at Sheffield
Hallam University
NIHR Knowledge Mobilisation Research Fellow, hosted by NIHR
CLAHRC YH
Daniel Wolstenholme Visiting Research Fellow at Sheffield
Hallam University and Associate of Lab4Living
NIHR CLAHRC YH Theme Manager for Translating Knowledge to
Action
The Airedale Vanguard project to enhance healthcare
in Care Homes using telemedicine: Early insights from
a novel developmental evaluation framework
Ms Rose Dunlop, Vanguard Evaluation Lead, Airedale NHS Trust, Dr Eileen McDonach, Senior Researcher, on behalf of Yorkshire and Humber Academic Health Science Network et al
Using IHI Breakthrough Series Collaborative approach
to reduce in patient harm from falls
Mrs Geetika Singh, Patient Safety Programme Manager, Royal Free London NHS Foundation Trust,
An innovative approach to fracture prevention using a
Mobile Bone Density Service
Hollick, RJ Health Services Research Unit et al
Improving the meal time experience for in- patients using dietetic students as meal volunteers
Vee LeBrunn, Clinical Nurse Educator and Helen Christodoulides Head of Nursing, Acute Medicine CSU, Leeds Teaching Hospitals Trust
This workshop from the Royal Collage of Physicians will demon-strate a range of ways that data from a national clinical audit can
be used to support quality improvement activity in healthcare, including
Informing commissioning: instigating change in the commis-sioning of fracture liaison services utilising clinical champions and data driven decision tools for commissioners
Making quality improvement easy: data from the national audit
of inpatient falls driving QI in a secondary care setting
Monitoring continuous improvement: using the National Hip Fracture Database
Empowering the patient: what do patients want from clinical audit?
Chair: Dr Roz Stanley, CEEU operations director, Speakers: Chris Boulton Project Manager, Vivienne Burgon Project Co-ordinator RCP, Dr Shelagh O’Riordan Clinical Lead NAIF, Dr Kassim Javaid Clin-ical Lead FLS-DB, Naomi Vasilakis Project Manager NAIF and FLS DB, Royal
College of Physicians, UK
Breakout Session B
Day 1, Monday 21st November, 15.45-17.00
Format: Workshop Format: Presentation sessions Format: Workshop
Trang 5B4 How can I make patient safety huddle work for
my area?
B5 Measurement and Monitoring of safety: using the Vincent framework
B6 Learning from hospital deaths: from case note re-view to improvement
This workshop will;
introduce participants to the key components of
patient safety huddles
Present examples of how to tailor the core
compo-nents to bespoke harms in different areas of
healthcare
Raise awareness of the innovative approaches
tak-en thus far across Yorkshire
Share enablers and barriers to measurement of
bespoke harms
To empower teams to take this approach in their
own area
Chairs: Dr Anna Winfield (PSQM LTHT), Dr Victoria Corkhill (Clinical
Leadership Fellow LTHT)
Speaker: Dr Alison Cracknell, Consultant in Elderly care, Head of
Pa-tient Safety
Measurement and monitoring of Patient Safety in practice: Evaluation of a multi-site project
Ms Eleanor Chatburn, Research Psychologist, Risk and Safety Re-search Group, University of Oxford;
Application of the safety measuring and monitoring framework
Lynn Pearl – Project Manager for the Measurement and Monitoring
of Safety (Y&H Improvement Fellow), Katie Eacret – Clinical Safety Lead for the Measurement and Monitoring of Safety
Measuring & Monitoring Quality & Safety across the RFL Patient Safety Programme
Margaret Mary Devaney, Head of Patient Safety, Royal Free London NHS FT, Hester Wain, Deputy Director Safety & Risk, RFL Foundation Trust
With the launch of a national mortality review programme, an opportunity for acute trusts to deliver improvements to front-line care, this workshop will explore how to analyse case note reviews and turn data into usable information
Evalua-tion Unit (CEEU)
Consultant Neurologist, Deputy Medical Director, Sheffield Teaching Hospitals
Research (ScHARR), University of Sheffield, Sheffield, UK
Associate Clinical Director, Improvement Academy
Improve-ment Academy
Breakout Session B
Day 1, Monday 21st November, 15.45-17.00
Format: Workshop Format: Presentation sessions Format: Workshop
Trang 6“The UK’s first national conference about evidence- based Improvement in Healthcare”
Day 2—Tuesday 22nd November 2016
Harrogate International Conference Centre,
Yorkshire, UK
08.30 Registration & poster set up
Chair : Richard Taunt, Director of the UK Improvement Alliance
09.00
-
09.30
Swatting Mosquitoes: The end of an era for safety in healthcare
Rebecca Lawton, Director of Yorkshire Quality and Safety Research Group & Professor of Health Psychology 09.30
-
10.00
Take Care Son…the story of my Dads dementia
Tony Husband, Award-Winning cartoonist for The Times, The Spectator & Private Eye 10.00 Poster viewing
11.00
-
12.15
Breakout sessions (choose one session below)
C1 Being positively deviant: how do organisations and
teams deliver patient safety?
C2 Innovative approaches to improvement
C3 Human Factors workshop
C4 Achieving Behaviour Change for Patient Safety C5 Improving Patient Flow: learning from across the UK C6 Patient Engagement in Improvement and Patient Safety C7 Learning from Hospital Mortality: The Yorkshire & Humber Experience
12.15 Lunch
13.00
-
14.00
Breakout sessions (choose one session below)
D1 ‘The patient will see you now’
D2 Innovative approaches to improvement
D3 How can we support the workforce to improve
pa-tient safety?
D4 Safer Surgery workshop D5 Improving Patient Flow: combining improvement science and coaching skills to transform care pathways
D6 Improvement in the time of austerity: necessity or nice to have?
14.00 Comfort break
14.15
–
14.45
Are hospitals less safe at weekends?
Mohammed Mohammed, Professor of Healthcare Quality and Effectiveness, University of Bradford 14.45
–
15.15
Improving Improvement
Nick Barber, Consultant at The Health Foundation 15.15
- Questions and close
“The UK’s first national conference about evidence- based Improvement in Healthcare”
Day 2—Tuesday 22nd November 2016
Harrogate International Conference Centre,
Yorkshire, UK
Trang 7Breakout Session C
Day 2, Tuesday 22nd November, 11.00 – 12.15
C1 Being positively deviant: how do
organisa-tions and teams deliver patient safety?
C2 Innovative approaches to improvement
C3 Applying Human Factors to practice
What is positive deviance and how can you identify
it?
Hip and knee services in Yorkshire and Humber: What
does positive deviance look like
Identifying and understanding positive deviance in
elderly medical wards
Spreading the learning: a discussion (all)
Rebecca Lawton, Director of Yorkshire Quality and Safety
Research Group
Lesley Dewhurst, Senior Research Fellow Yorkshire Quality
and Safety Research Group
Ruth Baxter, PhD Student Yorkshire Quality and Safety
Re-search Group
Improving implementation progress using Normalization Process Theory: Development and validation of the No-MAD survey tool
T.L Finch , Institute of Health and Society, Newcastle University, Newcas-tle upon Tyne, United Kingdom et al
Practice nurse led frailty assessment in primary care
Dr Halina Clare 1 , 1 Doctors Lane Surgery, Hambleton Richmondshire &
Whitby CCG, Sarah De Biase , Y&H AHSN Improvement Academy
To determine if it would be safe and practical to transfer routine prescribing tasks from ward doctors to pharma-cists and technicians
William Chellam, Stan Dobrzanski, Bradford Royal Infirmary, UK
Seamless Surgery – Spreading and Sustaining Best Practice
Luke Wheldon, Mr, Sheffield Teaching Hospital NHS Foundation Trust, UK Tim Sands, Mr, Sheffield Teaching Hospital NHS Foundation Trust, UK et
al
Join us in this interactive workshop where we will explore how human factors affect the care we
deliv-er to patients
Using a case study we will analyse the impact of non technical skills on a well known scenario and collectively develop solutions to reduce the impact
of these issues in future practice
Debbie Clark, Senior Lecturer in Nursing Sheffield Hallam
University
Format: Workshop Format: Presentation sessions Format: Workshop
Trang 8Breakout Session C
Day 2, Tuesday 22nd November, 11.00 – 12.15
C4 Achieving Behaviour Change for Patient
Safety
C5 Improving Patient Flow: learning from across the UK
C6 Patient Engagement in Improvement and Patient Safety
Improving Patient Flow – Learning from Experience
Dr Jacqueline Smithson, Medical Director for Medicine, Hull and East Yorkshire Hospitals NHS Trust, Liz Watson, Project Manager, AHSN Improvement Academy et al.
Improving the Delivery model for a Chemotherapy Service
Dr Delia Pudney Consultant Clinical Oncologist, ABM University Health Board, Wales
Healthcare professional’s attitudes towards involving patients and their relatives in detecting clinical deterio-ration in hospital
Abigail Albutt*; University of Leeds et al
What do patients see that staff don’t? Exploring the experience of patients as observers within an experi-ence based co-design project
Ms Liz Thorp (MSc, RGN), University of Leeds, Bradford Institute for Health Research, Funded by the Health Foundation , England
Transformational Learning – enhancing practice in Pa-tient-led patient safety teaching
Naomi Quinton, Dr, Leeds Institute of Medical Education, University of Leeds, Leeds, UK, et al
This workshop is a taster version of the Yorkshire and
Humber Improvement Academy popular “ABC for
Patient Safety”
Providing an opportunity to learn from leading
re-searchers in behaviour change Interactive learning
and discussion will lead to improved understanding
and enhanced practice in improving patient safety
Department Psychological Health and Wellbeing, University of
Hull
C7 Learning from Hospital Mortality: The York-shire & Humber Experience
Using Structured Judgment Case Note Review in CQC Mortality alert analysis
Mr Paul Curley, Deputy Medical Director, Mrs Kirstie McEnhill SRN, Lead Nurse for Quality, Medical Director’s Office, Mid Yorkshire Hos-pitals NHS Trust
Learning from mortality review in LTHT; a large teach-ing hospital's experience
Dr Anna Winfield, PSQM Leeds Teaching Hospital Trust
Format: Workshop Format: Presentation sessions Format: Presentation sessions
Trang 9D1 ‘The patient will see you now’ D2 Innovative approaches to improvement D3 How can we support the workforce to
im-prove patient safety?
To provide an opportunity for researchers,
improve-ment specialists, clinical staff, managers and members
of the public to ask a panel of patient representatives
questions about Patient and Public Involvement (PPI)
within the context of patient safety research and
quali-ty improvement in the NHS
Members of the Yorkshire Quality & Safety Patient Panel Bradford
Institute for Health Research
Dr Claire Marsh (PhD) Senior Research Fellow (Quality & Safety)
Directorate, Bradford Institute for Health Research,
Ms Liz Thorp (MSc, RGN) PhD Research Student/Research nurse
University of Leeds, Bradford Institute for Health Research, Funded
by the Health Foundation, England,
Reframing research rigour in quality improvement using Developmental Evaluation: Learning from four complex intervention projects in multiple, acute hospital settings in England
Dr Eileen McDonach, Honorary Research Fellow et al
The Design, Development and Implementation of the Medi-cation Safety Thermometer
Paryaneh Rostami, Ms., Manchester Pharmacy School, University of Manchester, Manchester Academic Health Sciences Centre (MAHSC), Oxford Road, Manchester, UK
Improving Intravenous Fluid Prescribing and Fluid Manage-ment in adult inpatients
Dr Melanie Cockroft, ST3 Anaesthetics and Intensive Care Medicine, Gloucestershire Hospitals NHS Trust, UK
Exploring multi-disciplinary staff experiences and the effect
of implementing patient safety huddles on medical wards
Miss Sofia Arkhipkina, University of Leeds
To consider and discuss workforce wellbeing in healthcare
To understand how and why staff wellbeing is linked to patient outcomes
To generate solutions: How can we support the work-force to improve patient safety?
Miss Kathryn Melling & Dr Judith Johnson (co-chairing), Bradford
Institute for Health Research, UK
Breakout Session D
Day 2, Tuesday 22nd November, 13.00 – 14.00
Format: Workshop Format: Presentation sessions Format: Workshop
Trang 10D4 8 years of the WHO safer surgery checklist: are
theatres safer?
D5 Improving Patient Flow: combining improve-ment science and coaching skills to transform care pathways
D6 How do we keep Improvement relevant in times of austerity
This workshop is informed by the results from a study
using behaviour change theory to explore the biggest
barriers to theatre teams embracing the checklist
Participants will have the opportunity to;
Explore the original evidence base for the
check-list,
Understand why never events still happen,
Review the biggest barriers to effective
imple-mentation
Alison Lovatt, Clinical Improvement Network Director,
Im-provement Academy
Susan Douglas, Consultant, Rotherham NHS Foundation
Trust
Exploring the complexities surrounding collaborative pathway improvement work
Introducing participants to the emergent Improving Flow programme
Sarah Davies, Flow Project Support Officer, Sheffield Teaching
Hos-pitals NHS Foundation Trust, UK
Nick Miller, Flow Programme Manager, Sheffield Teaching Hospitals
NHS Foundation Trust, UK
Tom Downes, Clinical Lead for Quality Improvement and Consultant
Geriatrician, Sheffield Teaching Hospitals NHS Foundation Trust, UK
The NHS is in the middle of a financial crisis 85% of acute trusts are in deficit, and even the Department of Health is struggling to stay within its budget Against this backdrop, what role can improvement play? This workshop, led by the UK Improvement Alliance, will focus on the importance of improvement in a time of austerity This is an exciting opportunity for participants
to co-create a new programme of work for the Alliance
on improvement and efficiency, agreeing priority areas for how improvement can best support productivity across the NHS
Richard Taunt, Director of UK Improvement Alliance and colleagues
Breakout Session D
Day 2, Tuesday 22nd November, 13.00 – 14.00
Format: Workshop Format: Workshop Format: Workshop