First, Do No Harm
Northern Region patient
safety campaign
Jacqueline Ryan
Programme Manager
Karen O’Keeffe
Clinical Lead
Peter Leong
Improvement Specialist
Kelly Fraher
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 awarenessraising 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 challenges
What’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