Sign up to Safety
Safety continues to remain a high priority for us and, as part of our ongoing commitment in this area, we have joined the national Sign Up To Safety Campaign.
The aim of this national campaign is for the NHS to become the safest healthcare system in the world delivering harm free care.
The initial focus is to halve avoidable harm within the NHS over the next three years and each organisation signing up to the campaign has agreed to five pledges: Put Safety First, Continually Learn, Honesty, Collaborate, and Support.
This is what we will do at Salisbury District Hospital to achieve each of the pledges:
Put Safety First
Commit to reduce avoidable harm in the NHS by half and make public our goals and plans developed locally.
Continue our programme of work to reduce avoidable harm with a key focus on:
- reducing health care associated infections
- improving the recognition and management of sepsis through use of the sepsis 6 care bundle (a nationally agreed protocol to improve early detection and treatment)
- improving our recognition and management of the deteriorating patient through reliable implementation of early warning scoring and appropriate escalation to specialist medical and nursing staff. Further improvement will be achieved through a newly developed electronic reporting and recording system for patient’s observations
- improving our recognition and management of patients with acute kidney injury to ensure we recognise and treat this condition early in order to give the best chance of recovery
- implementation of the GROW programme in order to identify those babies of a small gestational age and therefore at higher risk of still birth
- continual improvement in peri operative and surgical safety through reliable implementation of checklists, and briefings, as well as a focus on reducing surgical site infections through use of the surgical site infection care bundle
- introduction of an electronic medicines prescribing and administration system to improve medicines safety
- reducing injuries associated with falls in hospital
- reducing pressure ulcers acquired in hospital
- continue to ensure we develop, capture, and analyse quality indicator data across safety, effectiveness, and patient experience measures from ward to Board in order to inform us on our performance at all levels
- promote a proactive and positive safety culture through ensuring that the learning from incidents, audit, complaints, and feedback is captured, with evidence of resulting changes to practice
- proactively seek opportunities to learn, through formal retrospective reviews of patient care using the global trigger tool, our Trust mortality tool, and specialist reviews of care such as the Diabetes UK Morbidity and Mortality Review.
- continue the Quality Walks as a formal way for Board members to visit clinical departments and gain direct feedback from both staff and patients.
- listen to our patients and staff through direct conversations, real time feedback, surveys, complaints, and patient stories.
- Embed and extend the Duty of Candour requirements across the organisation to ensure that our patients and their families feel we are open and transparent when things go wrong
- Support our staff and patients in fostering a culture of openness and transparency
- Report openly on our safety measures so that our improvement and any challenges are visible
Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use.
- Work across the health and social care economy to reduce avoidable harm and improve patient experience
- Take an active role within the Wessex Patient Safety Collaborative hosted by the Wessex Academic Health Sciences Network
- Maintain a high level of collaboration with our clinical networks and actively engage in the following improvement programmes
- Work with the South West Strategic Clinical Network for Maternity and Children to improve transitional care for children as they journey into adulthood and adult services. This will be achieved through the Ready Steady Go Programme
- Collaborate with the South West Cardiovascular Network to improve recognition, treatment, and therefore outcomes of Acute Kidney Injury within the Trust
Help people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate the progress.
- Support staff to reduce harm, reduce variability in practice, and improve care through education and development. This includes the successful Healthcare Improvement Programme which delivers improvement science to trainee doctors via participation in service improvement projects
- Support staff when things have gone wrong through fostering a culture of openness and learning based on safety and improvement sciences
- Celebrate staff and team success through Striving for Excellence Awards
- Continue with our broad range of leadership development programmes