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Oxford University Hospitals NHS Foundation Trust

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Sign up to Safety

Oxford University Hospitals has signed up to the NHS England Sign up to Safety campaign

In signing up we commit to strengthening our patient safety by:

  • describing the action we will undertake in response to the five campaign pledges (see below)
  • committing to turn these actions into a safety improvement plan which will show how our organisation intends to save lives and reduce harm for patients over the next three years
  • identify the patient safety improvement areas we will focus on within the safety plans
  • engage our local community, patients and staff to ensure that the focus of our plan reflects what is important to our community
  • make public our plan and update regularly on our progress against it.

Sign up to SafetyThe five Sign up to Safety pledges

1. Put safety first

Commit to reduce avoidable harm in the NHS by half and make public our goals and plans developed locally.

We will increase the number of patients receiving Harm Free Care as measured through the NHS Safety Thermometer to above 95 percent.

Reduce the number of cardiac arrests and unplanned admissions to Critical Care through earlier recognition and treatment of deteriorating patients via our project to use technology developed at OUH to allow remote monitoring of vital signs on tablets to provide track and trigger alerts and provide decision support.

Improve safety by more rapid escalation of possible Serious Incidents to allow lessons to be learned and actions put in place to protect future patients and achieve zero Never Events.

Improve the recognition, prevention and management of Acute Kidney Injury (AKI) and communicaiton to primary care in collaboration with partners in the OAHSN.

Reduce the number of medication-related incidents through improving medicines reconciliation between home and hospital settings.

Improve early recognition and treatment of sepsis through raising awareness and training our staff. Develop an organisation-wide sepsis management protocol and apply evidence-based guidelines into clinical practice.

Improve the timeliness and reliability of review of results of diagnostic tests, of inpatient discharge summaries, and of outpatient letters.

2. Continually learn

Make our organisation more resilient to risks, by acting on the feedback from patients and by constantly measuring and monitoring how safe our services are.

We will continue to undertake and develop processes for systematic review of the quality and safety of the services we provide including the internal Peer Review Programme and Executive Quality Walk Rounds.

Improve measuring and monitoring the outcomes of incident investigations, complaints and claims to ensure the outputs are effective in reducing risk and enhancing patient safety.

Strengthen the review of all deaths that occur in the Trust, to understand how we can improve our care and achieve a year on year reduction in mortality.

Take every opportunity to hear patient and carers views through increasing responses to the Friends and Family Test, sourcing service-specific patient feedback wherever possible and continuing the 'Patient Story' programme for presentation at Trust Board and wider learning.

Develop tools for monitoring quality and safety including patient experience dashboards and nurse-sensitive quality indicator dashboards.

Ensure learning from safety incidents, claims and complaints is on every clinical governance meeting agenda at every level of the organisation.

Ensure learning from safety incidents, claims and complaints is shared throughout the organisation including regular 'Quality Matters' newsletters.

Continue to benchmark indicators of safety with peer organisations and look for opportunities to identify further performance measures.

3. Honesty

Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong.

We will provide training and support to staff in being open with patients and carers when things go wrong in line with the Duty of Candour and monitor our compliance with this.

Continue to review all incidents, comments and complaints with an honest and transparent approach.

Display patient safety information on wards in a consistent and clear way for patients and visitors to see.

Continue to publish safety related performance information on our Trust website, including staffing levels, infection rates and specialty outcomes.

Be accurate and open in reporting our achievements or challenges in improving patient safety in our annual Quality Account.

Articulate and publicly display our yearly Quality Priorities at Trust, Division and Directorate level throughout the organisation and monitor and publicly report progress with these.

4. Collaborate

Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use.

We will be active participants in the Oxford Academic Health Sciences Network and Patient Safety Collaborative.

Continue collaborative working with local education commissioners and providers including Oxford University, Oxford Brookes University and the Patient Safety Academy to ensure our students and staff are receiving educational programmes which support our ambitions for a workforce committed to patient safety.

Continue to work with our local primary health and social care partners to improve communication and take a system-wide approach to standardising care, streamlining patient pathways and reducing harm where possible.

Continue to work with partners in the Shelford Group of hospitals to share learning and best practice in delivering safe care and identify opportunities for further improvement.

5. Support

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.

We will provide training on incident reporting and investigation, quality improvement and Human Factors across the multidisciplinary team.

Improve our mechanisms for staff to hear of actions taken and lessons learned in response to incidents and near misses.

Continue our Listening into Action programme and apply at local (team-based) level to promote ownership for sustained quality improvement.

Continue to promote our Trust values of 'Delivering Compassionate Excellence'; encouraging the types of behaviours that support patient safety.

Undertake Values Based Interviewing to ensure we have a work-force who adopt a person-centred approach to providing safe and compassionate care.

Value staff through continuous professional development, appraisal, listening to feedback and recognising achievements through our 'Staff Recognition' and 'Good Thinking' reward schemes.

Improve compliance with Statutory and Mandatory Training to ensure all staff are knowledgeable in providing safe, quality care.