Northampton General Hospital NHS Trust Quality Account 2016-2017

We said we would:
Provide care that is safe by reducing harm through learning from errors within clinical teams.
What we achieved:
What: The Chief Medical Officers report (CMO 2008) explained in detail how simulation
in all its forms would be a vital part of building a safer healthcare system.
Literature reviews frequently inform practice describing how well simulation
training has worked in high risk organisations because it allow staff to practice
difficult scenario’s an learn technical and non-technical skills in relation to safety
and team work, providing the safest environments for their workers and public.
Whilst delivering simulation speciality training programmes since the Simulation
Suite in NGH has opened it has become apparent there were common themes
especially involving human factor skills.
A programme has been developed working closely with the wards to create a
bespoke session for each area that addressed human and system errors relating
to their individual issues addressed through Datix incident reports and any serious
incidents. The objectives of each session include communication, decision
making, situational awareness, task focus, escalation and challenging behaviours.
How Much:
We will measure the amount of ward staff attending an annual learning from
errors (LFE) session within the Simulation Suite. We aim for 50% of all ward
teams to attend LFE by 2018.
2014-2015 Outturn – 5% of ward staff have attended an LFE session
When:
Outcome:
LFE was designed and implemented in April 2015. Attendance is collated
quarterly and ward managers are informed of attendance levels.
The LFE sessions have now been running for nearly two years and showing a
gradual increase in attendance, however medical staff attendance remains low.
Point of care simulations were developed within Q2 of 2015-2016 with the aim of
addressing the theory from LFE in the classroom to practice in the ward situation.
These have been well received and the project has been further extended to a
collaborative piece of work with Northampton University to assess the difference
that LFE makes to practice. Our aim by the end of 2018 is to undertake one Point
of Care simulation each week.
The 2014–2015 outturn was recorded as 5% of ward staff had attended LFE.
In 2015–2016 - 33% of staff had attended LFE, which is a 28% increase from the
baseline
During 2016–2017 - 43% of staff have attended LFE (excluding March 2017),
which is a 43% increase above the baseline measurement.
Staff are encouraged to attend annually and the below graph is refreshed each
year to take this into account.
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