Incident reporting driving a co-produced primary care improvement agenda for Australia | Event | AIHI - Australian Institute of Health Innovation
Incident reporting driving a co-produced primary care improvement agenda for Australia
Ask any healthcare professional how would they improve healthcare and they’ll tell you about the time a patient had a less than optimal experience and what they would do differently if they were in charge. Their story represents an opportunity for the system – in some way – to learn something from their experience. Thousands of potential patient safety incidents occur everyday within the NHS. The England and Wales National Reporting and Learning System has now accrued over 10 million reports in over a decade and is the largest patient safety incident reporting system. Yet, only around a quarter of a million reports describe issues occurring in primary care, where paradoxically the majority of healthcare encounters for patients occur in most developed nations. Analysis of such reports represents an opportunity to begin to co-produce a quality improvement agenda with primary care professionals.
The Primary Care Patient Safety (PISA) Research Group at Cardiff University, in collaboration with AIHI and others (Edinburgh, Nottingham, Imperial College, London, and Harvard), has characterised over 30,000 incident reports to identify the most common and most harmful issues, and identify the learning opportunities that can inform the basis of designs of improvement initiatives. i.e. use the ideas from healthcare professionals to ‘drive’ improvement at a local and national level.
The WHO has recognised the need, and has pledged commitment, to advance the primary care safety and improvement agenda. We will discuss how the insights gained from work led at Cardiff and previously by Makeham’s Threats to Australian Patient Safety (TAPS) study, could maximise opportunities ahead to lead on advancing the primary care safety and improvement agenda in Australia and internationally.
Dr Andrew Carson-Stevens BSc (Hons) MB BCh MPhil is a practicing medical doctor in South Wales, UK. He leads the PISA Research Group at Cardiff University where he is completing his PhD thesis. He is the Patient Safety Research Leader at the all-Wales, Welsh Government funded Primary and Emergency Care Research (PRIME) Centre; Visiting Fellow at the Australian Institute of Health Innovation, Macquarie University; Visiting Chair of Healthcare Improvement at the Department of Family Practice, Faculty of Medicine, University of British Columbia; and Honorary Professor at the Institute of Healthcare Policy and Practice at the University of the West of Scotland.
He is a former Harvard Macy Scholar, an Institute for Healthcare Improvement (IHI)-trained Improvement Advisor, is the UK & Ireland Faculty Lead for the Institute for Healthcare Improvement’s Open School for Health Professions, and is co-editor of the Patient Safety and Healthcare Improvement At a Glance textbook (Wiley-Blackwell).
Since December 2013, he has secured >£3.75Million of research grant capture and secured two prestigious Research Fellowships (Winston Churchill Memorial Trust Fellow, 2013-2015; University of British Columbia Peter Wall Scholar, 2015-16) and was named a 2014 NHS Rising Star in the Health Service Journal.
Date: 24 September 2015
Time: 12pm – 1pm
Venue: Level 1, 75 Talavera Road, Macquarie University
Chairperson: Mr Peter Hibbert