PATIENT SAFETY Time to act


The structural challenges to patient safety provided important background to a discussion on how it can be professionalised. Neal Jones, the assistant director of patient safety (human factors) at Royal Liverpool and Broadgreen University Hospitals NHS Trust, said there were four elements to professionalisation. He listed these as: “An understanding of human factors, and understanding of how to use them, an understanding of how to apply them to ourselves and our practice, and an understanding of how to apply them to our organisations.” Ultimately, though, he argued: “It is not enough to train people to spot traps in our systems. We need to change the environment. Expecting people to compensate for inadequacies in that environment is just not acceptable.” At the end of the day, Helen Hughes not only agreed, but said she hoped the conference would inspire the delegates and staff across the NHS to work with the Blueprint for Action and, of course, The Hub. “The theme of the day has been that it is time to take action,” she said. “We have launched The Hub to support staff, patients and everybody interested in patient safety in the UK. Now, we want people to use it, to contribute good practice, and to find out how they can embed this in their own organisations.”


References


1 http://www.nationalacademies.org/hmd/~/ media/Files/Report%20Files/1999/To-Err-is- Human/To%20Err%20is%20Human%201999% 20%20report%20brief.pdf


2 “An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the National Health Service” https://www.amazon.co.uk/Organisation-Memory- Learning-Adverse-National/dp/0113224419


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3 https://www.patientsafetylearning.org/resources/ blueprint


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4 https://www.patientsafetylearning.org/blog/ our-patient-safety-learning-platform-is-here


5 https://www.telegraph.co.uk/news/2019/10/02/ little-progress-nhs-patient-safety-past-20-years- says-chief/


6 https://www.patientsafetylearning.org/blog/ conference-focus-what-is-the-role-of- patients-in-creating-a-culture-of-patient- safety


7 https://www.england.nhs.uk/ourwork/clinical- policy/sepsis/nationalearlywarningscore/


8 https://careandhealthinformationexchange.org.uk/ Patient Tro


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