Patient Safety: Today's Challenges, Tomorrow's Opportunities

Total Page：16

File Type：pdf, Size：1020Kb

Patient Safety: today's challenges, tomorrow's opportunities Professor Sir Liam Donaldson Tuesday 10th November 2015, 1pm—2pm Michael Griffith Lecture Theatre, Heath Park, Cardiff CF14 4XN To attend: Please complete an online registration form: https://www.eventbrite.co.uk/e/prime-centre-wales-guest-lecture-sir-liam-donaldson-patient-safety-todays-challenges- tomorrows-tickets-18953279770 Professor Sir Liam Donaldson is recognised as an international champion of patient safety and public health. He was the foundation chair of the World Health Organisation World Alliance for Patient Safety, launched in 2004. He is a past vice-chairman of the World Health Organisation Executive Board. He is now the World Health Organisa- tion’s Envoy for Patient Safety and Chairman of the Independent Monitoring for the Polio Eradication Programme. In the UK, he is currently Chair of Health Policy at Imperial College London and Chancellor of Newcastle University. Prior to this appointment Sir Liam was the Chief Medical Officer for England, and the United Kingdom's Chief Medi- cal Adviser, from 1998-2010. During this time he held critical responsibilities across the whole field of public health and health care. As the United Kingdom's chief adviser on health issues, he advised the Secretary of State for Health, the Prime Minister and other government ministers. He has produced landmark reports which have set health policy and legislation in fields such as stem cell research, quality and safety of health care, infectious disease control, patient empowerment, poor clinical performance, smoke free public places, medical regulation, and organ and tissue retention. Sir Liam initially trained as a surgeon in Birmingham and went on to hold teaching and research posts at the Uni- versity of Leicester. In 1986, he was appointed Regional Medical Officer and Regional Director of Public Health for the Northern Regional Health Authority. .

Copy Link

Recommended publications

February 2010 the NEWSLETTER for ENT PROFESSIONALS
ENT•UK BRITISH ASSOCIATION OF OTOLARYNGOLOGISTS HEAD AND NECK SURGEONS www.ENTUK.org Vol. 20, No. 1, February 2010 THE NEWSLETTER FOR ENT PROFESSIONALS Vote early and vote often Contents Tony Narula Vote early and vote often aving been elected to the have dried up follow- Council of the Royal Col- ing the change in immigration Managers- lege of Surgeons in 2004 rules last year. it is time to take stock of don‟t you just love them? H what is going on in the medico- SAFETY political landscape as I seek re- Patient safety is the new buzzword Procedure Based election in early 2010. being used by everyone from Sir Assessments (PBAs) Liam Donaldson downwards EWTD (upwards?). It‟s a bit like mother- Members of ENT-UK will have seen hood and apple pie: everyone is in Independent practice acres of comment on this issue. favour of this but being in favour survey Especially from the President of doesn‟t make it happen. All sorts the RCS John Black. I have fully of new institutions have sprung up Notes supported his stance that rules like the National Patient Safety introduced to protect truck drivers Agency to protect the public. Re- Goodbye to All That or production line workers are not validation also comes into this appropriate for professionals. On (see later). In fact Safety will be- the other hand no-one can deny come a fig-leaf to close hospitals. English college council that in certain specialties (eg The CEO of the NHS has said quite report 2009 Emergency Medicine, Obstetrics) explicitly that he wants to transfer prolonged hours are unreason- huge swathes of activity into the ENT UK charitable able.
[Show full text]
To: Sir Liam Donaldson Chair, WHO World Alliance for Patient Safety World Health Organization IER/PSP 20 Avenue Appia CH-1211 Geneva 27 Switzerland
To: Sir Liam Donaldson Chair, WHO World Alliance for Patient Safety World Health Organization IER/PSP 20 Avenue Appia CH-1211 Geneva 27 Switzerland As surgery is an integral part of health care and a major public health concern, and whilst the volume of surgery is rapidly growing worldwide, the California Hospital Association welcomes the new "Safe Surgery Saves Lives" initiative of the World Health Organization's (WHO) World Alliance for Patient Safety, which for the first time, addresses patient safety in surgical care as a matter of global importance. The California Hospital Association considers the improvement of surgical safety as essential to public health and endorses the concept of the "WHO Surgical Safety Checklist". The Checklist aims to support surgical teams anywhere in the world to ensure that patients undergo the right operation, at the correct body site, with safe anesthesia, established infection prevention measures, and effective teamwork for safer care. The California Hospital Association also supports the establishment of "Surgical Vital Statistics" requesting that countries track surgical volume and in-hospital surgical death rates. The importance of concerted unified action in these areas cannot be overstated. Together, we can prevent hundreds of thousands of deaths and complications from surgery on a global level. The California Hospital Association, therefore, strongly supports the "Safe Surgery Saves Lives" initiative and congratulates WHO on making it possible for all stakeholders to move in this direction. Date: February 12, 2009 Signature: ___________________________________ Name/Title: C. Duane Dauner, President/CEO .
[Show full text]
Patient Safety Collaborative
OXFORD AHSN Patient Safety Collaborative OCTOBER 2014 Oxford Academic Health Science Network Foreword Place the quality of patient care, especially patient safety, above all other aims FROM: A promise to learn – a commitment to act: Improving the safety of patients in England by the National Advisory Group on the safety of patients in England (the Berwick Review), August 2013. Patient safety is a priority for the Oxford Academic Health Science Network and for all our partner organisations. This document showcases some of the good work to enhance safety already established in our region based on priorities determined by patients, families and NHS staff. Our new Patient Safety Collaborative has a vital role to play in developing new programmes, coordinating patient safety initiatives and evaluating their impact across the region to make sure that patients receive safe, high quality care wherever they are seen and whatever treatment they receive. Professor Gary A Ford, CBE CHIEF EXECUTIVE OFFICER, OXFORD AHSN CONTRIBUTORS TO THIS DOCUMENT INCLUDE • Charles Vincent (PSC Lead) • Helen Mackenzie (Berkshire Healthcare NHS Foundation Trust) • Peter McCulloch (Oxford AHSN Patient Safety Academy) • Will Pank (Oxford AHSN Best Care Programme Manager) • Emma Vaux (Royal Berkshire NHS Foundation Trust & Patient • Simon Pizzey (Oxford AHSN Informatics Lead) Safety Federation) • Susan Procter (Buckinghamshire New University) • Jill Bailey (Oxford Health NHS Foundation Trust) • Sarah Pyne (Oxford AHSN PPIEE Manager) • Paul Durrands (Oxford AHSN Chief
[Show full text]
Book Reviews
book reviews The nation’s doctor: the role of the Chief Medical Officer for working men. Morant, appointed to launch the new scheme, 1855–1998 needed to enlist the support of the medical profession. The general Sally Sheard and Sir Liam Donaldson. Radcliffe Publishing practitioners (GPs), however, had been stirred into opposition by in association with The Nuffield Trust, Oxford, 2005. the BMA. Morant joined forces with Dr Christopher Addison, a 264pp. £40.00 Liberal MP and Dean of St Bartholomew’s Hospital Medical School, and together they successfully enrolled doctors for the scheme. Sally Sheard, Senior Lecturer in the history of medicine at Liverpool From 1911, Addison, Morant and Newman worked towards the University, and Sir Liam Donaldson, Chief Medical Officer, creation of a Ministry of Health. Morant, a member of the Department of Health (DH), have collaborated to review the evolu- Machinery of Government Committee, produced the design and tion and development of the role of the Chief Medical Officer Addison, Minister of Reconstruction in the Wartime Coalition (CMO). Their book is not organised chronologically or biographi- Government, brought in the bill for the new ministry in November cally (although at the end there are vignettes of all holders of the 1918. The ministry was established in July 1919 with Addison as office) but rather by themes. Their account closes in 1998, a year minister, Morant as permanent secretary and Newman as the first after the return of the Labour government, with the retirement of CMO. The LGB, which had consistently opposed the creation of the Donaldson’s immediate predecessor, Sir Kenneth Calman.
[Show full text]
Characterising the Nature of Primary Care Patient Safety Incident Reports
Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice Andrew Carson-Stevens,1,2,3* Peter Hibbert,4 Huw Williams,1 Huw Prosser Evans,1 Alison Cooper,1 Philippa Rees,1 Anita Deakin,5 Emma Shiels,1 Russell Gibson,1 Amy Butlin,1 Ben Carter,6 Donna Luff,7 Gareth Parry,7,8 Meredith Makeham,4 Paul McEnhill,1 Hope Olivia Ward,1 Raymond Samuriwo,1,9 Anthony Avery,10 Antony Chuter,11 Liam Donaldson,12 Sharon Mayor,13 Sukhmeet Panesar,14 Aziz Sheikh,7,15 Fiona Wood1 and Adrian Edwards1,2 1Primary Care Patient Safety (PISA) Research Group, Division of Population Medicine, Cardiff University, Cardiff, UK 2Wales Primary and Emergency Care (PRIME) Research Centre, Cardiff University, Cardiff, UK 3Department of Family Practice, University of British Columbia, Vancouver, BC, Canada 4Australian Institute for Health Innovation (AIHI), Macquarie University, Sydney, NSW, Australia 5Australian Patient Safety Foundation, University of South Australia, Adelaide, SA, Australia 6Centre for Medical Education, Cardiff University, Cardiff, UK 7Harvard Medical School, Harvard University, Boston, MA, USA 8Institute for Healthcare Improvement (IHI), Cambridge, MA, USA 9School of Healthcare Sciences, Cardiff University, Cardiff, UK 10Division of Primary Care, University of Nottingham, Nottingham, UK 11Independent patient 12Department of Surgery and Cancer, Imperial College London, London, UK 13Division of Population Medicine, Cardiff University, Cardiff, UK 14Department of Medicine, Baylor College of Medicine, Houston, TX, USA 15Centre for Medical Informatics, University of Edinburgh, Edinburgh, UK *Corresponding author Declared competing interests of authors: Sir Liam Donaldson was the chairperson of the National Patient Safety Agency (NPSA) (2010–12) and is currently involved in the programme of research associated with the National Reporting and Learning System (NRLS).
[Show full text]
Report on NICE Citizens' Council Meeting, June
Report on NICE Citizens Council meeting Patient Safety 7 – 9 June 2007 1 Contents Foreword 3 What NICE asked us to consider 4 The conclusions we reached 4 How we worked 5 What we heard and what we did 5 Appendix 1 - Case study: some solutions to hospital acquired infections 18 Appendix 2 - Case study: preventing falls in hospital 20 Appendix 3 - Tracking Questionnaire Results 24 Appendix 4 - Tracking Questionnaire 27 Appendix 5 - The Question 29 Appendix 6 - The Agenda 35 Appendix 7 - Speaker Biographies 38 Appendix 8 - The Council Members 44 2 Foreword The National Institute for Health and Clinical Excellence (NICE) exists to advise clinical and public health professionals on promoting good health and preventing and treating ill health. The Institute and its advisory bodies base their conclusions on the best available evidence. In doing so, however, they also have to make scientific and social value judgments. The Institute and its advisory bodies are well qualified to make scientific judgments but have no special legitimacy to impose their own social values on the National Health Service (NHS) and its patients. These, NICE believe, should broadly reflect the values of the population who both use the service (as patients) and who ultimately provide it (as taxpayers). NICE therefore established a Citizens Council, in 2002, to help provide advice about the social values that should underpin the Institute’s guidance. Their views are incorporated into a guideline for NICE’s advisory bodies: Social Value Judgements. The members of the Council reflect the demography of the English and Welsh populations. They serve for three years with one third retiring annually.
[Show full text]
Welcome Congratulations in the News General News And
May 2010 Research and Development Department WELCOME We are delighted to welcome to the Department Anna Pollard and Nicola Latchem. Anna is our new part- time Governance Officer covering Esther’s maternity leave. (Esther gave birth to a son, Isaac Alexander, on 2 May - mother and baby are both doing well.) Nicola is the Trust solicitor and was formerly located in the Legal Services Team drafting and reviewing research contracts. She now has an office in the R&D Department and we hope this will help her to work with the R&D team to streamline the contractual process. Nicola maintains her line management through Legal Services. CONGRATULATIONS Congratulations to Dr A. V. Ramanan on his promotion to Honorary Reader. Dr Ramanan is Lead Consultant in Paediatric Rheumatology at the Bristol Royal Hospital for Children and the Royal National Hospital for Rheumatic Diseases. IN THE NEWS First newborn in the world to receive xenon gas in a bid to prevent brain injury: St Michael’s Hospital has become the first hospital in the world to successfully deliver xenon gas to a newborn baby in a bid to prevent brain injury following a lack of oxygen at birth. This pioneering technique has been developed by Marianne Thoresen, Professor of Neonatal Neuroscience at the University of Bristol and Dr John Dingley, Consultant Anaesthetist and Reader in Anaesthetics at Swansea University’s School of Medicine. This study is being funded by Sparks, the children’s medical research charity. 3D puzzle to mend broken bones: Dr Sanja Dogramadzi, an engineer from Bristol Robotics Laboratory at the University of the West of England working in consultation with Professor Roger Atkins will use CT scans of healthy and fractured joints to work out the mathematical algorithm for the exact displacement and rotation needed for each fragment to be put back together in exactly the right place.
[Show full text]
Investigating Clinical Incidents in the NHS
House of Commons Public Administration Select Committee Investigating clinical incidents in the NHS Sixth Report of Session 2014–15 Report, together with formal minutes relating to the report Ordered by the House of Commons to be printed 24 March 2015 HC 886 Published on 27 March 2015 by authority of the House of Commons London: The Stationery Office Limited £0.00 The Public Administration Select Committee The Public Administration Select Committee (PASC) is appointed by the House of Commons to examine the reports of the Parliamentary Commissioner for Administration and the Health Service Commissioner for England, which are laid before this House, and matters in connection therewith, and to consider matters relating to the quality and standards of administration provided by Civil Service departments, and other matters relating to the Civil Service. Current membership Mr Bernard Jenkin MP (Conservative, Harwich and North Essex) (Chair) Mr Nigel Evans MP (Conservative, Ribble Valley) Paul Flynn MP (Labour, Newport West) Mrs Cheryl Gillan MP (Conservative, Chesham and Amersham) Sheila Gilmore MP (Labour, Edinburgh East) David Heyes MP (Labour, Ashton under Lyne) Mr Adam Holloway MP (Conservative, Gravesham) Kelvin Hopkins MP (Labour, Luton North) Greg Mulholland MP (Liberal Democrat, Leeds North West) Lindsay Roy MP (Labour, Glenrothes) Mr Andrew Turner MP (Conservative, Isle of Wight) Powers The Committee is one of the departmental select committees, the powers of which are set out in House of Commons Standing Orders, principally in SO No 146. These are available on the internet via www.parliament.uk/. Publication Committee reports are published on the Committee’s website at www.parliament.uk/pasc and by The Stationery Office by Order of the House.
[Show full text]
Sir Liam DONALDSON Chief Medical Officer Department of Health, UK
Sir Liam DONALDSON Chief Medical Officer Department of Health, UK The Chief Medical Officer for England is often referred to as the Nation's Doctor. Sir Liam Donaldson has held this historic post since 1998, only the 15th person to do so since the first Chief Medical Officer was appointed as a response to the cholera epidemics that swept Victorian England. In keeping with the traditions of the post, Sir Liam holds critical responsibilities across the whole field of health and health care. He is also the United Kingdom's chief adviser on health issues and advises the Secretary of State for Health, the Prime Minister and other government Ministers. He represents the United Kingdom in international fora including the World Health Organization. Since coming into post, Sir Liam has created landmark reports aimed at radically transforming important areas of health care, for example (links to these documents can be found at the end of this document): • the country's first comprehensive health protection strategy (Getting ahead of the curve); • legislative change in relation to organ and tissue retention (The removal, retention and use of human organs and tissue from post-mortem examination); • new legislation to permit regulated use of stem cells for research (Stem cell research: Medical progress with responsibility); • poor clinical performance (Supporting doctors, protecting patients); • patient safety (An organisation with a memory); • empowering patient self-management of chronic disease (The expert patient: a new approach to chronic disease management for the 21st century); • reform of the current system of clinical negligence (Making amends); • creation of a new system of training for doctors in the early years after qualifying (Unfinished Business - proposals for reform of the Senior House Officer grade); • the strengthening of the public health function (Report of the CMO's project to strengthen the public health function); • and action plans in key areas of infectious disease control such as tuberculosis, West Nile fever and health care associated infection.
[Show full text]
Best and Safest Care
STRICTLY CONFIDENTIAL Best and Safest Care REPORT ON THE QUALITY AND PATIENT SAFETY NATIONAL WORKSTREAM OF THE NHS NEXT STAGE REVIEW The Chief Medical Officer and his team. March 2008 CONTENTS FOREWORD 3 EXECUTIVE SUMMARY 4 ABOUT THE REPORT 6 THE CASE FOR QUALITY THE NHS QUALITY JOURNEY SO FAR 7 WHERE WE ARE NOW 10 WHERE WE WILL BE IN 10 YEARS 10 WHY CHANGE? 10 INTERNATIONAL COMMISSIONS 11 HIGH PERFORMING SERVICES 17 RECOMMENDATIONS THE 14 RECOMMENDATIONS IN SUMMARY FORM 22 THE 14 RECOMMENDATIONS IN-DEPTH 24 PERSPECTIVES 38 APPENDICES THE CURRENT QUALITY LANDSCAPE 47 STANDARDS: TERMINOLOGY, TAXONOMY AND USE 57 PRINCIPLES OF THE NHS 59 RELATIONSHIPS WITH THE FUNCTIONS OF THE INSTITUTE OF MEDICINE NATIONAL QUALITY AND SAFETY FORUM NEVER EVENTS 62 PUBLIC CONSULTATIONS 63 2 FOREWORD Over the last ten years, there have been major improvements in the NHS resulting in better access and more choice for patients, clear management accountability, more freedom for local services to plan and innovate as well as a more transparent financial regime. There have been substantial increases in the resources devoted to the NHS – financial, workforce, information technology and equipment. The next steps of reform need to place quality and safety of care at the heart of the NHS – its policies, its plans, the ways its services are designed, delivered and funded. A key element of the transformation required is inspiring, motivating and empowering local clinical teams to assure and improve the quality and safety of the services they provide to patients. Each of the high performing teams we have studied as part of the work for the Next Stage Review has displayed extraordinary clinical leadership, coupled with a hunger to achieve excellence and a curiosity to find out how the team is performing compared to the best.
[Show full text]
Global Expert Consultation on the WHO Framework on Patient And
EB121/2007/REC/1 Service Delivery and Safety Department, World Health Organization and The Gordon and Betty Moore Foundation EXECUTIVE BOARD, 121 BOARD, EXECUTIVE Global Expert Consultation on the WHO Framework on Patient and ST SESSION: SUMMARY RECORDS SUMMARY SESSION: Family Engagement 27-28 October 2014 WHO, Geneva Switzerland MEETING REPORT Acknowledgements This report summarizes the proceedings, presentations and discussions related to, or those that took place during the global expert consultation on the WHO Framework on Patient and Family Engagement. The expert consultation was jointly hosted by the WHO Department of Service Delivery and Safety (SDS) and the Gordon and Betty Moore Foundation (GBMF or the Moore Foundation), under the guidance of the WHO Framework on Patient and Family Engagement project Advisory Group, which includes Sir Liam Donaldson (Chair), Susan Baade, Dominick Frosch, Edward Kelley, Vivian Lin, Hernan Montenegro, Margaret Murphy and Nittita Prasopa-Plaizier. The writing team for this report included Nittita Prasopa-Plaizier, Felicity Pocklington, Katherine Hayes, Katthyana Aparicio, Susan Baade and Edward Kelley and it was edited by Laura Pearson. Gabriella Garcia Castillejos and Sorin Banica provided administrative support. Contributions in the form of presentations came from Kristin Carman, Peter Carter, Neelam Dhingra-Kumar, Susan Frampton, Dominick Frosch, Jonas Gonseth, Denice Klavano, Piyawan Limpunyalert, Vivian Lin, Kadar Marikar, Hernan Montenegro, Nittita Prasopa-Plaizier, Sue Sheridan and Shams Syed. The facilitators and rapporteurs of the different working groups were Bruce Agins, Susan Baade, Angela Coulter, Dominick Frosch, Hussain Jafri, Kadar Marikar, Stephanie Newell, Luisa Pettigrew and Sue Sheridan. The contents are based on the detailed transcripts of the Consultation and the existing information produced by WHO as part of the Consultation proceedings.
[Show full text]
From Newcastle. for Alumni. INSIDE
ISSUE 21 | AUTUMN 2019 Arches INSIDE: Power to the people Cold war on waste Igniting the NCL spark From Newcastle. For alumni. CONTENTS NEWS & FEATURES ALUMNI BENEFITS 3-4. 23–24. Thank you Chancellor Skills for success 5–6. 25. Honorary degrees: Igniting the spark Summer 2019 26. 7–8. Going out to work Waging cold war on plastic waste 9–10. PHILANTHROPY Power to the people 27–28. We’re proud of the achievements of the 11–12. Building excellence: University and our alumni community and NUMed Malaysia’s Sir Terry Farrell enjoy taking this opportunity to celebrate decade of excellence 29–30. these ongoing successes with you. Catalyst for change: Helen McArdle CBE As the University continues to drive ALUMNI towards its Vision of harnessing academic COMMUNITY 31. excellence, innovation and creativity to Professor solve some of the greatest challenges 13–15. Jimmy Steele facing society today, we’ve created a Class notes Memorial Fund new style for your magazine to reflect this global ambition. 16. From Newcastle. 32. Opportunity knocks We hope you enjoy the read! For the world. 17–18. Alumni are the 33–34. It’s good to pride of Newcastle keep in touch 19–20. Alumni events TERI WISHART 21–22. • Director of Advancement Staying connected • Society spotlight Photography by: AllMarkOne, Jeffrey Cheng, Dru Dodd, John Donoghue, Mohd Hanafiah Kamaruzzaman, Eleanor Killner, Lightbox, John Millard Photography, Tempest Photography Designed by: Altogether, Newcastle upon Tyne. Masitano Sichone, Printed by: Statex Colour Print. Freya Tweedy, Mike Urwin, ©Newcastle University, 2019 Simon Veit-Wilson, The University of Newcastle upon Tyne Wardour, Jooney Woodward, trading as Newcastle University Thomas Yong 1 Newcastle University alumni magazine FOREWORD Arches There has never been a more Our alumni continue to remain vital to the academic, personal, and professional exciting time to be part of development of Newcastle.
[Show full text]