PatientSafetyCollaborative

National Patient Safety Collaborative Programme

The National Patient Safety Collaborative Programme (NPSCP) is the largest safety initiative in the history of the NHS, supporting and encouraging a culture of safety, continuous learning and improvement across the health and care system. The NPSCP is funded by NHS Improvement.

Eastern Patient Safety Collaborative (PSC)

The Eastern PSC works with acute, non-acute and community settings in the region, with a focus on four nationally set priorities:

  • Deterioration
  • Maternal and Neonatal Health Safety Collaborative
  • Medicine Safety
  • Adoption and spread
    – Emergency laparotomy care bundle
    – PReCePT
    – Emergency department safety checklist
    – Chronic Obstructive Pulmonary Disease (COPD) discharge care bundle

Deterioration

Failure to identify deterioration of a patient’s condition quickly can lead to delays in care and, in some cases, patient harm. To get the best outcomes for patients who may be at risk of or experiencing physical deterioration in acute and community settings, we work with organisations to support the testing of NEWS2 which advocates a system to standardize the assessment and response to acute illness. We are also testing other approaches to recognise deterioration such as soft signs plus SBAR and Safety Huddles to improve response to deterioration.

 

Maternal and Neonatal Health Safety Collaborative

This is a three-year national programme, launched in February 2017 and delivered locally in partnership with PSCs to:

  • Support maternal and neonatal care services to provide a safe, reliable and quality healthcare experience to all women, babies and families across maternity care settings in England.
  • Create the conditions for continuous improvement, a safety culture and a neonatal maternal and neonatal learning system.
  • Contribute to the national ambition of reducing the rates of maternal and neonatal deaths, stillbirths and injuries.


Medicines Safety
Programme details will be announced in due course.

 

Adoption and spread of tested interventions

Good ideas are worth sharing and each PSC is improving the safety and outcomes of patients by effectively and quickly sharing, spreading and adopting tested evidence-based practice, products and tools across England. We are focused on four priority interventions:

  • Emergency laparotomy care bundle: An emergency laparotomy is a surgical operation that is used for people with severe abdominal pain to find the cause of the problem and in many cases to treat it. As it is an emergency procedure, complications are common. The laparotomy care bundle includes a six-part care bundle for acute trusts, which have been shown to improve mortality and reduce length of stay in hospital.
  • PReCePT: Preterm birth is the leading cause of brain injury and cerebral palsy, which has a lifelong impact on children and families. PReCePT, which stands for the Prevention of Cerebral Palsy in PreTerm Labour, has been designed to help reduce cerebral palsy in babies by administering magnesium sulphate (MgSO4) to mothers during preterm labour. The Eastern PSC has been supporting the uptake of magnesium sulphate for pre-term mothers under 30 weeks in maternity units.
  • Emergency department checklist: The emergency department (ED) patient safety checklist is a simple time-based framework that outlines clinical tasks that need completing for each patient in the first hours of their admittance to an emergency department. It ensures that assessments and tests happen in a timely way to improve patient satisfaction and reduce risks. We are working to spread the emergency department checklist across all level one adult emergency departments in the region.
  • COPD discharge care bundle: We are embedding the Chronic Obstructive Pulmonary Disease (COPD) discharge care bundle across acute trusts in the region. The bundle describes five high impact actions to ensure the best clinical outcome for patients admitted with an acute exacerbation as a result of COPD (AECOPD). The aim is to reduce the number of patients who are readmitted following discharge after an acute exacerbation and to ensure that all aspects of the patients care is considered.

For more information on any of the programmes and how to roll them out in your organisation, please contact us by emailing improvement@eahsn.org




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