09.00 Registraon & poster set up 10.15 - 10.45 The science and art of improvement: shiſting the balance from evangelism to evidence John Wright, Director Bradford Instute of Health Research & Clinical Director Improvement Academy 11.00 - 12.15 Breakout sessions (choose one session below) A1. ‘Changing behaviour one conversaon at a me’ A2. QI Basics workshop A3. Return on Investment and the cost effecveness of improvement A4. PRASE: Paent Reporng and Acon for Safer Environment A5. Paent Engagement in Improvement and Paent Safety A6. Paent Safety and Human Factors A7. Developing, evaluang and improving healthcare quality improvement 12.15 Comfort break 12.30 - 13.00 Are we really improving the safety of our paents? The naonal picture Mike Durkin, Director of Paent Safety, NHS England 13.00 Lunch & poster viewing 14.15 – 14.45 To do the service no harm: assessing the quality of health care Nick Black, Chair, Naonal Advisory Group for Clinical Audit and Enquiries & Professor of Health Service Research 14.45 – 15.15 Why is it so difficult to stop making mistakes and harming paents? Henry Marsh, Neurosurgeon, Paent Safety Expert and author of ‘Do No Harm’ 15.15 Refreshments & poster viewing 15.45 - 17.00 Breakout sessions (choose one session below) B1. Lego workshop: how to involve people in authenc and meaningful co-producon B2. Innovave approaches to improvement B3. Using data to drive improvement and improve care: the Falls and Fragility Fracture Audit Programme B4. How can I make paent safety huddle work for my area? B5. Measurement and Monitoring of safety: using the Vincent framework B6. Learning from hospital deaths: from case note review to improvement B7. Improvement Labs 17.00 – 17.30 The Naonal Mortality Case Record Review Programme: From Mortality Review to Quality Improvement Dr Kevin Stewart, Clinical Director CEEU and Dr Andrew Gibson, Clinical Lead for the NMCRR Programme RCP The Naonal Mortality Case Record Review Programme: The Official Naonal Launch. Hosted by the Royal College of Physicians “The UK’s first naonal conference about evidence- based Improvement in Healthcare” Day 1—Monday 21 st November 2016 Harrogate Internaonal Conference Centre, Yorkshire, UK
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09.00 Registration & poster set up
10.15
-
10.45
The science and art of improvement: shifting the balance from evangelism to evidence
John Wright, Director Bradford Institute of Health Research & Clinical Director Improvement Academy
11.00
-
12.15
Breakout sessions (choose one session below)
A1. ‘Changing behaviour one conversation at a time’
A2. QI Basics workshop
A3. Return on Investment and the cost effectiveness of improvement
A4. PRASE: Patient Reporting and Action for Safer Environment
A5. Patient Engagement in Improvement and Patient Safety
A6. Patient Safety and Human Factors
A7. Developing, evaluating and improving healthcare quality
improvement
12.15 Comfort break
12.30
-
13.00
Are we really improving the safety of our patients? The national picture
Mike Durkin, Director of Patient Safety, NHS England
13.00 Lunch & poster viewing
14.15 – 14.45
To do the service no harm: assessing the quality of health care
Nick Black, Chair, National Advisory Group for Clinical Audit and Enquiries & Professor of Health Service Research
14.45
–
15.15
Why is it so difficult to stop making mistakes and harming patients?
Henry Marsh, Neurosurgeon, Patient Safety Expert and author of ‘Do No Harm’
15.15 Refreshments & poster viewing
15.45
-
17.00
Breakout sessions (choose one session below)
B1. Lego workshop: how to involve people in authentic and meaningful co-production
B2. Innovative approaches to improvement
B3. Using data to drive improvement and improve care: the Falls and Fragility Fracture Audit Programme
B4. How can I make patient safety huddle work for my area?
B5. Measurement and Monitoring of safety: using the Vincent framework
B6. Learning from hospital deaths: from case note review to improvement
B7. Improvement Labs
17.00 – 17.30
The National Mortality Case Record Review Programme: From Mortality Review to Quality Improvement
Dr Kevin Stewart, Clinical Director CEEU and Dr Andrew Gibson, Clinical Lead for the NMCRR Programme RCP
The National Mortality Case Record Review Programme: The Official National Launch.
Hosted by the Royal College of Physicians
“The UK’s first national conference about evidence-
based Improvement in Healthcare”
Day 1—Monday 21st November 2016
Harrogate International Conference Centre, Yorkshire,
UK
A1. Changing behaviour one conversation at a time
A2. Building QI capacity across the region: the Im-provement Academy’s story so far
A3. Return on Investment, cost effectiveness of
improvement
A workshop to explore different methods to create
‘safe’ safety conversations.
Suzette Woodwood, Director—Sign up to Safety
campaign
This workshop is an opportunity to share examples of
methods, tools and techniques that engage multidiscipli-
nary teams in Quality Improvement initiatives.
Dr John Bibby, Quality Training Advisor
Building Quality Improvement capacity & capability
through an improvement movement in an Acute Hospital
setting
Andrew Seaton, Director of Safety, Gloucestershire Hospitals
NHS Foundation Trust. UK
Victoria Collins, Safety Improvement Practice Educator,
Gloucestershire Hospitals NHS Foundation Trust. UK
Improving the care of osteoarthritis in primary care: An
evaluation of a new practitioner role
Andrew Walker (Innovation Fellow) Health Innovation Network
(South London’s AHSN), St George’s, University of London & King-
ston University et al
Economics of implementation based quality improvement
in healthcare for non-economists.
Professor Carl Thompson, Chair in Applied Health Research, School
of Healthcare, University of Leeds.
Social Return On Investment (SROI): An approach to cost-
benefit analysis for improvement in health and social care?
Fay Sibley (Darzi Fellow), Health Innovation Network (South Lon-
don’s AHSN) et al.
A7.Developing, evaluating and improving healthcare quality improvement
This workshop will how Social science can contribute to developing, evaluating and improving healthcare quality improvement.
Explore the current state of the evidence base for healthcare improvement,
Discuss the consequences for efforts to improve quality,
And look at what we should do about it.
Graham Martin, Professor of Health Organization and Policy,
SAPPHIRE Group, Department of Health Sciences, University of Leicester,
Breakout Session A
Day 1, Monday 21st November, 11.00 – 12.15
Format: Workshops Format: Workshop and Case Study Format: Presentation sessions
A4. PRASE: Patient Reporting and Action for a Safer Environment
A5. Patient Engagement in Improvement and Patient Safety
A6. Patient Safety and Human Factors
This workshop will present the development, testing and
evaluation of the PRASE intervention (Patient Reporting
and Action for a Safe Environment).
We will describe the co-design of theory-based measure-
ment tools to capture the patient perspective of the safety
of care. Following this, we will present the results of a large
randomised controlled trial across 33 wards in three NHS
trusts within the north of England.
Finally, we will discuss the findings from the qualitative pro-
cess evaluation, including staff engagement with the inter-
vention and challenges of making patient-centred service
improvement.
Jane O’Hara, Lecturer in Patient Safety and Improvement Sci-
ence, Bradford Institute for Health Research/University of Leeds,
UK
Laura Sheard, Senior Research Fellow, Bradford Institute for
Health Research
Rebecca Lawton, Director of Yorkshire Quality and Safety Re-
search Group
Sally-Anne Wilson PRASE Dissemination Manager
Making use of patient experience feedback data: perspec-
tives of ward based staff
Rosemary Peacock, Senior Research Fellow, Bradford Institute for Health
Research, et al.
Can Patients be the ‘smoke detectors’ for the NHS? What
Patients tell us about safety within 3 Yorkshire and Humber
NHS Trusts
Sally Moore, Patient Safety Research Nurse, Bradford Institute for Health
Research, Temple Bank House, Bradford Royal Infirmary et al.
Enhancing safety in maternity care: using social media to
tackle maternal obesity
Michaela Senek, PhD Researcher, Hora Soltani, Professor in Maternal and
Infant Health, Madelynne Arden, Professor of Health Psychology, Tom Far-
rell Professor, Consultant Gynaecologist, David Rogerson, Phd Sport Nutri-
tionist
Patient involvement in diagnosing cancer earlier in primary
care: potential strategies and key components
Dr Jane Heyhoe, Senior Research Fellow,, Bradford Institute for Health Re-
search, et al.
Preventing dehydration by the early identification of
patients with low fluid intake: The Jug Round.
Emma Cullingworth (HCA), William Lea (Clinical Leadership Fellow),
Janet Meggitt (ACP), Elaine Wagg (HCA), Amanda Ward (Sister), York
Teaching Hospital NHS Foundation Trust
Using Behavioural Theory to improve Sepsis 6
Improvement
Caitriona Stapleton- Patient Safety Programme , RFL Foundation
Trust et al.
How can I implement human factors into practice
Wayne Robson (Patient Safety Lead – Barnsley Hospital NHS Founda-
B1. Lego workshop: how to involve people in au-thentic and meaningful co-production
B2. Innovative approaches to improvement
B3. Using data to drive improvement and improve care:
the Falls and Fragility Fracture Audit
Co-production is a Zeitgiest theme within Healthcare inno-vation work from a policy level, to research and right onto frontline service improvement work. Many different terms are associated with it; PPI, participation, co-design, co-creation. Yet much of the activity that comes under this broad umbrella could probably be defined as tokenistic in the worst case scenarios and in the best and most well in-tentioned cases, not achieving its full potential.
We will use Lego and the Lego Serious Play Methodology to demonstrate creative, participatory ways of involving peo-ple in research and improvement work. Through the ‘doing’ of a Lego Serious Play workshop you will experience the benefits of co-production conducted in this way. You will also get to keep a small Lego kit! Who says work, learning and conferences aren’t fun?
Dr Joe Langley Engineering Design Research Fellow at Sheffield
Hallam University
NIHR Knowledge Mobilisation Research Fellow, hosted by NIHR CLAHRC YH
Daniel Wolstenholme Visiting Research Fellow at Sheffield
Hallam University and Associate of Lab4Living
NIHR CLAHRC YH Theme Manager for Translating Knowledge to Action
The Airedale Vanguard project to enhance healthcare
in Care Homes using telemedicine: Early insights from
a novel developmental evaluation framework
Ms Rose Dunlop, Vanguard Evaluation Lead, Airedale NHS Trust, Dr
Eileen McDonach, Senior Researcher, on behalf of Yorkshire and
Humber Academic Health Science Network et al.
Using IHI Breakthrough Series Collaborative approach
to reduce in patient harm from falls
Mrs Geetika Singh, Patient Safety Programme Manager, Royal Free
London NHS Foundation Trust,
An innovative approach to fracture prevention using a
Mobile Bone Density Service
Hollick, RJ Health Services Research Unit et al.
Improving the meal time experience for in- patients
using dietetic students as meal volunteers
Vee LeBrunn, Clinical Nurse Educator and Helen Christodoulides
Head of Nursing, Acute Medicine CSU, Leeds Teaching Hospitals
Trust
This workshop from the Royal Collage of Physicians will demon-
strate a range of ways that data from a national clinical audit can
be used to support quality improvement activity in healthcare,
including
Informing commissioning: instigating change in the commis-
sioning of fracture liaison services utilising clinical champions
and data driven decision tools for commissioners.
Making quality improvement easy: data from the national audit
of inpatient falls driving QI in a secondary care setting
Monitoring continuous improvement: using the National Hip
Fracture Database
Empowering the patient: what do patients want from clinical
audit?
Chair: Dr Roz Stanley, CEEU operations director,
Speakers: Chris Boulton Project Manager, Vivienne Burgon Project Co-
ordinator RCP, Dr Shelagh O’Riordan Clinical Lead NAIF, Dr Kassim Javaid Clin-
ical Lead FLS-DB, Naomi Vasilakis Project Manager NAIF and FLS DB, Royal
Dr. Delia Pudney. Consultant Clinical Oncologist, ABM University
Health Board, Wales.
Healthcare professional’s attitudes towards involving
patients and their relatives in detecting clinical deterio-
ration in hospital
Abigail Albutt*; University of Leeds et al
What do patients see that staff don’t? Exploring the
experience of patients as observers within an experi-
ence based co-design project
Ms Liz Thorp (MSc, RGN), University of Leeds, Bradford Institute for
Health Research, Funded by the Health Foundation , England
Transformational Learning – enhancing practice in Pa-
tient-led patient safety teaching
Naomi Quinton, Dr, Leeds Institute of Medical Education, University of
Leeds, Leeds, UK, et al.
This workshop is a taster version of the Yorkshire and
Humber Improvement Academy popular “ABC for
Patient Safety”
Providing an opportunity to learn from leading re-
searchers in behaviour change. Interactive learning
and discussion will lead to improved understanding
and enhanced practice in improving patient safety
through behaviour change.
Dr Judith Dyson, Senior Lecturer Mental Health, Acting Head of
Department Psychological Health and Wellbeing, University of
Hull
C7. Learning from Hospital Mortality: The York-shire & Humber Experience.
Using Structured Judgment Case Note Review in CQC Mortality alert analysis
Mr Paul Curley, Deputy Medical Director, Mrs Kirstie McEnhill SRN, Lead Nurse for Quality, Medical Director’s Office, Mid Yorkshire Hos-pitals NHS Trust
Learning from mortality review in LTHT; a large teach-ing hospital's experience
Dr Anna Winfield, PSQM Leeds Teaching Hospital Trust