The Harm Free Care Medication Safety Thermometer event on Thursday 23 January was a great event for idea sharing about the safety thermometer. Over 90 people attended from more than 20 organisations from across England. Speakers included Matt Fogarty, Head of Patient Safety Policy and Strategy at NHS England, Dr David Cousins, Senior Head of Patient Safety for Safe Medication Practice and Medical Devices, NHS England and Maxine Power, Director of Innovation and Improvement Science, Salford Royal Foundation Trust and Managing Director of Haelo.
Matt Fogarty opened the event by outlining the reasons why everyone was at the event and discussing the progress of the Medication Safety Thermometer so far. It was then over to the first of the fantastic speakers at the event, Dr David Cousins.
David began by saying that he received over 150,000 incidents related to medication safety last year and expects more than that in 2014. He went on to say that “11% of incidents reported nationally are related to medicine” and that “omitted and delayed medicines” are the number one incident reported for medicines. David ended his presentation by posing the question, “how can we improve this?”.
Get a feel for how the day went by watching our event snapshot film.
Kurt Bramfitt, Haelo Project Manager, and Steve Williams, Consultant Pharmacist in Medicine and Medication Safety at UHSM, then discussed how the pilot for the Medication Safety Thermometer was progressing and what they had learnt from the data so far.
Steve discussed moving from “error free care to harm free care” and said that the Medication Safety Thermometer “will help to make a difference”. Kurt talked about the process being a “multidisciplinary approach” with “monthly testing using PDSA cycles”. The presentation ended with the pair urging people to “take ownership” of the safety thermometer and use it for improvement on a “ward and section level”.