Patient Safety

7 months ago


Chertsey, United Kingdom Ashford & St. Peter's Hospitals NHS Foundation Trust Full time

Provide regular updating for all staff and ensure new staff are trained in local risk management procedures within one month of commencing employment. Analysis, planning and organising Support the Perinatal Quality & Safety Lead to formulate and initiate the action plan of response following risk incidents and in partnership with the senior clinical team and medical leads. Ensures that all personnel adopt and adhere to recommendations. This may be a range of professionals e.g.

Paediatricians, Nurses, Midwives and Obstetricians. Work in liaison with Trusts legal team providing alerts / information relating to cases likely to lead to litigation, ensuring appropriate action is taken and documentation in place prior to legal action. Maintain a database of incidents for statistical analysis and prepare a monthly patient safety report to present at local Governance Meetings, identifying exceptions, recurrent areas or trends related to incidents and develop means of reducing or eliminating identified risks. Support the Perinatal Quality and Safety Lead to meet requirements of the Serious Incident Framework (and PSIRF when implemented).

Using incident trend analysis, identify and ensure the audit of areas where clinical practice falls outside expected norms alongside the clinical matrons for each area and other specialists. Initiate strategies to ensure departmental and clinical governance requirements are met Report clinical and professional matters to the appropriate departmental/clinical lead. With the Perinatal Quality and Safety Lead ensure that Risk Management is integrated across the service. Liaise effectively with the department/medical leads in the division on any risk event that may have significant repercussions for clients, the Trust or any member of staff involved.

Promote collaborative multidisciplinary working and communication within paediatric and neonatal services and allied divisions. Actively involve others in communications between clients/patients, their relatives and the multi-professional team within the organisation, and ensure excellent communication. Ensure patients who have suffered harm are communicated with and managed in line with the statutory Duty of Candour. Ensure systems are in place to proactively disseminate information and learning from incidents.

Be approachable/available to staff to support and direct them following clinical incidents or during difficult/sensitive situations such as during litigation. Participates in debriefing for staff/clients as appropriate. As the Clinical Lead Midwife for Patient Safety and Governance, identify and coordinate service developments and improvements needed to achieve the highest standard of accreditation. Lead on the receipt, review and grading of all clinical incidents and near misses, including the review of patient records as required and ensure that action is taken where appropriate.

Provide effective clinical leadership and support to all midwives and support staff based on the best available evidence to promote the optimum level of safe and effective care Actively contribute to the planning of maternity services. Ensure evidence based innovative practice in the delivery of care and supports others in the implementation of changes identified to improve care Identify and undertake risk assessments in the neonatal departments as required. Take appropriate actions to minimise risk and keep the Perinatal Quality & Safety Lead and Head of Midwifery informed of any area of risk that cannot be resolved. Create an environment within the service that is conducive to education and learning, encouraging peer review, positive feedback and providing learning opportunities.

Assist on the collaborative work relating to clinical guidelines to develop guidelines and policies. Identify any area where new policies or guidelines should be developed as a result of reported clinical incidents. Ensure there are robust process in place for review and update of all clinical guidelines in accordance with the Trusts Governance Process. Develop and lead on the implementation of action plans arising from relevant government recommendations, guidance, standards and reports Co-ordinate and leads regular Incident review meetings.

In the absence of the Perinatal Quality & Safety Lead, represent the service at relevant Governance Meetings both within the Division and the wider Trust. Contribute to the Perinatal Mortality meetings. Undertake clinical duties as feasible to both update midwifery skills and to ensure high standards of clinical excellence/leadership. Co-ordinate and contribute to the resolution of complaints Participate in on call arrangements as required.Educational Raise awareness of Patient Safety issues throughout the Service Rake part in the presentation of cases reviewed and themes identified at multidisciplinary meetings Participate in the maintenance of a learning environment within the service for the benefit of all members of the multidis



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