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Enhancing Patient Safety through Effective Documentation and Data Integration in NHS

Tony Newman-Sanders, National Clinical Advisor at NHS CFH, discusses the importance of robust documentation practices and the role of Trust entities in ensuring patient safety. Emphasizing the need for improved access to reports and the integration of various data sources, he addresses historical issues such as incorrect patient identification and the implications of rapid technology roll-outs. The presentation highlights the responsibilities of Local Security Personnel (LSPs) and the interconnected systems of PAS, RIS, and PACS, paving the way for enhancing patient safety and reducing errors in clinical practice.

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Enhancing Patient Safety through Effective Documentation and Data Integration in NHS

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Presentation Transcript

  1. Patient Safety Tony Newman-Sanders National Clinical Advisor NHS CFH London Cluster

  2. Structure and Documentation • NPSA only involved once Trusts connected to spine. • Best practice documentation • Most issues local /Trust/entity responsibility. • Role of LSPs • Safety documentation patchy

  3. Old issues and New opportunities • Old issues • IRMER • Incorrect patient ID or Study ID • Notification and action on reports • New opportunities • Improved access to reports, PDA bedside telephony etc • Integrating other data eg text books, drug data • CAD, • Comprehensive error review, double reporting etc

  4. Ionising Radiation • Several RIS-PACS issues identified at BLT • Nuclear Medicine • Vetting, approving, justifying • Report data • Implications of rapid roll out of CR • Specific equipment issues • Radiographer behaviour

  5. Patient ID • Intrinsically much safer than film • Significant possibilities for error • Unique Patient ID • NHS number • PAS number plus prefix • RIS (PACS) generated number plus prefix • What is easily accessible to clinicians? • Webbrowser design.

  6. Notification and acting on results • Significant proportion of cases of serious harm or death identified by NPSA • NCRP tasked with identifying where the solutions lie • PAS • RIS • PACS

  7. Interdependencies • Structure of archiving • Connectivity within cluster • Legal liability issues • Short term IG vs strategic robustness. • Responsibility and reporting structure

  8. New opportunities • Improved access to reports, PDA bedside telephony etc • Integrating other data eg text books, drug data ????NICE • CAD, • Comprehensive error review, double reporting etc • Any others?

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