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Patient Safety And Clinical Skills

Patient Safety Tools

Patient Safety Tools

  • Structured Handover:  Handover is defined as - "the transfer of professional responsibility and accountability for some or all aspects of the care of a patient or group of patients, to another person or professional group on a temporary or permanent basis".Patient information that is sub-optimally communicated during healthcare handover is a common cause of hospital morbidity and mortality.  Dr Ailsa Howie, NHS consultant and NES Clinical Lead for Handover has developed resources for use by local teams across NHS Scotland to improve effective handovers.

  • Enhanced SEA: This is a NES innovation (funded by the Health Foundation 2012 SHINE programme) which aims to guide health and care teams to apply human factors thinking when performing a significant event analysis on a patient safety incident that recognises the impact (including emotional impact) of patient safety incidents on patients, carers and staff. This in turn can lead to a more constructive approach to learning with more meaningful improvement being implemented to minimise the risks of the event happening again.

  • Adverse events: Healthcare Improvement Scotland developed a national approach to learning from adverse events  in September 2013 and refreshed the document in April 2015. This has support from NES and applies educational principles to drive learning and change from patient safety incidents.

  • Trigger Review Method: The trigger review method (TRM) for primary care is a process that enables clinicians to quickly and efficiently search the electronic records of specific high risk groups of patients to identify previously undetected care management hazards and patient safety incidents. Care teams can then use this information to direct safety and improvement efforts.  The TRM already makes a contribution as a quality improvement activity as part of medical appraisal and specialty training.  However, it is perhaps better known as a core intervention in the Scottish Patient Safety Programme in Primary