Trust Board papers November 2012 - Barking Havering and ...

CQC Update Report
2012
aware of their roles and
responsibilities.
administration has been prepared;
this is due to be rolled out shortly.
A Policy Ratification Group has
been set up to ensure policies are
corporately signed off, published
on the
intranet, with summaries added to
the Link to raise awareness of
changes and expectations around
compliance. Trends and issues
relating to prescribing and
medicines are reported in the Link,
with a bimonthly prescribing
newsletter in place to ensure a
strong focus on medicines safety.
An ongoing audit programme has
looked at omitted drugs in the
MAU, pharmacist errors, and is
looking at a range of other
relevant issues.
and has been publicised for all staff in the Link and via the
Medicine Matters Bulletin. Copies have been distributed to all
wards and clinical areas in the Trust and ward matrons have been
tasked with providing a list to pharmacy of all staff who have read
the policy. A summary quick reference guide has also been
prepared and distributed for nursing and medical staff which
contains key responsibilities in the policy as applicable to these
staff groups. This is reinforced in nurse induction and mandatory
training.
MEDICINES
MANAGEMENT
49. Ensure that the results of
learning from medication errors
are widely publicised across all
services in the organisation.
PREMISES 50. Review the directional
signage at Queen’s Hospital.
The trust should ensure that it
seeks the input of patients,
relatives, visitors and staff, to
ensure that any new signage
Safe Medicines Practice Group in
place and produces a summary of
incident themes and serious
incidents to be used in directorate
meetings. Pharmacists and wards
receive monthly reports on
medicines and prescribing. Error
trends are fed back to relevant
directorates and are published on
the intranet.
Working group involving patients,
non‐execs and staff set up in
December
2011 to set signage standards;
main signage reviewed with
specialist input and new signs
Monthly meetings are taking place to review all medicines related
clinical incidents in which action plans are made to address
serious incidents and also key trends are identified and reported
back monthly to wards/directorates. Learning from these is also
shared more widely across the Trust via a range of media
including the intranet, The LINK and the pharmacy bulletin. All
medicine incidents are reported to the Trust Quality and Safety
Committee on the dashboard. The trust has recently introduced
electronic incident reporting which will improve incident
investigation timeframes and provide better data on key trends
than the previous paper reporting system.
This work has been completed. The new maps and directions are
available to visitors via the Trust website. Sodexho are currently
reviewing the signage throughout the hospital as part of the
routine maintenance arrangements of the site.
Portia Omo‐Bare
Jackie Doyle
Imogen Shilito
MET
BUSINESS
AS USUAL
MET
BUSINESS
AS USUAL
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