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