Facilitator Handbook 2005 - PRIMIS
Facilitator Handbook 2005 - PRIMIS Facilitator Handbook 2005 - PRIMIS
PRIMIS Facilitator Handbook Data Quality and Patient Safety The stakeholder interviews also identified other areas of concern with current clinical systems and their usage: The Training • the need for a drug dictionary for the NHS to improve communication between systems • the need for drug ontologies that provide sensible alerts and decision support • the need to develop audit trails • ensuring that account is taken of human ergonomics in the design of computerised alerts • the need for healthcare staff to be trained in the safe and effective use of systems • the need to produce safety specific regulations, requirements and guidelines • the need to build a safety culture and raise safety awareness in primary care. The NPSA commissioned PRIMIS to develop a training module for information facilitators. The training takes place over a full day and is run on a group workshop basis. It includes presentation of the research findings and discussion around the following topics: Known clinical system features and problems • Hazard alerts for contraindicated drugs, drug interactions, allergies, frequency of dose and the need for monitoring • Safety checks for repeat prescribing • Decision support software • Avoiding spurious or irrelevant alerts • Avoiding overriding critical alerts • The use of audit trails • Call and recall systems for patient monitoring • Alerts for missed referrals and abnormal results • The effect of poor-quality data on the effectiveness of safety features All the currently used systems have a number of in-built warning messages that are designed to alert the user to a potential hazard if the chosen course of action is pursued. Unfortunately, these messages are of differing sensitivity, appearance, visibility and reliability. Other areas where data quality can affect patient care • Tracking if patients attended referral • Tracking lab test requests/results • Identifying patients at risk 64 PRIMIS
Data Quality and Patient Safety PRIMIS Facilitator Handbook Patient safety in the GMS Contract • Clinical quality indicators and those identified for additional services all support patient care and patient safety • Organisational indicators also identify issues that are related to patient safety, specifically in records and information about patients and medicines management • Some contractual and statutory requirements are also relevant to patient safety. Further information on the background and subject matter included in this training is available in the form of a workbook. This is provided to facilitators during the training. Learning Objectives The training will provide information facilitators with: • an awareness of the role of the National Patient Safety Agency • an understanding of the potential impact of data quality on patient safety • an awareness of the functionality of safety features inherent in GP clinical computer systems as identified by the University of Nottingham’s research • an awareness of the range of tools used to identify areas of risk to patient safety • an understanding of the knowledge required to support practices to improve data quality and implement change. References and further reading PRIMIS Guidelines www.primis.nottingham.ac.uk/pages/download_template.asp?r=Guidelines_Sept01.pdf New GMS Contract 2003 – Investing in General Practice www.nhsconfed.org National Patient Safety Agency www.npsa.nhs.uk An Organisation with a memory, Department of Health, 2000. Seven steps to Patient safety: A guide for NHS Staff, National Patient Safety Agency, 2003. Yantis G, Lownhaupt, M. This time it’s personal. E-Health Insider. 19 Jan 2005. www.e-health-insider.com/comment_and_analysis/index.cfm?ID=45 Protti DJ. Computers Can Reduce Errors And Improve Patient Safety. www.informatics.nhs.uk/item/1225 Avery AJ, Savelyich BS, Teasdale S. Improving the safety features of general practice computer systems. Informatics in Primary Care. 2003; 11:203-6. PRIMIS 65
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Data Quality and Patient Safety<br />
<strong>PRIMIS</strong> <strong>Facilitator</strong> <strong>Handbook</strong><br />
Patient safety in the GMS Contract<br />
• Clinical quality indicators and those identified for additional services all support<br />
patient care and patient safety<br />
• Organisational indicators also identify issues that are related to patient safety,<br />
specifically in records and information about patients and medicines management<br />
• Some contractual and statutory requirements are also relevant to patient safety.<br />
Further information on the background and subject matter included in this training is available<br />
in the form of a workbook. This is provided to facilitators during the training.<br />
Learning Objectives<br />
The training will provide information facilitators with:<br />
• an awareness of the role of the National Patient Safety Agency<br />
• an understanding of the potential impact of data quality on patient safety<br />
• an awareness of the functionality of safety features inherent in GP clinical computer<br />
systems as identified by the University of Nottingham’s research<br />
• an awareness of the range of tools used to identify areas of risk to patient safety<br />
• an understanding of the knowledge required to support practices to improve data<br />
quality and implement change.<br />
References and further reading<br />
<strong>PRIMIS</strong> Guidelines<br />
www.primis.nottingham.ac.uk/pages/download_template.asp?r=Guidelines_Sept01.pdf<br />
New GMS Contract 2003 – Investing in General Practice<br />
www.nhsconfed.org<br />
National Patient Safety Agency<br />
www.npsa.nhs.uk<br />
An Organisation with a memory, Department of Health, 2000.<br />
Seven steps to Patient safety: A guide for NHS Staff, National Patient Safety Agency, 2003.<br />
Yantis G, Lownhaupt, M. This time it’s personal. E-Health Insider. 19 Jan <strong>2005</strong>.<br />
www.e-health-insider.com/comment_and_analysis/index.cfm?ID=45<br />
Protti DJ. Computers Can Reduce Errors And Improve Patient Safety.<br />
www.informatics.nhs.uk/item/1225<br />
Avery AJ, Savelyich BS, Teasdale S. Improving the safety features of general practice<br />
computer systems. Informatics in Primary Care. 2003; 11:203-6.<br />
<strong>PRIMIS</strong> 65