Representatives from general practices actively taking part in Safety in Practice across Counties Manukau were present at the second learning session for year four held at Ko Awatea in late March.
Safety in Practice focuses on improving quality and reducing preventable harm to patients in primary care. The areas of focus include medication safety, results handling, practice systems and culture. At present, the practices are using a variety of care bundles – evidence-based interventions to improve processes and systems – to increase patient safety in primary care.
During the learning session, clinical lead Dr Vikas Sethi talked about safety culture tools – which help practices improve their processes and systems – and gave practices the opportunity to share their learning and findings in a café style session. Dr Vikas also presented recent data on new care bundles currently in testing by practices, and discussed how they link to the Ministry of Health’s System Level Measures.
Karyn Sangster, chief nurse advisor primary and integrated care, introduced the Registered Nurse Prescribing programme, which upon completion allows registered nurses (RNs) to prescribe certain medications. Since its inception, 33 RNs across CM Health have finished the programme and successfully applied to NZNC for authorisation to prescribe. Ongoing programmes will be available with a view to becoming part of a Safety in Practice in the future.
The night’s guest speaker, Health and Disability Commissioner Anthony Hill, addressed the need to design a consumer centred system by engaging consumers, being transparent, providing a seamless service with primary and secondary care working together, and by developing a good team culture. Mr Hill gave specific case studies for discussion with the key learnings around having good systems in place to support patients and clinicians.
Until the next learning session on 26 June, GPs will continue to collect and analyse the data as well as develop and test new care bundles (antenatal, gestational diabetes, paediatric prescribing, polypharmacy and gout) in partnership with Dr Vikas Sethi and PHO facilitators.
About Safety in Practice – The aim of the programme is to create a consistent approach to enhance the quality improvement capability of GPs within the Auckland region by focusing on patient safety. The programme’s key objectives are to:
- augment the capacity and capability of quality improvement and patient safety methods and processes;
- improve and develop GP practice systems and processes to ensure critical, high-risk processes are carried out safely and reliably;
- prevent or reduce harm and improve the quality of care for patients with chronic conditions through safer and better management of medications; and
- promote a culture of safety.
Visit the Safety in Practice website to find out more.