Applying and integrating the Safety Measurement and Monitoring Framework across organisational levels Bradford Teaching Hospitals NHS Foundation Trust

Contact: Vicky Brown, Clinical Programme Manager, Yorkshire and Humber Improvement

Bradford Teaching Hospitals NHS Foundation Trust is a teaching hospital providing acute services across two main hospital sites.

Working with the Yorkshire and Humber Improvement Academy, the project will involve working with frontline teams and the trust board to apply the Safety Measurement and Monitoring Framework to ongoing work within three areas. This will include the use of case-note reviews for mortality review; prospective evaluation of the quality and safety of care received in hospital; and management of the deteriorating patient – developing the sepsis care pathway.

The project team are looking to understand how the Safety Measurement and Monitoring Framework can be applied to daily working processes and care pathways, with the aim of demonstrating the value of the framework and challenging the status quo of headline reporting at board level.

An evaluation of board-level metrics will also be undertaken. This will involve an exploratory review of data received at this level compared to data captured at ward level.

The project will enable and empower clinical teams to identify areas for improvement, thereby increasing their ability to measure, monitor, anticipate and proactively improve patient safety.

Through the board-level work, it also aims to influence the way in which the organisation identifies risks from past incidents, and its current preparedness and future harm anticipation. The clinical teams involved will be provided with training in quality improvement, behaviour change, human factors and case-note review.