Developing the Blackpool Safety Barometer: An area-level virtual safety dashboard
- Winning idea
What is the challenge your project is going to address and how does it connect to the theme?
The NHS Patient Safety Strategy highlighted that to improve safety, ‘insight’ needs to be accessible to staff. Without this, it is impossible to know if improvement is occurring. This has been highlighted by QI work done at the Trust, for example to reduce pressure ulcers (PUs), as summarised by a ward manager:
“ We weren’t aware of the statistics… (So when we had the) statistics…(it was) really good… I actually looked (and thought) oh, my God, what’s happened there…It made me…look at the staffing levels, the acuity of the patients, the type of patients that we had.”
This manager highlighted how having data helped them to look at safety in a different way and to “look at the bigger picture”. Therefore, this project wil aim to take this a step further and provide staff different routine safety data, in one place, to help monitor their safety.
What does your project aim to achieve?
This project aims to empower frontline staff to improve safety. Multi-disciplinary teams will be supported to develop and use their dashboards to make specific improvements. Each team will agree their own aim, and will also agree their own safety indicators for their dashboard, as their priorities for improving safety may be different. For example, a surgical ward may wish to monitor surgical site infections, whereas a cardiology ward may monitor cardiac arrests.
As BTH serves England’s most deprived areas, this will be a step towards improving healthcare for patients with some of the worst health outcomes. A man born in Blackpool has the lowest life expectancy in England, 10 years less than someone born in Westminster. Furthermore, the Trust has very high rates of certain harms, such as PUs. Between 2018-2019, BTH were an outlier compared to other local Trusts, and reported 1222 PUs, compared to 328 at Lancashire Teaching hospitals (from board reports).
How will the project be delivered?
The project will be delivered at pace, as improving safety in the Trust is urgent. Testing and development will be lead by an expert faculty including colleagues from the Risk team, QI team, the Informatics team, data analysts, frontline health care professionals and more.
The dashboard will be tested in Phases. Phase I will include testing the dashboard with three teams that are already working on improving safety culture, and have had an initial safety culture survey. This data will be included in the dashboard, but may also used as a wider outcome measure, as it provides an indication of whether staff feel that they have reliable safety culture and systems. Phase II, will also include a further three teams. These six areas will come together in a Breakthrough series style Collaborative, as this model has been used by BTH for other QI work and has received positive feedback.
How is your project going to share learning?
The project will be led by a multi-disciplinary expert faculty , with support fromt the Trust’s “Safety Movement Group”, established in 2021. This is a multidisciplinary group of staff across the Trust who are focussed on improving safety. The Safety Movement group, have already supported with co-designing the dashboard and Version 2 was based on constructive feedback from the group. We have also held awareness sessions on 10.05.22 and 12.05.2022 to gain feedback from Q members and colleagues from the Trust and other organisations. Feedback from these sessions have led to Version 3 of the tool. The next awareness session has provisionally been set for 20.09.2022.
In addition to progress being shared via our standard reporting structures, we want share our progress as widely as possible. The Safety Movement intranet site and twitter account will be used to share learnin and we will also aim to write a Quality improvement report to share learning.
How you can contribute
- We would love ideas from Q community members on how we can promote this and get frontline staff to take ownership of their safety data.
- We know that there are many Q members with experience of promoting Safety II practices and we want to use the dashboard to learn about what is going right, as it does most of time.
- We want advice on how we can develop dahboards that can be used by any area, but also can be adapted to suit indivudal needs regarding monitoring safety.
- We want advice on how we can evaluate and monitor the use of the dashboard over time.
|1 Oct 2021||Initial Safety Culture Survey was conducted in division|
|20 May 2022||First safety workshop with Divisional leaders, including dashboard presentation|
|25 Jul 2022||First Safety workshop with Phase I teams, including dashboard review|
|26 Sep 2022||Second safety workshop with Phase I teams, including dashboard review|
|2 Oct 2022||Repeat Safety Culture survey to help monitor safety culture improvements|
|27 Nov 2022||Third safety workshop with Phase I teams including dashboard review|
|29 Jan 2023||First safety workshop with Phase II teams including dashboard presentation|
|26 Mar 2023||Second safety workshop with Phase II teams including dashboard review|
|28 May 2023||Third safety workshop with Phase II teams including dashboard review|
|4 Jun 2023||Initiate 1 year evaluation and further scale-up throughout trust|