15 November 2012
“The collaborative learning methodology was validated – I’m now a convert. I saw impressive presentations, heard great discussions and felt a shift in understanding the rationale behind First, Do No Harm. It won’t happen overnight. However, with this commitment it will happen.” Denise Kivell, Director of Nursing, Counties Manukau DHB.
Denise was one of nearly 70 attendees at the recent ‘Falls and Pressure Injuries Collaborative Learning Session 2’ (5 – 6 November), hosted jointly by First, Do No Harm and the Health of Older People (HOP) Network, held at Ko Awatea, Middlemore Hospital. District health board clinical staff and improvement specialists worked alongside age-related residential care staff to put in place processes aimed at reducing harm from falls and pressure injuries.
Central to the Learning Session was a series of presentations by Improvement Science Consultant Brandon Bennett. Brandon took attendees through the principles behind the Model for Improvement, including change packages and Plan-Do-Study-Act (PDSA) cycles. The training was done in a supportive way with the chance to try each step. Not only informative, it was also enjoyable with learning reinforced by games that promoted the concept of working together in teams and how this can lead to process improvement. Numerous discussion groups and walk-by-help ensured learning through sharing.
Presentations from age-related residential care facilities and district health boards demonstrated the Region’s experiences to date in reducing falls and pressure injuries. Other topics presented included ‘intentional rounding’ and ‘how to turn numbers into information’. As one attendee from the age-related residential care sector noted, presentations from other rest home facilities have “helped me understand how care can be done better”.
Many of these presentations can be found on the First, Do No Harm website www.firstdonoharm.org.nz under Programmes, Falls and Pressure Injuries.
Further opportunity to showcase regional activities included nine poster presentations on show. Inspired and energised by what they had learned on the first day, Helen Delmonte and Catherine Heaney from Mercy Parklands produced an updated graph for their poster presentation for display the next day.
The benefits associated with networking were another big draw card for Learning Session 2 and frequently referred to in post-Session evaluations. As one attendee put it, attending Learning Session 2 helped create context when “… as a small rest home I have no point of reference.”
Early drafts of regional driver diagrams for both falls and pressure injuries, along with draft ‘how to’ guides, were also presented during the Learning Session. These will be sent out to the sector to invite further feedback.
While Learning Session 2 built on the first learning session held in June of this year, for several attendees it was the first time they had taken part in the regional Falls and Pressure Injuries Collaborative.
There was general consensus that attending Learning Session 2 was beneficial no matter what stage of the patient safety improvement journey attendees were on.
For many already established on their improvement journey it presented an ideal opportunity to review their processes to date, make adjustments on the basis of the experiences of others where appropriate, and look at areas to apply the principles learnt beyond falls and pressure injuries.
Newcomers benefitted from being able to work with peers during the sessions and knowing that First, Do No Harm will be there to support them on their journey. First, Do No Harm Improvement Specialist Peter Leong is working with the Region’s district health boards and age-related residential care facilities on process improvement in patient safety and, at the request of the sector, is helping facilities move their information into action.
Also coming up are a number of Mini Learning Sessions which provide an ideal opportunity for those who have missed earlier sessions or who want to revisit the content.
And work is already underway on planning for Falls and Pressure Injuries Collaborative Learning Session 3, which will be held in early May 2013.
“We have pockets of excellence around the region in both hospital and residential care which, with some assistance from First, Do No Harm whether through facilitation or advice, can be made to fit a range of environments,” said First, Do No Harm Clinical Lead Karen O’Keeffe. “We are now beginning to see the benefits in learning our way to improvement together and that was demonstrated throughout Learning Session 2.”
“It was fantastic the amount of work and organisation First, Do No Harm has taken. It enables us to feel like we do have a guide in the process and it is energising to be part of the collaborative.” Catherine Heaney, Mercy Parklands.
15 November 2012