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Update from Dr Umesh Prabhu: Early identification of care problems to reduce mortality

Dr Umesh Prabhu Medical Director Wrightington Wigan and Leigh NHS Foundation Trust gives an update at today’s Reducing & Monitoring Avoidable Hospital Deaths conference on:

  • how do we ensure rapid identification of unsafe care?
  • what did we learn from the Keogh mortality reviews?
  • understanding the reasons for outliers and engaging clinicians
  • the link between mortality and quality
  • how do we ensure early identification of problems to reduce mortality

Dr Umesh Prabhu stated: 

"Patients are the heart of everything we do....."

"No patients should suffer due to our poor system...."

"Don't blame Dr's blame the system....."

In his presentation Dr Umesh Prabhu covered:

How do you ensure rapid identification of unsafe care?

  • Do not wait for someone to die before you identify unsafe care
  • Good doctors do not suddenly become bad doctors
  • This is gradual change which most doctors do not see
  • Many staff know these doctors
  • Many tragedies are preventable
  • Do you have a culture where you staff speak up?
  • In last 4 years 54 Staff have raised concerns with me or ND

WWLFT Values

  • Patients at the heart of everything we do
  • NHS must be for the patients with the patients and by the patients
  • It is patients who got to live with the consequences of our decision, surgeries we carry out, medicine we give and rarely mistakes we make
  • They have the ultimate say and they are not simply equal partners but  major stake holders

The relation between mortality and quality

  • Mortality is just one measurement
  • It simply says about organisational culture, leadership, governance and quality
  • Important is to get coding right
  • Got to compare apples with apples
  • Learning from mortality helps to focus and improve quality

Dr Umesh Prabhu’s Biography:

Dr Umesh Prabhu is the Medical Director of Wrightington, Wigan and Leigh FT (WWLFT). Following his own mistake in 1992, Umesh developed keen interest in patient safety, medical errors, why doctors make mistakes, professional regulation and medical leadership. Umesh was Consultant Paediatrician (1992-2010), Clinical Lead for Paediatrics (1992-1998), Medical Director of Bury NHS Trust (1998-203), NPSA Board Member (2001-2003), NCAS Adviser since 2003, Clinical Adviser for Paediatrics complaints to Healthcare Commissioner (2001-2004). In 2010 Umesh was appointed as the MD of WWLFT.

Umesh has given many national lectures and conducted many workshops regarding patient safety, medical errors, professional regulation, medical leadership, clinical governance and revalidation.

Future conferences of interest:

Root Cause Analysis Conference: Investigating & Analysing Patient Safety Incidents
Wednesday 24 June 2015
ICO Conference Centre, London

Improving Patient Safety in Independent Healthcare
Wednesday 1 July 2015
Hallam Conference Centre, London

Reducing Medication Errors
Wednesday 1 July 2015
Manchester Conference Centre, Manchester

Eliminating Avoidable Pressure Ulcers
Thursday 2 July 2015
ICO Conference Centre, London

Managing when a Serious Clinical Incident Occurs
Wednesday 8 July 2015
Hallam Conference Centre, London

Leading your Organisation to Zero-Harm
Thursday 9 July 2015
Hallam Conference Centre, London

Eliminating Heel Pressure Ulcers
Thursday 24 September 2015
ICO Conference Centre, London

Reducing & Monitoring Avoidable Hospital Deaths attributable to problems in care
Thursday 8 October 2015
Hallam Conference Centre, London

Leading your Organisation to Zero-Harm
Thursday 22 October 2015
Manchester Conference Centre, Manchester

Eliminating Avoidable Pressure Ulcers
Wednesday 2 December 2015
Manchester Conference Centre, Manchester

Leading your Organisation to Zero-Harm
Thursday 10 December 2015
Hallam Conference Centre, London

 

 


21 May 2015

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