HHE 2018 | Page 37

registries have PROMs , and all registries also have patient representatives in the steering committee ”.

One way to encourage patient participation is to develop and invest in new digital solutions . New digital tools can give people more influence , and also greater opportunities to take responsibility for their own healthcare . SALAR is involved in the management and development of the Swedish nationwide web portal 1177 . se , which purpose is , among other things , to improve access to correct scientific health-related information and increase health literacy , but also to facilitate patients ’ access to their own electronic medical records . patients . After all , patients view situations from a different point of view and they are the only ones who complete the entire care process .

“ This approach is an essential addition to your own perspective . We believe the patient should be actively and systematically involved when drafting , executing and evaluating patient safety policy . Patient involvement is one of the basic demands in the Safety Management System ”.

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Mr Sander Gerritsen HOPE Governor , Dutch Hospital Association

Could you outline the strategy / approach adopted in your country on quality and patient safety or the two / three initiatives in the hospital and healthcare sector in the past ten years ? To embed patient safety in healthcare practices , all Dutch hospitals have an accredited or certified Safety Management System ( VMS in Dutch ). Through this system , hospitals continuously identify risks , implement improvement , establish , evaluate and modify policy . The programme ( 2008 – 2012 ) has led to a large reduction of avoidable damages and mortalities . From 2012 , parts of the programme continued as the Safety Agenda , focusing on three pillars : medication safety ; the safe application of medical technology ; and infection prevention / antibiotics .

Could you present us the two / three expectations that your organisation / country have today on improving the quality of healthcare using the experiences and competencies of patients ? Patient involvement is not an end in itself . It is a promising way of increasing patient safety by making use of knowledge and experience of

Patient involvement is not an end in itself . It is a promising way of increasing patient safety by making use of knowledge and experience of patients

Mr Niall Dickson HOPE Governor , NHS Confederation

Could you outline the strategy / approach adopted in your country on quality and patient safety or the two / three initiatives in the hospital and healthcare sector in the past ten years ? The Care Quality Commission ( CQC ), a quality regulator established as part of wide-ranging reforms to the NHS in 2012 , has had major impact on the approach of the NHS to quality and patient safety . The CQC developed a new inspection regime for hospitals and other trusts in the NHS , providing ratings under five different domains , one of which is safety . Trusts performing poorly are placed in ‘ special measures ’ and offered additional support to improve care . These changes have been credited with focusing the minds of hospital boards on safety , with 16 of 31 Trusts placed in special measures having moved out of this programme after improving the quality of care .

Another pivotal influence on patient safety has been the final report of the Mid-Staffordshire NHS Foundation Trust Public Inquiry . Published in 2013 in the wake of a serious patient safety scandal , this report has shaped much of the direction of patient safety initiatives in recent years . Its wide ranging recommendations focused particularly on the importance of openness , transparency and candour throughout the health service . This led to a number of legislative changes and an increase in nursing staff numbers in the acute sector .

In 2012 the UK was first the country in the

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