S18: Patient Safety and co-creating care with service users


Wednesday 1 Nov | 11:25-12:55


 


Part 1: ‘Making it Meaningful’: Co-designing a medication safety intervention with service users


We will start the session by focusing on the need to improve medication safety in cancer care for people from culturally and linguistically diverse (CALD) backgrounds. The attendees will learn how we used the adapted experienced-based co-design (EBCD) to co-create the novel ‘Making-it-Meaningful’ (MiM) instrument with service users at one cancer service. We will describe the specific medication safety challenges impacting CALD populations at one cancer service followed by description of the two adaptations (adding a preparatory phase and involving a consumer co-facilitator) made to the standard EBCD method to develop the novel MiM instrument.


Objectives:



  • Identify the conditions that support meaningful involvement of people from CALD backgrounds in co-design of improvement projects

  • Understand the specific medical safety challenges impact CALD communities affected by cancer

  • Be equipped with a range of strategies to improve co-design with CALD communities


Ashfaq Chauhan, Australian Institute of Health Innovation, Macquarie University, Australia


 


Part 2: Building a transformative Community Advisory Committee through a robust evaluation process


The RMH Community Advisory Committee (CAC) is one of five Victorian health services participating in the Health Issues Centre pilot evaluation of the Safer Care Victoria CAC Evaluation Framework. The RMH CAC journey is a story of evolution, learning and a resolve to improve our impact, through advice and advocacy to the RMH Board. Through this influence, change in services and systems ensure that we better meet the needs of our diverse community. This session will describe the RMH evaluation experience and our focus on building a collaborative path to transform the impact of the RMC CAC on service design.


Objectives:



  • Understand the journey of a maturing health service CAC

  • Identify evaluation processes that can enable people powered change

  • Understand the identity and purpose of a tertiary service CAC


Margaret Burdeu, Royal Melbourne Hospital, Australia


Jenny Barr, Royal Melbourne Hospital, Australia


 


Part 3: How to avoid four deep clinical governance rabbit holes


Australian healthcare has been working with clinical governance for over two decades. In that time, despite hard work and good intentions, the sector has not achieved point of care results commensurate with the investment. This presentation proposes that most healthcare organisations disappeared down at least one deep rabbit hole on the path to effective clinical governance; stalling progress and discouraging staff. The session will draw on lived experience and the literature to identify four of these rabbit holes and suggest tactics for escaping them – or not falling into them in the first place.


Objectives:



  • Identify signs of stalled clinical governance in their organisations

  • Build board and executive understanding of the issues

  • Take action to drive effective clinical governance


Cathy Balding, Australasian Institute of Clinical Governance and Qualityworks P/L, Australia