Some insights from the 19th Annual IHI/BMJ International Forum on Quality and Safety in Healthcare, Paris, 08-11 April 2014:
The theme of this year’s Forum was “Strive for Excellence, Seek Value, [and] Spark a Revolution!” in healthcare. The meeting attracted over 3000 delegates from over 75 countries – and so it was a great opportunity to cross-fertilise ideas and share cutting-edge practices across international boundaries.
Our work from across NHS Education for Scotland attracted much interest and discussion – not only at the NHS Scotland exhibition stand, but also at the workshop presentations and poster sessions.
Internationally, over 200 sessions were presented by leading thinkers in the field; and covered the following streams:
• Patient and family centred care
• Leading effective change
• Improving population and community health
• Improving clinical performance
• Technology and innovation
• Safe and reliable care
One core theme however, appeared to be patient safety stories, and staff & patient experiences.
The ethos was on reflecting on person centred care – really listening to patients and service users, and understanding what really matters to them. In addition, there were deliberations on taking healthcare completely outside the formal healthcare system and in engaging in health every day. Whilst this concept is not new, it resonates with the notion that “prevention is better than cure”.
One keynote in particular presented the power of narrative in compelling action and transformational positive change.
Another presentation focussed on shadowing the patient journey – to review process maps, the voice of patients, family members and staff, and transitions in care. Using this real-time collection of data and narrative, the organisation was able to review the team effort around the patient, to improve services, interactions and processes. The emphasis was on co-designing services with patients through engagement, partnership and in closing any identified gaps to ideal care delivery.
In summary, a key message emanating is how the complementary nature of data and narrative/story will compel action, catalyse improvements, and drive transformative change for excellence in service delivery.