On 27 February 2019 the Oxford Patient Safety Collaborative and Thames Valley Strategic Clinical Network hosted its fifth Regional Maternity Shared Learning Event at the Kassam Stadium Conference and Events Centre. Presenters included:
- Professor Jacqueline Dunkley-Bent OBE, Head of Maternity, Children’s and Young People at NHS England and National Maternity Safety champion for the Department of Health; Prof Dunkley-Bent is our guest of honour and opening speaker.
- Jimmy Walker, Medical Director for Maternity Investigations, and Sandy Lewis, Associate Director for Maternity Investigations; they will present on behalf of the Health Safety Investigation Branch (HSIB).
The focus of the safer care theme outlined in the National Maternity Review ‘Better Births; Improving outcomes of maternity services in England’ is on culture, learning, reviewing data and good communication. The need for openness, honesty and good review processes are all highlighted as key factors. Multi-professional working and shared learning within and across organisational boundaries is highlighted as fundamental to the delivery of safe, personalised care to women and families.
The Oxford Patient Safety Collaborative & Thames Valley Strategic Clinical Network support the delivery of the safer care theme outlined in Better Births through the maternity workstream in various ways. One of those is through the joint hosting of an annual multidisciplinary shared learning event which is attended by the maternity units in the Thames Valley region. The event encourages clinicians to share rare and interesting clinical cases in a safe and supportive environment. The supportive, non-judgemental environment encourages robust discussion from the attendees which draws out the learning from the clinical incidents. Attendees are encouraged to share the learning with their own organisations and make changes in clinical practice if appropriate, improving the safety and quality of care for mothers and babies in their care.
Topics are varied and have included quality improvement projects and shared learning related to handover of care, delayed cord clamping to optimise neonatal condition for preterm infants, identifying and caring for women who have been subject to sexual violence and the management of sepsis in labour.
Links to presentations from this and previous maternity shared learning events:
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