(199 Total References)
The first keynote was given by Dr Maureen Baker, Clinical Director for Patient Safety, NHS Connecting for Health (CfH).
She outlined the increasing importance of quality in NHS IT systems and made the links to the importance of these areas in education for clinical staff as well as managers.
The history of the patient safety movement and some of the key documents were presented.
She argued that we need to accept that human error and fallibility is inevitable, but that systems should be designed to minimise the effects of these by drawing parallels with other complex and high risk industries.
She presented an example from her own practice as a GP of how the potential for errors could be built into IT systems.
She leads the board which signs off software being developed for use in the NHS as being safe and outlined how this "baton of safety" is handed over once the new systems are rolled out into practice.
Managing Accident and Emergency: Averting an NHS Crisis » Open Forum Events
Dr. Maureen Baker CBE, DM, FRCGP, Chair, Royal College of General Practitioners (RCGP)
Dr. Maureen Baker joined NHS Connecting for Health in 2007 and is now Clinical Director for Patient Safety.
has previously held appointments with the National Patient Safety Agency, NHS Direct and the University of Nottingham
Dr Baker was Honorary Secretary of the Royal College of General Practitioners (RCGP) from 1999-2009.
Her work in patient safety includes establishing a formal clinical safety management system for NHS CfH, the development of safety standards for Health IT for the NHS in England and the development of e-learning modules on patient safety for doctors in training.
She was elected as Chair of Council, RCGP, and started in November 2013.
EHI Awards 2013 - Judges
Dr Maureen Baker
Clinical director for patient safety - NHS Connecting for Health
Maureen joined NHS Connecting for Health in 2007 and is now clinical director for patient safety.
She has previously held appointments with the National Patient Safety Agency, NHS Direct and the University of Nottingham, and was honorary secretary of the Royal College of General Practitioners from 1999-2009.
work has included establishing a formal clinical safety management system for CfH, developing safety standards for health IT for the NHS
in England, and developing e-learning for doctors in training.
Maureen Baker | Safety | ...
Maureen Baker | Safety | Safety Standards | Tweetchat | ehi live 2013
Dr Maureen Baker
talks to Lyn Whitfield about a decade of work to develop a safety culture for healthcare IT, focused on adapting the standards and safety cases in use in other sectors.
Dr Maureen Baker
is on the brink of a significant change in her
In November, she
will take over from Professor Clare Gerada as chair of the Royal College of General Practitioners
time as chair she
will be seconded from her
'day job' as clinical director for patient safety at the Health and Social Care Information Centre
At the HSCIC, she
has maintained the particular interest on the safety of IT systems that she
developed as clinical director for patient safety at NHS Connecting
So, as she
prepares to hand over her
safety role to her
colleague Dr Sebastian Alexander, it seems like a good moment to reflect on a decade of involvement in building a safety culture for healthcare IT.
Not on the career plan
admits, with a laugh, that getting deeply involved in the safety of IT in the NHS
"was not a career path that I ever mapped out on the back of a brown envelope."
Instead, it arose out of her
wider interest in patient safety.
"I joined the National Patient Safety Agency
when it was being set up, which was about the same time that the National Programme for IT was being set up," she
"And because a number of the leading informaticians knew me from my work with the College [Dr Baker was honorary secretary of the RCGP from 1999-2009] they came to me when safety issues came up."
adds, was also interested in IT: both because it had a clear potential to improve patient safety and because it had an equally clear potential to introduce new risks.
"We were particularly interested in unforeseen consequences," she
When Dr Baker
moved to CfH, she
took this idea with her
, and brought in safety engineers to develop it.
Of course, when Dr Baker
safety engineers went to look for standards for NHS IT they found there weren't any.
As Dr Baker
goes on to explain in the context of healthcare IT: "If you start thinking about safety, it soon becomes obvious that there are lots of things that could go wrong in the use of a product that a manufacturer has no control over at all.
"We came up with the idea of a safety baton, like a relay baton," Dr Baker
The standards were signed off by the National Information Governance Board
but, Dr Baker
admits, there were some serious issues when it came to getting them adopted.
"We wanted these to be international standards, which meant we had to write them in a particular way," she
says, sighing at the memory of how complex and densely written this made them.
will be talking about the standards and safety cases at EHI Live
2013, where she
hopes visitors will work through a real healthcare IT safety issue, using the principles that lie behind them.
argues that the idea of safety cases could be applied far more widely in healthcare; an idea recently promoted by the Health Foundation
, which has put out a report on where they might be used to speed up safe innovation and help trusts to adopt best practice in the best way.
"In healthcare, we have a particular view of what constitutes evidence, in which the randomised control trial is taken to be the gold standard," she
thinks there will be plenty of developments coming along to which the approach could be applied, including telehealth, and the impending explosion of healthcare apps.
In the meantime, and as she prepares to become chair of the RCGP, she is immensely proud of what has been achieved.
also points out that, at least as far as the national programme was concerned, this work was not carried out in the abstract.
"We have a very good record of products that are safe," she
will be leading a tweetchat about safety, standards and safety cases on Wednesday, 23 October, 2013 at 7pm #EHILive
will be leading a new stream on safety at EHI Live
One aspect of safety that we would like Maureen
to cover is the facility for patients to check the accuracy and completeness of data.
Peterborough and Stamford Hospitals Trust - Management Profile
Dr Maureen Baker CBE
Dr Baker is the clinical director for patient safety at Health and Social Care Information Centre.
role with the Health and Social Care Information Centre
exploring the potential of using information technology systems to address known patient safety problems within the NHS
She also works part-time as a GP at a practice based in Lincoln and has worked in health care since 1981.
Dr Maureen Baker CBE