Pioneering national Mortality Case Record Review Programme to be delivered by Yorkshire & Humber AHSN

The Yorkshire & Humber Academic Health Science Network (AHSN) will be working in partnership with the Royal College of Physicians (RCP) to deliver a national Mortality Case Record Review Programme over the next 3 years.

The RCP will deliver the programme in partnership with researchers at the Yorkshire & Humber AHSNs’ Improvement Academy, who have already developed, tested and implemented a qualitative methodology for mortality review in 12 Trusts across Yorkshire.

The pioneering programme aims to develop and implement a standardised way of reviewing the case records of adults who have died in acute hospitals across England and Scotland.  Its main aim is to improve understanding and learning about problems in care that may have contributed to a patient’s death.

In addition, the programme will identify common themes, work with healthcare colleagues to rectify and address any deficiencies in patient care and, through continuous quality improvement, share best practice.

Professor John Wright, Clinical Director of the Improvement Academy said: Hospital clinicians struggle to understand the plethora of zombie statistics about mortality. Our Mortality Case Record Review programme provides them with an effective method to learn how to avoid harms, but also how spread best practice. We are delighted to be partnering with The RCP to deliver continuous improvements in patient safety and support NHS Organisations to reduce avoidable deaths due to problems in care.

Andrew Riley, Managing Director of the Yorkshire & Humber AHSN said: This exciting news is a further demonstration of the excellent work our Improvement Academy is delivering across the Yorkshire and Humber region.  We are delighted to be working with the RCP in an area that is so important for patients and clinical professionals alike. It is at the heart of our strategic objective to support members in continually improve safety and quality of care and as a result, reduce operational costs.

Dr Kevin Stewart, clinical director of the RCP’s Clinical Effectiveness and Evaluation Unit (CEEU), said: The RCP is delighted to be awarded this contract to deliver such a pivotal programme. Patients and their families have a right to expect complete openness and transparency when things go wrong and for healthcare professionals to address and correct any deficiencies in patient care. This work can help promote a culture of transparency, ensure continuous quality improvement in patient care and the RCP is proud to be leading it.

Dr Mike Durkin, NHS England director of patient safety, said: The RCP is ideally placed to lead on this work and help play a key role in supporting organisations to understand more about how to deliver safer care for our patients. The national Mortality Case Record Review Programme is being commissioned as just one element of a wide ranging programme of work by the Patient Safety Team in NHS England to support NHS organisations to reduce deaths due to problems in care.

The RCP is working in collaboration with patient and professional organisations to deliver this work including: the Yorkshire and Humber AHSN, Action against Medical Accidents (AvMA), the Royal College of Physicians of Edinburgh (RCPE), Faculty of Medical Leadership and Management (FMLM), the Academy of Medical Royal Colleges (AoMRC), the Royal College of Nurses (RCN), Healthcare Improvement Scotland, and Datix UK, as well as aligning with the medical examiner’s office.

To learn more about our Mortality Case Note Review Programme click here

To learn more about the Improvement Academy click here

Text edited from original press release from the Royal College of Physicians, view here