King's PSSQ looked at how services are both organised and delivered, studying safety and quality practices in the health care sector as well as drawing upon knowledge and best practice from other industries. We took a closer look at health care practices at different levels - from individual experiences of care to organisation of particular services, through to Trust-wide implementation of Government policy - through four research programmes:
• Innovations – how can new technologies be safely introduced and managed in the NHS? Can services be organised differently to bridge ‘gaps’ in care and improve quality and safety for patients? For example, we looked at continuity of care and the patient journey, and the management of complications, in areas such as maternity care and general medicine.
• Organisational Governance – what systems does an organisation use to ensure it is providing safe, high quality care? For example, we examined the systems and processes used in areas such as improving infection control and reducing drug errors.
• Risk – how do different health care professions handle risk, and how is it calculated and managed by staff and patients? This included projects such as examining how staff turnover can affect risk, and how data from different parts of the Trust can inform decisions about management of risk.
• Workforce – how are staff managed and supported? What are the attitudes and behaviour of those employed in health care? An example is how we looked at incidents of violence and harassment and the impact they have on staff teams.