Jump to content
  • Posts

    2
  • Joined

  • Last visited

Neal Jones

Members

Reputation

2 Novice

Profile Information

  • First name
    Neal
  • Last name
    Jones
  • Country
    United Kingdom

About me

  • About me
    Assistant Director of Patient Safety and Human Factors.
    Nurse /Educationalist/Patient safety and Human Factors specialist
  • Organisation
    Liverpool University Hospitals NHS Foundation Trust
  • Role
    Assistant Director of Patient Safety and Human Factors

Recent Profile Visitors

The recent visitors block is disabled and is not being shown to other users.

  1. Community Post
    Hi Claire, there is some guidance available in this area. Trusts must utilise a professional judgement tool to map activity/acuity to define the required establishment position. This of course isn't an exact science and could be open to bias driven by financial/recruitment of workforce barriers etc. Nice offer guidance for general adult inpatient settings. https://pathways.nice.org.uk/pathways/safe-staffing-for-nursing-in-adult-inpatient-wards-in-acute-hospitals/principles-for-determining-nursing-staff-requirements-in-adult-inpatient-wards-in-acute-hospitals.pdf For Emergency departments the Royal College of emergency medicine have issued guidelines (service delivery and workforce tool kit), as have the RCN in the guise of their BEST tool. https://www.rcem.ac.uk/RCEM/ForProfessionals/Safety/Safety_Resources1/Safe_Staffing.aspx?WebsiteKey=b3d6bb2a-abba-44ed-b758-467776a958cd https://www.rcn.org.uk/-/media/royal-college-of-nursing/documents/forums/emergency-care-association/best-tool.xlsm?la=en&hash=C0B1928A16255C3854D39426DA9608D55CFF50E0 From a regulatory perspective, organisations are measured against their pre-determined establishment. This can be a flawed process if there are failures in defining the appropriate establishment in the first place. If you Intentionally over establish as part of continuity planning - you may not be able to meet the ambition position and therefore receive a regulatory notice, even if in reality your staffing figures are higher than other organisations figures in the same clinical context. By the same reasoning it is possible for an organisation to set low establishment figures and achieve them, whilst effectively running on a shortfall comparative to other organisations staffing levels. We require a robust and reliable systems approach to define what is safe and in which clinical context, otherwise we will never achieve system wide staff safety, Neal.
  2. Community Post
    I don't think that Occupied bed days can apply to an outpatient setting. what may add value is to agree a standardised probability measure to define the incidence of harm. This could be as crude as episodes of harm/per 1,000 appointments/interactions, however that wouldn't be of sufficient quality to meaningfully differentiate between the associated risks of different procedural types etc A further breakdown against actual activity/procedural type would help to identify areas of high risk and support targeted interventions to ensure effective mitigation. Neal.
×
×
  • Create New...