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Found 434 results
  1. Content Article
    The PatientSafe Network is a registered non for profit charity in Australia. It has been developed by front line healthcare staff and is for anyone who wants to improve patient safety. Their combined commitment is to improve patient safety through the transparent review of medical mistakes and the generation of transparent networked projects. Hundreds of patients die every year from avoidable central line related air emboli. This animation explains what air emboli are and how they may be avoided.
  2. Content Article
    High numbers of non-urgent attendances at paediatric emergency departments (i.e. attendances for illness that could have safely been treated elsewhere) increases waiting times, inconveniences families, incurs significant costs to the NHS, and reduces the time hospital staff can spend treating severely ill children. This report, produced by the Behavioural Insights Team (BIT) in collaboration with the Connecting Care for Children (CC4C) programme, addresses this issue.
  3. Content Article
    Many studies have investigated the presence of a ‘weekend effect’ in mortality following hospital admission, and these frequently use diagnostic codes from administrative data for information on co-morbidities for risk adjustment. However, it is possible that coding practice differs between week and weekend. This paper assess patients with a confirmed history of certain long-term health conditions and investigate how well these are recorded in subsequent week and weekend admissions.
  4. Content Article
    Reducing emergency admissions from care homes has the potential to reduce pressure on hospitals. This is a significant national policy focus, as demonstrated by a strong commitment to improve support in care homes in the NHS Long Term Plan. 
  5. Content Article
    Dorit describes the assessment and subsequent death of her much loved daughter-in-law who died during a psychotic episode having been discharged the previous evening. Her story raises a number of questions: How should families be included in making judgements and assessments about the patient and their well-being? What support do they need to care for a very distressed loved one? Why aren't written care and contingency plans provided to the patient and their family? What more needs to be done to ensure standard practices are in place to protect patients with psychosis?
  6. Content Article
    "It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
  7. Content Article
    A thought-provoking blog about what it's like nursing in the emergency department (ED) when there are no beds. 
  8. Content Article
    Pro Mukherjee, Emergency Department Consultant at Leicester Royal Infirmary, briefly defines the SBAR terms and explains how healthcare practitioners can use it to communicate effectively within the emergency department.
  9. Content Article
    Brighton and Sussex University Hospitals NHS Trust found a key challenge in tackling emergency department (ED) doctors' low levels of satisfaction, high rates of burnout and high turnover was because of the way shifts were organised. They found that while ED could be a highly pressurised environment that could contribute to these issues, another key challenge was the way shifts were organised and the lack of flexibility that had become a standard part of being an ED doctor.
  10. Content Article
    Treating the elderly and frail within the speciality of trauma emergency medicine is complex. This poster infographic from the Greater Manchester Trauma Network gives a great basic overview on what to look out for in this patient group.
  11. Content Article
    This seven-minute video from the US Suicide Prevention Resource Center describes the first part of the Patient Safety Screener, the Patient Safety Screener (PSS-3), a tool for identifying patients in the acute care setting who may be at risk of suicide. The PSS-3 can be administered to all patients who come to the acute care setting, not just those presenting with psychiatric issues. For those who are positive, the second part of the Patient Safety Screener, referred to as the ED-SAFE Secondary Screener, can be administered to guide suicide risk stratification.
  12. Content Article
    This action plan was produced by the Ipswich & East Suffolk Clinical Commissioning Group and West Suffolk Clinical Commissioning Group following a treatment delay for a patient in intensive care.
  13. Content Article
    Emergency departments (EDs) are under ever increasing pressure, with performance in winter reaching new lows every year; putting both patient safety and staff morale at risk. While a significant increase in resources, for both the NHS and social care, is clearly needed there are actions that health service leaders and boards can take to help their systems maintain safety and improve performance over winter. 
  14. Content Article
    The Royal College of Emergency Medicine has developed The Safety Toolkit which aims to describe the structures, processes and skills required for a ‘safe’ department. There are resources identified within each section to stimulate, provoke and challenge, as well as guide personal development. There are overlapping references and differing perspectives but the vision is of a resource for change and development.
  15. Content Article
    Homerton University Hospital started a journey with some of its closest suppliers to develop a digital-health tech app. Initially starting with action cards for sepsis, expanding to other topics, and then developing into a smart phone app used trust-wide, with the primary goal of addressing high-risk incidents within the trust.
  16. Content Article
    Karen Sanders, Senior Staff Nurse at North Bristol NHS Trust, describes the moral challenges of working in a busy Emergency Department.
  17. Content Article
    Alison Phillips tells HSJ her story and why she's campaigning for the deteriorating patient and safety.
  18. Content Article
    ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. The ReSPECT process creates a personalised recommendation for your clinical care in emergency situations where you are not able to make decisions or express your wishes. In an emergency, health or care professionals may have to make rapid decisions about your treatment, and you may not be well enough to discuss and make choices. This plan empowers you to guide them on what treatments you would or would not want to be considered for, and to have recorded those treatments that could be important or those that would not work for you.
  19. Content Article
    The successful NHS Productives series, from NHS Improvement, are about ‘the how not the what’ and use a learning by doing approach that builds knowledge and skills to support frontline teams to make real and lasting improvements for themselves.
  20. Content Article
    This tool will enable a swift delirium assessment of a patient that arrives in the emergency department.
  21. Content Article
    The Whole System Flow programme has been accepted for presentation at the International Conference of Integrated Care in San Sebastien in April 2019. This poster provides an overview of the programme’s structure and outputs. We will be opening applications in April for the next group of systems to work with on a system pathway that they choose.
  22. Content Article
    This document records the findings of an online survey sent to 7,106 members of the RCN’s Emergency Care Association network exploring their experiences of corridor care.
  23. Content Article
    The Royal College of Anaesthetists (RCoA) and the Difficult Airway Society (DAS) have collaborated to create the video resource Capnography: No Trace = Wrong Place.  Presented by Professor Tim Cook, the video shares the important message that during cardiac arrest, if a capnography trace is completely flat, oesophogeal intubation should be assumed until proven otherwise. 
  24. Content Article
    The reference event in this HSIB investigation is the case of a 58-year-old woman who deteriorated and died within 24-hours of presenting at hospital, two weeks after having surgery. The national investigation reviewed relevant research and safety literature relating to recognition and response to deteriorating patients, engaged with national subject matter advisors and consulted with professional bodies.
  25. Content Article
    A&E is often seen as a service in crisis and is the focus of much media and political interest. But A&E is just the tip of the iceberg -- the whole urgent and emergency care system is complex, and surrounded by myth and confusion. This animation from The King's Fund gives a whistle-stop tour of how the system fits together and busts some myths about what's really going on -- explaining that the underlying causes go much deeper than just A&E and demand a joined-up response across all services.
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