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Showing results for tags 'Accident and Emergency'.
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Content Article
How NHS staff handle acute pressure in A&Es (June 2018)
Claire Cox posted an article in Stories from the front line
In Wales, like in England, the government has come under pressure over the poor performance of parts of the service. The Betsi Cadwaladr Health Board is the largest in Wales. It also has the worst A&E waiting times and has been in special measures for three years. Its hospital in Bangor, Ysbyty Gwynedd, serves 193,000 people, from tourists visting Snowdonia to the many retirees who live in North Wales. In this film, Saleyha Ahsan, looks at how the department tries to cope with unrelenting demand for patient space.- Posted
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Content ArticleHomerton University Hospital describes how they have embedded the Redthread Youth Violence Intervention Programme into their A&E department.
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Content Article
Remove central lines supine - animation (2017)
Claire Cox posted an article in Implementation of improvements
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.- Posted
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Content ArticleHigh 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.
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- Qualitative
- Children and Young People
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Content ArticleMany 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.
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- Accident and Emergency
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Content ArticleReducing 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.
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- Community care facility
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Content Article
Safer outcomes for people with psychosis
Dorit posted an article in By patients and public
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?- Posted
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- Home
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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."
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Content Article
Hitting the target, missing the point
Anonymous posted an article in Florence in the Machine
A thought-provoking blog about what it's like nursing in the emergency department (ED) when there are no beds.- Posted
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- Accident and Emergency
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Leicester Royal Infirmary NHS Trust: SBAR in action!
Claire Cox posted an article in Handover
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.- Posted
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- Accident and Emergency
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Content ArticleBrighton 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.
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Greater Manchester Trauma Network: Elderly trauma infographic
Claire Cox posted an article in Emergency medicine
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. -
Content ArticleThis 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.
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Content ArticleThis 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.
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- Patient
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Content ArticleEmergency 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.
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Content Article
The Safety Toolkit for Emergency Departments
Claire Cox posted an article in Emergency medicine
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.- Posted
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Content ArticleHomerton 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.
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- Accident and Emergency
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Content Article
Integrity in health care: a nurse's story
Claire Cox posted an article in Stories from the front line
Karen Sanders, Senior Staff Nurse at North Bristol NHS Trust, describes the moral challenges of working in a busy Emergency Department.- Posted
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Content Article
HSJ Patient Safety Congress 2018 - Alison Phillips' Story
Claire Cox posted an article in Patient stories
Alison Phillips tells HSJ her story and why she's campaigning for the deteriorating patient and safety.- Posted
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Content ArticleReSPECT 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.
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Content Article
Releasing Time to care, The NHS Productive Series (NHS Improvement)
Claire Cox posted an article in Environmental
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.- Posted
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- Accident and Emergency
- Community care facility
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Content Article
A&E Delirium Assessment Tool
Claire Cox posted an article in Care assessment
This tool will enable a swift delirium assessment of a patient that arrives in the emergency department. -
Content Article
Whole system flow: From front door to front door
Claire Cox posted an article in Processes
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.- Posted
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- Staff engagement
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Content ArticleThis 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.
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Content Article
Capnography: No Trace = Wrong Place
Patient Safety Learning posted an article in High risk areas
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.- Posted
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- Accident and Emergency
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