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Found 70 results
  1. Content Article
    Mouth Care Matters have launched a video – Supporting Patients in Hospital Who Are Resistant to Mouth Care. As part of their work with trusts in England, care resistant behaviour was the number one barrier to providing mouth care. They have developed a video is to explain why a patient may be resistant towards mouth care, and some ways that may help manage this. This video is aimed at all healthcare professionals. Covering techniques, use of distraction and products, we hope after watching this video you will have picked up many new tips towards delivering better care, to a patient who may at first be resistant to mouth care.
  2. Content Article
    This article from Petriceks and Schwartz, published in Palliative & Supportive Care, describes a four-element approach centered on Goals, Options, Opinions and Documentation that serves as an effective structure for clinicians to have conversations with patients and families to address care management when the path forward is unclear.
  3. Content Article
    Force Field Analysis was created by Kurt Lewin in the 1940s. He used it in his work as a social Psychologist. In the modern world, it is used for making and communicating decisions about whether to go ahead with a change or not. It frames problems in terms of factors or pressures that support the status quo (restraining forces) and those pressures that support change in the desired direction (driving forces). The driving forces must be strengthened or the resisting forces weakened for the change to take effect. A factor can be people, resources, attitudes, traditions, regulations, values, needs, desires, etc. As a tool for managing change, Force Field Analysis helps identify those factors that must be addressed and monitored if change is to be successful. It can be difficult for teams to make decisions about testing new ideas especially when there are a variety of opinions. Force Field Analysis provides a structured approach to decision making which helps teams to consider the forces that are driving the change and those that resist the change.
  4. Content Article
    A key part of the NHS long-term plan, primary care networks (PCNs) will bring general practices together to work at scale. But what are they? How are they funded and held accountable? And what difference will they make? The King's Fund explains the latest form of GP collaboration.
  5. Content Article
    Patient Safety: Making health care safer illustrates the importance of safe care for everyone, what the burden and impact of unsafe care is, and WHO’s approach to tackling the issue of unsafe care. The brochure also contains a comprehensive collation of key WHO materials and activities in to generate improvements at the front line.
  6. Content Article
    In this Editorial published in BMJ Quality & Safety, Major and Aphinyanaphongs discuss the challenges in translating mortality risk to the point of care. Despite advances in medicine, prognostication remains inaccurate for many patients. Physicians tend to overestimate survival, even in advanced cancer and terminal illness groups. Over half of terminally ill patients express they do not want prolonging of life if their quality of life would decline. End-of-life interventions such as advanced care planning have shown improved adherence to patient’s wishes, improvement in satisfaction and reductions in stress, anxiety and depression, but clinicians remain reluctant to initiate end-of-life discussions with terminal patients if they are currently asymptomatic. Automated systems can complement clinician judgement to prompt earlier end-of-life discussions.
  7. Content Article
    The Care Quality Commission (CGC) is the independent regulator of health and adult social care in England. They make sure that health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.  Independent acute hospitals play an important role in delivering healthcare services in England, providing a range of services, including surgery, diagnostics and medical care. As the independent regulator, the CQC, hold all providers of healthcare to the same standards, regardless of how they are funded. 
  8. Content Article
    In Northern Ireland (NI), leg ulcer clinical guidelines were developed by CREST (Guidelines for the Assessment and Management of Leg Ulceration) in 1998 and although never updated were superseded by NICE guidelines in 2006. Leg ulceration affects approximately 1% of the population of the UK, with a further 400,000 people experiencing recurrence.  The aim of this audit was to assess the standard of care provided to patients with lower leg ulceration and to understand who provides care and where this care is provided.
  9. Content Article
    Based on the testimony of eight families, this drama-documentary was commissioned in response to a series of investigations where poor carer experience was a particular feature.
  10. Content Article
    The purpose of this study was to describe patient engagement as a safety strategy from the perspective of hospitalised surgical patients with cancer.
  11. Content Article
    The Mental Capacity Act (MCA) is designed to protect and empower people who may lack the mental capacity to make their own decisions about their care and treatment. It applies to people aged 16 and over. The NHS provides a summary of the Act.
  12. Content Article
    Poster summarising the barriers in sharing learning across organisations in healthcare.
  13. Content Article
    Dr Joanna Silver describes her role working with adults and children with eating disorders. An important part of her role is to work closely work with the multidisciplinary team and other health professionals to make sure the complexities of treating people with eating disorders and related conditions are understood and to ensure the patient is kept safe.
  14. Content Article
    Dr James Reed, CCIO, Birmingham & Solihull Mental Health NHS Foundation Trust, presented at the recent Bevan Brittan Patient Safety Seminar. As one of the Mental Health & Global Digital Exemplars, James discussed how his trust has implemented innovative digital technology to improve patient observations on the ward. His presentation slides are attached.
  15. Content Article
    This is the second part of Irene Tuffrey-Wijne's (Professor of Intellectual Disability and Palliative Care at St Georges NHS Trust) blogs on end of life care for people with learning disabilities. This time focusing on why it is important. 'End of life care planning is not so much a question of where and how do you want to die? But where and how do you want to live until you die?'
  16. Content Article
    This toolkit supports the implementation of the Structured Judgement Review (SJR) process to effectively review the care received by patients who have died. This will allow learning and support the development of quality improvement initiatives when problems in care are identified. This toolkit also provides information and links to resources on change management and quality improvement methodologies.
  17. Content Article
    Good Hydration! is a quality improvement initiative designed by care homes for care homes to reduce urinary tract infections (UTIs) through structured drinks rounds. Developed in partnership with East Berkshire Clinical Commissioning Group, it is now delivering sustained improvements and spreading further afield. Oxford Academic Health Science Network has produced a range of useful resources for care homes to use.
  18. Content Article
    Kenny Ajayi, Imperial College Health Partners - Patient Safety Programme Director, presented at the recent Bevan Brittan Patient Safety Seminar. Attached are his presentation slides.
  19. Content Article
    Research shows that patients who stayed registered with the same GP over many years have fewer out-of-hours appointments and acute hospital admissions, as well as a reduced risk of death. Helen Salsibury in this BMJ article discusses the benefits of continuity of care not only for the patient but also the doctor.
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