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Showing results for tags 'Care home'.
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Content Article
My experience of speaking up as a healthcare assistant in a care home
Anonymous posted an article in By health and care staff
A frank account from a healthcare assistant on the bullying she experienced after raising concerns at the care home she worked in.- Posted
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Content ArticleDue to the high morbidity and disability level among diabetes patients in nursing homes, the conditions for caregivers are exceedingly complex and challenging. The patient safety culture in nursing homes should be evaluated in order to improve patient safety and the quality of care. Thus, the aim of this study was to examine the perceptions of patient safety culture of nursing personnel in nursing homes, and its associations with the participants’ (i) profession, (ii) education, (iii) specific knowledge related to their own residents with diabetes, and (iv) familiarity with clinical diabetes guidelines for older people.
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Content ArticleIn recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to establishing a safety culture in care homes. Despite safety culture being accepted as an important quality indicator across all health and social care settings, the understanding of culture within social care settings remains far less developed than within hospitals. It is therefore important that the existing evidence base is gathered and reviewed in order to understand safety culture in care homes.
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Content ArticleSuperabsorbent polymer gel granules are used to reduce spillage onto bedding and clothing when patients use urine bottles or vomit bowls, or when staff move fluid-filled containers (eg washbowls or bedpans). If the gel granules are put in the mouth, they expand on contact with saliva risking airway obstruction. This National Patient Safety Alert requires any organisation still using these products to protect patients by introducing strict restrictions on their use.
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Content ArticleThe home care environment has a number of unique challenges for care providers, partially due to the high amount of variability between patients and their residences. It was identified that a mobile application used to coordinate some home care services in Alberta had opportunities for improvement in how patient specific safety critical information was provided to staff.
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Content ArticleHomeLink Healthcare (HLHC) has been providing clinical care in the home with Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUHT) since January 2019, to release in-patient bed capacity and improve patient choice. The two organisations have co-created the service, NNUH at Home, creating additional capacity and promoting improvements in patient flow from hospital to home. A key feature of NNUH at Home is that it compliments and integrates with existing services, rather than replicating those already in place.
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Content ArticleAdverse events and poor health outcomes are continuing challenges for nursing home residents and staff. Research has shown that many resident harms are avoidable and may be caused by situations in which residents do not receive needed care, often called omissions of care. Omissions of care research in nursing home settings is limited and definitions of omissions of care vary. Therefore, the US Agency of Healthcare Research and Quality (AHRQ) has developed a definition of omissions of care for nursing homes intended to be meaningful to stakeholders, including residents and caregivers, and actionable for research or improving quality of care. They developed the definition through a literature review and feedback from subject matter experts and stakeholders in the US. To develop and describe the definition, project staff produced an environmental scan and final report, including resources to help nursing homes operationalise and apply the definition of omissions of care.
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Content ArticleThe RCNi (the publishing company of the Royal College of Nursing) have brought together a selection of their most popular articles on the topic of sepsis from across their journals to inform your practice. Sepsis remains a significant cause of death – it is estimated that 44,000 people die from ‘the silent killer’ every year. RCNi has a wide range of resources available to help nurses improve diagnosis and early management of the condition.
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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 ArticleThis evidence briefing from the Improvement Academy states what providers of care homes and commissioners of older peoples services should do to improve outcomes.
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Content ArticleThe Agency for Healthcare Research and Quality (AHRQ) created On-Time Preventable Hospital and Emergency Department Visits to help nursing homes with electronic medical records identify residents at risk for events that could lead to a hospital visit. The tools are designed to help a multidisciplinary nursing home team prevent hospital and emergency department visits that can be avoided with good preventive care.
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Content ArticlePressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to encourage prevention and treatment. The US-based Agency for Healthcare Research and Quality created On-time pressure ulcer healing to help nursing homes with electronic medical records address pressure ulcers that are slow to heal.
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Content ArticleThis paper published by Mangar Health gives an insight into the costs, personal and financial, of falls and how simple investment of equipment in the right place at the right time could potential save lives and significant money.
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Content ArticleAdverse events in the nursing home setting are common and often preventable. This qualitative study, by Tong et al., of home care patients and their caregivers, published in the International Journal for Quality in Healthcare, revealed concerns about safe care space and ability to address physical needs. These results demonstrate the need for continued focus on safety in home care.
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Content Article
Delirium awareness and management of delirium superimposed dementia
Claire Cox posted an article in Dementia
Delirium in older adults often goes unrecognised by healthcare professionals and can be poorly managed. People with dementia have a higher risk of developing delirium. Health Education England North East have produced this video to raise the awareness of delirium superimposed dementia and signposts ways of managing it using a tool developed (delirium wheel) that can be used in a care home, hospital or community setting.- Posted
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Content ArticleThis toolkit has been designed for staff in care homes and carers in the community. It provides a readily accessible and practical guide to help them assist older people in their care to achieve optimum hydration. It was developed through collaboration between Kent Surrey and Sussex Academic Health Science Network, Wessex Academic Health Science Network and NE Hants and Farnham CCG
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Content ArticlePeople should not be given medicines without their knowledge if they have the mental capacity to make decisions about their treatment and care. This guide from the National Institute for Healthcare Excellence (NICE) and Social Care Institute for Excellence (SCIE) is aimed at care home managers or anyone providing medicines support in care homes.
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Content ArticleReact to Red Skin is a pressure ulcer prevention campaign that is committed to educating as many people as possible about the dangers of pressure ulcers and the simple steps that can be take to avoid them. The prevention of avoidable pressure ulcers in the community is one of the biggest challenges that care organisations face - a challenge which currently costs the NHS and care organisations in the UK around £6.5 billion per year. Pressure ulcers affect around 700,000 people in the UK every year and many of these will develop whilst an individual is being cared for in a formal care setting (hospital, nursing home or care home). Many pressure ulcers are avoidable if simple knowledge is provided and preventative best practice is followed. Hear three stories from patients who have been affected by pressure ulcers.
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Content Article
Pills: Reviewing medication in care homes
Claire Cox posted an article in Patient medication stories
This film, by the Health Foundation, tells the story of how the well-being of older care home residents is enhanced by making sure they are only prescribed the medicine they really need, and the positive impact this has had on the people who work on the project too.- Posted
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Content ArticleWhich? magazine explores ways to keep people safe in their homes and outside by using electronic devices to alert others for assistance. Personal alarms allow people to call for assistance if they have an accident or a fall at home. They can help older and less abled people to feel safer at home, and to remain independent for longer. They can also offer peace of mind to family and friends.
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Content ArticleThis is a summary of the Care Quality Commission (CQC) report into social care in the UK. This report is written to target all audiences.
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Barriers to the Use of Assistive Devices in Patient Handling
Claire Cox posted an article in Assistive equipment
This study by Noble and Sweeney, published in Workplace Health & Safety, assessed barriers to the use of assistive devices in safe patient handling and mobility that contribute to health care worker injuries.- Posted
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React To: Training resources for care homes
Patient Safety Learning posted an article in Community care
React To is a series of training resources developed by healthcare professionals. Although aimed at care home staff these resources are also relevant to other carers and healthcare professionals. -
Content Article
LPZ – improving quality and safety in care homes
Patient Safety Learning posted an article in Older people
The East Midlands Patient Safety Collaborative (EMPSC) piloted an audit tool to measure the prevalence of common care problems found in nursing and residential homes. The audit tool was first rolled out to 26 care homes across Nottinghamshire and Derbyshire in 2015, extending to 30 care homes across the East Midlands in 2016, 31 in 2017 and 39 in 2018. The tool is called the International Prevalence Measurement of Care Problems in Care Homes (Landelijke Prevalentiemeting Zorgkwaliteit, or LPZ for short, in Dutch). LPZ was developed in the Netherlands to provide a reliable mechanism for measuring the prevalence of common care problems within care homes and provide consistent recording of data to drive, or measure, the impact of quality improvement initiatives in the sector.