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Showing results for tags 'Checklists'.
Found 100 results
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Content ArticleFirst, do no harm. Doctors, nurses, and clinicians swear by this code of conduct. Yet, medical errors are made every single day - avoidable mistakes that often cost lives. Inspired by two such mistakes, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Safe Patients, Smart Hospitals shows how Dr. Pronovost started a revolution by creating a simple checklist that standardised a common ICU procedure. His reforms are being implemented in all fifty states of the US and have saved hundreds of lives by cutting hospital-acquired infection rates by 70%. Atul Gawande profiled Dr. Pronovost's reforms in a New Yorker article and his bestselling book The Checklist Manifesto is based upon Dr. Pronovost's success in patient safety. But Safe Patients, Smart Hospitals is the real story: an inspiring, thought-provoking, accessible insider's narrative about how doctors and nurses are improving patient care.
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Content ArticleLearn how the key principles of safe design – standardize care, create independent checklists for important processes, and learn from defects – can be applied to create safer systems that benefit patients, health care teams, and hospitals.
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Risk assessment for venous thromboembolism (2010)
Claire Cox posted an article in NICE
All patients should be risk assessed for venous thromboembolism (VTE) on admission to hospital. Patients should be reassessed within 24 hours of admission and whenever the clinical situation changes. This template checklist produced by the Department of Health and the National Institute for Heath and Clinical Excellence, is to aid the assessment in risk assessing patients for VTE. -
Content ArticleThe Health Protection Agency has suggested that one in ten hospital patients experiences an incident that puts their safety at risk, around half of which could be prevented, and the RCN has identified the need to reduce nurses’ paperwork considerably. This article reports a successful project that set out to tackle these two issues by developing a risk-based nursing assessment system that is simple to use, reduces unnecessary paperwork and reduces the risk of harm to patients. It outlines how the initiative was introduced, as well as obstacles encountered during the process. The risk-assessment tool received positive feedback from nursing staff as it reduces paperwork while providing a risk-based assessment of care needs.
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Content ArticleNew research by Dr Sabine Nabecker and colleagues, published in the European Journal of Anaesthesiology, suggests surgery patients overwhelmingly prefer pre-surgical safety checklists to be completed in front of them, contrary to what is thought by doctors. Since WHO launched the Safe Surgery Saves Lives Program in 2008, surgery checklists have minimised errors and improve patient safety worldwide. The WHO-approved Safe Surgery checklist includes asking the patient to confirm their name, procedure and consent, and the medical team to check that the anaesthesia machine and medication has been checked. The list also checks if patients have known allergies and if antibiotics have been administered in the previous 60 minutes, as is standard with many surgeries. "Anaesthesia professionals are often reluctant to use checklists in front of patients because they fear causing patients' discomfort before anaesthesia and surgery," explains Dr Nabecker. "Yet our study shows that patients overwhelmingly prefer to see the checklist completed in front of them."
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Content ArticleLecture from Dr Gordon Caldwell on ward rounds, covering quality, safety, personalising care and checklists.
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Royal Pharmaceutical Society: Ward round checklist example
Claire Cox posted an article in Handover
Ward rounds happen each day with your clinical team. In order for them to standardise the way they are conducted East Lancashire Hospital NHS Trust has designed a ward round check list, this is to ensure that everyone gets the same safety checks and important discussions are had for every patient. -
Content ArticleSam Goodhand is a Anaesthetic Registrar who I had the great pleasure in working with in Brighton University Hospitals NHS Trust. He produced these action/prompt cards for health professionals who attend and take part in RSI's. These are great to attach to your ID badge. This ensures you always have one at hand in those tricky situations.
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Content ArticleIn his book, Atul Gawande discusses how today we find ourselves in possession of stupendous know-how, which we willingly place in the hands of the most highly skilled people. However, he notes that avoidable failures are common and the reason is simple: the volume and complexity of our knowledge has exceeded our ability to consistently deliver it - correctly, safely or efficiently. The checklist manifesto shows how the simplest of ideas could transform how we operate in almost any field.
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Content ArticleChecklists have become the go-to solution for a vast range of patient safety and quality issues in healthcare. Some see them as a quick and obvious solution to a relatively straightforward problem. For others, they illustrate a failure to understand and address the complex challenges in patient safety and quality improvement. ‘The problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive problems that seem to resist solution.
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Content ArticleThe 4AT, developed in the UK, is now widely used internationally as a clinical tool for delirium detection in routine, non-specialist care, with increasing adoption for this specific use as well as in research studies. It has been validated in several published studies.
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Content ArticleThis report from the AHSN Network shines light on ways we can do more to improve safety for residents of care homes. The publication showcases over 30 examples of projects delivered by England’s 15 Patient Safety Collaboratives (PSCs) and the Academic Health Science Networks (AHSNs) which host them. They include case studies in medicines safety, dementia, monitoring and screening, and workforce development.
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Letter from America: Lift off!
lzipperer posted an article in Letter from America
I’d like to introduce my ‘Letter from America’, a Patient Safety Learning blog series highlighting fresh accomplishments in patient safety from the United States. The series will cover successes large and small. I share them here to generate conversations through the hub, over a coffee and in staff rooms to transfer these innovations to the frontline of UK care delivery. -
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Guy Hirst: Implementation of checklists
Claire Cox posted an article in Techniques
Human factors expert Guy Hirst looks at checklist implementation in healthcare. -
Content ArticleUrinary tract infection (UTI) was identified as the main reason to call a GP out-of-hours or to result in an unplanned admission to hospital from residential and nursing homes. Care home staff were using a urine dipstick to diagnose a urinary tract infection then calling a health care professional (HCP) for antibiotics, resulting in inappropriate use of antibiotics and over-treating what is perceived as a UTI in the absence of clinical symptoms.
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Content ArticleDesigned and tested by the Institute for Healthcare Improvement's (IHI) world-renowned safety experts, this toolkit includes documents on improving teamwork and communication, tools to help you understand the underlying issues that can cause errors, and valuable guidance about how to create and maintain reliable systems. Each of the nine tools includes a short description, instructions, an example and a blank template.
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West of England AHSN: PReCePT resources
Claire Cox posted an article in Health Innovation Networks (formerly AHSNs)
The PReCePT Programme is a quality improvement project designed to reduce the incidence of cerebral palsy through the administration of magnesium sulphate to eligible preterm mothers across England. -
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Invasive procedure safety checklist: ITU INTUBATION
Claire Cox posted an article in Process improvement
This checklist was devised by the Intensive Care Society and the Faculty of Intensive care Medicine and is ready for you to download and use. -
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WHO surgical safety checklist (1st edition, 2009)
Patient Safety Learning posted an article in WHO
The World Health Organization's surgical safety checklist to be used in all hospitals in the UK. -
Content ArticleThese prompt cards were initiated in the Brighton and Sussex University Hospital Trust for the Emergency Department to ensure that safety measures are conducted everytime in high stress situations.
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Content ArticleThis study from Petschonek et al. published in the Journal of Patient Safety sought to develop a survey that would measure individual perceptions of Just Culture in a hospital setting. The research team created a 27-item survey, which displayed adequate theoretical structure and internal reliability.
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Content ArticleRestorative Just Culture aims to repair trust and relationships damaged after an incident. It allows all parties to discuss how they have been affected, and collaboratively decide what should be done to repair the harm.
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The Just Culture Algorithm (March 2005, v1.1)
Patient Safety Learning posted an article in Culture
Infographic picturing the guide to the Just Culture Algorithm. -
Content ArticleIn April 2009 a ‘considerative checklist’ was developed to ensure that all important aspects of care on a team's routine and post-take general internal medicine ward rounds had been addressed and in order to answer the question: How long should a ward round take, when conducted to high standards of quality and safety at the point of care? The checklist has been used on 120 ward rounds: 90 routine ward rounds and 30 post-take ward rounds. Overall, the average time per patient was 12 minutes (10 minutes on routine rounds and 14 minutes on post-take rounds). The considerative checklist has encouraged and enabled documented evidence of high quality and safe medical care, and anecdotally improved team working, communication with patients, and team and patient satisfaction.
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Content ArticleThe use of checklists can help to prevent incidents and should be part of a culture of patient safety. This guidance set out by the Royal College of Radiologists highlights key considerations when writing and implementing safety checklists.
