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Found 66 results
  1. Content Article
    The Healthcare Safety Investigation Branch (HSIB) conducts independent investigations into patient safety concerns in NHS-funded care across England. Formed in April 2017, they are funded by the Department of Health and Social Care (DHSC) and hosted by NHS Improvement , but operate independently. 
  2. Content Article
    With the widespread adoption of electronic health records (EHRs), there is an increased focus on addressing the challenges of EHR usability; that is, the extent to which the technology enables users to achieve their goals effectively, efficiently, and satisfactorily. Poor usability is associated with clinician job dissatisfaction and burnout and could have patient safety consequences. Using EHR surveillance data collected by the ONC, researchers from the MedStar Health National Center for Human Factors analysed over 350 reports regarding EHR issues that violated the federal certification programme. They found that roughly 40% of ONC-certified EHRs had the potential for patient harm.
  3. Content Article
    In 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.
  4. Content Article
    State of Care is the Care Quality Commission (CQC) annual assessment of health care and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve.
  5. Content Article
    A report for Norfolk and Suffolk NHS Foundation Trust by Verita.  Verita is an independent consultancy that specialises in conducting and managing investigations, reviews and inquiries for regulated organisations. 
  6. 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.
  7. Content Article
    The Health Foundation’s Report, Untapped potential: Investing in health and care data analytics, highlights nine key reasons why there should be more investment in analytical capability.
  8. Content Article
    Patient safety is a serious global public health concern. It is estimated that there is a 1 in 3 million risk of dying while travelling by aeroplane. In comparison, the risk of patient death occurring due to a preventable medical accident, while receiving health care, is estimated to be 1 in 300. Industries with a perceived higher risk, such as the aviation and nuclear industries, have a much better safety record than health care does. The World Health Organization (WHO) has produced a Patient Safety Fact File.
  9. Content Article
    In an analysis published in the BMJ, Alan Fletcher and colleagues outline how the new medical examiner system could create a world leading mortality review system if implemented appropriately.
  10. Content Article
    This report evaluates Schwartz Center Rounds® (rounds) in England. Rounds were introduced into the UK in 2009 to support healthcare staff to deliver compassionate care, something the Francis report (Mid Staffordshire NHS Foundation Trust Public Inquiry) identified as lacking. Rounds are organisation-wide forums that prompt reflection and discussion of the emotional, social and ethical challenges of healthcare work, with the aim of improving staff well-being and patient care.
  11. Content Article
    A Quality Account is an annual report which providers of NHS healthcare services must publish about the quality of services they provide. This quality account covers the services provided by Virgin Care. Virgin Care delivers services on behalf of NHS Dartford, Gravesham & Swanley, and Swale Clinical Commissioning Groups in North Kent, and is one of a number of providers of health and care services locally. 
  12. Content Article
    NHS England awarded 'Improving Access to Psychological Therapies' (IAPT) services in the Oxford AHSN region ‘Early Implementer’ funding to lead the way in setting up integrated treatments for patients with long-term conditions (LTCs) alongside mental illness. Four of the first 22 services selected nationally were in the Oxford AHSN region. This study was carried out by health economist Professor David Stuckler, formerly of the University of Oxford, now based at the University of Bocconi, Italy, supported by NHS South, Central West Commissioning Support Unit. It focused on one of the first groups of patients (more than 450 people) who started receiving new integrated IAPT-LTC treatments in 2017.
  13. Content Article
    This review of the literature by Mianda and Voce, published in BMC Health Services Research, was conducted towards identifying a model to inform clinical leadership development interventions among frontline healthcare providers, particularly for improved maternal and newborn care. The purpose of the literature review was to synthesise published evidence on frontline clinical leadership development and its evaluation, and included multiple frontline-care contexts. 
  14. Content Article
    A guide from The Point of Care Foundation supporting clinical, patient experience and quality teams to understand how to use online patient feedback to improve quality in healthcare.
  15. Content Article
    There have been repeated calls to better involve patients and the public and to place them at the centre of healthcare. In a paper published in BMJ Quality and Safety, Josephine Ocloo and Rachel Matthews explore the barriers, challenges and opportunities in involving patients in healthcare.
  16. Content Article
    A glimpse of moving and powerful Rounds discussions that took place at the Massachusetts General Hospital Cancer Center and at Emerson Hospital in Concord, MA, USA
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