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Showing results for tags 'Falls'.
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Content ArticleTwo years ago, a patient safety incident at North Bristol Trust led to the introduction of Swarm – a step change in how the trust responds to safety incidents. Swarm is a form of safety incident huddle that takes place as close as possible in time and place to the incident, allows blame-free investigation and leads to prompt action. This article describes how Swarm works, its advantages over root cause analysis, and how it is being embedded in the safety culture of North Bristol Trust.
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Content ArticleFalls are the most frequently reported incident affecting hospital inpatients, with 247,000 falls occurring in inpatient settings each year in England alone. The FFFAP Patient Panel along with the NAIF Multidisciplinary advisory group have worked together to produce these patient information resources for Healthcare Champions who are looking to influence and improve the care and management of patients who have fallen in an inpatient setting.
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Content ArticleIf you're a carer and the person you care for fractures their hip, this guide from the Royal College of Physicians will ensure that you are equipped with the information you need to support their recovery.
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Content ArticleThis YouTube channel contains video resources designed to raise awareness of falls and how to prevent them. The videos contain simple techniques to help prevent falls and promote healthy lifestyle choices. Videos include a daily 'Falls and management exercise class' and a weekly 'Functional Fitness MOT' for patients to use at home.
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Content ArticleOn 24 March 2021, an investigation into the death of Hazel Fleur Wiltshire was opened. The conclusion of the inquest was that Mrs Wiltshire died from pneumonia caused by a fall and by COVID-19 that she acquired in hospital. The fall was caused by her trying to relieve herself without assistance in the context of long delays in answering calls bells at the time.
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News Article
New volunteer programme to help older patients reduce risk of fall
Patient Safety Learning posted a news article in News
A new volunteering programme is aiming to bring trained volunteers into the homes of older patients to provide one-to-one support. The Falls Prevention Community Exercise Volunteers programme is being run by the volunteering service at Kingston Hospital NHS FT, which is funded by the volunteering organisation Helpforce and the Kingston Hospital Charity. It hopes that this will improve the strength, balance, and mobility of elderly patients, as well as improve their overall health and well-being. This is then expected to reduce the strain on the NHS caused by falls among older patients. Research from NICE in 2018 showed that the risk of falls in elderly patients can be reduced by as much as 54%, when they take part in exercises focused on improving strength and balance. Bianca Larch, Community Outreach Manager at the trust, said: “We are delighted to launch this much needed volunteering service to support our patients at home. “With volunteers supporting patients to undertake a physiotherapy prescribed exercise programme, we hope to see improved strength, mobility and balance in our patients and in turn reduce their risk of falls significantly. “This programme can really improve the quality of life of our patients by restoring well-being and independence, especially for those waiting to access various community interventions.” Read full story Source: National Health Executive, 9 September 2021 -
Content ArticleIn this blog, Neil O'Halloran, Clinical Support Specialist for Medline, describes how and why he set up a group to bring together falls prevention leads. His vision was to create a network where people could share best practices and become a resource and support for each other. You can find out more about the network by following the link below.
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Content Article
Gavin Portier is Head of Nursing Quality at Barnsley Hospital NHS Foundation Trust. In this interview, Gavin explains how his approach to auditing has moved beyond measuring negative outcomes, instead focusing on standards of care. -
Content Article
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In this short video, Associate Professor, Paediatric Podiatrist and Research Lead, Cylie Williams shares practical tips to help people wear their masks safely. Cylie talks about how to shape the mask effectively to different face shapes and how to prevent glasses from steaming up which can cause people to fall. -
Content Article
Falls: applying All Our Health
Claire Cox posted an article in Department of Health and Social Care (DHSC)
Falls and fractures in older people are often preventable. Reducing falls and fractures is important for maintaining the health, wellbeing and independence of older people. A fall is defined as an event which causes a person to, unintentionally, rest on the ground or lower level, and is not a result of a major intrinsic event (such as a stroke) or overwhelming hazard. Having a fall can happen to anyone; it is an unfortunate but normal result of human anatomy. However, as people get older, they are more likely to fall over. Falls can become recurrent and result in injuries including head injuries and hip fractures. -
Content Article
RightCare Pathway: Falls and Fragility Fractures
Claire Cox posted an article in Patient management
The Falls and Fragility Fractures Pathway defines the core components of an optimal service for people who have suffered a fall or are at risk of falls and fragility fractures.The Falls and Fragility Fractures Pathway has been developed in collaboration with the National Clinical Director for Musculoskeletal Services, Peter Kay, Public Health England (PHE), the National Osteoporosis Society (NOS) and a range of other stakeholders from across the health and care system. The pathway defines the key interlocking components for an optimal system for prevention and management and the priority higher value interventions that systems should focus on to address variation, improve outcomes, reduce cost and contribute toward a sustainable NHS. -
Content ArticleThe objective of this study was to to report the frequency of adverse events (AEs) that occurred during the months when SARS-CoV-2 spreading rate was at its highest in the Italian nursing homes, and to identify which conditions and attributes were most associated with the occurrence of AEs. Authors note that future recommendations for the management and care of residents in nursing homes during the COVID-19 pandemic should include specific statements for the most vulnerable populations, such as people with dementia. This research paper can be viewed in full via the link below to the Frontiers in Psychiatry website.
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Content ArticleFalls represent a leading cause of preventable injury in hospitals and a frequently reported serious adverse event. Hospitalisation is associated with an increased risk for falls and serious injuries including hip fractures, subdural hematomas, or even death. Multifactorial strategies have been shown to reduce falls in acute care hospitals, but evidence for fall-related injury prevention in hospitals is lacking. Dykes et al. assessed whether a fall-prevention tool kit that engages patients and families in the fall-prevention process throughout hospitalisation is associated with reduced falls and injurious falls. The study found that implementation of a fall-prevention tool kit was associated with a significant reduction in falls and related injuries. A patient–care team partnership appears to be beneficial for prevention of falls and fall-related injuries.
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Content ArticleFalls in Pennsylvania continue to be one of the biggest contributors to patient harm and the fourth most frequently reported adverse event. Looking more broadly, falls are also a frequent cause of patient harm across the United States and globally. Allen and Wallace conducted a review of the literature to identify international strategies and novel approaches to reduce falls and falls from injury, mainly in healthcare facilities, published in the last decade. The review revealed that while no single country has been able to eradicate patient falls, several had implemented measures showing moderate levels of success. Those struggling with a high incidence of falls may benefit from reviewing and adopting one or more of these innovative techniques.
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Content ArticleThe Patient Safety Authority has put together information and tips for patients on a range of topics.
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Content ArticleThere is a lack of awareness regarding the pervasive influence of the built environment on caregiving activities, and how its design could reduce risks for patients and providers. This article from Joseph et al. presents a narrative review summarising key findings that link health care facility design to key targeted safety outcomes: health care–associated infections, falls, and medication errors. It describes how facility design should be considered in conjunction with quality improvement legislation; projects under way in health systems; and the work of guideline-setting organizations, funding agencies, industry, and educational institutions. The article also charts a path forward that consolidates existing challenges and suggests what can be done about them to create safe and high-quality healthcare environments.
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Content Article
Patient Safety Authority: Bed safety
Patient Safety Learning posted an article in Patient safety in health and care
In the past, healthcare workers considered bed rails a useful device to prevent patient falls from bed. While bed rails have their benefits, their use or misuse may also place patients at significant risk, resulting in death or serious injury. Entrapment is an occurrence involving a patient who is caught, trapped, or entangled in the hospital bed system, which includes the spaces in or around the bed rail, hospital bed mattress, or hospital bed frame. Entrapped body parts associated with risk for severe injury include the head, neck, and chest. Awareness of this risk must be heightened across the healthcare continuum. The Patient Safety Authority has collated guidelines, resources and educational tools on bed safety. -
Content Article
Keeping patients safe from falls
Claire Cox posted an article in International patient safety
Tens of thousands of patients fall in health care facilities every year and many of these falls result in moderate to severe injuries. Find out how the participants in the Center for Transforming Healthcare’s seventh project are working to keep patients safe from falls. -
Content Article
Scottish Patient Safety Programme: Acute Adult
Claire Cox posted an article in Resources for staff
This web page includes the four work streams that Health Improvement Scotland are undertaking. These include: Falls Deteriorating patient Catheter induced infections Pressure ulcers. -
Content Article
Safe Steps technology
Patient Safety Learning posted an article in Community care
Safe Steps Ltd creates digital web applications for UK care homes, local authorities and NHS trusts to help reduce falls for older people and residents. -
Content ArticleThe Fall TIPS (Tailoring Interventions for Patient Safety) programme has been shown to be effective in preventing inpatient falls through formal risk assessment and tailored patient care plans. This study from Christiansen et al., published in the Journal on Quality and Patient Safety, demonstrated that patients with access to the Fall TIPS programme are more engaged and feel more confident in their ability to prevent falls than those who were not exposed to the programme.
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Content ArticleThe National Audit of Inpatient Falls (NAIF) has a new approach which focuses on the continuous audit of the care and management of patients who sustain a hip fracture in an inpatient setting. The new process involves the identification of inpatient hip fractures by the National Hip Fracture Database (NHFD). This first report of the continuous NAIF focuses on patients in England and Wales who sustained an isolated hip fracture (IHF) between January and August 2019. Data on organisational policy and practice with respect to inpatient fall prevention and management were collected via a facilities audit, and the data from 2018 NHFD were explored to identify differences between IHF and non-IHF processes and outcomes.
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Content Article
Coroner's case of Maureen Brown
Claire Cox posted an article in Coroner reports
This coroner's case, by coroner Emma Serrano, describes the events that led up to Maureen Brown's death at University Hospital of Derby and Burton NHS Trust. Maureen had an inpatient fall and died from her injuries. Could this death been prevented? How can we ensure the voice of the carer/family is heard, documented and acted upon in clinical practice? -
Content Article
Letter from America: Kick off to a new year of hope
lzipperer posted an article in Letter from America
Football is a popular American pastime. Its focus on collaboration, individual skill reliance and teamwork serves as a touchpoint for the January 2020 Letter from America. Letter from America is a Patient Safety Learning blog series highlighting fresh accomplishments in patient safety from the United States. -
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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