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Showing results for tags 'Hospital ward'.
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Content ArticleHip-fracture patients are vulnerable to the outcomes of COVID-19. Authors of this study, published in The Journal of Hospital Infection, performed a cross-sectional survey to determine measures employed to limit nosocomial spread of COVID-19 in 23 orthopaedic trauma departments in the North-West of England. Nineteen (87%) hospitals admitted patients to a ward prior to a negative swab, and only 9 (39%) patients were barrier nursed. Hip-fracture patients were operated in non-COVID-19-free theatres in 21 (91%) hospitals. Regular screening of doctors working in trauma and elective areas for COVID-19 was undertaken in three (13%) and five (22%) hospitals, respectively. Doctors moved freely between trauma and elective areas in 22 (96%) hospitals.
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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 ArticleLecture from Dr Gordon Caldwell on ward rounds, covering quality, safety, personalising care and checklists.
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Content ArticleDr Gordon Caldwell shares his hospital ward round sheet attached which follows a standard process, including quality and safety checking. Feel free to adapt.
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My hospital experiences during COVID-19 by Chris Maddocks
Patient Safety Learning posted an article in Blogs
Chris Maddocks has dementia and on 28 July, after suddenly becoming unwell, she was admitted to her local hospital. She shares her experience of being in hospital and explains how small things can become much bigger for someone living with dementia. She hopes by sharing that this will help others who may be admitted in the future. -
Content ArticleAuthors of this editorial, published in BMJ Quality & Safety, discuss the significance of the results of two new studies on hospital medicine and implications for emerging research and practice improvement efforts. The first study was a systematic review to determine the prevalence of harmful diagnostic errors in hospitalised patients. The second studied readmitted patients using established methods for diagnostic error detection and analysis to gain insights into contributing factors. Both studies advance the science of measurement and understanding of how to reduce diagnostic error in hospitals.
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Content ArticleThis resource, from NHS Education for Scotland, has been designed for acute general hospital staff to help them develop their abilities in supporting people with dementia, their families and carers. It will help you develop the knowledge and skills set out at the ‘Dementia Skilled Practice Level’ of Promoting Excellence: a framework for all health and social services staff working with people with dementia, their families and carers.
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Content ArticleThis article from Delaveris et al. outlines one health system's experience implementing a bundle to reduce sepsis-related mortality and the observed connection between adherence to the bundle and improved sepsis care.
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Content ArticleThis article from Perlin et al. discusses how a 173-hospital system used technology as a strategy to reduce sepsis-related mortality system-wide by real-time dissemination of basic laboratory and clinical data to alert teams to patients exhibiting signs of sepsis risk.
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HSJ podcast: The unfolding scandal at East Kent
Claire Cox posted an article in Investigation reports
The Health Service Journal (HSJ) Health Check investigates what’s going on at East Kent Hospitals University Foundation Trust – an organisation which has seen well over its fair share of COVID-related deaths since the start of June. In this podcast, the HSJ discuss the leadership challenges faced by the trust over many years, its ongoing maternity scandal, and how its persisting battle with coronavirus doesn’t fit with the new national narrative of recovery. Featuring Alison Moore, Annabelle Collins and Alastair Mclellan. -
Content ArticleThis survey looks at the experiences of adults that have been an inpatient at an NHS hospital. The survey has been running since 2002 and is published annually.
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Escalation of deteriorating adults
PatientSafetyLearning Team posted an article in Deterioration and sepsis
This short film, produced by Homerton University Hospital, tells you how to manage a deteriorating patient on your ward. Dr Letty Dormandy, Chief Registrar, talks about the importance of early escalation and how to get help quickly. -
Content ArticleAdverse events in hospitals constitute a serious problem with grave consequences. Many studies have been conducted to gain an insight into this problem, but a general overview of the data is lacking. The authors of this paper, published in BMJ Quality & Safety, performed a systematic review of the literature on in-hospital adverse events.
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Content ArticleDelivering world-class cancer research is at the heart of what they do at The Christie. Developing new treatments to improve outcomes for patients is one of their key priorities. They lead research into innovative techniques such as using DNA to personalise treatment and to help people’s immune systems fight cancer and there are more than 650 clinical research studies and trials running at any given time. The Christie have internationally recognised expertise in cancer research. Their research makes a difference for people living with cancer and their friends and families. Cancer research expertise at The Christie includes: running research studies and trials across all types of cancer delivering the highest quality clinical trials identifying appropriate research participants and involving them in the right research studies providing an excellent service and patient support Watch Professor John Radford's video explaining the importance of research at The Christie
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Commissioning for Quality and Innovation (CQUIN)
Claire Cox posted an article in CQUIN
CQUIN stands for Commissioning for Quality and Innovation. This is a system introduced in 2009 to make a proportion of healthcare providers’ income conditional on demonstrating improvements in quality and innovation in specified areas of care. This means that a proportion of a Trusts income depends on achieving quality improvement and innovation goals, agreed between the Trust and its commissioners. The sum attached to the CQUINs is variable each year based on a percentage of the contract value and depends on achieving quality improvement and goals. -
Content ArticleThe Summary Hospital-level Mortality Indicator (SHMI) reports on mortality at trust level across the NHS in England using a standard and transparent methodology. It is produced and published monthly as a National Statistic by NHS Digital. The SHMI is the ratio between the actual number of patients who die following hospitalisation at the trust and the number that would be expected to die on the basis of average England figures, given the characteristics of the patients treated there.
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Content ArticleThe need for effective teamwork and improved communication amongst caregivers is increasingly recognised in healthcare policy worldwide. As healthcare organisations navigate in highly complex contexts, they are largely dependent on thorough collaboration and sharing of information between staff at all levels. Promoting high‐quality teamwork based on effective and frequent communication is therefore essential for developing well‐functioning healthcare organisations
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Content ArticleIn the worst moment of your life, what would you need? In 2017, Jen Gilroy-Cheetham’s life changed forever. Just six months after having her second child, she was diagnosed with a rare neuroendocrine tumour and was advised that she would need to undergo open surgery to have half of her stomach removed. Complications led to one of the darkest and scariest times of Jen’s life, as she was put into a hospital ward feeling unwell, vulnerable and unsafe. Now recovered, Jen shares her experiences as a patient from a hospital bed - or audience member - watching all of the healthcare staff around her - actors on a stage - doing everything they could to make her feel safe. In reliving her journey to recovery, Jen highlights what’s needed within a healthcare setting to make patients feel safe. Jen feels that highlighting what’s worked well to help her to feel safe and what needs to change is valuable and may help others in the future.
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Content ArticleAccording to the National Institutes of Health (January 2019), more than 130 people in the United States die after overdosing on opioids every day. Among these deaths are patients in the hospital setting, recovering from surgical procedures or undergoing sedation, who are often prescribed opioids such as morphine and oxycodone to manage pain – a necessity for healthy and comfortable recovery. But at certain doses, these drugs can also cause respiratory failure, and, because each patient is different, there is no one dose that is 'right' or 'wrong'. Hospitals must take action to ensure their staff are aware of these risks, and put protocols in place to prevent patient deaths. The authors of this US article, published by Medium, offer recommendations for improving patient safety in this area.
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Content ArticleStaff at C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital, Michigan are adopting a new approach to safety. By picking up near misses, close calls, deviation off protocol and investigating each one via a daily huddle, they are able to enable change system wide.
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Content ArticleA written and audio commentary taken from the American news station, wbur. Dr. Ashish Jha discusses the emerging trend for hospitals to spend money opening hotel-like services and argues that too often patient safety takes a backseat to these marketing efforts.
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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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Remove central lines supine - animation (2017)
Claire Cox posted an article in Implementation of improvements
The PatientSafe Network is a registered non for profit charity in Australia. It has been developed by front line healthcare staff and is for anyone who wants to improve patient safety. Their combined commitment is to improve patient safety through the transparent review of medical mistakes and the generation of transparent networked projects. Hundreds of patients die every year from avoidable central line related air emboli. This animation explains what air emboli are and how they may be avoided. -
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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My experience in a coroner’s court – a nurse perspective
Anonymous posted an article in Florence in the Machine
This is the story of a nurse's experience when attending a coroner's court and how the Trust supported them through this difficult time.- Posted
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