Search the hub
Showing results for tags 'Hospital ward'.
Found 322 results
-
Content Article
CQUIN for deteriorating patients: proforma (February 2020)
PatientSafetyLearning Team posted an article in CQUIN
Dr Matt-Inada-Kim, National Clinical Lead for Sepsis and Deterioration, shares the proforma he has developed to document management and treatment for the deteriorating patient for the new CQUIN, coming soon. This proforma ensures that all the CQUIN data is captured when it comes to audit. He has shared his accompanying slide set explaining about the CQUIN.- Posted
- 14 comments
-
3
-
- (and 3 more)
-
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.
-
Content Article
The last 1000 days, a short film about end of life
Claire Cox posted an article in Keeping patients safe
This moving video accompanied by a poem by Molly Case, speaks of the last 1000 days of a persons life, most of which is often spent in hospital. This is part of the #EndPjParalysis campaign and was commissioned by Prof Jane Cummings, Chief Nursing Officer for England, -
Content ArticlePatients in inpatient mental health settings face similar risks (eg, medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (eg, self-harm), and the measures taken to address these (eg, restraint), may result in further risks to patient safety. The objective of this review, published in BMJ Open, is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology.
-
Content ArticleThe Patient Safety Movement Foundation’s first mobile application, PatientAider, can be a valuable source of medical information to help keep you or your loved one safe during a hospital stay. PatientAider is free to download and includes information on common dangers and recommendations for questions to ask. This app is available in: Arabic (supported by the Saudi Patient Safety Center) English Latin American Spanish Traditional Chinese (Taiwanese). Patient Safety Movement is an American organisation.
-
Content ArticleMiscommunications are a leading cause of serious medical errors. Communications are particularly vulnerable during handoffs. This study, published by The New England Journal of Medicine, examined the power of standardisation of processes to improve the reliability of the handoff. Testing a method called I-PASS, it engaged residents in a bundled set of activities that resulted in substantial error reductions without negative impact on their workflow.
-
Content ArticleThese instructions are for patients who have been advised to undertake 'conscious proning'. Proning is the medical term for lying on your tummy or front. Proning has been proved to help with breathing in patient who have coronavirus.
-
Content ArticleAs the coronavirus pandemic focuses medical attention on treating affected patients and protecting others from infection, how do we best care for people with non–Covid-related disease? In her article in the New England Journal of Medicine, Lisa Rosenbaum discusses the impact the pandemic is having and how we help those people who are afraid to seek care.
-
Content ArticleHealth tech company DrDoctor has announced that its COVID-19 toolkit is now available, free of license fees to any hospital that requires it. The bespoke toolkit comprises of the recently released Broadcast Messaging and Video Consultation services and, as of today, the new digital Symptom Assessment Tracker.
-
Content ArticleIn this blog, Debbie Ivanova, Deputy Chief Inspector — People with a learning disability and autistic people, and Jemima Burnage, Deputy Chief Inspector and Mental Health Lead, update on progress since the Care Quality Commission’s (CQC) 'Out of Sight' report published in October 2020. Their blog discusses the findings of the authors' 'Restraint, segregation and seclusion review: Progress report' published in December 2021.
-
Content ArticleThe Mental Health Optimal Staffing Tool (MHOST) was created, with the support of Health Education England, in recognition that there was no published, evidenced based mental health workforce tool which could be used in mental health hospitals. It has been developed alongside clinical leaders and workforce staff in mental health trusts and rigorously tested and validated.
-
Content ArticlePeople with a learning disability and autistic people should have the right support in place to live an ordinary life and fulfil their aspirations, in their own home. This action plan from the Department of Health and Social Care (DHSC) aims to strengthen community support for people with a learning disability and autistic people, and reduce reliance on mental health inpatient care. This action plan outlines the government's policy to achieve this by: strengthening community support. reducing the overall reliance on specialist inpatient care in mental health hospitals. improving the experiences of people with a learning disability and autistic people across public services such as health, social care, education, employment, housing and justice. It brings together the commitments that have been made by different organisations to realise these aims, and aims to drive long-term change for people with a learning disability and autistic people.
-
Content ArticleThis report by the Care Quality Commission (CQC) looks what people with a learning disability and autistic people experience when they need physical health care and treatment in hospital. People with a learning disability face huge inequalities when accessing and receiving health care, and initiatives to try and improve people’s experiences have not brought about improvement at the speed or scale needed. The consequences of this are serious, as when people do not get care and support that meets their individual needs, it can lead to avoidable harm and premature death. Equity for people with a learning disability and autistic people is therefore a critical patient safety issue.
-
Content ArticleAuthors of this study, published in BMJ Open, conclude that people with learning disabilities appear to experience poorer patient safety outcomes in hospital. The involvement of family and carers, and understanding and effectively meeting the needs of people with learning disabilities may play a protective role. Promising interventions and examples of good practice exist, however many of these have not been implemented consistently and warrant further robust evaluation.
-
Content ArticleSignificant changes in how autistic people with a learning disability access and experience healthcare can and should be informed by stakeholders, including the patient and their family. This article, published by the University of Hertfordshire, provides different examples and suggestions from experts by parental experience.
-
Content ArticleThis article, published by the University of Hertfordshire, addresses the need for reasonable adjustments, and other issues, by using examples of: a hospital passport assessing the mental capacity of a person how to improve care provided how to reduce clinical risks for people with intellectual disability.
-
Content Article
Passport to health
Claire Cox posted an article in Learning disabilities
People with a learning disability are more likely to experience major illnesses that will require acute care (Disability Rights Commission, 2006) and more people with learning disability are living longer, and are therefore more likely to use health services as they get older. As a group, they experience more admissions to hospital (26%) compared to the general population (14%) (Mencap, 2004). -
Content ArticleThe VIP scheme is supported by the learning disability liaison team in the acute hospital to improve health outcomes. The scheme promotes reasonable adjustments, person centred surgical care pathways, accessible information and decision making care plans to support those who may lack the capacity to make health decisions. It also includes VIP champions and promotes evidence based training. The scheme is supported by the Wakefield Patient Experience Group, made up of people who have a learning disability. The VIP scheme has improved health outcomes of patients with learning disabilities at Mid-Yorkshire Hospitals Trust. The scheme, all though multi-faceted, has one common aim; achieving equality for patients with a learning disability.
-
Content ArticlePeople with learning disabilities, autism or both and their families and carers should be able to expect high quality care across all services provided by the NHS. They should receive treatment, care and support that are safe and personalised and have the same access to services and outcomes as their non-disabled peers. But we know some people with learning disabilities, autism or both encounter difficulties when accessing NHS services and can have much poorer experiences than the general population. Several inquiries and investigations have found that some NHS trusts and foundation trusts are failing to adequately respect and protect people’s rights, with devastating consequences for them and their families. Also, skills deficits in the NHS workforce mean people’s needs are sometimes misunderstood or responded to inappropriately. As a result of these failings, people with learning disabilities, autism or both are at risk of preventable, premature death and a grossly impoverished quality of life. With system partners, NHS Improvement, have developed four standards that trusts need to meet; doing so identifies them as delivering high quality services for people with learning disabilities, autism or both. These standards are supplemented by improvement measures or actions that trusts are expected to take to make sure they meet the standards and deliver the outcomes that people with learning disabilities, autism or both and their families expect and deserve. These four standards are: 1. respecting and protecting rights 2. inclusion and engagement 3. workforce 4. specialist learning disability services.
-
Content ArticleA team at South Tees Hospitals NHS Foundation Trust in Middlesbrough developed a programme to raise awareness of acute kidney injury (AKI) and to recognise and treat the condition promptly. Since the programme started there has been a sustained reduction (36%) in AKI cases within the surgical wards at Middlesbrough. This successful programme and pathway has been shared with seven other trusts in the North East of England. As a result of the AKI project and its links to CRAB Clinical Informatics Limited (C-Ci), other NHS Trusts (Imperial, Frimley Park, Wexham Park, North Devon, St Helen’s, Lincoln, Yeovil, Bartholomew’s, The Royal London and Southend) have now also been consulted, meaning this project has the potential for much wider spread. Commonly AKI starts in the community so the team is now focusing on strategies to support primary care to reduce AKI in the community and to harmonise AKI aftercare between hospital and community services. The South Tees Hospitals NHS Foundation Trust team was also highly commended in July 2017 at the national Patient Safety Awards.
-
Content ArticlePatient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. Authors of this study, published in BMJ Quality & Safety, sought to understand the incidence and nature of patient-reported safety concerns in hospital.
-
Community PostDuring the COVID pandemic, it was clear that Emergency Departments across the UK needed to adapt and quickly, with my trust not exempt from this. We have increased capacity, increased our nursing and doctors on the shop floor, obviously with nurse in charge being responsible for all areas. We have different admission wards in terms of symptoms that the patient has, but also have a different type of flow, which i am getting my head around to be able to share I have seen departments split into 2 and various other ideas coming out from various trusts. Which got me thinking about patient safety and how well this is managed. So.... How is your department responding to the pandemic? Do you have any patient safety initiatives as a result of the response? Is there a long term plan? The reason why i am asking this, is so we can share practice and identify individual trust responses.
