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Found 272 results
  1. Content Article
    This evidence briefing from the Improvement Academy states what providers of care homes and commissioners of older peoples services should do to improve outcomes.
  2. Content Article
    This issue of Effectiveness Matters has been produced by the Centres for Review and Dissemination in collaboration with the Yorkshire and Humber AHSN and the Improvement Academy and updates a previous issue published in January 2015. Frailty is a distinct health state related to reduced function across multiple physiological systems that develops as part of the ageing process. Frailty means that even minor events can trigger disproportionate changes in health status after which the patient fails to recover to their previous level of health.
  3. Content Article
    Effectiveness Matters is a summary of reliable research evidence about the effects of important interventions for practitioners and decision makers in the NHS and public health. It is extensively peer reviewed. This issue focuses on reducing harm from polypharmacy (the use of multiple medicines) in older people.
  4. Content Article
    Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to encourage prevention and treatment. The US-based Agency for Healthcare Research and Quality created On-time pressure ulcer healing to help nursing homes with electronic medical records address pressure ulcers that are slow to heal.
  5. Content Article
    Dr Clare Dollery reflects on a retained swab 'never event' in Churchill Hospital theatres. Incidents, such as operating on the wrong body part or leaving instruments inside patients are categorised by the Department of Health as 'never events'. Dr Dollery is Oxford University Hospital's Deputy Medical Director. The Surgical Grand Rounds lecture series, hosted by the Nuffield Department of Surgical Sciences at Oxford University, is the key educational meeting for consultants, juniors and medical students. Presentations revolve around clinical cases.
  6. Content Article
    Treating the elderly and frail within the speciality of trauma emergency medicine is complex. This poster infographic from the Greater Manchester Trauma Network gives a great basic overview on what to look out for in this patient group.
  7. Content Article
    The second blog from Claire, a Critical Care Outreach Sister, and Patient Safety Learning's Associate Director, on her visit to Rush University Hospital, Chicago.
  8. Content Article
    This guideline by the National Institute for Health and Care Excellence (NICE) covers assessment of fall risk and interventions to prevent falls in people aged 65 years and over. It aims to reduce the risk and incidence of falls and the associated distress, pain, injury, loss of confidence, loss of independence and mortality.
  9. Content Article
    Adverse events in the nursing home setting are common and often preventable. This qualitative study, by Tong et al., of home care patients and their caregivers, published in the International Journal for Quality in Healthcare, revealed concerns about safe care space and ability to address physical needs. These results demonstrate the need for continued focus on safety in home care.
  10. Content Article
    This toolkit has been designed for staff in care homes and carers in the community. It provides a readily accessible and practical guide to help them assist older people in their care to achieve optimum hydration.  It was developed through collaboration between Kent Surrey and Sussex Academic Health Science Network, Wessex Academic Health Science Network and NE Hants and Farnham CCG
  11. Content Article
    In February 2019, Claire, a Critical Care Outreach Sister, and Patient Safety Learning's Associate Director, had the great privilege to visit Rush University Hospital, Chicago, as a visiting nurse scholar to shadow the critical care outreach team.  The objectives of this visit were to (1) collaborate to harness and direct the strengths of two teams from two different countries, in two unique settings; and (2) to promote best practices that facilitate early recognition and management of patient deterioration to improve patient outcomes. In this blog, Claire talks about this amazing opportunity to see how the UK and USA systems differ and how we can learn from one another.
  12. Content Article
    This infographic was produced by Matthew Bowker, a junior doctor from Newcastle Upon Tyne. Fifty per cent of older people have asymptomatic bacteraemia in their urine. This infographic advises when to dip urine in older adults. Produced with guidance from the Scottish Intercollegiate Guidelines Network (SIGN).
  13. Content Article
    Frailty is a distinctive health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. Around 10% of people aged over 65 years have frailty, rising to between a quarter and a half of those aged over 85 years. Older people living with frailty are at risk of adverse outcomes such as dramatic changes in their physical and mental well being after an apparently minor event which challenges their health, such as an infection or new medication. The Rockwood Frailty scale is a tool to aid clinicians in assessing frailty in adults.
  14. Content Article
    This film, by the Health Foundation, tells the story of how the well-being of older care home residents is enhanced by making sure they are only prescribed the medicine they really need, and the positive impact this has had on the people who work on the project too.
  15. Content Article
    Which? magazine explores ways to keep people safe in their homes and outside by using electronic devices to alert others for assistance. Personal alarms allow people to call for assistance if they have an accident or a fall at home. They can help older and less abled people to feel safer at home, and to remain independent for longer. They can also offer peace of mind to family and friends.
  16. Content Article
    This study by Noble and Sweeney, published in Workplace Health & Safety, assessed barriers to the use of assistive devices in safe patient handling and mobility that contribute to health care worker injuries.
  17. Content Article
    Age UK explain what Telecare is and how it could help you live independently and stay in control of your health and wellbeing. 
  18. Content Article
    This web page describes how NHS Leeds monitors safety and quality.
  19. Content Article
    NHS Improvement have published a number of case studies on appropriate use of clinical risk assessment tools, developing new evidence-based alerting systems and developing personalised risk management plans for people who use services, to manage risks positively.
  20. Content Article
    A candid discussion with photographer, father and patient safety campaigner, Scott Morrish, about how the NHS can create a just, learning culture and what the Ombudsman needs to do to improve its service.
  21. Content Article
    In this series 'e-Patient Dave' deBronkart shares what we all need to know to get the best medical care without going broke or getting killed in the process. An 'e-patient' is someone who is empowered, engaged, equipped, and able, who never expected the system to do everything but thinks and acts like a responsible independent person.
  22. Content Article
    This joint project with East Berkshire CCG was highlighted within the AKI Programme within Oxford Patient Safety Collaborative. Fewer residents are suffering urinary tract infections (UTIs) following the introduction of a hydration programme in care homes. UTIs are closely associated with dehydration. This project was designed to encourage residents to drink more fluids with the aim that this would lead to fewer UTIs requiring medication or hospital admission. This approach involved introducing structured drinks rounds seven times a day, designed and delivered by care home staff. The initial focus was in four care homes which had higher than average UTI admission to hospital rates.
  23. Content Article
    The Royal College of General Practitioners (RCGP) have developed this toolkit to disseminate learning highlighted from acute kidney injury (AKI) case notes reviews, part of the RCGP AKI Quality Improvement project. Working with GP practices, they have put together resources, alongside national Think Kidneys guidance, to support the implementation of quality improvement methods into routine clinical practice.
  24. Content Article
    A podcast discussing blogs from Dr Josh Farkas of the PulmCrit blog on the importance of renal protection in sepsis.
  25. Content Article
    Blog by the Practice Team at the Nursing Times.
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