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Found 544 results
  1. Content Article
    Pressure ulcers are an unwanted and often avoidable complication of care that affect over 700,000 UK patients per year. They are a common occurrence, particularly in patients whose mobility is limited due to illness, severe physical disability or increasing frailty. Pressure ulcers can lead to increased mortality, morbidity, and reduced quality of life for the patient. Pressure ulcers can also result in longer hospital stays, with hospital acquired pressure ulcers increasing length of stay by an average of 5-8 days per pressure ulcer. In addition, they represent a substantial financial cost to local NHS trusts and care providers. In 2015, the cost per pressure ulcer was estimated to vary between £1,214 and £14,108 depending on its severity. Given the often preventable nature of pressure ulcers, the occurrence of this harm to patients is a key indicator of nursing standards.
  2. Content Article
    The global healthcare delivery paradigm shift calls for enhanced strategies to engage patients in delivering safer and high-quality healthcare. There still exists a gap area in a globally accepted measure for the person-centered care. Recent tri-institutional global quality reports from National Academies of Sciences, Engineering, and Medicine (NAESM), World Bank Group, and Lancet Global Health Commission attempted to report the patient engagement measures used globally. In this paper in Cureus Journal of Medical Science, Ratnanin et al. aim to understand the variation in these globally reported patient-centered care measures and highlight the recent proactive strategies to enhance patient engagement to improve patient safety.
  3. Content Article
    ThinkSAFE is developed by Newcastle University, in partnership with NHS staff and patients.  Research has shown that by encouraging patients and their families to work together with hospital staff, safety can be improved during the patient’s stay in hospital.
  4. Content Article
    Healthcare isn’t the only industry that’s working to protect people in dangerous environments. Each year at the Institute for Healthcare Improvement (IHI) National Forum, the IHI faculty leads excursions to organisations outside of healthcare to learn about how they do their work. Kathy Duncan, IHI Faculty, leads a trip to the Central Florida Zoo, which has one of North America’s largest collections of venomous snakes. In this video, Duncan goes behind the scenes to learn about the staff’s safety procedures for handling snakes when they need to be moved from their enclosures.
  5. Content Article
    Quality 2020 is a 10 year quality strategy for health and social care developed by the Department of Health, Social Services and Public Safety for Northern Ireland.
  6. Content Article
    Listening to patients is hugely important as they are at the very the heart of what we do. We need to listen to them more, as they help us all move the conversation on safety forward. This short video from the Health Service Journal includes patients, relatives and patient advocates and staff who speak about their experiences from being in the healthcare system.
  7. Content Article
    Caring for patients in their homes holds many potential benefits, yet the safety of care provided in the home has not received as much attention as patient safety in hospitals and other clinical settings. In this video, Chief Clinical and Safety Officer Tejal Gandhi provides an overview of the Institute of Healthcare Improvement report, No Place Like Home: Advancing the Safety of Care in the Home.
  8. Content Article
    The Institute for Healthcare Improvement's (IHI) Tejal Gandhi and AHRQ’s Jeffrey Brady discuss the need for national goals and a collaborative approach in the US to advancing patient safety and sustaining improvement across systems and settings.
  9. Content Article
    Epilepsy12 was announced as the winner of the 2018 Richard Driscoll Memorial Award for outstanding patient involvement in clinical audit at the annual Healthcare Quality Improvement Partnership (HQIP) AGM in London. The submission from the Royal College of Paediatrics and Child Health (RCPCH) demonstrated Epilepsy12’s overarching goal to improve NHS healthcare services for children and young people with seizures and epilepsy.
  10. Content Article
    The assessment of acute-illness severity in adult non-pregnant patients in the UK is based on early warning score (EWS) values that determine the urgency and nature of the response to patient deterioration. This study from Freathy et al., published in the journal Resuscitation, aimed to describe, and identify variations in, the expected clinical response outlined in ‘deteriorating patient’ policies/guidelines in acute NHS hospitals.
  11. Content Article
    Patients with delirium have changes in their thinking and are often confused and cannot pay attention. About half of patients in an intensive care unit (ICU) have delirium during their stay. Research has shown that patients with delirium are more likely to die or to have long-term brain problems, including posttraumatic stress disorder, depression and other mental health issues, than those without delirium. Although nurses and doctors have tools to measure delirium in the ICU, it can be hard to identify and, in some cases, may be missed. Family members may be the first to notice that their loved ones have changes in their thinking or cannot pay attention. There are tools called the Family Confusion Assessment Method (FAM-CAM) and Sour Seven questionnaire that can be used by family members to detect delirium. However, neither of these tools has been used in an ICU. This study from Krewulak et al., published in CmajOPEN, shows that these tools can be used by family members to measure delirium in the ICU. The results from this study could lead to a change in policy that would involve partnering with family members to improve the diagnosis of delirium in the ICU. In turn, this would improve patient and family care and outcomes in the ICU.
  12. Content Article
    A report from the WISH patient safety forum held in 2015 about transforming patient safety using a sector-wide systems approach. WISH is a global healthcare community dedicated to capturing and disseminating the best evidence-based ideas and practices.
  13. Content Article
    This leaflet produced by the World Health Organization (WHO) is aimed at patients who are undergoing a surgical procedure. It aims to enable communication between you and your surgical team, including you in safety checks.
  14. Content Article
    A guide supporting clinical, patient experience and quality teams to draw on patient experience data to improve quality in healthcare.
  15. Content Article
    Trent Simulation & Clinical Skills Centre has developed this short cartoon to introduce healthcare staff to human factors and ergonomics. The cartoon particularly focuses on individuals, teams and the wider system with sign-posting to find out more about Human Factors and the Trent Simulation and Clinical Skills Centre.
  16. Content Article
    React to Red Skin is a pressure ulcer prevention campaign that is committed to educating as many people as possible about the dangers of pressure ulcers and the simple steps that can be take to avoid them.   The prevention of avoidable pressure ulcers in the community is one of the biggest challenges that care organisations face - a challenge which currently costs the NHS and care organisations in the UK around £6.5 billion per year. Pressure ulcers affect around 700,000 people in the UK every year and many of these will develop whilst an individual is being cared for in a formal care setting (hospital, nursing home or care home). Many pressure ulcers are avoidable if simple knowledge is provided and preventative best practice is followed. Hear three stories from patients who have been affected by pressure ulcers.
  17. Content Article
    This guide is for organisations providing physical activity programmes or sessions for adults (18+) with mental health problems. It will support you to promote safeguarding, prevent abuse, and protect staff members and adults at risk. This guide was written with support of The Ann Craft Trust (ACT) and Mind. The ACT believe that every disabled child and every adult at risk deserves to be treated with the same respect and dignity as everyone else in society. They are a leading provider of safeguarding training, consultations and safeguarding adult reviews working closely with organisations and individuals across the UK to raise awareness and improve practice. Although the guide was developed for the sport's sector, the information and principles are also relevant to healthcare organisations.
  18. Content Article
    The Scottish Patient Safety Programme (SPSP) is part of Healthcare Improvement Scotland's Improvement Hub (IHUB) supporting improvement across health and social care. This is a unique national programme that aims to improve the safety of healthcare and reduce the level of harm experienced by people using healthcare services. SPSP Mental Health is working with the Scottish Government and partners to deliver the 'Mental Health Strategy: 2017 - 2027', which has meant that the SPSP-MH programme is now expanding its remit from inpatient units to include child and adolescent mental health services (CAMHS), perinatal services, older peoples services, learning disabilities, as well as community.
  19. Content Article
    In association with the United Kingdom’s Foreign and Commonwealth Office and the Department of Health and Social Care (DHSC), the Wilton Park High Level Forum on Patient Safety convened experts from around the world to discuss priorities in patient safety at a global level. The two-day concentrated discussion covered the articulation of the burden of harm, possibilities to drive action towards improvement and the various roles different stakeholders play in fostering a culture of continuous improvement for safer care.
  20. Content Article
    As cancer care becomes inundated with cutting edge and novel treatments, such as personalised medicine, oral chemotherapy, biosimilars, and immunotherapy, new safety challenges are emerging at increasing speed and complexity. 
  21. Content Article
    The Mental Capacity Act (MCA) is designed to protect and empower people who may lack the mental capacity to make their own decisions about their care and treatment. It applies to people aged 16 and over. The NHS provides a summary of the Act.
  22. Content Article
    Health and social care systems, organisations and providers are under pressure to organise care around patients’ needs with constrained resources. To implement patient-centred care (PCC) successfully, barriers must be addressed. Up to now, there has been a lack of comprehensive investigations on possible determinants of PCC across various health and social care organisations (HSCOs). This qualitative study from Hower et al., published in BMJ Open, examines determinants of PCC implementation from decision makers’ perspectives across diverse HSCOs.
  23. Content Article
    NHS Education for Scotland's multi-disciplinary information and resources to help you understand more about patient safety and your contribution to making care safer.
  24. Content Article
    Suzette Woodward has been studying safety since the 1990s. In her commentary published in the Journal of Patient Safety and Risk Management, she describes three concepts: complex adaptive systems, three models of safety, and safety I and safety II.
  25. Content Article
    Established by Health Canada in 2003, the Canadian Patient Safety Institute (CPSI) works with governments, health organisations, leaders and healthcare providers to inspire extraordinary improvement in patient safety and quality. SHIFT to Safety is a major shift to empower staff with the tools and information they need to keep patients safe, at any level.
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