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Showing results for tags 'Primary care'.
Found 151 results
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Content ArticleHighlights Awareness of unintended consequences can help to balance a promissory discourse of digital health. Digital health technologies can disrupt power relations and lead to paradoxical outcomes. When digital health technologies fail staff can develop a general pessimism about innovations. When planning digital health technologies the ‘dark logic’ should be considered as well as to the potential. Accounts of unintended consequences make engaging stories for reflective, learning organisations.
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Content ArticleBased on the evidence in the MARQUIS2 report, this editorial suggests that the following approaches could make patient involvement more effective: Healthcare workers need to choose appropriate times to offer information and coaching so that patients are more likely to be receptive. For example, giving medication instructions in advance, rather than waiting for the moment they are discharged. Research needs to apply a more general approach to patient medication experiences, rather than focusing on specific settings and timeframes, such as a hospital stay. Tracking the role patients play in managing their medication and treatment across all settings will provide better insight into areas for improvement. A further area for research is to identify barriers that stop patients and caregivers responding to targeted patient involvement interventions.
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Content ArticleIncreased use of telephone and video consultations is expected during the current COVID-19 situation. In this video, the AccuRX (https://www.accurx.com/) system is being used. The system and process used by other practices may vary. A link to this video can be sent to a patient's phone by the surgery when a video appointment is booked so that they can prepare themselves for their video consultation.
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Content ArticleThis book offers practical guidance and evidence for a broad range of related improvement methods, concepts and interventions developed and implemented by the NES primary care team, or as a direct result of fruitful partnerships between academic, professional, public or regulatory institutions across the UK and internationally. It is organised into five interlinked parts, each with a number of related chapters. Part I provides an overview from an organisational systems perspective Part II focuses on the role of patients, clinicians and staff Part III is concerned with the role of learning, education and training Part IV outlines human error theory and the types and causes of some common patient safety incidents in primary care, while considering how they may be prevented or related risks mitigated or reduced Part V focuses on outlining the evidence for, and providing good practice guidance on, a wide selection of improvement methods that can be applied by primary care teams.
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Content ArticleWorking with clinicians and patients, the PRSB have published this standard along with implementation guidance for digital referrals from GPs to hospitals. Once implemented, it will ensure that clinicians have the right information they need to provide the best care for patients. The standard was produced in collaboration with the Royal College of Physicians Health Informatics Unit and input from the Royal College of General Practitioners. By using the standard professionals will have access to all relevant information in a timely manner results in safer and more consistent care for people using health and care services. The information will include data about medication, previous history, allergies and current symptoms, as well as a patient’s concerns and expectations. This standard has now been updated to version 1.1. Detailed release notes are available outlining the changes. These can be found in the supporting documents link above. The standard has been updated in-line with new PRSB digital medications information assurance. The PRSB has worked in partnership with the Health Informatics Unit at the Royal College of Physicians to produce these standards.
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Content Article'Scenario: Management of adults and children with post-traumatic stress disorder' covers the management of adults and children presenting with post-traumatic stress disorder. It includes guidance on how to manage the person whilst they are waiting to be seen by the specialist and outlines the treatments that may be offered.
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Mental Health inpatient discharge V2.1
Claire Cox posted an article in Transfers of care
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Content ArticleRCGP says the plans should contain: costed proposals for additional funding for general practice solutions for how the current GP workforce capacity can manage new and pre-existing pressures commitments to continue the reduction in regulatory burdens and ‘red tape’, which has enabled GPs to spend more time on frontline patient care during the pandemic a systematic approach for identifying those patients who are likely to require primary care support; and proposals for how health inequalities will be minimised to ensure all patients have access to the necessary post-COVID-19 care.
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Content ArticleThe study achieved its aim of beginning a consensus building process to develop and validate a preliminary list of candidate never events for primary care dentistry. Consensus was achieved on a list of nine candidate never events covering a range of potentially serious system wide issues, most of which relate to patient safety checking procedures. At the time of publication, this was one of a small number of dental studies with an explicit focus in terms of developing a tool to help improve patient safety related work practices and performance in this setting, potentially reducing risks to practitioners and practices alike.
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Content ArticleThe report highlights the need for practices to create an environment conducive to quality improvement, where: all staff are encouraged to learn about and participate in improvement time is protected for undertaking QI activities, outside of daily roles there is greater collaboration between practices, such as formal partnerships to identify and address capability gaps. Policymakers and system leaders have a responsibility to support those working in general practice to improve the quality of the services they provide by helping: staff to develop quality improvement and data skills practices carve out time for quality improvement.
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Content ArticleThe findings of this paper show that safety lapses in primary and ambulatory care are common. About half of the global burden of patient harm originates in primary and ambulatory care, and estimates suggest that nearly four out of ten patients experience safety issue(s) in their interaction with this setting. Safety lapses in primary and ambulatory care most often result in an increased need for care or hospitalisations. Available evidence estimates the direct costs of safety lapses – the additional tests, treatments and health care – in primary and ambulatory care to be around 2.5% of total health expenditure. Safety lapses resulting in hospitalisations each year may count 6% of total hospital bed days and more than 7 million admissions in the OECD.
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