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Showing results for tags 'Quality improvement'.
Found 757 results
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Content ArticleFor World Patient Safety Day, Natasha Swinscoe, Patient safety national lead for the AHSN Network and CEO, West of England AHSN, highlights the difference the AHSNs and Patient Safety Collaboratives have made in safe maternal and newborn care.
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Content ArticleThere is widespread consensus that learning is crucial for the performance of health systems and the achievement of broader health goals. However, this consensus is not matched by shared knowledge and understanding of how health systems learn, or of how to improve health systems learning across different contexts. The report is aimed at an audience of diverse stakeholders invested in strengthening health systems, and aims to achieve two things. First, to move towards a shared language and frameworks to discuss the problems and solutions of learning, as they apply to health systems. Second, the report seeks to advance action on learning – by providing stakeholders with clarity on steps that they can undertake to advance learning for health systems. This report is intended to be a starting point for gaining a shared understanding of learning health systems as an actionable agenda. The hope is that it will spur useful conversations and fuel the movement for better informed, more analytical and more self-reliant health systems – especially in the context of low- and middle-income countries.
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Content ArticleAs part of a Patient Safety in Surgery Webinar Series held by Massachusetts General Hospital’s COMPASS (Center for Outcomes and Patient Safety in Surgery), Vivian Lee, president of Verily Health Platforms, shares strategies for leading quality improvement and change to work toward a healthcare system that provides better care, more efficiently and at a lower cost.
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Content ArticleThis resource from NHS England provides guidance on how to make improvements in any area that involves safety. The guide includes explanations and advice involving improvement projects, the process of collecting, analysing and reviewing data, the Model for Improvement and how to use it.
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Content ArticleThis research was conducted with the aim to reduce the number of poor outcomes for surgical patients with a National Early Warning Score (NEWS) score ≥7 in the author's institution by 50%. Results found that the introduction of the surgical safety huddle supported by the deteriorating patient response team reduced the number of cardiac arrests and poor outcomes in a surgical inpatient cohort.
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Content ArticleThis article on quality improvement and accountability in the Danish healthcare system describes how Denmark developed and implemented national quality and patient safety initiatives in the healthcare system. Over the years, Denmark has worked to create a progressive and just culture in quality management and, in order to further develop the Danish governance model, the authors explain that it is important to expand the model to the primary care sector.
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NICE: Audit and service improvement
Patient-Safety-Learning posted an article in Improving systems of care
This resource from the National Institute for Health and Care Excellence includes assessment tools that can be used to evaluate current practice and plan activity to meet recommendations, audit tools which can be used to improve care, a quality standard service improvement template (Excel), resource impact reports and templates that summarise the resource impact of implementing NICE guidance and service planning tools to help those with a role in the strategic planning or delivery of services for a condition (or set of circumstances) that are addressed by NICE guidance. -
Content ArticleThis document by the National Institute for Clinical Excellence sets out the principles for best practice in clinical audit and includes; preparing for audit, selecting criteria, measuring level of performance, making improvements and sustaining improvement.
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Content ArticleThis independent study report is designed to be accessible, informative and a tool for learning and change. In its preparation, the project team has aimed to: develop a greater understanding of why staff across the system implemented new practices and innovations during the COVID-19 pandemic; demonstrate an inherent ‘permission’ to apply innovation and transformative change; evidence practical, real world examples of innovation that support the application of good practices to other areas; showcase NHS Wales as a leader in implementing innovation and new ways of working throughout the COVID-19 pandemic. A broad range of qualitative and quantitative evidence has been gathered from practitioners at all levels of the healthcare system, who have worked tirelessly to adapt to an unprecedented set of circumstances while still caring for and protecting Welsh citizens.
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Content ArticleThis toolkit has been developed to inform improvement work in inpatient and residential settings which support people with dementia. It provides guidance on the steps needed to organise and manage an improvement project, how to utilise the experiences of people affected by dementia to develop improvement priorities and shares work and interventions by teams across Scotland.
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Content ArticleThis evidence report aims to identify changes across health and social care in response to COVID-19 that could offer potentially sustainable benefits..Frontier Economics, Kaleidoscope Health and Care, and RAND Europe were commissioned to lead this independent rapid review, with three core aims: Understand the impact of the response to the COVID-19 pandemic in relation to innovation, research and collaboration across the health and care system Identify any methods/practices which would support the development and adoption of high impact changes identified in the existing Beneficial Changes Network (BCN) evidence, whilst considering the impact on health inequalities Propose recommendations to support current activities and inform future priorities of the Accelerated Access Collaborative and BCN, and the wider health and social care system.
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In this blog, Consultant Neurologist Jane Alty, talks about a patient with Parkinson's who was cared for in their trust for a period of time, during which there were frequent occasions on which his Parkinson's medications were delayed or not given. This sadly contributed to a deterioration in his swallowing and overall condition, and lengthened his time in hospital. Inspired by a letter from his wife, Jane and colleagues started the 'Improving care of patients with Parkinson’s quality improvement project' at Leeds Teaching Hospitals NHS Trust. Here she talks about the journey, the successes and challenges, and the value of involving staff from across the organisation and carers to make services better. -
Content Article
Good Governance Handbook (1 March 2012)
Patient Safety Learning posted an article in Clinical governance and audits
The Good Governance Institute (GGI) has collaborated with the Healthcare Quality Improvement Partnership (HQIP) to produce this seminal report into the foundation principles of good governance. Understanding these is key to being able to apply good governance to new and emerging organisations in healthcare, and for working through partnership and hosting arrangements. Drawn from academic study, the various governance Codes and law and established better governance practice GGI and HQIP have identified nine foundation principles. This report explains how to apply these within health and social care organisations. GGI will be taking forward these foundation principles within various developmental programmes during 2012. -
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Dr Gordon Caldwell believes that patient safety should be an active process of checking for avoidable errors. In this blog for the hub, he describes how he developed a checklist for his ward rounds and how this became incorporated into the daily clinical review notes to ensure that all the important aspects of care on a team’s routine ward rounds are actively addressed. -
Content ArticleUnderstanding the issue you want to address in your work, and identifying the difference you want to make, are important first steps for impact measurement and evaluation. Articulating your outcomes (changes or benefits that happen as a result of your work) and impact (broad or longer-term effects of your work) can help you: plan new work communicate the purpose of what you do to current or potential funders and donors decide what information to collect to evaluate your programmes and services. The National Council for Voluntary Organisations (NCVO) provides tools and resources for your organisation to use.
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Content Article
NCVO: How to build a theory of change
Patient Safety Learning posted an article in Implementation of improvements
A theory of change is a description of why a particular way of working will be effective, showing how change happens in the short, medium and long term to achieve the intended impact. It can be represented in a visual diagram, as a narrative, or both. A theory of change can be developed at the beginning of a piece of work (to help with strategic planning), or to describe an existing piece of work (so you can evaluate it). It is particularly helpful if you are planning or evaluating a complex, initiative but can also be used for more straightforward projects. See more in our summary of the uses of theory of change. It is helpful to involve a variety of stakeholders when you develop a theory of change – you could include staff, trustees, beneficiaries, partners and funders. The development process, and the thinking involved, is often as important as the diagram or narrative you produce. The National Council for Voluntary Organisations (NCVO) provide a 'how to' guide on building a theory of change. -
Content ArticleResilient Healthcare is an emerging theoretical field that has developed with influence from engineering, safety science, psychology, ergonomics, human factors, and aeronautics. Resilient Healthcare research has centred on understanding and improving the quality and safety of healthcare delivery. Theory is increasingly well-developed, but so far has only been applied in limited ways with select settings and activities. In order to improve the quality and safety of healthcare, it is essential to first understand the sources of complexity in clinical work. This ethnographic study from Sanford et al. of five hospital teams in a large, teaching hospital in central London aims to contribute to this growing evidence base by presenting data on specific challenges faced by healthcare workers and the adaptations they use to overcome them in everyday clinical work. This paper will present a new framework for recognising misalignments between demand and capacity and corresponding mechanisms for adaptation, which can be used to understand work-as-done in complex settings and to manage risk.
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Content ArticleJoe Rafferty, Chief Executive of Mersey Care NHS Foundation Trust, explains Mersey Care's strategy to pursue 'perfect care' and why it requires a cultural shift that is dependent on a paradigm shift in mind-set, behaviour and practice.
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Content ArticleThe Once for Wales Concerns Management System Programme was developed from the recommendations made by Keith Evans in the Welsh Government report – “The Gift of Complaints” and is aimed at bringing consistency to the use of the electronic tools used by all NHS Wales health bodies. All organisations currently have varying versions and modules of the DatixWeb and DatixRichClient systems. Following a successful competitive tender, which really tested and explored the market, RLDatix Ltd have been awarded the contract for 5 years, with an opportunity to extend this period if it is successful. The solution is known as DatixCloudIQ and has many enhanced features compared to other systems. It is a new Datix.
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Content ArticleThis article, published in the Journal of Cognitive Engineering and Decision Making, discusses communication during end-of-shift handovers and how improved communication between staff may reduce errors and adverse outcomes for hospitalised patients.
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Content ArticleThis article, published in The Joint Commission Journal on Quality and Patient Safety, explores the effectiveness of shift handoffs (handovers) by staff. It discusses how poor-quality handoffs have been associated with serious patient consequences, and that standardisation of handoff content and delivery improves both quality and safety.
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Content ArticleThis article, published in the British Journal of Anaesthesia, explores how medication-related adverse events in anaesthesia care are frequent and require a deeper understanding if medication harm is to be prevented. The study looked at a Spanish incident report database over a ten-year period to conclude that harm could have been mitigated.
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Content ArticleThis article, published in Surgical Patient Care, looks at the importance of developing surgical standards to mitigate risks and the subsequent development of the Surgical Safety Checklist to improve quality of care.
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Content ArticleMovements change the world. Throughout history, loosely organised networks of individuals and organisations have sought changes to societies – and won. From the abolitionist struggle and campaigns for voting rights to #MeToo and #BlackLivesMatter, the impact of movements can be seen everywhere.
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Content ArticleIn this blog for the British Journal of Nursing, John Tingle, Lecturer in Law at Birmingham Law School, considers the two opposing viewpoints on the need for change in the clinical negligence litigation system. He concludes that reducing the costs of litigation with require more than refining how the system of compensation works. He states that the way care is delivered in the NHS needs to be examined at a more fundamental level.
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