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Showing results for tags 'Quality improvement'.
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Content ArticleThis publication from the US-based Joint Commission shares recommendations for organizations to guide effective provision of telehealth services. The alert discusses insights to establish secure and reliable telehealth systems and programs. It highlights creating standards for virtual care delivery, training staff to understand virtual patient monitoring, outlining specific clinician roles, and targeting tasks needed to as tactics to ensure virtual care is complete.
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Content ArticleProviders deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. Here is a case study from the University Hospitals of North Midlands NHS Trust. It shows: Deployed thermal imaging cameras to identify people with high temperature. Developed effective guidance for staff. Boosted public confidence in safety of hospital.
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Content ArticleProviders deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. Here is a case study from the Countess of Chester Hospital NHS Foundation Trust. It shows: Development of a trust wide roster for medical staff. Staff engagement – making the case for patient safety. Cultural shift – shared understanding across staff groups.
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Content ArticleIn September, Patient Safety Learning worked with Gill Phillips, Director of Nutshell Communications Ltd, to host an online workshop with staff and patients on the subject of staff safety, the theme of this year's World Patient Safety Day. Known as Whose Shoes?®, the workshop was an an intimate, highly participative event, giving participants the chance to talk openly about their personal experiences around key issues in staff safety and how they impact patient safety.
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Content ArticleThe British Thoracic Society has published the results of their 2019 national audit of acute non-Invasive ventilation (NIV) in adult patients in NHS hospitals. Data were collected in 2019, before the pandemic, and the audit did not look at things such as pandemic preparedness or numbers of NIV hardware available, but at the quality of the service provided. The audit analysed data provided from over 150 hospitals, for a total of over 3500 patient records, and looked for adherence to our quality standards in the provision of the service.
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Content ArticleProviders deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. This report showcases eight examples of great ideas put into action by trusts through the dedication and ingenuity of staff. One of the main themes in the report is the value of staff empowerment, where trust leaders support ideas and approaches developed within their workforce. Other themes such as innovation and collaboration also emerge. The case studies in this report are a timely reminder of the resilience and resourcefulness that has characterised the response of trusts and their staff to the challenges posed by the pandemic.
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Content ArticleEnsuring quality of care during pregnancy and childbirth is crucial to improving health outcomes and reducing preventable mortality and morbidity among women and their newborns. In recent years, Perinatal Quality Collaboratives (PQCs) have been driving improvements in perinatal care across the United States. PQCs are state or multistate networks of teams working to improve the quality of care for mothers and babies. PQCs do that by advancing evidence-informed clinical practices and processes using quality improvement principles to address gaps in care. PQCs work with clinical teams, experts and stakeholders, including patients and families, to spread best practices, reduce variation and optimise resources to improve perinatal care and outcomes. The goal of PQCs is to achieve improvements in population-level outcomes in maternal and infant health. In this article, LifeQI outlines the PQC approach, tools LifeQI can offer and some examples of PQCs being run. Life QI is the global web platform where tools, people and data come together to make improvement happen.
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Content ArticleWhen you are starting out on your Quality Improvement (QI) journey and setting up a healthcare collaborative, there are a range of preparations you can carry out to help ease the way. There are a lot of QI collaboratives out there already, so you could prepare for your journey by reading about and learning from other teams who have already been through the collaborative process. You are going to be instrumental in the success of your collaborative, and if you have a motivated team that is accountable, your collaborative is more likely to be successful. Here are some top tips from Life QI to consider before starting your healthcare collaborative. Life QI is the global web platform where tools, people and data come together to make improvement happen.
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Content ArticleHealthcare settings have been using collaboratives to improve quality in healthcare, enhance patient safety and drive organisational change since the mid-1990s, when they became popular via the Institute for Healthcare Improvement’s (IHI) Breakthrough Series model. QI Collaboratives are groups of people from different units or organisations who work together in a structured way and share learning and experience in order to create more efficient services. Collaboratives are generally set up to enhance patient safety, quality and efficiency of care. This Life QI article gives tips on how to run an Improvement Collaborative. Life QI is the global web platform where tools, people and data come together to make improvement happen.
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Content ArticleIn this article, Life QI looks in more depth at the Institute for Healthcare Improvement’s (IHI) Breakthrough Series Collaborative model, which was first launched in the mid-1990s and has been supporting improvements in healthcare quality ever since. Learning within a collaborative is thought to be one of the most successful methods that leads to quality improvement and system wide change - and the Breakthrough Series Collaborative model is one of these models. Described by the IHI as a ‘Collaborative Model for Achieving Breakthrough Improvement,’ the Breakthrough Series has been designed to help organisations by creating a structure in which interested parties can easily learn from each other and from recognised experts, within specific topic areas where they want to make improvements. The model supports the thinking that: “sound science exists on the basis of which the costs and outcomes of current health care practices can be greatly improved, but much of this science lies fallow and unused in daily work. There is a gap between what we know and what we do.” It is this very gap that the Breakthrough Series Collaborative aims to close by creating short-term ‘learning systems’ and teams built from people from different healthcare settings. This article summaries the Breakthrough Series Collaborative and gives tips and tools on how to create a Breakthrough Series Collaborative for your organisation. Life QI is the global web platform where tools, people and data come together to make improvement happen.
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Content ArticleAccidents at work and occupational diseases are neither determined by fate nor unavoidable – they always have causes. By building a strong prevention culture, these causes can be eliminated and work related accidents, harm and occupational diseases be prevented. 'Vision Zero' is a transformational approach to prevention that integrates the three dimensions of safety, health and well-being at all levels of work. The International Social Security Association (ISSA) Vision Zero concept is flexible and can be adjusted to the specific safety, health or well-being priorities for prevention in any given context. Thanks to this flexibility, Vision Zero is beneficial to any workplace, enterprise or industry in all regions of the world.
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Content Article
NICE: Shared learning case studies
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The National Institute for Health and Care Excellence (NICE) have over 800 examples of shared learning, showing how NICE guidance and standards have been put into practice by a range of health, local government and social care organisations. -
Content ArticleThe NHS Patient Safety Strategy requires every Trust to have a Patient Safety Specialist: an evolving role with the purpose of ensuring that “systems thinking, human factors and just culture principles are embedded in all patient safety activity”. Patient safety is a big topic, and apart from a general sense of frustration that we don’t seem to be making any progress, there’s little agreement about what the problems are, let alone the solutions. Q member, John Tansley discusses his philosophy of patient safety through four key icons, and reflects on how this can inform and shape the evolving role of Patient Safety Specialists.
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Content ArticleIn 2008, Sir Liam Donaldson wrote an article looking at the history of the national health service in the UK and the development of clinical governance and a quality framework. He concluded the article by looking at the challenges ahead for the next decade. First, to make quality and safety the common currency of the NHS so that it is on an equal footing to money and productivity; second, to put clinicians in leadership roles with full responsibility for assuring and improving the quality and safety of their services; and third, to build the understanding, expertise and track record on safety in healthcare to the level of other high-risk industries. Now in 2020, how far forward are we in meeting these challenges?
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Content ArticleThis short blog from Jerome, a patient safety manager, gives a brief description of root cause analysis and asks why the NHS spends so much time generating root cause analysis reports rather than focussing on what changes should happen afterwards to current systems and processes.
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Content ArticleThe Patient Safety Movement have built evidence-based Actionable Evidence-Based Practices™ (AEBP™) to help executives and leaders put in place processes known to prevent significant harm and death to patients in hospitals.
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Content ArticleThis report tracks the progress made against the NHS Patient Safety Strategy objectives.
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Content ArticleHaving stepped down as Chief Executive of the Point of Care Foundation last year, Jocelyn Cornwell reflects on the journey that she and the organisation have made and what she has learnt. This is her personal take on their history, the principles behind the work and achievements plus some reflections on changes that have and have not happened over the last fifteen years.
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Content ArticleHealthcare worldwide is faced with a crisis of patient safety: every day, everywhere, patients are injured during the course of their care. Notwithstanding occasional successes in relation to specific harms, safety as a system characteristic has remained elusive. Mary Dixon-Woods and Peter J Pronovost propose that one neglected reason why the safety problem has proved so stubborn is that healthcare suffers from a pathology known in the public administration literature as the problem of many hands. It is a problem that arises in contexts where multiple actors – organisations, individuals, groups – each contribute to effects seen at system level, but it remains difficult to hold any single actor responsible for these effects. Efforts by individual actors, including local quality improvement projects, may have the paradoxical effect of undermining system safety. Many challenges cannot be resolved by individual organisations, since they require whole-sector coordination and action. The authors call for recognition of the problem of many hands and for attention to be given to how it might most optimally be addressed in a healthcare context.
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Content ArticleJones et al. hypothesised that antimicrobial stewardship (AMS) could be enhanced through positive feedback for the behaviors of healthcare professionals. This project aimed to reduce antimicrobial consumption in a Pediatric Intensive Care Unit (PICU) by >5%, with secondary aims to reduce broad-spectrum antimicrobial consumption, and processes related to AMS.
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Content ArticleIn this short guide, Kent Community Health explain why patient engagement in quality improvement is vital. They provide tips for how to get started and how to involve patients, clients and service users and carers/family members.
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Content ArticleDespite it being 20 years since the Institute of Medicine reported poor quality and high variability in healthcare delivery, there are still significant opportunities for clinical quality improvement (QI). As frontline clinicians and future healthcare leaders tasked with driving these changes, resident physicians are an important cohort to equip with knowledge, skills, and experience in QI and patient safety. In this article, Mitchel and Li review the barriers to resident engagement, leadership and success with QI initiatives and propose potential solutions. Several barriers are unique to psychiatric training. The barriers described are broadly categorised as either structural or process-related, a distinction derived from Donabedian who described a framework for understanding the causal relationship between structures, processes, and outcomes in QI. In addition, the authors provide an example of a resident-led QI initiative to illustrate the proposed solutions.
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Content ArticleThe aim of this project from Hollis et al. was to improve engagement with the incident reporting process and to encourage staff to raise issues and create a proactive culture of quality improvement. This project demonstrates that a relatively simple intervention can have effect significant positive cultural change in an organisation over a small period of time. By giving frontline staff a mechanism to record issues it is possible to develop a positive culture of grass roots change. Incident reporting can act as a vehicle not only to improve patient safety but more broadly to generate ongoing ideas for quality improvement within an organisation.
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Content ArticleBureaucratic organisational culture is less favourable to quality improvement, whereas organisations with group (teamwork) culture are better aligned for quality improvement. In this study, Speroff et al. determine whether an organisational group culture shows better alignment with patient safety climate.
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Content ArticleA report from MedStar Health National Center for Human Factors in Healthcare on the work and research they do in human factors.
