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Showing results for tags 'Quality improvement'.
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Content ArticlePatient experience data has long been used as a measure of quality of healthcare, but there remains a gap between measurement and improvement. The focus of the study discussed in this blog, was on understanding how staff approached patient experience projects, why some struggled, and how they made sense of the tasks.
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- Patient engagement
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Content ArticleWhy is quality improvement in health and social care systems so difficult? Why is it so challenging to bring in new and better ways of organising health and social care services? Many reasons have been put forward: lack of money, lack of appropriate or complete knowledge, excessive and perhaps unnecessary regulations, and entrenched professional opinions and interests. This free course from Future Learn suggests that the main reason is complexity. Health and social care systems are inherently complex, with many interconnected activities and processes, and thus difficult to measure, analyse, change and improve.
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Content Article
Quality Improvement Guide for General Practice (September 2015)
Claire Cox posted an article in Quality Improvement
To meet the challenge of improving the effectiveness and efficiency of the services GPs and their teams offer patients , a quality improvement approach is vital. This guide by the Royal College of General Practitioners, is available as a booklet or 'one pagers' on key tools – demonstrate accessible and workable interventions at practice level. The potential improvements that can be made using this guide are a significant step towards implementing improvement science.- Posted
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Content ArticleThe CARe QI handbook is based on research in a range of healthcare organisations and settings, including acute care, primary care, care homes, oral health and community settings. It was designed to provide practical tools to apply ideas from resilient healthcare to quality improvement.
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- Quality improvement
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Content ArticleThis article in BMJ Opinion looks at the positive ways of working that emerged from the COVID-19 crisis and how these can be taken retained for a better future for staff and patients.
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- Pandemic
- Organisational culture
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Content ArticleOn Thursday 28 April, Q’s Organisational Resilience & Safety-II group organised a special zoom session to explore how practice is changing in the light of our COVID-19 response. Follow a virtual meeting discussing Safety-II in action during COVID-19, hosts Simon Gill, Suzette Woodward and Paul Stretton share a summary of insights from the session.
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Content Article
Teamworking in an Acute Medical Unit during the COVID pandemic
Patient Safety Learning posted an article in Blogs
Calum McGregor shares with the Q Community practical tips and tools to help with team-working and staff wellbeing during the COVID-19 pandemic. Calum highlights some principles and examples which have helped with team-working in his Acute Medical Unit recently and in the past. -
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EBCD: Experience-based co-design toolkit
Claire Cox posted an article in Process improvement
This toolkit from The Point of Care Foundation includes short videos from staff and patients involved in experience-based co-design (EBCD) projects to help bring to life the successes and intense rewards of running this type of improvement project.- Posted
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Content ArticleA recent evaluation looked at how an acute hospital trust placed into special measures implemented online patient feedback. Rebecca Baines, a Community Engagement Officer at Well Connected & PhD Student, shares her finding with the Point of Care Foundation.
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Content ArticleRecording now available for the ISQUA webinar. Dr David Bates reflects on achievements and challenges in patient safety since the publication of To Err is Human: Building a Safer Health System.
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Content ArticleI had been away from the hospital for a week and I was reluctant to go back in, fearful of what I would face, but I am amazed at how much has been achieved in 7 days.
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Content ArticleThis report by the Primary Care Foundation considers the question: 'Is the drive to improve outcomes and the quality of integrated urgent care being compromised by poor data quality?' The report highlights that monitoring the performance of NHS contracts is vital to allow commissioners to understand and compare the effectiveness of services, and that this monitoring cannot occur without accurate data. The authors conducted a detailed study of current data before exploring how issues in the system might be overcome. The report aims to build consensus for change within the urgent care sector.
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Content ArticleThe purpose of this guide from NHS Education for Scotland is to help people working in the health and social care ecosystem capture valuable practice and improvements made during their response to COVID-19. The aim is to contribute to organisational change at a policy, strategic and operational level. If left too late, there is a real danger that positive change is not documented and will be lost as the health system emerges from the pandemic.
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Content ArticleThe objective of this piece of work was to try and create a different way of navigating through the various themes in mental health. There are a huge range of posts on mental health and related areas on the hub. Seemingly endless information, and so little time to absorb it. I know from experience, and from the learning I have undertaken and delivered on information mastery, that there is so much material available it is difficult to find the time to discover, and then read fully, what is most relevant to the work in hand. As a result I have created a diagram (below - click on it to enlarge it) and an interactive pdf (attached), which has a number of topics and subtopics links to existing hub content to help people to do exactly that. In doing this, the focus has been on including patients/users of services, avoiding medical jargon, taking a holistic view. I am really interested in everyone’s views on this. Is this a useful approach and a helpful model? Will it help you post and find what matters to you? I would love to gather people's ideas and potentially improve the model further.
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- Mental health
- Organisational learning
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Content Article
Driving improvements in NHS mental healthcare - podcast
Claire Cox posted an article in Mental health
Rob Behrens talks to Claire Murdoch, Chief Executive of the Central and North West London NHS Foundation Trust and National Director for Mental Health at NHS England. Claire explains how NHS England is turning insights from the Parliamentary and Health Service Ombudsman reports into actions that drive improvements in mental health care provision.- Posted
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Content ArticleOperating rooms are major contributors to a hospital’s carbon footprint due to the large volumes of resources consumed and waste produced. The objective of this study from Sullivan et al., published in the Journal of the American College of Surgeons, was to identify quality improvement initiatives that aimed to reduce environmental impact of the operating room while decreasing costs.
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- Physical environment
- Workforce management
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Content ArticleThe Royal Society of Psychiatry are conducting a scoping and design exercise to identify the key actions that mental health providers can make to improve the use of the Mental Health Act (MHA) in preparation for the proposed MHA reforms, and to design two interventions to help mental health providers implement the identified actions. The broad aims of the exercise are to: Understand the experience of people currently and recently detained under the MHA Identify which aims identified in the Reforming the Mental Health Act White Paper (PDF) should be prioritised for a QI programme and intervention. Identify the key actions that mental health providers can make to improve use of the MHA. Design a QI programme and one other intervention in collaboration with staff and agencies involved in MHA treatment and detention.
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- Mental health
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Content ArticleIn her first blog as Interim Director of People with a Learning Disability and Autistic People, Rebecca Bauers talks about the importance of listening to the voices of people with lived experience; about how we have been gathering insight to shape our priorities, and how we intend to use our new powers to assess integrated care systems and local authorities.
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- Learning disabilities
- Autism
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Content ArticleMandy Anderton is a Clinical Nurse specialising in learning disability and a hub Topic Leader. Last month we asked her how GP practices can help improve health outcomes for people with learning disabilities. In this new blog, Mandy talks in depth about the cross-system programme they launched in Salford to improve the health of people with learning disabilities and reduce inequalities across primary care. Mandy shares their award-winning poster (attached), summarising the programme’s activities and outcomes, and gives her top tips for delivering a successful patient safety improvement project.
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- Learning disabilities
- Health inequalities
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Content ArticleAs the number of Pennsylvanians diagnosed with autism spectrum disorder (ASD) continues to grow, healthcare facilities are seeing an increase in the number of these individuals seeking care. Negative interactions with the healthcare system and concerns about the quality of care provided to this population have been reported by individuals with ASD, their families, and healthcare providers. The Pennsylvania Patient Safety Authority received 138 reports of events involving patients with ASD from July 2004 through August 2014. Qualitative analysis of event report narratives revealed 12 patient safety concern themes involving patients with ASD. Injury to self or potential injury to self was identified as the most frequently reported concern (n = 75), followed by interference or lack of cooperation with care (n = 30). Other events included aggressive behavior and/or injury to others, use of chemical or physical restraints, patient communication difficulties, and caregiver communication difficulties and/or consent issues. The patient safety concerns commonly encountered by ASD patients and their families as reported to the Authority are consistent with the concerns cited in the published literature. Resources such as those developed by the Western Pennsylvania Autism Services, Education, Resources, and Training Collaborative are available to help healthcare facilities improve care for this population.
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- Autism
- Communication
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Content ArticleThe Learning Disabilities Mortality Review (LeDeR) Programme is a world-first. It is the first national programme of its kind aimed at making improvements to the lives of people with learning disabilities. The University of Bristol is one of the partners in the programme, which is funded and run by NHS England. Reviews of deaths are being carried out with a view to improve the standard and quality of care for people with learning disabilities. People with learning disabilities, their families and carers have been central to developing and delivering the programme. Further information and useful resources can be found on the University of Bristol's website.
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- Learning disabilities
- Reporting
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Content ArticleA Virtual Clinic was set up at an acute general hospital in the Mid-Essex area with the specific aim to co-ordinate the care of adults diagnosed with intellectual disabilities (ID) coupled with two or more long term conditions. This is one of the National Institute for Health and Care Excellence (NICE) shared learning case studies. NICE has over 800 examples showing how our guidance and standards can improve local health and social care services.
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- Learning disorders
- Learning disabilities
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Content Article
Learning Disabilities Mortality Review annual reports
Claire Cox posted an article in Learning disabilities
The Learning Disabilities Mortality Review (LeDeR) programme was established to support local areas to review the deaths of people with learning disabilities, identify learning from those deaths and take forward the learning into service improvement initiatives. The LeDeR programme produces an annual report every year. Alongside each report is a webinar presentation of the key findings.- Posted
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