Search the hub
Showing results for tags 'Quality improvement'.
Found 757 results
-
Content ArticleThis state-of-the-nation report from the National Hip Fracture Database (NHFD) focuses on the period from 1 January to 31 December 2022. It shows that the number of people who died in the month following a hip fracture now stands at 6.2%; down from 10.9% in 2007, when the NHFD was set up. However, the report also finds that it took longer for patients to reach a ward where a hip fracture team can work together (where there is the best chance of recovery) in 2022. It also states that fewer patients received prompt surgery to repair their broken hip by the day after they presented to hospital. There was an improvement in how many people with hip fracture received bone strengthening medicines to avoid future fractures in 2022, but some hospitals continue to report that none of their patients receive such treatment.
-
Content ArticleThe Acute Frailty Network (AFN) was a scheme run in England by NHS Elect, using an approach called Quality Improvement Collaboratives (QICs), to help trusts implement principles of Comprehensive Geriatric Assessment (CGA) as part of their acute pathway. In July 2023, Street et al published a paper in BMJ Quality and Safety analysing the impact of the AFN which concluded that there was no difference in length of hospital stay, in-hospital mortality, institutionalisation and hospital readmission between organisations that took part in AFN and those that did not. This article outlines the position of the British Geriatrics Society (BGS) on the paper, addressing why it thinks that focusing on older people’s healthcare is more important than ever. It highlights the importance of ensuring that the paper's findings are not used as a reason to abandon efforts to improve acute frailty care. Rather, they should be seen as a call to redouble efforts to identify and overcome the barriers to delivering CGA in acute settings.
-
Content ArticleIn 2008, five ‘serious untoward incidents’ occurred on a small maternity unit in a hospital in the UK. The prevailing view, held by clinical staff, hospital managers, and executives, was that these events were unconnected and did not signal systemic failures in care. This view was maintained by the testimony of staff and governance procedures which prevented the incidents from being considered together. Drawing on the inquiry report of the Morecambe Bay Investigation (2015), Dawn Goodwin examines how the prevailing view was built and dismantled, eventually being replaced with a very different description of events. Overturning this view required affected parents to engage with governing bodies and legal processes, challenge clinical staff, lobby for inquests, and mobilise social media and the national press. Tracing how different descriptions of events weaken or gather force as they travel through different forums, processes, and are presented to different audiences, she explores the sociology of knowledge around establishing failures of care.
-
Content ArticleIn 2011, the government acknowledged a large treatment gap for people with mental health conditions and sought to establish ‘parity of esteem’ between mental and physical health services. From 2016, the Department of Health & Social Care (DHSC) and NHS England made specific commitments to improve and expand NHS-funded mental health services. NHSE, working with the Department and other national health bodies, set up and led a national improvement programme to deliver these commitments. This report by the House of Commons Public Accounts Committee assesses progress made in delivering these commitments. The report acknowledges that NHS England has made progress in improving and expanding mental health services, but says this was "from a low base."
-
Content ArticlePatients are increasingly describing their healthcare experiences publicly online. This has been facilitated by digital technology, a growing focus on transparency in healthcare and the emergence of a feedback culture in many sectors. The aim of this study was to identify a typology of responses that healthcare staff provide on Care Opinion, a not-for-profit online platform on which patients are able to provide narrative feedback about health and social care in the UK. The authors used framework analysis to qualitatively analyse a sample of 486 stories regarding hospital care and their 475 responses. Five response types were identified: non-responses, generic responses, appreciative responses, offline responses and transparent, conversational responses. The key factors that varied between these response types included the extent to which responses were specific and personal to the patient story, how much responders' embraced the transparent nature of public online discussion and whether or not responders suggested that the feedback had led to learning or impacted subsequent care delivery. Staff provide varying responses to feedback from patients online, with the response types provided being likely to have strong organisational influences. The findings offer valuable insight and have both practical and theoretical implications for those looking to enable meaningful conversations between patients and staff to help inform improvement. The authors suggest that future research should focus on the relationship between response type, organisational culture and the ways in which feedback is used in practice.
-
EventuntilDevelop your understanding of current topics in patient safety at the 13th edition of the annual Patient Safety students and trainees day. This Royal Society of Medicine event brings together students and trainees to show their work promoting patient safety within their organisations with prizes for the best poster and oral presentation. Our expert speakers aim to inspire attendees through interactive workshops and lectures, developing new and existing ideas around patient safety in an engaging and dynamic way. With all specialities welcome, the meeting provides an opportunity for cross-speciality learning and networking. Register
-
Content ArticleChris Graham of the Picker Institute and Jacob Lant from charity National Voices join host Annabelle Collins to discuss patient experience revealed by recent national surveys, how the findings should be used to improve quality and reduce health inequalities, and whether there is a bigger role for “real-time” experience measures.
-
Content Article
Mölnlycke survey: Spotlighting surgical excellence
Patient Safety Learning posted an article in Surgery
Mölnlycke are keen to highlight the great work happening across the NHS, and share this best practice to benefit the wider healthcare system. They have developed this short survey as part of their ‘Spotlighting Surgical Excellence’ project, to collect positive case studies from across the patient pathway, and profile them in order to highlight ways of improving efficiency and patient outcomes in operating theatres across the system. Your answers will be collated and anonymously assessed by an independent expert advisory board of clinicians and healthcare experts. They will choose a selection of case studies to profile in-depth in a short Q&A podcast, which will be conducted virtually. This will provide the chosen entries with the opportunity to showcase the work happening in their trust, and share this with other healthcare professionals. -
Content ArticleDespite the prevalence of diabetes amongst individuals with Serious Mental Illness (SMI), diabetes care is not currently audited within mental health inpatient settings as it audited in physical health settings. This project piloted an audit to assess the diabetes care within London NHS Mental Health Trusts. The Health Innovation Network in partnership with South London and Maudsley NHS Foundation Trust (SLaM) developed and piloted a diabetes audit. Following the SLaM pilot, the audit was completed by all nine London Mental Health Trusts. A diverse approach was taken to spread and adoption. This included piloting the audit within one MH Trust, refining, and then rolling out the audit to eight London Mental Health Trusts.
-
Content ArticleThis NHS dentistry and oral health update has a special focus on patient safety. It includes an introduction by newly appointed Interim Chief Dental Officer (CDO) for England, Jason Wong and covers the following topics: Quality and safety in dental care Contributing to patient safety learning Using the Learning from Patient Safety Events (LFPSE) service Patient safety incidents and harm Patient Safety Incident Response Framework (PSIRF) Spotlight on Project Sphere Regulatory support Clinical leadership in patient safety
-
Content ArticleThis toolkit aims to help GP practices set up and run effective Patient Participation Groups (PPGs). It includes resources to help set up and develop PPGs, as well as to help PPGs think creatively about patient involvement. The toolkit covers:Guide to setting up a PPGVirtual groupsIncreasing membershipWhat can Healthwatch do to help?
-
Content ArticleIn June 2023 the AHSN Network published a refreshed Patient Safety Plan, reflecting progress made across focus areas including managing deterioration in care homes; maternity and neonatal health; medicines safety; mental health; and system safety. In this podcast episode, Caroline Kenyon talks to four leaders responsible for delivering the plan across the country, Tasha Swinscoe, Alison White, Katie Whittle and Jodie Mazar.
-
EventThis year's conference is all about IPC Legends focusing on individuals who in their respective fields are experts willing to share their knowledge with us, and exploring new ideas in the field of IPS. Alyson Prince – Built Environment Infection Prevention & Control Nurse Specialist/Engineering, Archus Healthcare Infrastructure Specialist who will be covering Ventilation in the Healthcare Setting – What is the air and why is it important. Dave Cunningham – Leadership & Workforce Workstream Lead, NHS Improvement who will be providing an update on the National Infection Prevention IPC Educational framework. Leo Andrew Almerol – Vascular Clinical Nurse Specialist, Imperial College NHS Trust / Vascular Access Nurse 2022, British Journal of Nursing will be providing an update on The Impact of the COVID-19 Pandemic on the Vascular Access Service in the UK. Dr Emily McWhirter – Nurse Consultant, World Health Organization will be sharing with us Leadership and expertise in influencing IPC practice. Professor Elaine Cloutman-Green – Consultant Clinical Scientist (Infection Control Doctor), Great Ormond Street Hospital for Children NHS Foundation Trust is speaking around Challenges in IPC: Aiming for progress not perfection. Dr Mat Moyo – Quality Improvement Mentor / Founder, Quantum Quality Improvement Coaching / Lecturer, Solent University will be speaking to us about Quality Improvement Project Coaching in IPC: Wise People Ask for Help and Get Further!" Sir Jonathan Van- Tam MBE – Former Deputy Chief Medical Officer for England 2017-2022, recording on Learning from the pandemic and the mission of vaccinating the nation will be played before we conclude the day by hearing from Karen Storey – Nursing Retention and Liaison Lead, who will demonstrate to us Shiny Mind app and the benefits to us all for our wellbeing. Register
-
Content ArticleThis paper attached clarifies what statutory duties, accountabilities and responsibilities providers, Integrated Care Boards (ICBs) and NHS England hold for quality. Please note this is a working document and will be updated.
-
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.
-
Content Article
Melanie Whitfield, Associate Director of Patient Safety at Kingston NHS Foundation Trust, and Helen Hughes, Chief Executive of Patient Safety Learning, recently ran a workshop for Patient Safety Partners (PSPs) at the Kingston Trust. Here is a summary of the workshop. -
Content Article
Key to the success of the Patient Safety Incident Response Framework (PSIRF) is working collaboratively across organisations utilising the skills of colleagues from different departments This podcast, hosted by Tracey Herlihey, Head of Patient Safety Incident Response Policy at NHS England, aims to further progress the conversation with special guests: Liz Maddocks-Brown, formerly NHS Horizons Claire Cox, Andy Wilmer and Lorraine Catt from Kings College Hospital Stefan Cantore from Sheffield University Management School. -
Content ArticleAn opportunity to connect virtually with health and care professionals from across the UK and Ireland on your shared interest in patient safety and quality improvement. An initiative from Supporting Q Connections programme.
-
Content ArticleWales' national policy on patient safety incident reporting and management.
- Posted
- 1 comment
-
1
-
- (and 14 more)
-
Content ArticleCo-production is a way of working that involves those who use health and care services, carers and communities, in equal partnership. It engages groups of people at the earliest stages of service design, development and evaluation. Co-production acknowledges that people with lived experience of a particular condition are often best placed to advise on what support and services will make a positive difference to their lives. In this blog post, Helen Lee from NHS England's Experience of Care Co-production Programme talks about work her team has been doing to put co-production at the centre of quality improvement, including the launch of a new suite of materials. These resources aim to encourage professionals and leaders to expect to hear a range of experiences and be curious and open minded to these views.
-
Content Article
Safety thermometer tool (NEQOS)
Patient-Safety-Learning posted an article in Quality Improvement
The aim of the NHS Safety Thermometer is to provide a local improvement tool for measuring, monitoring and analysing patient harms and ‘harm free care’. Data is collected by Trusts on pressure ulcers, falls, urinary tract infections (UTI), and Venous Thromboembolism (VTE) assessments, prophylaxis and treatment. The North East Quality Observatory Service (NEQOS) Safety Thermometer Tool allows trusts to compare themselves against their peers (for improvement purposes) as well as to undertake internal comparisons across different service areas within the Trust. Produced quarterly, the tool uses National Safety Thermometer data published by NHS Digital and presents this by Trust across the North East & North Cumbria (NENC) area, providing comparisons between peers as well as with the national average, with breakdowns by service areas for detailed analysis. -
Event
THIS Space 2023
Sam posted an event in Community Calendar
untilSave the date for THIS Space 2023, THIS Institute’s annual event bringing together people interested in evidence-based healthcare improvement. It’s free to join and will take place entirely online 29 and 30 November. You can expect: the latest evidence on what works in healthcare improvement, what doesn’t, and why imaginative ways of understanding problems and evaluating solutions fresh thinking on how we can improve healthcare. Register your interest -
Community Post
Better use of data for medication safety in hospitals
Kenny Fraser posted a topic in Medicine management
- (and 46 more)
NHS hospital staff spend countless hours capturing data in electronic prescribing and medicines administration systems. Yet that data remains difficult to access and use to support patient care. This is a tremendous opportunity to improve patient safety, drive efficiencies and save time for frontline staff. I have just published a post about this challenge and Triscribe's solution. I would love to hear any comments or feedback on the topic... How could we use this information better? What are hospitals already doing? Where are the gaps? Thanks- Posted
- 2 replies
-
1
-
- (and 46 more)
-
News Article
Modernisation Agency chief returns to lead improvement drive
Patient Safety Learning posted a news article in News
The director of the Modernisation Agency in the early 2000s is returning to lead a new national service improvement drive, NHS England has announced, while asking systems and providers to “baseline” their improvement needs and capability. NHSE is establishing a “national improvement board” to oversee a new improvement programme called NHS Impact, as recommended by a review last year of the current infrastructure. NHSE announced the board will be chaired by David Fillingham, who was director of the NHS Modernisation Agency from 2001-2004 where, NHSE said, “he focused on developing new practices and fostering leadership development”. The national improvement board will choose a small number of improvement priorities to be followed across national bodies and the wider health service. It will “set the direction of system wide improvement” through “collaboration and co-design,” NHSE said. Read full story (paywalled) Source: HSJ, 19 July 2023 -
News Article
‘Culture battle’ over NHS England’s emergency recovery plans
Patient Safety Learning posted a news article in News
Senior sources have described a ‘culture battle’ in NHS England’s approach to urgent care recovery after systems were told to carry out “maturity” self-assessments, and appoint “champions” to drive improvements. Systems were last week told by NHSE to ”self assess” their compliance against key asks in the UEC recovery plan, and asked to nominate urgent care “recovery champions” to “create a community, close to the front line, who can help drive improvement” in emergency care. The “champions” and self-assessments are part of a new “universal offer” of support being drawn up by NHSE under its scheme for urgent care recovery, in which Integrated Care Boards are also being placed in “tiers” of intervention. It is the first project carried out under NHSE’s new service improvement banner, called “NHS Impact” or “improving patient care together”, which was established after an internal review recommended it should focus on a “small number of shared national priorities”. Read full story (paywalled) Source: HSJ, 18 July 2023
