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Found 754 results
  1. Content Article
    Hertfordshire Partnership University NHS Foundation Trust's Quality Account has been designed to report on the quality of their services in line with regulations. The aim in this report is to describe in a balanced and accessible way of how the Trust provides high-quality clinical care to service users, the local population and commissioners.
  2. Content Article
    In March 2017 the National Quality Board issued the guidance on the actions all NHS Trusts should undertake to learn from a review of the care provided to patients who die stating it should be integral to a provider’s clinical governance and quality improvement work. Hertfordshire Partnership University Foundation Trust have developed a policy on Learning from Deaths setting out the work to be undertaken to review care provided to service users who die in the Trust's care.
  3. Content Article
    Much progress in the world depends on the spread of ideas, says Steven Shorrock in his new blog. There is no shortage of good ideas, and no shortage of bad ones, but ‘good’ and ‘bad’ are relative to our positions, and success and failure are not dependent on either. The success of an idea depends on a multitude of factors, such as the the multiverse of contexts in which it is introduced, the dominant paradigm, the nature of the related problem situation or opportunity, the quality of the idea itself, the communication of the idea, possible unwanted consequences, and the characteristics of the proponents and detractors.
  4. Content Article
    This survey conducted by the Care Quality Commission (CQC) explored the experiences of people who used community mental health services between September and November 2020. The results show that people are consistently reporting poor experiences of NHS community mental health services, with few positive results. Many people reported that their mental health had deteriorated as a result of changes made to their care and treatment due to the pandemic. Analysis also showed disparities in the experiences of people with different mental health diagnoses, and in the experience of people using different methods to access care, such as telephone consultations. On this webpage you can also access a benchmark report for each NHS trust, which provides detail of the survey methodology, headline results, the trust score for each evaluative question and banding for how a trust score compares with all other trusts.
  5. Content Article
    This study in BMC Health Services Research aimed to evaluate the impact of an Internet of Things intervention in a hospital unit. The Internet of Things refers to a network of physical objects that are connected by sensors, software and other technologies in order to transfer data and interact with one another. This study demonstrates the effects of smart technologies on patient falls, hand hygiene compliance rate and staff experiences. The authors reported some positive changes that were also reflected in interviews with staff. They identified behavioural and environmental issues as being particularly important to ensure the success of Internet of Things innovations in a hospital setting.
  6. Content Article
    This book is a resource for the coaches who provide health IT-related assistance for primary care practices to support their QI and practice transformation efforts. The audience for this handbook includes both the health IT-focused coaches who support QI work as well as the practice facilitators/coaches who have the necessary background, interest, and skills to provide clinical health IT support. Although the handbook is primarily intended for external coaches working with primary care practices, the content could also be useful for practice-based staff responsible for addressing health IT needs related to QI. The handbook assumes readers already have a basic level of comfort with EHR use and with extracting and using electronic data for QI.
  7. Content Article
    Every day we use tools and resources to manage our lives, both personally and professionally. As a healthcare professional, you are committed to providing safe quality healthcare to all individuals. The checklists in this book are designed to help you succeed in that effort. You may be a first-time reader who has not had the opportunity to put these tools to the test, or you could be a returning reader interested in what new checklists you can use. In either instance, if you’re reading this book, then you are searching for tools to help your healthcare organisation navigate the increasing complexities of providing quality health care and maintaining the physical environment where healthcare is delivered.
  8. Content Article
    The World Health Organization (WHO) Quality Toolkit provides tools to improve the quality of health services gathered together from across different programmes at WHO. This online resource is a user-friendly toolkit to support action on improving the quality of health services at every level of the health system, from national and district to facility and community levels. The Quality Toolkit accompanies the WHO Quality Health Services: a planning guide. The planning guide provides a roadmap for taking action across the health system to improve the quality of health services at the point of care, while the Quality Toolkit offers practical tools and approaches that can support implementation of the necessary actions. You can navigate the toolkit to gain a good basic understanding on quality of care, but also access practical tools that you can use in your work to enhance quality of care. This WHO toolkit will be updated regularly to ensure new resources available from WHO are included. Watch the recording of the webinar launching the toolkit here. 
  9. Content Article
    Tracey Cammish, Patient safety, Clinical Intelligence and Partnership Lead, explains why patient safety is central to everything NHS Supply Chain does, and why clinical and end-user experience is so important.
  10. Content Article
    There has been little evaluation of strategies to strengthen regulation in LMIC, a notable exception being the Kenya Patient Safety Impact Evaluation (KePSIE), a collaboration between the Kenyan Ministry of Health and the World Bank. KePSIE is one of the worlds largest trials on improving patient safety, testing at scale complementary approaches to protect patients and prevent disease outbreaks. KePSIE provides validated tools to measure patient safety and assess facility performance in resource-poor primary care settings across multiple domains; development of an inspection checklist in collaboration with the country and large-scale pilot of inspections using a professional cadre and globally relevant empirical evidence on the effectiveness of government inspections and consumer empowerment to ensure patient safety.
  11. Content Article
    This action plan to implement the recommendations of the Neonatal Critical Care Transformation Review outlines how the NHS will further improve neonatal care with the support of funding set out in the NHS Long Term Plan. It includes information on capacity, staffing and support for parents.
  12. Content Article
    This guidance provides further clarity to guide the development of quality governance arrangements in integrated care systems (ICSs), particularly System Quality Groups (SQGs), which all ICSs must have. It sets out the National Quality Board’s requirements for quality governance in ICSs. Provides model terms of reference for SQGs and place-based meetings. Outlines suggested relationships with the integrated care boards (ICBs) and local authority assurance in relation to wider quality governance. Provides advice on administrating SQGs, including conflicts of interest. Sets out key principles for the approach to risk management within SQGs. This will be supplemented by further NHS England and NHS Improvement guidance on risk response and escalation, due in early 2022.   See also the National Quality Board's Position Statement: Managing Risks and Improving Quality through Integrated Care Systems
  13. Content Article
    In a series of blogs, Gina Winter-Bates, Associate Nurse Director Quality and Safety at Solent NHS Trust, shares her experience of implementing Safety Chats. In Part 3, Gina shares with us how the Safety Chats were conducted and the key themes that came out of them, and what empowers and blocks staff in improving safety.
  14. Content Article
    The Improvement Analytics Unit (IAU) was set up in 2016 as an innovative partnership between the Health Foundation and NHS England and NHS Improvement. It was tasked with evaluating the impact of some of the major new initiatives in health care in order to support learning and improvement in the NHS.   Arne Wolters is Head of the IAU, leading a team of analysts across the Health Foundation and NHS England and NHS Improvement. Together they work on detailed evaluation studies and provide rapid feedback to NHS leaders and decision makers, helping to identify what’s working well to improve outcomes. Here Arne discusses what the unit has achieved over the last 6 years, and what new plans are forming for the future. 
  15. Content Article
    This study, published in the Journal of the Royal Society of Medicine, examines national policies of complaint handling in English hospitals, how they are understood by those responsible for enacting them, and explores if there are any discrepancies between policies-as-intended and their reality in local practice.
  16. Content Article
    How can healthcare organisations work towards becoming true learning organisations in a reliable safety system? At the Health Plus Care conference on the 18 May 2022, Patient Safety Learning's Chief Executive Helen Hughes and Dr Sanjiv Sharma, Medical Director at Great Ormond Street Hospital for Children (GOSH), discussed the activity being undertaken at Great Ormond Street, one the world’s leading children’s hospitals, to transform their approach to patient safety, in collaboration with Patient Safety Learning. See attached their presentation slides.
  17. Content Article
    This document is a short introduction to systems thinking for civil servants. It is one component of a suite of documents that aims to act as a springboard into systems thinking for civil servants unfamiliar with this approach.
  18. Content Article
    The SingHealth Duke-NUS Institute for Patient Safety & Quality (IPSQ) based in Singapore has developed several training courses to improve the skills of healthcare workers in patient safety. The courses are part of the Academic Medicine – Enhancing Performance, Improving Care (AM-EPIC) Framework and cover six areas of competency: Patient safety Improvement sciences Innovation and system design Patient centeredness and advocacy Clinical governance and risk Staff resilience and care support To find out more and book IPSQ to deliver any of these courses to your organisation, email ipsqworkshop@singhealth.com.sg
  19. Content Article
    A Quality Account is a annual report about the quality of services offered by an NHS healthcare provider. Quality Accounts allow providers to demonstrate how they have improved their services to the communities they serve. This webpage provides information on how to put together Quality Accounts, which providers need to submit them and how to publish them.
  20. Content Article
    The purpose of this study was to identify challenges in applying certain standards, techniques for the Baku Health Center in Azerbaijan.
  21. Content Article
    This article in the journal Trends in Neurology & Men's Health provides an outline of the role of human factors in preventing harm in healthcare. The authors describe the scale of medical errors and look at some specific ways that changes to personal and team working factors can improve safety for staff and patients.
  22. Content Article
    This article in the journal IJQHC Communications examines how looking at the ‘Head’, ‘Heart’ and ‘Hands’ aspects of quality improvement can accelerate adoption of change, optimise the use of resources and maximise the impact and sustainability of interventions. It defines the different elements of Head, Heart and Hands approaches and looks at how these could be applied to rapidly changing environments such as healthcare systems during the Covid-19 pandemic.
  23. Content Article
    In this guest blog for the Professional Records Standards Body (PRSB), Taffy Gatawa, Chief Information and Compliance Officer at everyLIFE Technologies, talks about the importance of ensuring that healthcare technologies comply with recognised standards. She discusses everyLIFE's experience on PRSB’s Standards Partnership Scheme, and their journey to implementing standards in their digital products. Taffy describes a process of learning and feedback, achieved through desktop research, clinical reviews and critical engagement with PRSB and customers.
  24. Content Article
    The Suicide Prevention National Transformation Programme aims to reduce the number of deaths by suicide in England by 10% by 2020/21.  NHS England are investing funding in 37 local areas to establish or develop their multi-agency suicide prevention action plans to reduce suicide and self-harm. These plans cover three of the main priority areas identified in the National Suicide Prevention Strategy: Reducing risk in men. Prevention and response to self-harm. Improving acute mental health care. Find out more about the programme and useful resources from the link below.
  25. Content Article
    ‘Neo’ is an Allied Health Professional working on the frontline and asks what being open and transparent actually means and whether publishing a report or an investigation is just another tick box exercise if lessons aren't learned.
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