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Content ArticleThinkSAFE is developed by Newcastle University, in partnership with NHS staff and patients. Research has shown that by encouraging patients and their families to work together with hospital staff, safety can be improved during the patient’s stay in hospital.
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Content ArticleThis guide from Public Health England contains information to help staff in public health, health services and social care to prevent falls in people with learning disabilities. It is also intended to help falls prevention services to provide support that is accessible to people with learning disabilities. The guide aims to be of use to family carers, friends and paid support staff to help them think about what risks may contribute to falls and how to reduce such risks.
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Content ArticlePatients with delirium have changes in their thinking and are often confused and cannot pay attention. About half of patients in an intensive care unit (ICU) have delirium during their stay. Research has shown that patients with delirium are more likely to die or to have long-term brain problems, including posttraumatic stress disorder, depression and other mental health issues, than those without delirium. Although nurses and doctors have tools to measure delirium in the ICU, it can be hard to identify and, in some cases, may be missed. Family members may be the first to notice that their loved ones have changes in their thinking or cannot pay attention. There are tools called the Family Confusion Assessment Method (FAM-CAM) and Sour Seven questionnaire that can be used by family members to detect delirium. However, neither of these tools has been used in an ICU. This study from Krewulak et al., published in CmajOPEN, shows that these tools can be used by family members to measure delirium in the ICU. The results from this study could lead to a change in policy that would involve partnering with family members to improve the diagnosis of delirium in the ICU. In turn, this would improve patient and family care and outcomes in the ICU.
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AHRQ: Warm handoffs improve patient safety
Claire Cox posted an article in How to engage for patient safety
In 2015, the Agency for Healthcare Research and Quality (AHRQ) sponsored the development of a 'Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families'. One of the strategies introduced was a 'warm handoff' A warm handoff is a handoff conducted in person between two members of the health care team in front of the patient and family or caregiver. This video demonstrates warm handoffs in medical offices. -
Content ArticleThis leaflet was designed by the Critical Care Outreach team in Brighton and Sussex University Hospitals Trust. Call 4 concern was initiated by Mandy O'Dell, Nurse Consultant from the Royal Berkshire NHS Foundation Trust. Call 4 concern was set up to enable patients, carers and families to escalate deterioration to the outreach team - to get their voices heard.
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Dementia Safety Guidelines - Care Giver Homes (January 2018)
Claire Cox posted an article in Dementia
This guide, written by Angela Stringfellow from Care Giver Homes, sets out how people with dementia, and people caring for people with dementia, can keep safe. -
Content ArticleThis toolkit by The Point of Care Foundation is a step-by-step guide to improving processes of care and staff–patient interactions. It offers a simple way for organisations to show their commitment to patients’ experience while also motivating the staff who deliver that care.
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Content ArticlePatient-centeredness is central to healthcare. Hospitals should address patients’ unique needs to improve safety and quality. Patient engagement in healthcare, which may help prevent adverse events, can be approached as an independent patient safety practice (PSP) or as part of a multifactorial PSP. This systematic review by Berger et al., published in BMJ Quality & Safety, examines how interventions encouraging this engagement have been implemented in controlled trials. It found that while patient engagement in safety is appealing, there is insufficient high-quality evidence informing real-world implementation. Further work is needed to evaluate the effectiveness of interventions on patient and family engagement and clarify the added benefit of incorporating engagement in multifaceted approaches to improve patient safety endpoints. In addition, strategies to assess and overcome barriers to patients’ willingness to actively engage in their care should be investigated.
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The 10 Dignity Do's
Claire Cox posted an article in Dignity
The Dignity in Care campaign was launched in November 2006, and aimed to put dignity and respect at the heart of UK care services. The Dignity in Care campaign is led by the National Dignity Council, it operates as a charity, inspiring people to be part of a nationwide movement of champions, working individually and collectively to promote access to dignity as a human right for all. Before the Dignity in Care campaign launched, numerous focus groups took place around he country to find out what Dignity in Care meant to people. The issues raised at these events resulted in the development of the 10 Point Dignity Challenge (now the 10 Dignity Do's). The challenge describes values and actions that high quality services that respect people's dignity. -
Community PostCall 4 Concern is an initiative started by Critical Care Outreach Nurse Consultant, Mandy Odell. Relatives/carers know our patients best - they notice the subtle signs of deterioration in their loved one. Families and carers are now able to refer straight to the Critical care outreach team directly if they feel that care has not been escalated. Want to set up a call for concern initiative in your Trust? Need some support? Are you a relative that would like it in your Trust? Leave comments below -
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Content ArticleThis review by the Care Quality Commission included a sample of 74 investigation reports from 24 NHS acute hospital trusts, representing 15% of the 159 acute trusts in England.
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Content ArticleThis policy is for patients and the public, and for NHS England staff. It sets out NHS England’s ambition of strengthening patient and public participation in all of its work, and how it intends to achieve this. The term ‘patients and the public’ includes everyone who uses services or may do so in the future, including carers and families. People who use health and care services may be referred to as ‘experts by experience’. NHS England recognises and values what they can contribute to its work as a result of their lived experience.
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Content ArticlePatient-controlled personal health records facilitate coordinated management of chronic disease through improved communications among, and about, patients across professional and organisational boundaries. An NHS foundation trust hospital has used 'Patients Know Best' (PKB) to support self-management in patients with inflammatory bowel disease; this paper published in Digital Health presents a case study of usage.
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Telecare and telehealth - Age UK
Claire Cox posted an article in Telecare
Age UK explain what Telecare is and how it could help you live independently and stay in control of your health and wellbeing. -
Content ArticleIn this blog, Dr Amir Hannan, GP, describes how it’s normal for patients to access their electronic health records and easy for them to understand them at Haughton Thornley Medical Centres.
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This is Me - My care passport
Claire Cox posted an article in Care plans
Based on a previous ‘Hospital Passport’ this version is designed to be used by everyone within a variety of care settings. The content was developed together by Surrey and Borders Partnership NHS Foundation Trust Acute Liaison, Specialist Therapies and Older Adults services, Royal Surrey County Hospital and the Surrey Alzheimer’s Association. -
Content ArticleCall for Concern is an initiative from the Royal Berkshire NHS Foundation Trust enabling patients and their families to directly refer patients to the critical care outreach team.
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Content ArticleThe risks of accidentally dropping a baby are well known, particularly when a parent falls asleep while holding a baby; or when a parent or healthcare worker holding the baby slips, trips or falls. However, despite healthcare staff routinely using a range of approaches to make handling of babies as safe as possible, and advising new parents on how to safely feed, carry and change their babies, on rare occasions babies are accidentally dropped. This safety alert was issued after a consultant neonatologist raised concerns about an increase in the number of accidentally dropped babies in his organisation. A search of the National Reporting and Learning System (NRLS) for a recent 12 month period identified; 182 babies who had been accidentally dropped in obstetric/ midwifery inpatient settings (eight with significant reported injuries, including fractured skulls and/or intracranial bleeds), 66 babies accidentally dropped on paediatric wards, and two in mother and baby units in mental health trusts. Almost all of these 250 incidents occurred when the baby was in the care of parents or visiting family members.
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Content ArticleThis reflection published in the International Journal of Integrated Care provides a perspective on front-line involvement of a patient and caregiver in a research project focused on integrated care.
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Content ArticlePresentation from the BMJ/IHI 2012 conference in Paris.
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Content ArticleThere have been repeated calls to better involve patients and the public and to place them at the centre of healthcare. In a paper published in BMJ Quality and Safety, Josephine Ocloo and Rachel Matthews explore the barriers, challenges and opportunities in involving patients in healthcare.
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Content ArticleThis DIY Health model was co-created by Bromley by Bow Health Partnership (BBBHP, Tower Hamlets, London) in partnership with the community it serves in response to a need identifiable across most general practices across the country. Parents of children under the age of 5 were frequently re-attending St Andrew's Health Centre (one of three surgeries run by BBBHP) for support with managing self-limiting childhood problems. These repeat visits led to a recognition that health care professionals needed to work better with parents and carers to identify how to provide knowledge and skills that ensure they were more confident to manage their children’s health at home, and when to seek further help. The model which this article describes was inspired by Dr Khyati Bakhai’s work during her Darzi Fellowship in Clinical Leadership and was co-produced in partnership with local parents.
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Content ArticleBoth national and maternity investigations are showing a high level of family engagement through an inclusive and innovative model that ensures families have a voice throughout investigations. Here the Healthcare Safety Investigation Branch (HSIB) demonstrate how they involve families in their investigations.
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Content ArticleBrighton and Hove Clinical Commissioning Group have produced this pack to support carers with undertaking the National Care Certificate and can be used as a reference guide for families and personal assistants to promote awareness of certain needs and encourage referral if concerns are identified. It was designed for care workers and carers as they are in the ideal position to recognise changes in an individual’s condition by monitoring them and/or recognising any deterioration in a person’s wellbeing. The booklet aims to increase awareness and supports the care worker/carer to refer on when appropriate. It highlights why different aspects of observation and care are important, what to look for and what action to take.
