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Showing results for tags 'Risk management'.
Found 339 results
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Content ArticleToolkit to improve safety in ambulatory surgery centres helps ambulatory surgery centres in the US make care safer for their patients. Ambulatory surgery centres can use the toolkit to help prevent surgical site infections and other complications and improve safety culture in their facilities.
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Content ArticleToolkit to improve safety for mechanically ventilated patients helps hospitals in the US make care safer for mechanically ventilated patients in intensive care units (ICUs). ICU staff can use the toolkit to reduce complications for patients on ventilators.
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Content ArticleTransitions of care among ambulatory sites are vulnerable to patient safety gaps. Patients who transition from one ambulatory care facility clinician to another are especially vulnerable to patient safety errors. This is due, in part, to a lack of effective communication and patient engagement in shared decision-making.
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Content ArticlePulmonary embolism resulting from deep vein thrombosis, collectively referred to as venous thromboembolism, is the most common preventable cause of hospital death in the US. Pharmacologic methods to prevent venous thromboembolism are safe, effective, cost-effective, and advocated by authoritative guidelines, yet large prospective studies continue to demonstrate that these preventive methods are significantly underused.
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Content ArticleThe Agency for Healthcare Research and Quality (AHRQ) created On-Time Preventable Hospital and Emergency Department Visits to help nursing homes with electronic medical records identify residents at risk for events that could lead to a hospital visit. The tools are designed to help a multidisciplinary nursing home team prevent hospital and emergency department visits that can be avoided with good preventive care.
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Content ArticlePressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to encourage prevention and treatment. The US-based Agency for Healthcare Research and Quality created On-time pressure ulcer healing to help nursing homes with electronic medical records address pressure ulcers that are slow to heal.
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Content ArticleGood communication between patients and their doctors can reduce harm and keep patients safe. Produced in the US and designed to prime patients to communicate well, this short film shows patients and clinicians talking about why it's important to talk to your doctor and ask questions during medical appointments.
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Content ArticleThis brochure from the Agency for Healthcare Research and Quality (AHRQ) gives you tips to use before, during and after your medical appointment to make sure you get the best possible care. One way you can make sure you get good quality healthcare is to be an active member of your healthcare team. Patients who talk with their doctors tend to be happier with their care and have better medical results.
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Content ArticleAbout 40% of patient encounters in primary care offices involve some form of medical test. Studies of primary care offices consistently show that the process for managing tests is a significant source of error and patient harm. This step-by-step guide can help you increase the reliability of the testing process in your office.
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Content ArticlePatient awareness, understanding and engagement is an important aspect to be considered in action plans to improve hand hygiene. This guidance encourages partnerships between patients, their families, and healthcare workers to promote hand hygiene in healthcare settings. Positive engagement with patients and patient organisations in the pursuit of improving hand hygiene compliance by health-care workers has the potential to strengthen infection prevention and control globally and reduce the harm to patients caused by healthcare associated infection.
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Content ArticleGuidance from the Medicines and Healthcare products Regulatory Agency (MHRA), explains how to package medicines for sale and what information you must provide to consumers and healthcare professionals.
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Content ArticleThere has been growing interest in the concept of safety cases for medical devices and health information technology, but questions remain about how safety cases can be developed and used meaningfully in the safety management of healthcare services and processes. This paper in Reliability Engineering & System Safety presents two examples of the development and use of safety cases at a service level in healthcare. These first practical experiences at the service level suggest that safety cases might be a useful tool to support service improvement and communication of safety in healthcare. Sujan et al. argue that safety cases might be helpful in supporting healthcare organisations with the adoption of proactive and rigorous safety management practices. However, it is also important to consider the different level of maturity of safety management and regulatory oversight in healthcare. Adaptations to the purpose and use of safety cases might be required, complemented by the provision of education to both practitioners and regulators.
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Content ArticleHealthcare isn’t the only industry that’s working to protect people in dangerous environments. Each year at the Institute for Healthcare Improvement (IHI) National Forum, the IHI faculty leads excursions to organisations outside of healthcare to learn about how they do their work. Kathy Duncan, IHI Faculty, leads a trip to the Central Florida Zoo, which has one of North America’s largest collections of venomous snakes. In this video, Duncan goes behind the scenes to learn about the staff’s safety procedures for handling snakes when they need to be moved from their enclosures.
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Content ArticleThis action plan from the Ipswich & East Suffolk Clinical Commissioning Group and West Suffolk Clinical Commissioning Group follows on from an infection control norovirus outbreak.
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Content ArticleMedical errors can occur anywhere in the healthcare system: hospitals, clinics, surgery centres, doctors' offices, nursing homes, pharmacies and patients' homes. Errors can involve medicines, surgery, diagnosis, equipment or lab reports. These tips tell what you can do to get safer care.
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Content ArticleClinical governance is the system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence will flourish. Clinical governance encompasses quality assurance, quality improvement and risk and incident management. These guidelines cover responsibilities, programme standards and performance monitoring, quality assurance, quality improvement, and risk and incident management.
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Content ArticleProfessor Alison Leary, Chair of Healthcare & Workforce Modelling, London South Bank University, delivers the James Reason lecture at the 2018 HSJ Patient Safety Congress on work force and safety and discusses the complexity of demand.
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Content Article
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. -
Content ArticleThis Risk Management Strategy, written by Mersey Care NHS Foundation Trust, outlines the responsibilities for overseeing risk management activities across the Trust, ensuring that these meet the Trust’s requirements and national standards.
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Community PostArtificial Intelligence is creating a lot of buzz in the US and around the world. This perspective from the US site AHRQ Patient Safety Net explores a range of issues that could affect the uptake artificial intelligence systems in health care. What do hub members think? Are we destined to encounter Hal (from 2001: a Space Odyssey) or Samantha (from Her)? Emerging safety issues in artificial intelligence
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Content ArticleA framework to support ambulance trusts in England to learn from deaths in their care.
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Content ArticleNHS Improvement have published a number of case studies on appropriate use of clinical risk assessment tools, developing new evidence-based alerting systems and developing personalised risk management plans for people who use services, to manage risks positively.
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Community Post
What are safe staffing levels?
Claire Cox posted a topic in Stories from the front line
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I can’t find any guidance for safe staffing here in the UK. I would like to know how Trusts decide their staffing template. Who decides, how it’s decided and if that is adhered to.- Posted
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Content ArticleSerious Incidents in health care are adverse events, where the consequences to patients, families and carers, staff or organisations are so significant or the potential for learning is so great, that a heightened level of response is justified. This Framework, set out by NHS England, describes the circumstances in which such a response may be required and the process and procedures for achieving it, to ensure that Serious Incidents are identified correctly, investigated thoroughly and, most importantly, learned from to prevent the likelihood of similar incidents happening again.
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Content ArticleA framework for NHS Trusts and NHS Foundation Trusts on identifying, reporting, investigating and learning from deaths in care set out by the National Quality Board in 2017.
