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Showing results for tags 'Risk management'.
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Content ArticleThe use of health technology has grown exponentially in the past few decades, and the proliferation and complexity of this technology has led to new risks to patient safety. The Institute of Medicine (IOM) discussed this issue in their report, Health IT and Patient Safety: Building Safer Systems for Better Care, and concluded that achieving better health care requires “a robust infrastructure that supports learning and improving the safety of health IT.”
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- Training
- Digital health
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Content ArticleDoctors feel that they are increasingly expected to treat patients in an unsafe, unsupportive environment, contributing to a vicious cycle of low morale and poor rates of recruitment and retention. This can and must change. This British Medical Association (BMA) report draws on the experience and expertise of BMA members across all branches of medical practice in the UK. It outlines where change is needed to ensure we safeguard patient care, make the NHS a great place to work and transform services for the better. This report sets out specific recommendations aimed at government and NHS bodies.
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- Transformation
- Safety culture
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Content ArticleThe Medicines and Healthcare products Regulatory Agency (MHRA) regulates medicines, medical devices and blood components for transfusion in the UK. MHRA is an executive agency, sponsored by the Department of Health and Social Care. Recognised globally as an authority in its field, the agency plays a leading role in protecting and improving public health and supports innovation through scientific research and development. The agency has 3 centres: Clinical Practice Research Datalink (CPRD), a data research service that aims to improve public health by using anonymised NHS clinical data the National Institute for Biological Standards and Control (NIBSC), a global leader in the standardisation and control of biological medicines the Medicines and Healthcare products Regulatory Agency (MHRA), the UK’s regulator of medicines, medical devices and blood components for transfusion, responsible for ensuring their safety, quality and effectiveness.
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- Medication
- Medical device / equipment
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Content ArticleA three-year programme launched in February 2017 to support improvement in the quality and safety of maternity and neonatal units across England - formerly known as the Maternal and Neonatal Health Safety Collaborative. NHS Improvement aim to: improve the safety and outcomes of maternal and neonatal care by reducing unwarranted variation and provide a high quality healthcare experience for all women, babies and families across maternity and neonatal care settings in England contribute to the national ambition, set out in Better Birthsopens in a new window of reducing the rates of maternal and neonatal deaths, stillbirths, and brain injuries that occur during or soon after birth by 20% by 2020.
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Content ArticleIdentification of hospitalised patients with suddenly unfavorable clinical course remains challenging. Models using objective data elements from the electronic health record may miss important sources of information available to nurses.
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- Nurse
- Safety assessment
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Content ArticleInfants born preterm or with complex congenital conditions are surviving to discharge in growing numbers and often require significant monitoring and coordination of care in the ambulatory setting. This toolkit, produced in the US, includes resources for hospitals that wish to improve safety when newborns transition home from their neonatal intensive care unit (NICU) by creating a Health Coach Program, tools for coaches, and information for parents and families of newborns who have spent time in the NICU.
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- Transfer of care
- Home
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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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- Surgery - Trauma and orthopaedic
- Patient safety incident
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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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- Devices
- Oxygen / gas / vapour
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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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- Transfer of care
- Risk management
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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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- Surgery - Vascular
- Hospital ward
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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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- Care home
- Risk management
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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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- Care home
- Recommendations
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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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- Patient
- Risk management
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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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- Risk management
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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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- Patient
- Patient / family involvement
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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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- Information processing
- System safety
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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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- Hand hygiene
- Patient safety strategy
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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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- Medication
- Packaging/ labelling/ signage
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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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- Benchmarking
- Patient safety strategy
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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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- Health hazards
- Safety 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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- Benchmarking
- Quality improvement
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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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- Risk management
- Implementation
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Content ArticleA framework to support ambulance trusts in England to learn from deaths in their care.
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- Ambulance
- Patient death
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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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- Hospital ward
- Doctor
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