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Found 295 results
  1. Content Article
    Venous thromboembolism (VTE) is a condition in which a thrombus – a blood clot – forms in a vein. Usually, this occurs in the deep veins of the legs and pelvis and is known as deep vein thrombosis (DVT). The thrombus or its part can break off, travel in the blood system and eventually block an artery in the lung. This is known as a pulmonary embolism (PE). VTE is a collective term for both DVT and PE. With an estimated incidence rate of 1-2 per 1,000 of the population, VTE is a significant cause of mortality and disability in England with thousands of deaths directly attributed to it each year. One in twenty people will have VTE during their lifetime and more than half of those events are associated with prior hospitalisation. At least two thirds of cases of hospital-associated thrombosis are preventable through VTE risk assessment and the administration of appropriate thromboprophylaxis.
  2. Content Article
    The Committee of Inquiry was set up in 1967 by the Welsh Hospital Board at the request of the Minister of Health, to investigate allegations of ill-treatment of patients and of pilfering by staff which had been made by a nursing assistant employed at the hospital. The Committee was also asked to make their own examination of the situation in the hospital at the time of their inquiry.
  3. Content Article
    This is a specification of the minimally (and some preferred options) clinically acceptable ventilator to be used in UK hospitals during the current SARS-CoV2 outbreak. It sets out the clinical requirements based on the consensus of what is ‘minimally acceptable’ performance in the opinion of the anaesthesia and intensive care medicine professionals and medical device regulators.
  4. Content Article
    NHSX published a draft Digital Health Technology Standard and called for feedback from the industry. The draft standard was been created in collaboration with stakeholders from across the digital health ecosystem. NHSX wanted to gather feedback from a wider range of voices who have an interest in digital health, including developers, clinicians, commissioners and patient groups, to ensure it is robust, ambitious and attainable.
  5. Content Article
    Once registered, paramedics must continue to meet the standards of proficiency that are relevant to their scope of practice; the areas of their profession in which they have the knowledge and skills to practise safely and effectively. These standards set out by the Health and Care Professions Council were effective from 1 September 2014.
  6. Content Article
    This article, published by the American Association for Respiratory Care, discusses a Ventilator Training Alliance (VTA) that has been formed by several of the world’s ventilator manufacturers. The VTA has partnered with Allego to create a mobile app that frontline medical providers can use to access a centralised repository of ventilator training resources. To download the Ventilator Training Alliance knowledge hub app and to watch a video of it in action, please follow the link.
  7. Content Article
    This report, by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) looks at the peri-operative mortality rate in the UK and argues that people die because we do not give them the level of care they are entitled to expect. In this report less than half of the high-risk patients received care that the expert advisors thought they would accept from themselves or their own institutions. Th reasons for this are examined within the report.
  8. Content Article
    Organisations should uphold the patient safety incident response standards to ensure they meet the minimum expectations of the Patient Safety Incident Response Framework (PSIRF). The standards cover the following aspects of PSIRF: policy, planning and oversight competence and capacity engagement and involvement of those affected by patient safety incidents proportionate responses. This document provides the complete list of patient safety incident response standards, and where relevant refers to specific PSIRF documentation.
  9. Content Article
    This document by the Restraint Reduction Network offers a framework to support care providers in reducing the use of restrictive practices. Restrictive practices are often a response to behaviours seen by care providers and wider society as ‘behaviours of concern’ or ‘challenging behaviour’. These behaviours can occasionally include wilful acts that have the potential to cause harm, but more often than not, these behaviours are symptoms of distress or frustration and a response to the environment or situation that a person finds themselves in. This document outlines the National Minimum Standards for the content of Restrictive Interventions Reduction Plans in mental health and learning disability settings.
  10. Content Article
    This national data collection project has been commissioned by NHS England (NHSE) and is run by the NHS Benchmarking Network (NHSBN). The aim of the project is to understand the extent to which organisations are complying with the NHSE Learning Disability Improvement Standards, and to identify improvement opportunities. Compliance with these standards requires organisations to assure themselves that they have the necessary structures, processes, workforce and skills to deliver the outcomes that people with learning disabilities and their families and carers, expect and deserve. This project aims to collect data from a number of perspectives to understand the overall quality of care across Learning Disability services. Read summary reports from previous years of the NHS England Learning Disability Improvement Standards project.
  11. Content Article
    The PBS Academy is a collective of organisations and individuals in the UK who are working together to promote Positive Behavioural Support (PBS) as a framework for working with children and adults with learning disabilities who are at risk of behaviour that challenges. Developing local capacity and the competence of everyone involved in the delivery of evidence-based and high-quality supports to people with a learning disability and challenging behaviours is critical to the successful implementation of PBS. The following standards have been developed to guide practice and training. They are, in part, in direct response to the final report of the post Winterbourne consultation examining services in the UK for people with learning disabilities and/or autism published in February 2016, Time for change: The challenge ahead. This report acknowledges PBS as the recommended framework for working with people with learning disabilities at risk of behaviour that challenges.
  12. Content Article
    People with learning disabilities, autism or both and their families and carers should be able to expect high quality care across all services provided by the NHS. They should receive treatment, care and support that are safe and personalised and have the same access to services and outcomes as their non-disabled peers. But we know some people with learning disabilities, autism or both encounter difficulties when accessing NHS services and can have much poorer experiences than the general population. Several inquiries and investigations have found that some NHS trusts and foundation trusts are failing to adequately respect and protect people’s rights, with devastating consequences for them and their families. Also, skills deficits in the NHS workforce mean people’s needs are sometimes misunderstood or responded to inappropriately. As a result of these failings, people with learning disabilities, autism or both are at risk of preventable, premature death and a grossly impoverished quality of life. With system partners, NHS Improvement, have developed four standards that trusts need to meet; doing so identifies them as delivering high quality services for people with learning disabilities, autism or both. These standards are supplemented by improvement measures or actions that trusts are expected to take to make sure they meet the standards and deliver the outcomes that people with learning disabilities, autism or both and their families expect and deserve. These four standards are: 1. respecting and protecting rights 2. inclusion and engagement 3. workforce 4. specialist learning disability services.
  13. Content Article
    This toolkit supports the implementation of the Structured Judgement Review (SJR) process to effectively review the care received by patients who have died. This will allow learning and support the development of quality improvement initiatives when problems in care are identified. This toolkit also provides information and links to resources on change management and quality improvement methodologies.
  14. Content Article
    Since the Government initially consulted on the package of Death Certification Reforms, new information about how Medical Examiner (ME) system could be introduced has been generated by the Department of Health and Social Care (DHSC), ME pilot sites, early adopters of the ME system, as well as from the Learning from Deaths initiative. This case study outlines the approach of South Tees Hospitals NHS Foundation Trust as one of the early adopter sites.
  15. Content Article
    Medication safety events with the potential for patient harm do occur in healthcare settings. Pharmacists are regularly tasked with utilizing their medication knowledge to optimize the medication-use process and reduce the likelihood of error. To prepare for these responsibilities in professional practice, it is important to introduce patient safety principles during educational experiences. The Accreditation Council for Pharmacy Education (ACPE) and the American Society of Health-System Pharmacists (ASHP) have set forth accreditation standards focused on the management of medication-use processes to ensure these competencies during pharmacy didactic learning and postgraduate training. The experience described here provides perspective on educational and experiential opportunities across the continuum of pharmacy education, with a focus on a relationship between a college of pharmacy and healthcare system. Various activities, including discussions, medication event reviews, audits, and continuous quality improvement efforts, have provided the experiences to achieve standards for these pharmacy learners. These activities support a culture of safety from early training.
  16. Content Article
    This short guide, by the General Medical Council, provides patients with an overview of what they should be able to expect from the doctors providing their care. It is important that patients have clear expectations about the responsibilities and duties of doctors, particularly with regard to patient safety. This web-based resource offers a short, simply written and easily accessible overview that patients can be provided with, outlining the role of doctors in ensuring patient safety. This includes highlighting the importance of patients speaking up if they they safety is being compromised, the responsibility of doctors to report safety incidents, and the role of annual appraisals and peer review in monitoring safety.
  17. Content Article
    Shared decision making is a collaborative process in which clinicians and patients consider treatment options based on evidence about their potential benefits and harms, to enable the patient to decide the best course for themselves. The person’s priorities and concerns, wishes, preferences and goals should inform the conversation and the decision made. The Professional Records Standards Body (PRSB) produced this draft standard on shared decision making following widespread consultation and a series of role plays which tested the standard’s usability in practice. It was was developed to align with the GMC guidance on shared decision-making and consent, as well as the NICE guidelines on shared decision-making. The final version of the PRSB standard is due to be released in Summer 2022.
  18. Content Article
    The Accessible Information Standard is a set of principles for the presenting, sharing and discussing information with patients. It aims to make sure that people who have a disability, impairment or sensory loss get information that they can access and understand, and any communication support that they need from health and care services.
  19. Content Article
    The UK Standards for Public Involvement are designed to improve the quality and consistency of public involvement in research.  Developed over three years by a UK-wide partnership, the standards are a description of what good public involvement looks like and encourages approaches and behaviours that are the hallmark of good public involvement, such as flexibility, sharing and learning and respect for each other.  The standards are for everyone doing health or social care research and have been tested by over 40 individuals, groups and organisations during a year-long pilot programme. They provide guidance and reassurance for users working towards achieving their own best practice.
  20. Content Article
    Patient Safety Learning has developed a unique set of patient safety standards, resources and tools to help organisations not only establish clearly defined patient safety aims and goals, but also support their delivery and demonstrate achievement. This page provides an overview of our Standards with links to further information.
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