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Showing results for tags 'protocols and procedures'.
Found 82 results
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Content ArticleThe National Institute for Healthcare Research (NIHR) are the nation's largest funder of health and care research and provide the people, facilities and technology that enables research to thrive. Working in partnership with the NHS, universities, local government, other research funders, patients and the public, they deliver and enable world-class research that transforms people's lives, promotes economic growth and advances science.
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Content ArticleThe Canterbury Renal Unit is situated at Kent and Canterbury Hospital and provides renal services for the East Kent, Medway and Maidstone areas. There are currently 680 transplant patients currently being followed up. There have been a number of immunosuppression related prescribing errors in the surrounding hospitals. Indeed, one such error occurred in the renal unit itself, when a transplant patient had prednisolone inadvertently withheld resulting in rejection of the kidney. Thus, a group of 12 transplant patients attended a co-production group to discuss the problems and potential solutions.
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Content ArticleThis note provides guidance to those who may be approached to give evidence as a witness if you were involved in providing care and treatment to a claimant on behalf of a Trust.
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Content ArticleThis guidance by NHS Resolution, aims to provide advice for commissioners seeking to ensure that providers with which they are proposing to contract have in place adequate indemnity arrangements. Commissioners need to understand and take account of the differences in cover for clinical negligence risks purchased by healthcare organisations. Commissioners have an important role to play in ensuring that providers possess adequate indemnity. Crucially, they need to understand that in certain circumstances they will have to take over directly the liabilities of providers.
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Content ArticleThis short video describes how the staff at NHS Imperial College Healthcare are at the heart of patient safety and showcases some of the achievements of their teams in improving patient safety.
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NHS Improvement: Elective care pathway analyser (updated 10 April 2019)
Claire Cox posted an article in Processes
NHS Improvement has devised an elective care pathway analyser tool which will support critical review of any clinical pathway (including administrative and process steps) across all types of elective pathway, including referral to treatment (RTT), diagnostics and cancer, and help identify high impact interventions. -
Content ArticleThis quick guide from the NHS explains what to expect if you need to stay in hospital for a period of time.
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Content ArticleNational safety standards for invasive procedures (NatSSIPs), published by NHS England in 2015, recommend the creation and implementation of local safety standards for all invasive procedures. This includes procedures undertaken outside a hospital environment, such as surgical procedures undertaken by dentists. In order to implement a local safety standard for invasive procedures (LocSSIP) for oral surgery procedures at a large London teaching hospital, a clean sheet redesign of our service was carried out based on a bottom up model of transformation, using a 'diagnose, design and implement' strategy. In an article published in the British Dental Journal, three lead consultants in oral surgery based at Kings College, London, discuss creating local safety standards for invasive procedures.
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Content ArticleThe Tavistock and Portman NHS Foundation Trust has produced this policy to aid patient safety and risk managers to investigate serious incidents with in their Trust.
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Content ArticlePublished in HSJ, Annie Laverty, Chief Experience Officer, Northumbria Healthcare Foundation Trust, speaks to Jeremy Taylor, former CEO of patient group National Voices, on the work her and the trust has done on patient experience, her motivation and the impact it has had.
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Content ArticleRichard Greenwood is Trust Decontamination Lead & Head of Sterile Services at University Hospitals of Morecambe Bay (UHMB) NHS Foundation Trust. As with many NHS Trusts, UHMB were faced with problem of managing surgical instrument stocks, migration of the instruments from sets, and tracking and tracing single instruments through the decontamination process back to the patient. This case study shows how they solved this problem.
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Content ArticleChapter 28 of this book covers The Impact of Facility Design on Patient Safety.
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Content ArticleThis review by Van Velthoven et al, published in BMJ Open, provides a systematic overview of standards for the development of health apps based on those for software of medical devices and clinical information systems.
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Patient safety and quality - NHS Leeds Clinical Commissioning Group
Claire Cox posted an article in CCGs
This web page describes how NHS Leeds monitors safety and quality. -
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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Content ArticleThis decision tree, used at the Brighton and Sussex University Hospitals NHS Trust, was developed as a ‘quick reference’ aid for nurses setting up non-invasive ventilation (NIV). It highlights key settings and signposts users to the full trust policy for more detailed explanation. It is adapted from the British Thoracic Society guidelines for acute NIV.
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Content ArticleKat Dalton, Critical Care Outreach Sister in Brighton and Sussex University Hospitals NHS Trust, reflects on her experience training nurses using non-invasive ventilation (NIV) in ward areas. The Trust’s NIV steering group reviewed how they could improve NIV care and keep up with current national recommendations. The National Confidential Enquiry into Patient Outcome and Death (NCEPOD)’s report ‘Acute Non-invasive Ventilation: Inspiring Change’, published in 2017, highlighted 21 recommendations for acute NIV care, including that: “All staff who …make changes to acute non-invasive ventilation treatment must have the required level of competency as stated in their hospital operational policy. A list of competent staff should be maintained.” With this in mind, and as part of the NIV steering group, Kat volunteered to take on training nurses using NIV in ward areas.
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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 National Patient Safety Agency (NPSA) guide provides a detailed illustration of how principles of safe design can be applied to widely used medical technologies. It focuses on the design of electronic infusion devices, such as infusion pumps and syringe drivers. There a wide variety of infusion device designs in use in healthcare. This document provides practical guidance and examples of best practice in the design of infusion devices, as well as a guide for those involved in the purchase and procurement of these devices.
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Content ArticleThese prompt cards were initiated in the Brighton and Sussex University Hospital Trust for the Emergency Department to ensure that safety measures are conducted everytime in high stress situations.
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Content ArticleFive top tips from a Human Factors Advisor at Eastern AHSN for your organisation to consider to help improve human factors.
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Content ArticleWas a lack of situational awareness a contributing factor in the outcome of this 'routine operation'? In this human factors video, Martin Bromiley, a pilot, explains what happened that day and what measures need to be in place to prevent other similar incidents.
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Content ArticleProfessor Sidney Dekker of Griffith University speaks about why things go wrong.
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Content ArticleThe Royal College of General Practitioners (RCGP) have developed this toolkit to disseminate learning highlighted from acute kidney injury (AKI) case notes reviews, part of the RCGP AKI Quality Improvement project. Working with GP practices, they have put together resources, alongside national Think Kidneys guidance, to support the implementation of quality improvement methods into routine clinical practice.
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Content ArticleIf a nasogastric tube (NGT) has been misplaced into the respiratory tract and this is not detected before fluids, feed or medication are given, death or severe harm can be caused. The consequences are even more likely to be fatal for patients who are already critically ill. Most nasogastric ‘Never Events’ of feeding into the respiratory tract through a misplaced tube continue to arise from misinterpretation of x-rays by staff who had not been given training in the ‘four criteria’ technique and were unaware that relying on the position of the tube tip alone on a radiograph can be a fatal error.
