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Showing results for tags 'Deterioration'.
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Content ArticleThe report addresses the following questions: How many people are waiting for elective procedures? What are the most common procedures on the waiting list? Is there a hidden waiting list, and what is on it? Is there a waiting lists postcode lottery across England? How much will it cost to clear the waiting list? Are patients shifting to private care? What are the possible trajectories for waiting lists through to 2030?
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Content ArticleRecommendations The government should: fully fund a national two-year rehabilitation strategy that ensures people with significantly deteriorated long-term conditions get the therapeutic support they need appoint a national clinical lead to implement this rehabilitation strategy ensure local partners–such as local authorities and Integrated Care Systems (ICS)–develop and deliver their own localised rehabilitation strategy, and that each ICS has a regional rehabilitation lead.
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News Article
Dementia patients not allowed to use toilet
Patient Safety Learning posted a news article in News
Heather Lawrence was shocked at the state she found her 90-year-old mother, Violet, in when she visited her in hospital. "The bed was soaked in urine. The continence pad between her legs was also soaked in urine, the door wide open, no underwear on. It was a mixed ward as well," Heather says. "I mean there were other people in there that could have been walking up and down seeing her, with the door wide open as well. My mum, she was a very proud woman, she wouldn't have been wanted to be seen like that at all." Violet, who had dementia, was taken to Tameside General Hospital, in -
Content ArticleInvestigation summary The investigation explores: Patient flow through hospitals. How delays in discharging patients from hospitals to social and community care impacts on the ability to move patients from an ambulance into an emergency department and on to the right place of care. Safety recommendations HSIB recommends that the Department of Health and Social Care leads an immediate strategic national response to address patient safety issues across health and social care arising from flow through and out of hospitals to the right place of care. HSIB reco
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News Article
Blackpool death: Abortion sepsis risk training inadequate
Patient Safety Learning posted a news article in News
Doctors are receiving "inadequate" training about the risk of sepsis after a mother-of-five died following an abortion, a coroner has warned. Sarah Dunn, 31, died of "natural causes contributed to by neglect" in hospital on 11 April 2020, an inquest found. Assistant coroner for Blackpool and Fylde, Louise Rae, said Ms Dunn had been treated as a Covid patient even though the "signs of sepsis were apparent". Her cause of death was recorded as "streptococcus sepsis following medical termination of pregnancy". In her record of inquest, the coroner noted Ms Dunn was admitted to -
EventThe Deteriorating Patient Summit focuses on recognising and responding to the deteriorating patient through improving the reliability of patient observations and ensuring quality of care. The conference will include National Developments including the recent recommendations on NEWS2 and Covid-19, and implementing the recommendations from the Healthcare Safety Investigation Branch Report Investigation into recognising and responding to critically unwell patients. The conference will include practical case study based sessions on identifying patients at risk of deterioration, improving practice
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Content Article
Sussex Community: Latest patient safety newsletter
Patient Safety Learning posted an article in Health care
June 2022 - New visual fluid chart tool, bruising in children who are not independently mobile, end PJ paralysis campaign, investigation training and the importance of personalised communication. patient-safety-newsletter-june2022 (1).pdf May 2022 - Why frailty matters’ week, audit of unstageable pressure ulcers reported on Datix and risk assessing pressure ulcer equipment. patient-safety-newsletter-may2022 (1).pdf April 2022 - ICUs engaging in recent table tops to discuss the falls prevention on the ward, paraffin fire risk leaflet, improving the environment for patients w -
News Article
Patient care and safety put at risk in A&E at brand new £350m hospital
Patient Safety Learning posted a news article in News
Patients visiting Wales' newest emergency department were likely to have been put at risk of harm due to the lack of processes and systems in place, inspectors found. Healthcare Inspectorate Wales (HIW) carried out an unannounced inspection of The Grange University Hospital in Cwmbran between 1 and 3 November last year and published its findings on 29 March. On the day of their arrival inspectors said The Grange was at full capacity with no empty beds in A&E or in the hospital in general. Despite the best efforts of staff who were "working hard under pressure" the report stated the em -
News Article
'Overworked staff' impacting patient safety at Torbay Hospital
Patient Safety Learning posted a news article in News
The Care Quality Commission (CQC) has raised concerns about Torbay Hospital being understaffed and the impact that has had on patient safety. It carried out an unannounced focused inspection of medical care services at Torbay Hospital in December, after receiving information of concern about the service. Cath Campbell, CQC’s head of hospital inspection, said: “When we inspected medical care services at Torbay Hospital, we were mindful of the pressures that the COVID-19 pandemic had had on the trust, and aware that staff were working extremely hard during this time. However, we were -
News Article
Girl, 13, likely to have survived if moved to intensive care, coroner rules
Patient Safety Learning posted a news article in News
A 13-year-old girl who died after contracting sepsis in an NHS hospital probably would have survived if doctors had identified the warning signs and transferred her to intensive care earlier, a coroner has ruled. Martha Mills was the first ever child to die at King’s College hospital (KCH) with a pancreatic injury of the type she sustained in a fall from her bike on an off-road family trail in Wales while on holiday last year. She was transferred to the south London hospital because it is one of three national centres for the care of children with pancreatic trauma. An inquest at St -
News Article
Failure to act on sepsis led to man’s death
Patient Safety Learning posted a news article in News
A man died after an NHS trust failed to diagnose and treat sepsis quickly enough, a Parliamentary and Health Service Ombudsman investigation has found. Stephen Durkin died after suffering organ failure from sepsis. Stephen’s wife Michelle made a complaint to the Ombudsman after she was left floored by his sudden death which she believed was avoidable. Stephen was an otherwise healthy 56-year-old when he attended Wye Valley Trust A&E in July 2017 with chest pain. Hospital staff suspected he had a major blood vessel blockage and admitted him to a ward overnight. The next morning hi -
Content ArticleStephen Durkin, a factory worker from Hereford, died after suffering organ failure from sepsis. The life-threatening condition occurs when the immune system overreacts to an infection, causing widespread inflammation that can damage the body’s own tissue. Michelle Durkin complained about delays in the diagnosis and treatment of sepsis which led to her husband Stephen’s death. She said that the Trust did not carry out proper observations, put him under the critical care team or transfer him to intensive care quickly enough. She also complained that the Trust did not communicate effectively
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Event
Deteriorating patient safety network
Patient-Safety-Learning posted a calendar event in Community Calendar
untilWould you like to collaborate across the South West to identify, learn and share best practice for managing deterioration? Join us at our next Deteriorating Patient Safety Network (DPSN) Workshop on 4 March 2022. Be inspired – come and listen to our inspirational speakers! Make connections and build new relationships – get to know others in the Deteriorating Patient Safety Network in our ‘chat over a coffee’ sessions. Learn more about our work to improve patient safety – find out more about the focus of the regional patient safety collaborative run by the South West Academi -
Event
Deteriorating Patient Summit
Patient Safety Learning posted a calendar event in Community Calendar
The Deteriorating Patient Summit focuses on recognising and responding to the deteriorating patient through improving the reliability of patient observations and ensuring quality of care. The conference will include National Developments including the recent recommendations from the Royal College of Physicians on NEWS2 and Covid-19, and implementing the recommendations from the Healthcare Safety Investigation Branch Report Investigation into recognising and responding to critically unwell patients. The conference will include practical case study based sessions on identifying patients at risk -
Content ArticleLearn about the West of England AHSN's current managing deterioration projects: RESTORE2 COVID Oximetry @home and COVID virtual wards Recommended Summary Plan for Emergency Care and Treatment – ReSPECT The West of England Learning Disabilities Collaborative Safer Care through NEWS2 (National Early Warning Score)
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Content ArticleIn her report, the Coroner states her main concerns as follows: Ms Bruce was cared for in the community by several different District Nurses. This meant that it was not the same nurse who was always seeing the wound. No photographs were taken for reference and the electronic records could not be accessed by the District Nurses while they were in Ms Bruce’s home. This meant that all information that could have been available was not, meaning Ms Bruce’s change in condition was not fully appreciated. Leicestershire Partnership Trust has learned from this and District Nurses now have
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News Article
Covid pressure forces cancellation of most operations
Patient Safety Learning posted a news article in News
Planned operations including ”priority two” procedures were postponed at short notice at one of England’s largest hospital trusts earlier this week due to rising covid compounding other operational pressures, HSJ understands. Several sources said Leeds Teaching Hospitals Trust cancelled the large majority of elective operations scheduled for Tuesday 2 November due to rising occupancy in intensive care and throughout the trust, particularly linked to increasing numbers of covid patients. The postponed operations included ‘priority two’ cases, which must be undertaken within one month -
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Content ArticleBurke et al. carried out a systematic review. All studies that explored an intervention to improve failure to rescue in the adult population were considered. They found that complications occur consistently within healthcare organisations and organisations vary in their ability to manage such events. Failure to rescue is a measure of institutional competence in this context. The authors propose “The 3 Rs of Failure to Rescue” of recognise, relay and react, and hope that this serves as a valuable framework for understanding the phases where failure of patient salvage may occur. Future effo
