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Found 17 results
  1. Content Article
  2. Content Article
    The outcome is that the RCP released a statement on its website relating to revised guidance on the use of early warning scores for COVID-19 inpatients. The RCP suggest that all staff should be aware that any increase in oxygen requirements should be an indicator of clinical deterioration as the early warning score might not significantly increase.
  3. Content Article
  4. Content Article
    Burke 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 efforts at mitigating the differences in outcome from complication management between units may benefit from incorporating this proposed framework into institutional quality improvement.
  5. Content Article
  6. News Article
    Early warning scores are used in the NHS to identify patients in acute care whose health is deteriorating, but medics say it could actually be putting people in danger. The rollout of an early warning system used in hospitals to identify patients at the greatest risk of dying is based on flawed evidence, according to a study published in the BMJ which suggests that much of the research supporting the rollout of NEWS was biased and overly reliant on scores that could put patients at greater risk.. Medical researchers said problems with NHS England's National Early Warning Scores (NEWS) system had emerged "frequently" in reports on avoidable deaths. The system sees each patient given an overall score based on a number of vital signs such as heart rate, oxygen levels, blood pressure and level of consciousness. Doctors and nurses can then prioritise patients with the most urgent NEWS scores. But some professionals have argued that the system has reduced nursing duties to a checklist of tasks rather than a process of providing overall clinical assessment. Professor Alison Leary, a fellow of the Royal College of Nursing and chair of healthcare and workforce modelling at London South Bank University, told The Independent: “In our analysis of prevention of future death reports from coroners, early warning scores and misunderstanding around their use feature frequently". “It's clear that some organisations use scoring systems and a more tick box approach to care as they lack the right amount of appropriately skilled staff, mostly registered nurses.” “Early warning scores might not perform as well as expected and therefore they could have a detrimental effect on patient care,” the authors of the research conclude. “Future work should focus on following recommended approaches for developing and evaluating early warning scores, and investigating the impact and safety of using these scores in clinical practice.” Read full story Source: The Independent, 21 May 2020
  7. Content Article
  8. Content Article
    RESTORE2 was co-produced by West Hampshire CCG and Wessex Patient Safety Collaborative. It is designed to support homes and health professionals to: Recognise when a resident may be deteriorating or at risk of physical deterioration Act appropriately according to the residents care plan to protect and manage the resident Obtain a complete set of physical observations to inform escalation and conversations with health professionals Speak with the most appropriate health professional in a timely way to get the right support Provide a concise escalation history to health professionals to support their professional decision making. The full series of six videos about implementing and using RESTORE2 in care home settings, together with some case study based scenarios can be viewed below.
  9. Content Article
    CQUIN.pptx CQUIN.pdf
  10. Content Article
  11. Content Article
    Working with colleagues across the health service community, they are focusing on these key areas: Safer Care through NEWS2 (National Early Warning Score) Emergency Department Safety Checklist Emergency Laparotomy Collaborative Structured Mortality Reviews.
  12. Content Article
  13. Content Article
  14. Content Article
    This document provides the guidance for the CQUIN scheme for 2020/21. It sets out details of both the CCG and Prescribed Specialised Services (PSS) schemes. This includes: prevention of ill health mental health patient safety best practice pathways.
  15. Content Article
  16. Content Article
  17. Content Article
    In this short film, Dr Peter-Marc Fortune discusses the role of human factors in the recognition, response and escalation of the deteriorating child.
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