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Showing results for tags 'ED admission'.
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Content Article
Integrity in health care: a nurse's story
Claire Cox posted an article in Stories from the front line
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News Article
Failings by NHS 111 contributed to the death of an autistic teenager, a coroner has ruled. Hannah Royle, 16, suffered a cardiac arrest as she was driven to hospital by her parents after a 111 algorithm failed to notice she was seriously ill. A coroner said her death had exposed a risk people were being misled about the capability of the system and its staff. An NHS spokesperson said it would act on the findings and learnings "where necessary". Hannah's father Jeff Royle said he regretted dialling 111 and wished he had taken his daughter straight to hospital. "I feel so- Posted
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'I'm traumatised now': Covid bereaved call for inquiry into NHS 111
Patient Safety Learning posted a news article in News
Hundreds of people believe the helpline failed their relatives. Now they are demanding their voices be heard. Families whose relatives died from COVID-19 in the early period of the pandemic are calling for an inquiry into the NHS 111 service, arguing that many critically ill people were given inadequate advice and told to stay at home. The COVID-19 Bereaved Families for Justice group says approximately a fifth of its 1,800 members – more than 350 people – believe the 111 service failed to recognise how seriously ill their relatives were and direct them to appropriate care. “We -
Content Article
The project aim was to establish a monthly multi-disciplinary analysis of all the Paediatric cases transferred from the Paediatric Emergency Department and the Paediatric ward at the Royal Free, to identify areas of clinical learning and patient safety improvement.- Posted
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How NHS staff handle acute pressure in A&Es (June 2018)
Claire Cox posted an article in Stories from the front line
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Content Article
This report features practical solutions from staff. Frontline clinicians attended workshops to help highlight the issues and identify what needs to change to keep services safe when facing surges in demand.- Posted
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Content Article
Key points: Analysis of a national linked dataset identifying permanent care home residents aged 65 and older and their hospital found that on average during 2016/17 care home residents went to A&E 0.98 times and were admitted as an emergency 0.70 times. Emergency admissions were found to be particularly high in residential care homes compared with nursing care homes. A large number of these emergency admissions may be avoidable: 41% were for conditions that are potentially manageable, treatable or preventable outside of a hospital setting, or that could have been caused- Posted
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News Article
Coronavirus: People told to phone ahead before going to A&E in Wales
Patient Safety Learning posted a news article in News
People with non-life threatening illnesses will be told to call before going to Wales' biggest A&E department. Patients will be assessed remotely and given a time slot for the University Hospital of Wales in Cardiff if needed. Hospital bosses feel returning to over-crowded waiting rooms would provide an "unacceptable" risk to patients due to coronavirus. The system is set to start at the end of July, but will not apply to people with serious illnesses or injuries. Details are still being discussed by Cardiff and Vale health board, but patients with less serious illnesses or- Posted
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Ambulance handover delays at A&E are putting patients at risk
Patient Safety Learning posted a news article in News
Between April 2020 and March 2021 there were approximately 185,000 ambulance handovers to emergency departments throughout Wales. However, less than half of them (79,500) occurred within the target time of 15 minutes. During that period there were also 32,699 incidents recorded where handover delays were in excess of 60 minutes, with almost half (16,405) involving patients over the age of 65 who are more likely to be vulnerable and at risk of unnecessary harm. Data published by the Welsh Government highlighted that in December 2020 alone, a total of 11,542 hours were lost by the ambu- Posted
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HSJ Patient Safety Congress 2018 - Alison Phillips' Story
Claire Cox posted an article in Patient stories
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In this report the CQC have seen much good and outstanding care, in particular around: responsiveness staff interactions with patients effective treatment leadership and engagement with staff and patients. However, there were a number of areas where services needed to make substantial improvements: governance clinical audit safety culture.- Posted
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Content Article
The session described three things. Firstly, the importance of improving flow in hours – so when a bed is available and how quickly can we fill it. Secondly, reducing length of stay in days and, thirdly, working to safely keep more patients at home. During this event, where 70 people joined the conversation, colleagues in the Netherlands described the methodology of ‘Real Time Demand Capacity’ which they have implemented. It is Improvement Cymru's aim in 2021 to help improve the understanding of the science of flow using lean and to support implement these principles into our health- Posted
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Prevention of Future Deaths report – Hannah Royle (4 October 2021)
Mark Hughes posted an article in Coroner reports
In her report the Coroner notes the following matters of concern: Both calls to the 111 service were significantly non-compliant; the call handlers did not correctly complete the algorithm, they did not take into consideration Hannah’s disabilities and inability to verbalise, they failed to recognise Hannah as a complex case requiring transfer to a more senior member of the 111 service despite Hannah’s parents providing sufficient information for that to be the case. The 111 service does not have a sufficiently robust system to manage members of the public with underlying disabil- Posted
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Content Article
Capnography: No Trace = Wrong Place
Patient Safety Learning posted an article in High risk areas
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