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Found 49 results
  1. Content Article
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    August 2022 - Thematic review to discuss falls on the unit, Duty of Candour requirement, reporting a pressure ulcer on Datix, UTC and learning disability health facilitation team table top, care home matrons. patient-safety-newsletter-august2022.pdf July 2022 - Collaboration with the IC24 Roving GP service, critical limb ischaemia, Genius 2 and 3 thermometers, implementing the Patient Safety Strategy, introducing Professional Nurse Advocates and Patient Safety Learning's hub. patient-safety-newsletter-july2022.pdf June 2022 - New visual fluid chart tool, bruising in childre
  4. Content Article
    Never Events 1 April 2021 – 31 March 2022 by type of incident: Wrong site surgery – 171 Retained foreign object post procedure – 98 Wrong implant/prosthesis – 47 Misplaced naso or oro gastric tubes and feed administered – 31 Administration of medication by the wrong route – 21 Unintentional connection of a patient requiring oxygen to an air flowmeter – 13 Overdose of insulin due to abbreviations or incorrect device – 11 Transfusion or transplantation of ABO incompatible blood components or organs – 7 Falls from poorly restricted windows –
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    A woman has described how she spent more than six hours of her 100th birthday waiting in agony for an ambulance after slipping and fracturing her pelvis while getting ready for a family lunch. Irene Silsby was due to be picked up by her niece, Lynne Taylor, for a celebration to mark her centenary on 9 April. But she fell in the windowless bathroom of her care home in Greetham, Rutland, and staff called an ambulance at 9am after she managed to summon help. “All I remember is I was in terrible pain,” said Silsby from her hospital bed on Saturday. When asked of the ambulance delay, she
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    United Lincolnshire Hospitals NHS Trust has been ordered to pay a total of £111,204 in fines and legal costs after pleading guilty to failing to provide safe care and treatment to an elderly patient, causing them avoidable harm, following a sentencing hearing on Friday, 25 March at Boston Magistrates’ Court. The case was taken by the Care Quality Commission (CQC) under regulations 12 and 22 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The case against United Lincolnshire Hospitals NHS Trust involved the care of an elderly patient, Iris Longmate, wh
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    In 2020-21, the number of people visiting the A&E department at the East Kent University Hospital Trust (EKHUFT), one of the largest trusts in the south east, increased by up to 25%. At that time, we noted a surge in cases of falls in A&E, particularly those resulting in severe harm. The risk factors were clear: A&E departments were busier than they had ever been The quality of health in patients seeking help at A&E was declining Those seeking help had longer-than-usual waiting times in A&E departments There was no clear way for staff to indic
  12. Content Article
    In this report, the Coroner states that she had been informed that the risk of mortality in the elderly who have suffered significant trauma is high, because they are at greater risk of developing pneumonia. She notes that it is therefore essential that they receive emergency medical care as soon as possible. She highlighted that in this case it took three hours for an ambulance to arrive, and whilst she had no evidence that this delay contributed to Mrs Young's death, she could not confirm that it did not. She stated that future lives could be at risk due to delays in providing a timely emerg
  13. Content Article
    In this report, the Coroner states his concerns as follows: Hospital staff told the inquest that due to the reduction in staff numbers, they did not have enough time to carry out their expected tasks. As one healthcare assistant told the court, it was “impossible” to provide one to one nursing care to Mr Housby with the number of staff working on that shift. The court was told that since Mr Housby’s death, the problem of staffing shortages persists. Clifton hospital is a place to where patients – often elderly and vulnerable – are transferred for a period of rehabilitation,
  14. Event
    This Hospital at Night Summit focuses on out of hours care in hospitals delivering high quality safe care at night. Through national updates, networking opportunities and case studies this conference provides a practical guide to delivering a high quality hospital at night, and moving forward during and beyond the Covid-19 pandemic. The conference will also focus on improving staff well-being at night and reducing fatigue. Attending this conference will enable you to: Network with colleagues who are working to improve Hospital at Night Practice Learn from developments as a r
  15. Content Article
    The findings include: 71% of patients were checked for injury before being moved (up from 69% in 2019) Flat lifting equipment was used for 26% of patients (up from 22% in 2019), and 62% of patients were assessed by a medic within 30 minutes (up from 52% in 2019). The risk factor which was most often assessed was continence, with 74% patients undergoing this component of the MFRA (multi-factorial fall risk assessment). Lying/standing blood pressure was the least often assessed, with 35% getting this assessment. The report makes a number of recommendations, includi
  16. News Article
    A resident at an inadequate care home died after their blood glucose increased to high levels and staff acted too slowly, a report found. Inspectors said The Berkshire Care Home in Wokingham breached guidelines in nine areas and must improve. They found residents were put at risk after medicines were not used properly and that records were not up to date. The Care Quality Commission (CQC) said an ambulance was only called for the person who died when they were found to be unresponsive. They later died in hospital. Its report said staff were "not sufficiently skilled" to safely c
  17. Content Article
    This guidance set out by Public Health England explains how patients/the public and clinicians can mitigate falls.
  18. Content Article
    Ah – a new year. A new decade. People around the world celebrate such affairs with fireworks, noisemakers, champagne and resolutions they’ll never keep. In America, we revel with all those things and ... the ’Granddaddy of them all‘... The Rose Bowl. The Rose Bowl is an annual college football face-off between two champion teams held in Pasadena, California. The event is huge, complicated, prestigious and widely anticipated. This musing on Rose Bowl activities and how they might highlight safety concepts ‘kicks off’ my 2020 Letter from America series. A renowned part of the franchise is t
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    These tips can be used by clinicians to trouble shoot with their patients if they see someone struggling with their mask. They can also be used by anyone looking for advice on how to avoid some of the pitfalls associated with wearing a mask.
  22. Content Article
    React to Red React to Falls React to Moisture React to Feet React to Infection React to Malnutrition and Dehydration
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