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Found 33 results
  1. News Article
    An ambulance trust has highlighted the death of a woman which it says was due to “being delayed on the back of an ambulance”, just two days after it warned that lives were ‘at risk’ from long handovers. West Midlands Ambulance Service University Foundation Trust’s board papers this month reveal the woman in her 90s — who has not been named — was taken to hospital because a severe nose bleed would not stop. Its clinical quality board paper says the “patient story” showed ”how a patient being delayed on the back of an ambulance resulted in significant deterioration and ultimately the d
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  4. Community Post
    I've been posting advice to patients advising them to personally follow up on referrals. Good advice I believe, which could save lives. I'm interested in people's views on this. This is the message I'm sharing: **Important message for patients relating to clinical referrals in England** We need a specific effort to ensure ALL referrals are followed up. Some are getting 'lost'. I urge all patients to check your referral has been received, ensure your GP and the clinical team you have been referred to have the referral. Make sure you have a copy yourself too. Things
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    Watch this short video to find out how SBAR has helped patient safety and handover of patient information.
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    The PRSB have collaborated with the Royal College of Physicians Health Informatics Unit on this project. Clinical leadership was provided by clinicians from the Royal College of Emergency Medicine and the College of Paramedics (CoP). The standard has been developed with the support of professionals and patients. This resource includes: The standard Information model Information model (as Excel spreadsheet) Documentation Ambulance handover standard final report v1.0 Implementation guidance v1.0 Clinical Safety Case Report v0.3 - Currently being approv
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    Key learning points The difference between handovers and huddles. Benefits of effective clinical handovers and the role of huddles in promoting safety. Top tips for implementing huddles. Standardising handovers and huddles.
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    What will I learn? How to link your improvements to the wider strategic aims of your organisation. How to test, measure and understand the impact your changes are having. How to use the sort of structured communication tools that are delivering significant improvements in safety and quality for care organisations and other safety critical industries across the world (e.g. SBAR, ISOBAR and IDEAL).
  13. Community Post
    Morning all, As a Critical Care Outreach nurse of many years, one of my greatest bugbears is SBAR handover, or there lack of! Within my trust, there is an SBAR proforma attached to the NEWS2 chart, which appears to be fit for purpose currently. (We are still on paper obs charts, moving to e-obs by the end of the year) SBAR is taught and embedding in all our teaching and training, the candidates at the time of the courses are all able to giver perfect SBAR handovers in simulation but as soon as they walk out the door all of that seems to disappear. It is all too often we re
  14. Content Article
    The report Assessment of patient management arrangements within emergency medical service clinical contact centres outlines the findings of the review. Key findings: Delays caused by hospital handover, resulting in reduced ambulance availability, are a frequent occurrence, limiting ambulance resource and affecting the Trust’s ability to respond in a timely way to demand. This can have a detrimental impact upon outcomes for patients. Concerns were highlighted with the consistency of incident reporting, with a need for the Trust to ensure a consistent understanding of what const
  15. 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.
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    Working with clinicians and patients, the PRSB have published this standard along with implementation guidance for digital referrals from GPs to hospitals. Once implemented, it will ensure that clinicians have the right information they need to provide the best care for patients. The standard was produced in collaboration with the Royal College of Physicians Health Informatics Unit and input from the Royal College of General Practitioners. By using the standard professionals will have access to all relevant information in a timely manner results in safer and more consistent care for peopl
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    This short video shows how Brighton and Sussex University Hospitals NHS Trust has transformed the way that handover is received. By using a simple checklist along with a process, the critically unwell patient can be handed over quickly and safely. Further reading attached: Standard Operating Procedure for ICU/HDU Handover South East Coast Critical Care Network Critical Care Intrahospital Transfer form
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    The video outlines the importance of effective ambulance handovers and makes recommendations for how NHS providers can improve their processes.
  22. 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
  23. Content Article
    So, what does it feel like working in chronically depleted staffing levels? "We are down three nurses today" – this is what I usually hear when I turn up for a shift. It has become the norm. We work below our template, usually daily, so much so that when we are fully staffed, we are expected to work on other wards that are ‘three nurses down’. Not an uncommon occurrence to hear at handover on a busy 50-bedded medical ward. No one seems to bat an eyelid; you may see people sink into their seat, roll their eyes or sigh, but this is work as usual. ‘Three nurses down’ has been the nor
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