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Showing results for tags 'Handover'.
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News Article
Eleven patients suffered harm after ambulance handover delays
Patient Safety Learning posted a news article in News
Eleven patients have suffered harm after being kept waiting in ambulances outside accident and emergency departments, a review has found. South East Coast Ambulance (SECamb) Service Foundation Trust launched the review after a specific incident at Medway Foundation Trust on Monday 16 November. Although details of the incident have not been released, HSJ has been told one patient waited for nine hours before being seen in the trust’s A&E department that day. The review covered all long waits across SECAmb’s area over the last few weeks. Out of 120 cases examined, 11 patients were -
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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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- Posted
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Community Post
Should patients be actively involved in following up their referrals?
Steve Turner posted a topic in Improving patient safety
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- Deterioration
- Electronic Health Record
- Database
- Transparency
- Leadership exemplars
- Organisational Performance
- Patient engagement
- Information sharing
- Policies / Protocols / Procedures
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- Posted
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- Long waiting list
- Deterioration
- Electronic Health Record
- Database
- Transparency
- Leadership exemplars
- Organisational Performance
- Patient engagement
- Information sharing
- Policies / Protocols / Procedures
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Community Post
SBAR handovers
Kirsty Wood posted a topic in How to engage for patient safety
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- Posted
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Content Article
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).- Posted
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Content Article
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. -
Content Article
Watch this short video to find out how SBAR has helped patient safety and handover of patient information.- Posted
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Content Article
Leicester Royal Infirmary NHS Trust: SBAR in action!
Claire Cox posted an article in Handover
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Content Article
Royal Pharmaceutical Society: Ward round checklist example
Claire Cox posted an article in Handover
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Content Article
Ambulance handover to emergency care standard V1.0
Claire Cox posted an article in Handover
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- Posted
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Content Article
BMJ: Safe handover (October 2017)
PatientSafetyLearning Team posted an article in Research papers
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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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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- Posted
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Matthew's Story
Claire Cox posted an article in Handover
The video outlines the importance of effective ambulance handovers and makes recommendations for how NHS providers can improve their processes. -
Content Article
WHO: Communication during patient handovers (May 2007)
PatientSafetyLearning Team posted an article in Processes
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Content Article
Safe handover of a critically unwell patient to intensive care
Claire Cox posted an article in Techniques
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- Posted
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Development of the ‘Safety Huddle’ in the community setting
Claire Cox posted an article in Nursing
The Safety Huddle’s main aim was to improve and document all clinical handovers within individual teams across the locality. This case study explains how they initiated the huddle. It also includes downloads for; a template for handover the safety huddle template the standard operating procedure for the huddle.- Posted
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This guide is designed to help an acute trust pharmacist follow up a small cohort of patients who were discharged to receive a course of IV therapy in the community. Aim: To prospectively assess the quality of discharge information/prescriptions for patients referred for community IV therapy To identify problems with supplies of medicines To identify any problems with the process for clinical review of patients, post-discharge To provide assurance of the quality of care for these patients and make recommendations for improvements, where appropriate.- Posted
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What it feels like working with unsafe staffing
Anonymous posted an article in Florence in the Machine
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- Posted
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The Norfolk and Norwich University Hospital introduced NNUH at Home in January 2019 as part of a pilot project. NNUH is working in partnership with HomeLink Healthcare to deliver this service, which will benefit patients by supporting them to leave hospital as soon as they are clinically stable. Some clinically selected patients are able to go home to recover for the last few days of their acute episode of care. These patients remain under the care of the hospital and will be supported at home with bespoke care services such as therapy, nursing care, personal care and IV antibiotics.- Posted
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