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Showing results for tags 'Monitoring'.
Found 38 results
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Content ArticleKey points This framework highlights the following five dimensions, which the authors believe should be included in any safety and monitoring approach in order to give a comprehensive and rounded picture of an organisation’s safety: Past harm: this encompasses both psychological and physical measures. Reliability: this is defined as ‘failure free operation over time’ and applies to measures of behaviour, processes and systems. Sensitivity to operations: the information and capacity to monitor safety on an hourly or daily basis. Anticipation and preparedness: the ability to anticipate, and be prepared for, problems. Integration and learning: the ability to respond to, and improve from, safety information.
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Content ArticleThe 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.
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NHS leaflet: Illness in newborn babies
PatientSafetyLearning Team posted an article in Maternity
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Community PostHello I would be interested in hearing from anyone who has done any work on how we monitor patient deterioration overnight? I am currently working on am improvement project looking at patient surveillance of deterioration during night shifts. I have chosen this project as part of a Clinical Improvement Scholarship Program I am on. The program is combined with my day job as a Critical Care Outreach Sister as well as enabling me to develop my research and leadership skills alongside implementing improvements in clinical care. I am in the early stages of my work, however I have some literature and local research around deficiencies in how we monitor patients for deterioration overnight (as well as personal experiences as a CCOT nurse) which is why this topic is so important to me. I would be interested in hearing from anyone who has worked on anything similar, or can point me in the direction of anyone who maybe able to help. Thank you 🙂
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Content ArticleThis web page offers numerous resource pages which include: drug monitoring medicines management during this crisis summary of drugs for COVID-19.
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Content ArticleKey learning points If the patient had been more closely observed it is likely cardio-respiratory arrest and subsequent hypoxic brain injury could have been avoided. Effective procedures for nurse communication, effective handover and observation of critically unwell patients in intensive care and high dependency units are very important to safe patient care. Bedside and remote monitoring equipment provide vital information to staff and should be properly maintained and replaced where necessary.
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Content ArticleThis framework highlights the following five dimensions, which the authors believe should be included in any safety and monitoring approach in order to give a comprehensive and rounded picture of an organisation’s safety: Past harm: this encompasses both psychological and physical measures Reliability: this is defined as ‘failure free operation over time’ and applies to measures of behaviour, processes and systems Sensitivity to operations: the information and capacity to monitor safety on an hourly or daily basis Anticipation and preparedness: the ability to anticipate, and be prepared for, problems Integration and learning: the ability to respond to, and improve from, safety information.
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Data saves lives - a series of animations
Claire Cox posted an article in Data and insight
Better use of data is essential to speed up diagnosis, research new treatments, plan better NHS services and monitor the safety of drugs. And yet, more than two thirds of the population feel they don’t know how patient data is used in the NHS. These animations have been developed in partnership with charities, patients and clinicians. Find out why and how patient data is used. -
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Community PostI would be interested to know, if overnight, patients who score 0-2 on NEWS which has not changed with no concerns since the last set of observations, what your trust policy is on observation frequency? Does your trust require observations to be carried out 4 hourly minimum regardless of patients NEWS score and stability? Or if there are no concerns and the patient is clinically stable with consecutive NEWS 0-2 that they do not have observations taken overnight? Looking forward to hearing what other trust practices are.
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Content ArticleFrom the analysis of inspection reports, notifications of incidents and enforcement notices, the CQC have categorised the most common areas of risk with medicines across regulated health and adult social care services. This did not include providers of online consultations over the internet or by other remote means, as we have previously reported on these services. These six common areas are summarised as follows: prescribing, monitoring and reviewing administration transfer of care reporting and learning from incidents supply, storage and disposal staff competence and workforce capacity.
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Content ArticleFindings Participants’ perceptions regarding their engagement as a patient safety strategy were expressed through three overarching themes: the word 'patient' obscures the message safety is a shared responsibility involvement in safety is a right. Themes were further defined by eight subthemes. Conclusions Using direct messaging, such as 'your safety' as opposed to 'patient safety' and teaching patients specific behaviours to maintain their safety appeared to facilitate patient engagement and increase awareness of safety issues. Patients may be willing to accept some responsibility for ensuring their safety by engaging in behaviours that are intuitive or that they are clearly instructed to do. However, they described their involvement in their safety as a right, not an obligation. Interpretation Clear, inviting communication appears to have the greatest potential to enhance patients’ engagement in their safety. Nurses’ ongoing assessment of patients’ ability to engage is critical insofar as it provides the opportunity to encourage engagement without placing undue burden on them. By employing communication techniques that consider patients’ perspectives, nurses can support patient engagement.
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Commissioning for Quality and Innovation (CQUIN): Guidance for 2020– 2021
Claire Cox posted an article in CQUIN
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. -
Content ArticleThe ‘deteriorating patient’ policies of the hospitals studied varied in their contents and often omitted precise instructions for staff. The author recommend that individual hospitals review these documents, and that research and/or consensus are used to develop a national algorithm regarding the response to patient deterioration.
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Content ArticleIn 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.
