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Found 24 results
  1. Content Article
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    The report looks at the following issues: To what extent are maternity services affected by staffing shortages? What impact are staffing shortages having on antenatal care? What impact are staffing shortages having on labour and birth? What impact are staffing shortages having on postnatal care? What impact are staffing shortages having on neonatal care? What impact are staffing shortages having on the quality and/or safety of bereavement care? What impact are staffing shortages having on learning from incidents? What impact are staffing shorta
  4. Content Article
    HSIB was notified about potential patient safety issues by Sarah, who was concerned about the care she had received when her babies were delivered. The investigation used interviews, observations of the maternity unit and reviews of guidelines and organisational documents in order to understand the system-wide factors that contributed to Sarah’s experience and the decisions made by staff. The evidence suggested that the process of decision making in the context of Sarah’s care was relevant to this investigation, so the investigation has summarised the key factors that appear to have influenced
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    Key findings From a public health perspective, it is possible that neonatal illness contributes to 72% of all deaths under 10 years of age. Children who received additional care after birth (neonatal care) made up 83% of children who died before their 1st birthday, 38% of deaths in the next 4 years, and 27% of deaths between the ages of 5 and 9. For babies born alive, at or after 22 weeks gestation, who subsequently died before 10 years of age between 1 April 2019 and 31 March 2021, half of the deaths occurred in children over one month old. There is a clear associat
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    It’s amazing how far we’ve come with medical advancements in neonatal intensive care (NICU) and special care settings over the past decade. Unfortunately, involving families in the care of their infants in NICU does not seem to have progressed at the same pace, despite evidence showing how important this is for the health and wellbeing of premature babies and their families. Changes have started to evolve more rapidly nationally since the Neonatal Critical Care Review and through the integration of family care co-ordinators, but it’s still vital that we keep discussing this model of care
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    This online study day from the East of England Neonatal Operational Delivery Network will be led by Sara Davis, Neonatal Practice Development Lead. Using a blend of theory and guided workshops, you will have the opportunity to see worked examples, ask questions, share ideas and receive support in the first stages of planning your own project. It will include: Action planning for learning and improvement using human factor science and QI methodologies, Audit as a tool for assurance and improvement and team effectiveness. The cost of this study day is: £10.00 per pers
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    The following four initiatives were selected to receive the HQCA’s 2019 Patient Experience Awards: NowICU Project, Neonatal Intensive Care Unit (NICU), Misericordia Community Hospital Rapid Access, Patient Focused Biopsy Clinic; Head and Neck Surgery, Pathology; University of Alberta Hospital Edmonton Prostate Interdisciplinary Cancer Clinic (EPICC), Northern Alberta Urology Centre Transitional Pain Service, South Health Campus Take a look at their presentations and find out more about these great initiatives.
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    Nadia Leake and Rachel Collum discuss the need for Family Integrated Care (FIcare) in neonatal intensive care units (NICU). FIcare is an approach that facilitates parents to be primary caregivers to their child while they are in NICU, allowing them to love and nurture their child. For it to work well, it requires a culture in the hospital that encourages bonding and family. Nadia and Rachel discuss their own experiences of FIcare, and of units where it has not yet been fully developed, and underline how the approach enables families to bond and supports better outcomes for premature babie
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    Findings Findings of this investigation included: The administration of a blood transfusion as part of resuscitation requires a number of preparatory steps, including collecting the blood and undertaking various checks before using it. Inclusion in resuscitation training of a prompt for clinicians to consider the need for a transfusion, and to prepare for it if appropriate, may help reduce any delay. Involving members of neonatal teams (staff who specialise in the care of newborn babies) in multidisciplinary training in maternity units is not routine. Standardising their incl
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    East Midlands and West Midlands Patient Safety Collaboratives will be hosting a webinar on appreciative inquiry (AI). Hosted by Appreciating People, it will focus on ‘what works’ and the existing strengths and assets of people, team and organisations. The pandemic and current working challenges has shown how resilient and creative the maternity and neonatal workforce has been, so this workshop aims to support you to build upon your current knowledge and experiences. The webinar will share tools to focus on levering and amplifying strengths, and there will be time for reflective conversati
  22. Content Article
    Key findings Nationwide study of more than 1 million pregnancies in England finds that socioeconomic inequalities account for a quarter of stillbirths, a fifth of preterm births, and a third of births with fetal growth restriction—a condition in which babies are smaller than expected for their gestational age. South Asian and Black women living in the most deprived areas experience the largest inequalities in pregnancy outcomes. Estimates suggest that half of stillbirths and three-quarters of births with fetal growth restriction in South Asian women living in the most depriv
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    The web page includes resources on: Improving the proportion of smoke-free pregnancy. Optimisation and stabilisation of the very preterm infant. Detection and management of diabetes in pregnancy. Early recognition and management of deterioration of mother or baby.
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    Initial maternity investigation Amy’s case formed one part of an initial investigation carried out by the HSIB maternity investigation programme. This investigation identified a potential patient safety risk regarding the pre-arrival instructions given to women/pregnant people by 999 call handlers while they wait for an ambulance. Aspects of the pre-arrival instructions did not align with UK evidence-based maternity guidance (for clinicians in a clinical setting). This was considered to present a risk of harm to women or pregnant people and/or babies. Similar concerns relating to mate
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