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Showing results for tags 'Process redesign'.
Found 72 results
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The NHS will not pay to improve patient safety You may think that I am saying this to be contentious, but sadly I am not. As an independent business consultant who supports new businesses and entrepreneurs in the health and care sector, this is a conversation which I have on almost a weekly basis. The reason for this is that most innovations are in response to a perceived problem, and there is no problem more obvious than harm caused to patient during medical treatment. The British are by nature innovative (36,558 Patent Applications were made by UK citizens in 2019, ranking in the to- Posted
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Background From 2008 to 2014 my company ran education sessions on managing medicines in a mental health trust. In common with some other mental health trusts, the provider also looked after paediatric community services. This is not a mental health service. It covers children with complex health needs including enteral feeding tubes, ventilation, epilepsy and rapidly changing medicines. Children under the care of this service may be taking in excess of 15 different medicines per day, have complex titration regimes, emergency drugs with associated care plans, plus numerous ‘as required’ (pr -
News Article
‘Inherently risky’ children’s cancer service to be overhauled
Patient Safety Learning posted a news article in News
Children’s cancer services in south London are to be reconfigured after a new review confirmed they represented an “inherent geographical risk to patient safety” — following HSJ revelations last year of how serious concerns had been “buried” by senior leaders. Sir Mike Richards’ independent review was commissioned after HSJ revealed a 2015 report linking fragmented London services to poor quality care had not been addressed, and clinicians were facing pressure to soften recommendations which would have required them to change. The review, published in conjunction with Thursday’s NHS -
News Article
Swann reveals future of Northern Ireland health service post COVID-19
Patient Safety Learning posted a news article in News
Northern Ireland faces a massive challenge rebuilding health and social care in the wake of the first COVID-19 wave, Health Minister Robin Swann has said. Speaking at the Northern Ireland Assembly on Tuesday, Mr Swann said that the rebuilding process can secure better ways of delivering services but will require innovation, sustained investment and society-wide support. He said that services will not be able to resume as before and that rebuilding will be significantly constrained by the continuing threat from COVID-19 and the need to protect the public and staff from the virus. -
News Article
‘Fundamental’ changes to London’s NHS in wake of COVID-19
Patient Safety Learning posted a news article in News
The NHS in London is planning to “fundamentally shift the way we deliver health and care” in the wake of coronavirus, according to documents obtained by HSJ. The plans from NHS England and Improvement’s London office say leaders should: Plan for elective waiting times to be measured at integrated care system level, rather than trust level. Accept “a different kind of risk appetite than the one we are used to”. Expect decisions from the centre on the location of cancer, paediatric, renal, cardiac, and neurosurgical services. Plan for a permanent increase in critical- Posted
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News Article
London begins major COVID-19 reconfiguration
Patient Safety Learning posted a news article in News
St Bartholomew’s Hospital is to be the emergency electives centre for the London region as part of a major reorganisation to cope with the coronavirus outbreak. Senior sources told HSJ the London tertiary hospital, which is run by Barts Health Trust, will be a “clean” site providing emergency elective care as part of the capital’s covid-19 plan. It is understood the specialist Royal Brompton and Harefield Foundation Trust will also be taking some emergency cardiac patients. The news follows NHS England chief executive Sir Simon Stevens telling MPs on Tuesday that all systems wer -
Content ArticleIn the late eighties, I attended a presentation on the future of the UK Medtech sector presented on behalf of the government by KPMG. The main message being the government’s desire for the industry to focus on research and development whilst transferring manufacturing to China! What relevance does this have to patient safety? Fast forward some twenty years and I am presenting the case for adoption of one of our most successful unique patented patient safety products (successful global use at this point around the 5 million patient level) to one of the largest NHS trusts. The difficu
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Content ArticleThis guide is for reviewers undertaking Structured Judgement Reviews (SJR's). A SJR is usually undertaken by an individual reviewing a patient’s death and mainly comprises two specific aspects: explicit judgement comments being made about the care quality and care quality scores being applied. These aspects are applied to both specific phases of care and to the overall care received. The phases of care are: admission and initial care – first 24 hours ongoing care care during a procedure perioperative/procedure care end-of-life care (or discharge care)
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Content ArticleIn this book, Atul Gawande makes a compelling argument for the checklist, which he believes to be the most promising method available in surmounting failure. Whether you're following a recipe, investing millions of dollars in a company or building a skyscraper, the checklist is an essential tool in virtually every area of our lives and Gawande explains how breaking down complex, high pressure tasks into small steps can radically improve everything from airline safety to heart surgery survival rates.
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HQCA: Patient Experience Awards 2019
Patient Safety Learning posted an article in Implementation of improvements
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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Content ArticleFive tips: People aren't machines Push the button Differeing shapes and sizes Stamina and repetition Look around
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Content ArticleIdeas about resilient systems are now becoming better known in the healthcare community, but the most common question asked is “this is great but how do I put it into practice?” CARe QI provides the answers. The aim of CARe QI is to help people to apply the insights of resilient systems and ‘Safety II’ to the design, implementation and evaluation of quality improvement interventions. It is a structured collection of information, tools, guidance and documents that helps you to develop interventions to strengthen system resilience and in turn improve quality and safety. In the handbook you
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Healthier Lancashire & Cumbria - Digital Future
Gary Saunders posted an article in Implementation of improvements
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Content ArticlePresentations include: Martin Bromiley talking a little about his story and the impact of design, followed by discussion with Francois Jaulin and Frederic Martin from the Anaesthesia Network. Dr Tom Clutton-Brock, Clinical Director of Trauma Management, discussing regulations in design safety and usability. Tracey Herlihey, Head of Safety Intelligence, HSIB, looks at the consequences of bad design. Colette Longstaffe, Product Assurance Specialist, Clinical and Product Assurance, NHS Supply Chain, looks at what the NHS is doing differently in procurement. Panel dis
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Content ArticleWhat will I learn? The report identifies 10 lessons to support providers and commissioners seeking to adopt this new approach: Start by focusing on a specific population. Involve primary care from the start. Go where the energy is. Spend time developing shared understanding of challenges. Work through and thoroughly test assumptions about how activities will achieve results. Find ways to learn from others and assess suitability of interventions. Set up an ‘engine room’ for change. Distribute decision-making roles. Invest in workforce d
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Content ArticleKey actions/recommendations Personalised care centred on the woman, her baby and her family based around their needs and their decisions where they have genuine choice informed by unbiased information. Continuity of carer, to ensure safe care based on a relationship of mutual trust and respect in line with the woman’s decisions. Safer care, with professionals working together across boundaries to ensure rapid referral, and access to the right care in the right place; leadership for a safety culture within and across organisations; and investigation, honesty and learning when
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Content ArticleWhat will I learn? History of sepsis guidance Oxford AHSN approach to implementation of the guidance Care bundles (resource) Regional pathway for sepsis How to measure surveillance Limitations of coding sepsis Patient outcomes
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Content ArticleMisplacement of nasogastric tubes can have disastrous consequences for patients and is listed as a “never event” by NHS England. When Lancashire Teaching Hospitals NHS Foundation Trust had two of these never events, the nutrition nursing team carried out a system-wide evaluation to identify problems and develop plans to address them. An e-learning package, robust standardisation in staff’s approach to patient care, re-setting “red lines” to support and empower staff, and the introduction of monitoring and reporting systems have contributed to improving patient safety.
