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Found 16 results
  1. Content Article
    In this data briefing, John Appleby looks at nursing workforce figures and questions if the NHS can balance flexibility with demand.
  2. Content Article
    In his article for KevinMD.com, Ashish Jha looks at the metrics associated with hospital acquired conditions (HACs) in the US. He discusses the imperfections of HAC scored and argues that we need better measures in order to make further progress in the field of patient safety.
  3. Content Article
    AQuA are an NHS health and care quality improvement organisation at the forefront of transforming the safety and quality of healthcare. They are based in the North West and work with over 70 member organisations. They also undertake a number of consultancy based projects across the UK with both health and care organisations. Here you can find patient safety resources including: Mortality reports Quality reports National Patient Safety Strategy Blogs.
  4. Content Article
    Analysis of the patient safety incidents reported in England to the National Reporting and Learning System (NRLS) up to June 2019. NHS Improvement publish two sets of National patient safety incident reports (NaPSIRs) simultaneously. This publication includes reports covering incidents to June 2019 and to March 2019; the commentary analyses data to March 2019. NaPSIRs were previously called Quarterly Data Summaries (QDS).
  5. Content Article
    The debate around the presence of medical error in healthcare today still solicits debate. While it is agreed that one death due to medical error is too many, Mazer and Nabhan in this perspective discuss the intense interest by the media and others in numbers that are shared – whether they are accurate or not. They suggest instead that the focus of discussion and interest should not be solely on how many... but the "why."
  6. Content Article
    Effective communication is critical to successful large-scale change. Yet, in our experience, communications strategies are not formally incorporated into quality improvement frameworks. The 1000 Lives Campaign was a large-scale national quality improvement collaborative that aimed to save an additional 1000 lives and prevent 50 000 episodes of harm in Welsh health care over a two year period. This research, published in the Journal of Communication in Healthcare, used the campaign as a case study to describe the development, application, and impact of a communications strategy embedded in a large-scale quality improvement initiative.
  7. Content Article
    The Health Foundation’s Report, Untapped potential: Investing in health and care data analytics, highlights nine key reasons why there should be more investment in analytical capability. Nine key reasons why there should be more investment in analytical capability: Clinicians can use the insights generated by skilled analysts to improve diagnosis and disease management. National and local NHS leaders can evaluate innovations and new models of care to find out if expected changes and benefits were realised. Board members of local NHS organisations and systems can use analysis to inform changes to service delivery in complex organisations and care systems. Local NHS leaders can improve the way they manage, monitor and improve care quality day-to-day. Senior NHS decision makers can better measure and evaluate improvements and respond effectively to national incentives and regulation. Managers can make complex decisions about allocating limited resources and setting priorities for care. Local NHS leaders will gain a better understanding of how patients flow through the system. New digital tools can be developed and new data interpreted so clinicians and managers can better collaborate and use their insights to improve care. Patients and the public will be able to better use and understand health care data. Action and investment is needed across the system so the NHS has the right people with the right tools to interpret and create value from its data. This could result in an NHS that can make faster progress on improving outcomes for patients.
  8. Content Article
    Reducing emergency admissions from care homes has the potential to reduce pressure on hospitals. This is a significant national policy focus, as demonstrated by a strong commitment to improve support in care homes in the NHS Long Term Plan.  Key points: Analysis of a national linked dataset identifying permanent care home residents aged 65 and older and their hospital found that on average during 2016/17 care home residents went to A&E 0.98 times and were admitted as an emergency 0.70 times. Emergency admissions were found to be particularly high in residential care homes compared with nursing care homes. A large number of these emergency admissions may be avoidable: 41% were for conditions that are potentially manageable, treatable or preventable outside of a hospital setting, or that could have been caused by poor care or neglect. Four evaluations of initiatives to improve health and care in care homes carried out by the Improvement Analytics Unit (IAU) in Rushcliffe, Sutton, Wakefield and Nottingham City show reductions in some measures of emergency hospital use for residents who received enhanced support. There are key learnings from these IAU evaluations, including a greater potential to reduce the need for emergency admissions and A&E attendance in residential care homes and the benefit of coproduction between health care professionals and care homes.
  9. Content Article
    The latest issue of the Patient Safety Journal is now out.  US patient safety journal brought to you by the Patient Safety Authority, an independent agency of the Commonwealth of Pennsylvania. Each issue publishes original, peer-reviewed research and data analyses and also gives patients a voice. It's mission is to give clinicians, administrators and patients the information they need to prevent harm and improve safety.  Patient Safety - June 2023 Patient Safety - March 2023 Patient Safety - December 2022 Patient Safety - September 2022 Patient Safety - June 2022 Patient Safety - March 2022 Patient Safety - January 2022 Special Issue: Pharmacy Education and Practice Patient Safety - December 2021 Patient Safety - September 2021 Patient Safety - June 2021 Patient Safety - March 2021 Patient Safety-December 2020 Patient Safety - September 2020 Patient Safety Journal - June 2020 Patient Safety March 2020 Patient Safety - December 2019 Patient Safety - September 2019
  10. Content Article
    As improvement practice and research begin to come of age, Mary Dixon-Woods in this BMJ feature considers the key areas that need attention if we are to reap their benefits. Mary Dixon-Woods is the Health Foundation Professor of Healthcare Improvement Studies and Director of The Healthcare Improvement Studies (THIS) Institute at the University of Cambridge, funded by the Health Foundation. Co-editor-in-chief of BMJ Quality and Safety, she is an honorary fellow of the Royal College of General Practitioners and the Royal College of Physicians.
  11. Content Article
    A collection of resources from NHS Improvement to help you analyse, understand and improve the health and well-being of your workforce. Based on NHS Improvements's learning from the Improving Health and Well-being direct support programme, they have developed and collated some resources which will assist analysis of your quantitative and qualitative workforce data to drive and enable development of impactful evidence-based workforce health and well-being interventions. Resources: driver diagrams (tree diagrams) the health and wellbeing framework and diagnostic tool workforce stress and the supportive organisation — a framework for improvement.
  12. Content Article
    The PReCePT Programme is a quality improvement project designed to reduce the incidence of cerebral palsy through the administration of magnesium sulphate to eligible preterm mothers across England. This QI toolkit contains all the documents you will need to understand, plan and implement PReCePT in your maternity unit. Based on the success of the initial PReCePT project, some of the documents are categorised as ‘essential’ for successful implementation, others are ‘strongly recommended’ and some are ‘optional’. The toolkit includes: PReCePT QI Toolkit PDF PReCePT Programme Implementation Guide PReCePT Clinical Guideline Flow Chart PReCePT Magnesium Sulphate Quick Reference Poster PReCePT Management of Preterm Labour Proforma PReCePT Magnet Instructions PReCePT Infographic Poster PReCePT Think Magnesium Too Poster Magnesium Sulphate Parent Leaflet Quality Improvement Learning Log (PDF) Midwife Lead Role Obstetrician Lead Role
  13. Content Article
    On 20 March 2018 NHS Improvement launched an engagement programme to seek views from a wide range of stakeholders about how and when patient safety incidents should be investigated. Often those affected by incidents are not appropriately supported or involved in the investigation process; the quality of investigation reports is generally poor; and improvements to prevent the recurrence of harm are not effectively implemented. To obtain views on the problems with the current approach to the investigation of Serious Incidents, the issues driving these problems, and how such issues might be resolved, NHSI ran an online survey, national workshops and a live twitter chat, and held discussions with many individuals including patients, families, NHS staff, regulators and others. This document summarises the feedback received.
  14. Content Article
    Fourth MBRRACE-UK Perinatal Mortality Surveillance Report providing information on UK perinatal deaths for births from January to December 2016. The report focuses on the surveillance of all late fetal losses (22+0 to 23+6 weeks gestational age), stillbirths and neonatal deaths, with data presented by country, by geographical area, by health care provider and by Local Authority. What can I learn? Mortality rates reduced with 300 fewer baby deaths in 2016 compared with 2013. Improved survival for twins: the stillbirth rate has reduced by almost half since 2014 and neonatal deaths have reduced by almost a third during the same period. Regional variation is still evident in England. Post-mortem examination continues to vary between stillbirths and neonatal deaths. Almost all parents of stillborn babies were offered a post-mortem and of these 1 in 2 consented to a post-mortem. 8 out of 10 parents of babies who died neonatally were offered a post-mortem and of these 1 in 3 consented to a post-mortem. Placental histology was carried out for 9 out of 10 stillbirths but for only 7 out of 10 neonatal deaths which occurred on day 1, or were related to problems during delivery.
  15. Community Post
    Dear All Please excuse my ignorance, especially if I am failing to see or understand something that is so glaringly obvious! However, I wondered if any of you, my esteemed colleagues, would be able to assist me with a conundrum that I currently face: Number of incidents occurring per 1,000 bed days My questions: What does this actually mean, and how is this useful exactly? How do you know if the sum of a bed days calculation is good or bad? How can this sum be used to quantify/understand incidents that occur within an outpatient setting (or a setting that does not involve bed days)? For example, if we say that an organisation has 5,910 incidents and a bed days figure of 171,971, we would then need to calculate 5,910 / 171,971 x 1000 = 34.36. As the NRLS uses the 'metric', incidents by 1000 bed days, to write a report which includes this sum for your organisation, and that of your "cluster" (other organisations that are 'supposedly' similar to yours), what does this sum actually signify and how can this be used to try and compare yourself to other service providers? Regards Faizan
  16. Community Post
    The US-based Leapfrog Group is a nonprofit organisation that routinely gauges hospital performance to inform purchaser choices as they navigate the healthcare system. While there are discussions on the value of the ratings ... they still pack a punch for organizations who do or don't do well. The latest set of numbers are out: Megan Brooks. One Third of US Acute-Care Hospitals Get 'A' on Patient Safety: Survey - Medscape - Nov 07, 2019.
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