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Found 16 results
  1. Content Article
  2. Content Article
  3. Content Article
    Here you can find patient safety resources including: Mortality reports Quality reports National Patient Safety Strategy Blogs.
  4. Content Article
    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
  6. Content Article
  7. Content Article
    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
    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
    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
  11. Content Article
    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
    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
  14. Content Article
    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
    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.
  16. 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
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