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Found 76 results
  1. News Article
    No formal risk assessment was done on a man who beat a fellow care home resident to death, a review has found. Alexander Rawson attacked 93-year-old Eileen Dean with a metal walking stick at a care home in south-east London. Mrs Dean suffered catastrophic injuries to her head and body and died later in hospital. A review found Fieldside Care Home in Catford did not provide the specialist mental health services that Rawson - who had a history of violence - needed. Rawson, who had a history of mental health problems caused by alcoholism, was 62 when he was placed in the home a few
  2. Content Article
    The new framework aims to: make things simpler. better reflect how care is actually delivered by different types of service as well as across a local area. connect CQC registration activity to its assessments of quality. The CQC will continue to use its existing quality ratings and five key questions, but this framework replaces the existing key lines of enquiry (KLOEs) and prompts with new ‘quality statements’, also known as 'we statements'. For each quality statement, the CQC will state which evidence it will always need to collect and look at, which will vary depen
  3. Content Article
    The aim of this framework, produced by the Royal College of Midwives, is to help Local Maternity Systems and the Maternity Transformation Programme to measure, consistently, the level of continuity of carer being provided over time, not only to monitor delivery, but also to help evaluate the extent to which particular models realise the benefits set out in evidence. This document summarises the policy expectations and then suggests a measurement framework that draws on existing data, or that can be incorporated into other existing data collection thus imposing minimal burden on health car
  4. News Article
    All healthcare leaders, providers, patients and the public should wrestle with a fundamental question: How safe is our care? The typical approach has been to measure harm as an indicator of safety, implying that the absence of harm, is equivalent to the presence of safety. But, are we safe, or just lucky? Jim Reinertsen, a past CEO of complex health systems and a leader in healthcare improvement, suggests that past harm does not say how safe you are; rather it says how lucky you have been. After learning about the Measurement and Monitoring of Safety (MMS) Framework, Reinertsen found t
  5. Content Article
    The survey measures: workload communication teamwork safety systems learning leadership. The SCS for dental practice teams opened on Thursday 1 August 2019 and will close on Tuesday 31st March 2020.
  6. Content Article
    The WorkSafeMed study combined the assessment of the four topics psychosocial working conditions, leadership, patient safety climate, and occupational safety climate in hospitals. Looking at the four topics provides an overview of where improvements in hospitals may be needed for nurses and physicians. Based on these results, improvements in working conditions, patient safety climate, and occupational safety climate are required for health care professionals in German university hospitals – especially for nurses.
  7. Content Article
    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
  8. Content Article
    Hospital Survey on Patient Safety Culture Medical Office Survey on Patient Safety Culture Nursing Home Survey on Patient Safety Culture Community Pharmacy Survey on Patient Safety Culture Ambulatory Surgery Center Survey on Patient Safety Culture. The Surveys on Patient Safety Culture are publicly available for download and use. International users should contact SafetyCultureSurveys@westat.com for permission to use the survey outside of the US.
  9. Content Article
    Patient Safety Learning works with experts on guidance around ventilator safety As part of the Government’s fast track approach to the development of ventilators, the Medicines & Healthcare products Regulatory Agency (MHRA) issued guidance for clinical requirements based on ‘minimally acceptable’ performance. [2] Patient Safety Learning approached a range of human factors/ergonomics experts, asking for their input on the procurement of these new ventilators due to the involvement of new manufacturers, flexing of established guidelines and ‘safety in use’ issues. We asked them what
  10. Community Post
    Hello 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
  11. Community Post
    Interesting blog posted from @Sarahjane Jones on her research findings on staff safety: Do you work in mental health? We'd be interested to hear your own experiences? What challenges do you face?
  12. Content Article
    Background In 2018, SIM was selected for national scaling and spread across the Academic Health Science Networks (AHSNs). The High Intensity Network (HIN) has been working with the three south London Secondary Mental Health Trusts: The South London and Maudsley NHS Foundation Trust, Oxleas NHS Foundation Trust and South West London and St George’s Mental Health NHS Trust, and the Metropolitan Police, London Ambulance Service, A&E, CCG commissioners, and the innovator and Network Director of the High Intensity Network. The model can be summarised as: A more integrated, inf
  13. Content Article
    The Authors, conclude that whilst healthcare has much to learn from aviation in certain key domains, the transfer of lessons from aviation to healthcare needs to be nuanced, with the specific characteristics and needs of healthcare borne in mind. On the basis of this review, it is recommended that healthcare should emulate aviation in its resourcing of staff who specialise in human factors and related psychological aspects of patient safety and staff well-being. Professional and post-qualification staff training could specifically include Cognitive Bias Avoidance Training, as this appears to p
  14. Content Article
    Key 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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