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Showing results for tags 'Standards'.
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Content ArticleThe National Safety Standards for Invasive Procedures (NatSSIPs) 2 are intended to help share learning and best practice to support multidisciplinary teams and organisations to deliver safer care. This two-page summary document, published by the Centre for Perioperative Care, provides a concise overview of NatSSIPs for anyone who does interventional procedures and the teams who support them.
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- Operating theatre / recovery
- Surgery - General
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Content ArticleAs the USA's largest health insurer, the Centers for Medicare & Medicaid Services (CMS) has established quality standards, metrics, and programmes to improve healthcare not just for the 170 million individuals supported by its programmes, but for all Americans. The 2024 National Impact Assessment of CMS Quality Measures Report (Impact Assessment Report) assesses the quality and efficiency impact of measures endorsed by the consensus-based entity and used by CMS.
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- USA
- Health inequalities
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News Article
USA: Care quality, safety 'worse than expected' during Covid-19 pandemic
Patient Safety Learning posted a news article in News
A new CMS report reveals disparities in care quality and patient safety within US hospitals before and during the pandemic, finding "a large proportion of measures had worse than expected performance." CMS released its 2024 National Impact Assessment Feb. 28, which is released every three years and evaluates the measures used in 26 CMS quality and value-based incentive payment programs. This edition of the report compares quality measure scores pre-COVID-19 with hospitals' results in 2020 and 2021, the initial years of the COVID-19 public health emergency. Here are eight findings from the 72-page assessment: 1. During 2020 and 2021, a large proportion of measures had worse than expected performance, including significant worsening of key patient safety metrics. 2. Half or more of the performance measures in five priorities had worse results in 2021 than expected from the 2016–2019 baseline. Priorities with the highest proportions of worse-than-expected results in 2021 were wellness and prevention (69%), behavioural health (55%), safety (54%), chronic conditions (52%), and seamless care coordination (50%). 3. Specific to safety, standardised infection ratios worsened significantly in hospitals for central line–associated bloodstream infections (94% worse), MRSA (55% worse) and CAUTI (34% worse). Before the Covid-19 PHE (2015–2019), 34,455 fewer healthcare-associated infections (HAIs) were reported in acute care settings. 4. More than 35% of measures in two priorities had better results in 2021 than expected from 2016–2019 baseline trends. Those priorities are seamless care coordination (50%) and affordability and efficiency (38%). 5. Specific to affordability and efficiency, emergency department visits for home health patients fared 1.4 percentage points better, and acute care hospitalization in the first 60 days of home health in 2021 was 1.5 percentage points better. 6. Accountable entities with the highest proportions of worse than expected results in 2021 were clinicians (64%), accountable care organizations (54%), and acute care facilities (54%). 7. Wellness and prevention had the highest percentage of measures showing health equity disparities; notable examples include pneumococcal and influenza vaccinations among racial and ethnic groups. 8. Comparison racial and ethnic groups fared worse than the White reference group on 40 of 45 (88.9%) affordability and efficiency measures and 32 of 41 (78%) chronic conditions measures. For example, disparities were recorded for Black or African American patients in 32, or 71%, of the affordability and efficiency measures, mostly related to readmissions. Read full story Source: Becker Hospital Review, 29 February 2024- Posted
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- Pandemic
- Health inequalities
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News Article
New director ‘competency’ requirements unveiled by NHSE
Patient Safety Learning posted a news article in News
NHS board members must speak up against discrimination, challenge others constructively and help foster a safe culture, under a new NHS England assessment framework. The new leadership competency framework, published today, sets out six domains which board members are required to assess themselves against as part of an annual “fitness” appraisal. Each domain (see below) contains competencies directors must exhibit, such as: Speak up against any form of racism, discrimination, bullying, aggression, sexual misconduct or violence, even when [they] might be the only voice; Challenge constructively, speaking up when [they] see actions and behaviours which are inappropriate and lead to staff or people using services feeling unsafe, or staff or people being excluded in any way or treated unfairly; and Ensure there is a safe culture of speaking up for [their] workforce. Each competency statement gives board members a multiple choice to assess themselves against, ranging from “almost always” to “no chance to demonstrate”. Organisations have been told to incorporate the six competency domains into role descriptions from 1 April, and use them as part of board member appraisals. Read full story (paywalled) Source: HSJ, 28 February 2024- Posted
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- Competence
- Leadership
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Content ArticleThis framework is for chairs, chief executives and all board members in NHS systems and providers, as well as serving as a guide for aspiring leaders of the future. It is designed to: support the appointment of diverse, skilled and proficient leaders support the delivery of high-quality, equitable care and the best outcomes for patients, service users, communities and our workforce help organisations to develop and appraise all board members support individual board members to self-assess against the six competency domains and identify development needs.
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- Board member
- Standards
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Content ArticleGood medical practice sets out the principles, values, and standards of care and professional behaviour expected of all medical professionals registered with the General Medical Council (GMC). Using social media as a medical professional builds on Good medical practice to provide more detail on our expectations of medical professionals in this area. The professional standards describe good practice, and not every departure from them will be considered serious. You must use your professional judgement to apply the standards to your day-to-day practice.
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Content ArticleThis is an independent review commissioned by NHS England, chaired by Siobhan Melia, Chief Executive, Sussex Community NHS Foundation Trust, to support the improvement of the culture within the ambulance service. The review considers the prevailing culture within ambulance trusts in England. It considers the core factors impacting cultural norms and offers actionable recommendations for improvement. Based on insights from key stakeholders, this review has identified six key recommendations to improve the culture in ambulance trusts.
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- Organisational culture
- Ambulance
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Content Article
WHO Emergency care system framework (2 May 2018)
Patient-Safety-Learning posted an article in WHO
This infographic is a visual representation of the WHO Emergency Care System Framework, designed to support policy-makers wishing to assess or strengthen national emergency care systems. It is the result of global consultations with policy-makers and emergency care providers and provides a reference framework to: characterise system capacity. set planning and funding priorities. establish monitoring and evaluation strategies.- Posted
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- Emergency medicine
- Global health
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EventJoin the webinar to find out how the community sector can implement the National Safety and Quality Mental Health Standards for Community Managed Organisations (NSQMHCMO Standards). The Australian Commission on Safety and Quality in Health Care is releasing a range of practical resources to support CMO service providers, consumers and carers, and accrediting agencies to implement the NSQMHCMO Standards. Accreditation to the NSQMHCMO Standards begins 1 July 2024. Register now to find out about what the Standards mean for you and how you can prepare for the accreditation process. Register
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Content Article"Our #health system in the UK is in a mess. It has failed to modernise (by this I mean to become fully accountable to #patients and the public, and truly patient-led). Instead, the system has become more and more hierarchical, bureaucratic and crony ridden, mostly as a result of constant meddling and pointless reorganisations instigated by politicians. All political parties in government for the past 30 years have had a hand in this decline." This is my view? What is yours? A new Inquiry gives us all an opportunity to have our say. I am proud to have worked in and for the NHS for most of my working life; proud to have been trained in the #NHS and proud of the work being carried out by clinical teams today. Great work which has benefited patients, often not because of the leadership but despite of the leadership. I'm retired so I can say what I like. If I were working and said anything even vaguely like criticism, however constructive it was, I would be out of a job and my career would be blighted for life. I'm speaking from experience here, unfortunately. I urge everyone to respond to the consultation (link below). In your response think forensically and write it as a statement of truth. Acknowledge the successes and areas that have delivered safe and effective services. If you are being critical give examples and say if it is an opinion or back up what you say with evidence. If we work together across boundaries we can develop a truly patient-led NHS.
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- Resources / Organisational management
- Accountability
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Content ArticleThe Royal College of Physicians of Edinburgh has released a statement on their position on the specific role of the physician associate.
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- Physician associate
- Standards
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(and 2 more)
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Content ArticleThe 2021 UK NHS Getting It Right First Time report recommended that a significant proportion of native tissue vaginal prolapse operations should be undertaken as day-case procedures. The evidence for perioperative care, options for anaesthesia and outcomes of day-case vaginal prolapse surgery is limited. This study aimed to establish current practice amongst UK gynaecologists and explore perceived barriers to implementing day-case surgery for pelvic organ prolapse.
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- Surgery - Obs & Gynae
- Standards
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(and 2 more)
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Content ArticleThis article provides an overview of the proposed Patient Safety Structural Measure on the Centers for Medicare and Medicaid Services (CMS) list of Measures Under Consideration (MUC) 2023 and summarises the public comment submitted by Patient Safety Learning on this.
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- USA
- Consultation
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Content ArticleThe Belmont Report was written by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Commission, created as a result of the National Research Act of 1974, was charged with identifying the basic ethical principles that should underlie the conduct of biomedical and behavioral research involving human subjects and developing guidelines to assure that such research is conducted in accordance with those principles. Informed by monthly discussions that spanned nearly four years and an intensive four days of deliberation in 1976, the Commission published the Belmont Report, which identifies basic ethical principles and guidelines that address ethical issues arising from the conduct of research with human subjects.
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Content ArticleHealth and social care standards have been widely adopted as a quality improvement intervention. Standards are typically made up of evidence-based statements that describe safe, high-quality, person-centred care as an outcome or process of care delivery. They involve stakeholders at multiple levels and multiple activities across diverse services. As such, challenges exist with their implementation. Existing literature relating to standards has focused on accreditation and regulation programmes and there is limited evidence to inform implementation strategies specifically tailored to support the implementation of standards. This systematic review aimed to identify and describe the most frequently reported enablers and barriers to implementing (inter)nationally endorsed standards, in order to inform the selection of strategies that can optimise their implementation.
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- Standards
- Implementation
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Content Article
WHO Global Infection Prevention and Control (IPC) Portal
Patient Safety Learning posted an article in WHO
This World Health Organization (WHO) resource is for all health workers, as well as other professionals working in the field of infection prevention and control (IPC). It will help you carry out a situational analysis, track progress and understand how to make improvements to IPC at the national and facility levels, in accordance with validated WHO standards and implementation materials. All the WHO tools and resources are freely available for use by all.- Posted
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- Global health
- Infection control
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(and 2 more)
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Content Article
Developing cultural change in healthcare: Part 2 – by Dawn Stott
Dawn Stott posted an article in Good practice
In a two-part blog for the hub, Dawn Stott, Business Consultant and former CEO of the Association for Perioperative Practice (AfPP), talks about the strategies that can help you develop cultural change in your organisation. In part one, Dawn set out the steps to develop a programme of change to support you to achieve good solutions. In part two, Dawn gives you tips on how to assess the culture of your organisation and establish a programme of standardisation.- Posted
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- Organisational culture
- Standards
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Event
Ward accreditation for quality
Patient Safety Learning posted an event in Community Calendar
This conference focuses on developing systems and processes for locally driven ward and unit accreditation for quality. These approaches can be used as a tool to encouraging ownership of continuous quality improvement at ward, unit or service level, reduce variation and increase staff pride and team working within their practise. Through practical case studies of organisations that have successfully introduced locally driven ward and unit accreditation systems the conference will provide practical guide to implementing systems, and improving staff engagement in driving forwards improvement for the benefit of patients, service users and communities. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/virtual-online-courses/ward-accreditation-for-quality-conference or email kerry@hc-uk.org.uk. hub members receive a 20% discount. Email info@pslhub.org for discount code. Follow this conference on Twitter @HCUK_Clare #wardaccreditation -
News Article
Trust leaders raise alarm over ‘mad’ approach to scrutiny of maternity services
Patient Safety Learning posted a news article in News
The management of fragile maternity services is being hamstrung by a lack of clear standards and direction from government and regulators, trust chairs and chief executives have told HSJ. Kathy Thomson, the retiring chief executive of Liverpool Women’s Foundation Trust, told HSJ that a major overhaul of regulation and oversight of maternity care was needed. She warned that trust leaders were confused about what was expected of their stewardship of maternity services. Much of the increased scrutiny of the sector was coming from people with little knowledge and experience of maternity care, and maternity was beset by too many initiatives which “somebody thinks are a nice thing to do”. Ms Thomson’s comments were echoed by a wide range of other NHS leaders (see ’damaging confidence’ below). Ms Thomson told HSJ: “How clear are we nationally about the real ask of maternity services? Are we going to say it’s the ten NHS Resolution (NHSR) safety standards, which are really tough to achieve and which we agonise over? Or is it the CQC standards, because they will often take a different view around very similar issues? “We’ve had that this year after we’ve been assessed as compliant by NHSR, but then had to re-provide evidence after we’ve been criticised by the CQC for something… and then NHSR have written back to say we’re still fully compliant. “So, should you put your time and energy into the NHSR standards, or do you spend the time on the more subjective drivers? Because we can’t keep doing all of it and having different parts of the NHS saying this is what you need to do or expecting something different.” Read full story (paywalled) Source: HSJ, 30 November 2023- Posted
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- Organisation / service factors
- Maternity
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Content Article
Beyond Compliance website
Patient Safety Learning posted an article in Medical devices (new)
Beyond Compliance is a service to support the safe and stepwise introduction of new or modified implantable medical devices. An independent panel of experts, known as the Beyond Compliance Advisory Group, work with the implant manufacturer to assess the relative risk of any new product, and the rate at which it should be introduced to the market. The service collects data about patients who receive these implants and about their recovery following surgery. This data is made available to clinicians using the implant, to the manufacturer, and to independent assessors from the Beyond Compliance Advisory Group, to provide real-time monitoring of the implant’s performance. The clinicians who agree to joining the advisory group are drawn from the most experienced and respected members of their field. Beyond Compliance is an optional service available to implant manufacturers. The service commenced in the field of joint replacement implants. Following the success of the introduction of Beyond Compliance to Orthopaedic there are now plans for it to be extended for use with other implantable medical devices.- Posted
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- Standards
- Regulatory issue
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Content ArticleThis is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Gordon talks to us about how bureaucracy in the health service can compromise patient safety, the vital importance of agreed quality standards and what hillwalking has taught him about healthcare safety.
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- Checklists
- Standards
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Content Article
PRSB: Nursing Care Needs Standard
Patient Safety Learning posted an article in Patient safety standards
Nurses are at the heart of care across a wide range of services, with people and other professionals often reliant on their expertise. The Professional Record Standards Body (PRSB) worked with the NHS and social care to create a new nursing standard for use across different health and social care settings. -
Event
Foundation Clinical Safety Officer training
Patient Safety Learning posted an event in Community Calendar
With the constantly evolving digital landscape in health and care, clinical safety has never been more important than it is now, and every health and care organisation and system supplier should have a Clinical Safety Officer to assess, prevent and address risks and hazards. PRSB and Ethos Ltd are delighted to offer you online training providing you with everything you need to become a certified Clinical Safety Officer. The one-day training programme includes a clinically led session on PRSB standards and their importance to delivering safe care. Why join? Learn in a small group and friendly environment (8-15 trainees per session) Get a comprehensive and in-depth understanding of the role of information standards in clinical safety The CPD UK accredited course equips you with the basic requirements of the DCB0129 and 0160 standards for clinical risk assessment and management. Register- Posted
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- Clinical process
- Training
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Event
Foundation Clinical Safety Officer training
Patient Safety Learning posted an event in Community Calendar
With the constantly evolving digital landscape in health and care, clinical safety has never been more important than it is now, and every health and care organisation and system supplier should have a Clinical Safety Officer to assess, prevent and address risks and hazards. PRSB and Ethos Ltd are delighted to offer you online training providing you with everything you need to become a certified Clinical Safety Officer. The one-day training programme includes a clinically led session on PRSB standards and their importance to delivering safe care. Why join? Learn in a small group and friendly environment (8-15 trainees per session) Get a comprehensive and in-depth understanding of the role of information standards in clinical safety The CPD UK accredited course equips you with the basic requirements of the DCB0129 and 0160 standards for clinical risk assessment and management. Register- Posted
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- Clinical process
- Training
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