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Found 47 results
  1. Content Article
    Based on the evidence in the MARQUIS2 report, this editorial suggests that the following approaches could make patient involvement more effective: Healthcare workers need to choose appropriate times to offer information and coaching so that patients are more likely to be receptive. For example, giving medication instructions in advance, rather than waiting for the moment they are discharged. Research needs to apply a more general approach to patient medication experiences, rather than focusing on specific settings and timeframes, such as a hospital stay. Tracking the role patient
  2. Content Article
  3. Community Post
    I've been posting advice to patients advising them to personally follow up on referrals. Good advice I believe, which could save lives. I'm interested in people's views on this. This is the message I'm sharing: **Important message for patients relating to clinical referrals in England** We need a specific effort to ensure ALL referrals are followed up. Some are getting 'lost'. I urge all patients to check your referral has been received, ensure your GP and the clinical team you have been referred to have the referral. Make sure you have a copy yourself too. Things
  4. News Article
    Hospitals across England are using 21 separate electronic systems to record patient health care – risking patient safety, researchers suggest. A team at Imperial College say the systems cannot "talk" to each other, making cross-referencing difficult and potentially leading to "errors". Of 121 million patient interactions, there were 11 million where information from a previous visit was inaccessible. The team from London's Imperial College's Institute of Global Health Innovation (IGHI) looked at data from 152 acute hospital trusts in England, focusing on the use of electronic medical
  5. Content Article
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  9. Content Article
    What will I learn? How to link your improvements to the wider strategic aims of your organisation. How to test, measure and understand the impact your changes are having. How to use the sort of structured communication tools that are delivering significant improvements in safety and quality for care organisations and other safety critical industries across the world (e.g. SBAR, ISOBAR and IDEAL).
  10. Content Article
    Guidelines and information on: healthcare in prisons in England healthcare for offenders in the community in England healthcare for offenders in Wales Community Sentence Treatment Requirements National Partnership Agreement for Prison Healthcare in England 2018-2021.
  11. Content Article
    Watch this short video to find out how SBAR has helped patient safety and handover of patient information.
  12. Content Article
    This tool brings together data already submitted by NHS organisations and local authorities into an easy to use dashboard which as well as showing where their biggest delays are, also allows them to track the progress of any actions. The tool also tracks data over time and uses a technique called statistical process control (SPC) to: identify when interventions result in an improvement highlight when activities are not resulting in change, indicating that a change of approach is required SPC is one of the best ways to look at data as it identifies change that is statistica
  13. News Article
    The next few months will be full of grim updates about the spread of the new coronavirus, but they will also be full of homecomings. Patients hospitalised with severe COVID-19, some having spent weeks breathing with the help of a mechanical ventilator, will set about resuming their lives. Many will likely deal with lingering effects of the virus — and of the emergency treatments that allowed them to survive it. “The issue we’re all going to be faced with the most in the coming months is how we’re going to help these people recover,” says Lauren Ferrante, a pulmonary and critical care
  14. News Article
    A major new model of post-acute care is needed for the discharge and rehabilitation of patients following COVID-19 infection, say Alice Murray, Clare Gerada, and Jackie Morris. A comprehensive plan must be made for the 50% of COVID-19 patients who will require some form of ongoing care following admission to intensive care, with the goal of improving their long-term outcomes and freeing-up much-needed acute hospital capacity. While the current focus is quite rightly on emergent cases, planning should be set in place to create post-acute care resources and facilities for the surge in
  15. Community Post
    Morning all, As a Critical Care Outreach nurse of many years, one of my greatest bugbears is SBAR handover, or there lack of! Within my trust, there is an SBAR proforma attached to the NEWS2 chart, which appears to be fit for purpose currently. (We are still on paper obs charts, moving to e-obs by the end of the year) SBAR is taught and embedding in all our teaching and training, the candidates at the time of the courses are all able to giver perfect SBAR handovers in simulation but as soon as they walk out the door all of that seems to disappear. It is all too often we re
  16. Content Article
  17. News Article
    Serious patient safety and wellbeing concerns about the latest hospital discharge guidance have been raised to HSJ by senior clinicians and charities. Senior geriatricians warned that the guidance could prompt an increase in “urgent readmissions”, “permanent disability” and “excess mortality”, while charities said families could be left with “unsustainable caring responsibilities” because of the new rules. The government guidance, Hospital Discharge Service: policy and operating model, published in August, said clinicians should consider discharging patients when they were “medically
  18. News Article
    GP leaders have written to NHS England to demand that an NHS hospital trust urgently restores routine referrals as it has 'closed its doors' to some patients, ‘destabilising’ practices in the process. Oxfordshire LMC said local GPs are ‘concerned and angry’ about the ‘ongoing closure’ to routine referrals across multiple ‘high-demand’ specialties by Oxford University Hospital Foundation Trust, while warning GPs are also being asked to carry out tests that should be done in hospital. A ‘significant’ number of specialties are affected, including ENT, general gynaecology, dermatology,
  19. News Article
    From July, hospitals will be able to refer patients who would benefit from extra guidance around new prescribed medicines to their community pharmacy. Patients will be digitally referred to their pharmacy after discharge from hospital. The NHS Discharge Medicines Service will help patients get the maximum benefits from new medicines they’ve been prescribed by giving them the opportunity to ask questions to pharmacists and ensuring any concerns are identified as early as possible. This is part of the Health Secretary’s ‘Pharmacy First’ approach to ease wider pressures on A&Es and
  20. Content Article
  21. Content Article
    It can be easy to make assumptions about a person’s quality of life, which can colour our judgements about the support, care and treatment of individuals, and how and what they should receive. So it is vital that the person and those who know them best are involved in their care, so that a more complete picture of an individual’s life can emerge and their needs, likes and dislikes can be shared with those providing care and support. This should improve the quality of the care and treatment that a person receives. It was with this in mind that the hospital passport was developed, cont
  22. Content Article
    The project aim was to establish a monthly multi-disciplinary analysis of all the Paediatric cases transferred from the Paediatric Emergency Department and the Paediatric ward at the Royal Free, to identify areas of clinical learning and patient safety improvement.
  23. Content Article
    From the analysis of inspection reports, notifications of incidents and enforcement notices, the CQC have categorised the most common areas of risk with medicines across regulated health and adult social care services. This did not include providers of online consultations over the internet or by other remote means, as we have previously reported on these services. These six common areas are summarised as follows: prescribing, monitoring and reviewing administration transfer of care reporting and learning from incidents supply, storage and disposal sta
  24. Content Article
  25. Content Article
    For anyone who is not familiar with undertaking critical care transfers or for staff looking for a brief refresher, here are a few notes that I hope will help any clinical staff (please note, these are my views and not necessarily those of my employer's). Planning: Despite normally being stable prior to transfer, by nature, critical patients are unstable and may deteriorate. Plan for this and know where you are going, expected journey time accounting for traffic conditions and what hospitals are along the route in case of emergency. Equipment: If a team is not travelling, you ideal
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