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Found 46 results
  1. Content Article
    Spina bifida is a developmental condition affecting the brain and spine, often leading to physical and cognitive impairments, and bladder and bowel issues. Widely regarded as one of the most severe conditions compatible with life, open spina bifida can result in significant morbidity, with numerous body systems and tissues affected.
  2. Content Article
    Pressure ulcers are a significant challenge for the patients who develop them and the healthcare professionals involved in their prevention and management. They can result in serious complications and avoidable harm, with patients with mobility difficulties at particularly risk from this. This guidance is designed to help practitioners and managers across health and care organisations to provide caring and quick responses to people at risk of developing pressure ulcers.
  3. News Article
    Patients needing emergency treatment are becoming sicker in A&E as hospitals struggle to free up enough beds, top doctors have warned. Dr Adrian Boyle, president of the Royal College of Emergency Medicine (RCEM), told The Independent that elderly patients are waiting so long for treatment in A&E that they’re developing bed sores and delirium. Another senior NHS doctor, Dr Vicky Price, who is president-elect of the Society for Acute Medicine, warned that corridor care is now “routine practice” with the situation only set to worsen as A&E departments come under increasing pressure. Their comments highlight the ongoing chaos in emergency medicine, as strikes take place during the most difficult time of the year. The chief executive of the NHS, Amanda Pritchard, said on Thursday that last winter was the worst she’d ever seen for the health service, warning that strikes by junior doctors will only make the situation harder for hospitals this year The warnings come as the latest NHS data shows that the prime minister, Rishi Sunak, could fail in his promise to deliver 5,000 more acute hospital beds to the NHS this month. Current data shows that the NHS is falling short of the target by just under 1,200 beds, with 97,818 against a target of 99,000. Read full story Source: The Independent, 10 November 2023
  4. Content Article
    The Leapfrog Group is a non-profit watchdog organisation that serves as a voice for healthcare consumers in the US, using their collective influence to foster positive change in healthcare. It provides patient safety ratings for hospitals, grading them from A to E. This article in Becker's Hospital Review highlights the patient safety priorities for 2023 of eleven US hospitals that have consistently been awarded 'A' grades by Leapfrog. Key themes include a focus on reducing healthcare associated infections, increasing psychological safety for staff and improving communication between staff and patients.
  5. Content Article
    This Canadian study in the Journal of Patient Safety describes an initiative that introduced system-wide changes to practice and patient safety culture in a rapid time frame. it looks at the implementation of a 'zero harm' approach to eliminate preventable harm across a wide variety of clinical areas. In less than a year, the intervention increased patient safety incident reporting by 37% while decreasing falls with injury by 39%, pressure injury rates by 37% and central line–associated blood stream infections by 34%. 
  6. News Article
    The number of falls and bed sores recorded in Scotland's hospitals has increased since the Covid pandemic, new data shows. NHS staffing pressures and the deconditioning effect of the Covid lockdown creating more frail patients are being blamed for the rise. The Scottish government paused work on a national prevention strategy for falls when the pandemic started. The strategy has now been shelved and experts argue this is a mistake. Figures released by NHS Healthcare Improvement Scotland (HIS) show that in 2018-19 - the last full year before the Covid pandemic - a total of 26,489 falls were recorded in hospitals. Dawn Skelton, a professor in ageing and health at Glasgow Caledonian University, said there was a "maelstrom" of problems fuelling the increase in hospital falls. She said: "You've got staffing issues definitely but you've also got people who are going in to hospital a step change frailer than they were pre-Covid because of what has happened with all the restrictions. "The people in these falls figures have got no reserves, blow on them and they will fall over, so they are at more risk when they go in." IProf Skelton said it was time to resurrect the Scottish government's falls and fracture prevention strategy as its "value now cannot be underestimated". She added: "Falls and frailty are one of the main causes of long hospital stays and demands on social care and without a spotlight on both the management, but also prevention, the financial and staffing demands on NHS and social care will only rise." Read full story Source: BBC News, 10 November 2022
  7. News Article
    A double amputee suffered fatal pressure sores caused by "gross and obvious failings" in her hospital treatment. Janet Prince, from Nottingham, developed the sores after being admitted to Queen's Medical Centre (QMC) in July 2017. The 80-year-old died in January 2019. Assistant Coroner Gordon Clow issued a prevention of future deaths report to Nottingham University Hospitals NHS Trust (NUH). Nottingham Coroner's Court had heard Ms Prince was taken to QMC in Nottingham with internal bleeding on 15 July 2017. The patient was left on a trolley in the emergency department for nine hours and even though she and daughter Emma Thirlwall said she needed to be given a specialist mattress, she was not given one. "No specific measures of any kind were implemented during that period of more than nine hours to reduce the risk of pressure damage, even though it should have been easily apparent to those treating her that [she] needed such measures to be in place," Mr Clow said. Ms Prince was later transferred to different wards, but a specialist mattress was only provided for her a few days before she was discharged on 9 August, by which time Mr Clow said her wounds "had progressed to the most serious form of pressure ulcer (stage four) including a wound with exposed bone". Mr Clow said there were "serious failings" over finding an appropriate mattress and other aspects of her care while at the QMC, including "a gross failure" to prevent Ms Prince's open wounds coming into contact with faeces. Mr Clow said the immediate cause of her death was "severe pressure ulcers", with bronchopneumonia a contributory factor. Recording a death by "natural causes, contributed to by neglect", he said he was "troubled by the lack of evidence" of any changes to wound management at NUH. NUH medical director Keith Girling apologised for the failings in Ms Prince's care, claiming the trust had "learnt a number of significant lessons from this very tragic case". Read full story Source: BBC News, 14 February 2020
  8. Content Article
    Pressure ulcers can be serious and lead to life-threatening complications, such as blood poisoning and gangrene. However, taking some simple steps can reduce the chance of pressure ulcers developing. NICE has produced a quick guide for care home managers.
  9. Content Article
    Gavin Portier is Head of Nursing Quality at Barnsley Hospital NHS Foundation Trust. In this interview, Gavin explains how his approach to auditing has moved beyond measuring negative outcomes, instead focusing on standards of care.
  10. Community Post
    Hi All Pressure ulcers are one the highest reported incidents/ areas for investigation within my directorate and I can see both arguments for investigating to the enth degree or not at all. I sit in the middle, of course! How have the early adopters approached pressure ulcer incidents and investigating these. I know my tissue viability colleagues are slightly twitched by the changes. I welcome all thoughts and am open to ideas!
  11. Content Article
    The aim of the NHS Safety Thermometer is to provide a local improvement tool for measuring, monitoring and analysing patient harms and ‘harm free care’. Data is collected by Trusts on pressure ulcers, falls, urinary tract infections (UTI), and Venous Thromboembolism (VTE) assessments, prophylaxis and treatment. The North East Quality Observatory Service (NEQOS) Safety Thermometer Tool allows trusts to compare themselves against their peers (for improvement purposes) as well as to undertake internal comparisons across different service areas within the Trust. Produced quarterly, the tool uses National Safety Thermometer data published by NHS Digital and presents this by Trust across the North East & North Cumbria (NENC) area, providing comparisons between peers as well as with the national average, with breakdowns by service areas for detailed analysis.
  12. Content Article
    In this blog, Susan Martin, a Tissue Viability Specialist Nurse at East Sussex, describes how she implemented the aSSKINg model (assess risk; skin assessment and skin care; surface; keep moving; incontinence and moisture; nutrition and hydration; and giving information or getting help) for pressure ulcer prevention into her Trust.
  13. Content Article
    Wound care is a critical aspect of healthcare that affects people of all ages. The National Wound Care Strategy Programme (NWCSP) is addressing the unwarranted variation in wound care services, not enough use of evidence-based practices and use of ineffective practices.   The NWCSP’s goal is to reduce pain and suffering for patients, improve healing rates, prevent wounds from happening or coming back, and use healthcare resources more efficiently. PRSB’s wound care standard will help to support this goal by encouraging use of evidences-based practice and consistent recording of information which can be shared with all those involved in the person’s care.  The standard defines the information record content for the management of wound care. It is designed to support the professionals and those providing care as well as the person themselves, and to support the national wound care strategy.
  14. News Article
    Dying patients are going without care in their own homes because of a collapse in community nursing services, new data shared with The Independent reveals. Across England a third of district nurses say they are now being forced to delay visits to end of life care patients because of surging demand and a lack of staff. This is up from just 2% in 2015. The situation means some patients may have to wait for essential care and pain medication to keep them comfortable. Other care being delayed includes patients with pressure ulcers, wounds which need treating and patients needing blocked catheters replaced. More than half of district nurses said they no longer have the capacity to do patient assessments and psychological care, in an investigation into the service. Professor Alison Leary, director of the International Community Nursing Observatory, said her study showed the country was “sleepwalking into a disaster,” with patients at real risk of harm. She said the situation was now so bad that nurses were being driven out of their jobs by what she called the “moral distress” they were suffering at not being able to provide the care they knew they should. “People are at the end of their tether. District nurses are reporting having to defer work much more often than they did two years ago. What they are telling us is that the workload is too high. This is care that people don’t have time to do.” Read full story Source: The Independent, 29 November 2021
  15. Event
    This conference focuses on the prevention and management of pressure ulcers including monitoring, reporting and improvement and will focus on Learning from the Inaugural National Pressure Ulcer Prevalence and Quality of Care Audit and reflecting on the challenges of Covid-19. The conference will open with National Developments from the National Wound Care Strategy Programme, learning from the inaugural Stop the Pressure: National Pressure Ulcer Prevalence and Quality of Care Audit and understanding Pressure Ulcers and Covid-19. The conference will continue with a focus on training and educating frontline staff, and an extended masterclass on Pressure Ulcer Assessment, Reporting & Management. Register
  16. Event
    This conference focuses on the prevention and management of pressure ulcers including monitoring, reporting and improvement and will focus on Learning from the Inaugural National Pressure Ulcer Prevalence and Quality of Care Audit and reflecting on the challenges of COVID-19. The conference will open with National Developments from the National Wound Care Strategy Programme, learning from the inaugural Stop the Pressure: National Pressure Ulcer Prevalence and Quality of Care Audit and understanding Pressure Ulcers and COVID-19. The conference will continue with a focus on training and educating frontline staff, and an extended masterclass on Pressure Ulcer Assessment, Reporting & Management. Register
  17. Event
    The NHS spends £8.3 billion a year treating chronic wounds on an estimated 3.8 million people, according to the recently updated study evaluating the “Burden of Wounds” to the NHS. Costs have increased by 48% in the five years since the study was first published and the overwhelming majority of this burgeoning demand, around 80% of the caseload, impacts on community healthcare. This session chaired by Jacqui Fletcher OBE, focusses on managing the burden of wounds by focusing on prevention, and how technology and digitisation will enable a prevention focus. Prof Julian Guest will focus on the costs of wounds with a specific drill down on pressure ulcers and the impact prevention would have. Secondly Una Adderley will discuss the National Wound Care Strategy and the role will have on pressure ulcers prevention. Register
  18. Event
    Chaired by Tina Chambers Past Chair Tissue Viability Society Tissue Viability Consultant, Educator and Advisor & Member, Stop the Pressure Clinical Workstream The National Wound Care Strategy Programme, this conference focuses on the prevention and management of pressure ulcers including monitoring, reporting and improvement and will focus on Learning from the Inaugural National Pressure Ulcer Prevalence and Quality of Care Audit and reflecting on the challenges of COVID-19. The conference will open with a timely presentation from Jacqui Fletcher Clinical Lead The National Wound Care Strategy Programme who will give an update on the NWCSP Stop the Pressure recommendations, plans for improving data and learning from COVID-19. Register
  19. Content Article
    There are an estimated 3.8 million people with a wound being managed by the NHS, which is equivalent to 7% of the UK population. The impact of wounds on patients is significant and can lead to deteriorating mental health as well as further physical health issues. In addition, the cost to the NHS of providing wound care services is around £8.3 billion annually. This report by Mölnlycke and the Patients Association provides an outline of the state of wound care services in England by mid-2021. It features patient stories and data analysis on the following topics: Wound care in the health service The impact of Covid-19 Supported self-care Getting wound care right first time What next for wound care?
  20. Content Article
    This US study in the journal Medical Care aimed to assess the accuracy of Nursing Home Compare's (NHC) pressure ulcer measures, which are chief indicators of nursing home patient safety. The authors identified hospital admissions for pressure ulcers and linked these to nursing home-reported data at the patient level. They then calculated the percentages of pressure ulcers that were appropriately reported by stage, long-stay versus short-stay status, and race. Next, they estimated the correlation between an alternative claims-based measure of pressure ulcer events and NHC-reported ratings. The study found that pressure ulcers were substantially underreported in data used by NHC to measure patient safety. The authors call for alternative approaches to improve surveillance of health care quality in nursing homes.
  21. Content Article
    The Patient safety incident response framework (PSIRF) represents a new approach to responding to incidents. Under PSIRF, those leading the patient safety agenda within provider organisations, together with internal and external stakeholders (including patient safety partners, commissioners, NHS England, regulators, Local Healthwatch, coroners etc), decide how to respond to patient safety incidents based on the need to generate insight to inform safety improvement where it matters most. Key issues must first be identified and described as part of planning activities before an organisation agrees how it intends to respond to maximise learning and improvement. This guidance has been developed collaboratively between Stop the Pressure Programme, National Wound Care Strategy leads and members of the Patient Safety Team, with the support from the Patient Safety Incident Response Framework (PSIRF) Implementation and Working Groups. 
  22. Content Article
    This 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. Sharon talks to us about why manual handling needs to be more than tick-box training, and describes its significance for patient safety.
  23. Content Article
    Wounds UK have developed a number of Best Practice Statements, designed to help clinical staff improve wound care.
  24. Content Article
    As part for their #STOPthepressure 2022 awareness campaign, Guys and St Thomas' started a pledge wall where all staff can make a personal pledge. Their goal is to foster a culture that aims to eliminate avoidable pressure ulcers. Click on the image below to be taken to see all of the pledges.
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