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Found 42 results
  1. Content Article
    How many times have you been to the drug cupboard/trolley at work and looked at it with despair? How many times have you looked at a written prescription or plan of care and were unable to read the writing? How many times have you gone into the storeroom and spent ages looking for what you want as everything looks the same or it has moved to a different spot? These are what we call error traps. It is as if you have an annoying brother/sister that is trying to catch you out! Sometimes in healthcare, no matter where you work, there are times when it is not easy to do the right thi
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    Developing the FRAS In January 2017, I read a tragic story in Outpatient Surgery involving an elderly patient in the US who suffered multiple burns following the use of chlorohexidine bottled alcoholic prep. I'd also read that in the US there are over 600 surgical fires every year. As the Practice Development Lead for my theatre department at the time, I decided to design a Fire Risk Assessment Score (FRAS). I discussed the FRAS with my manager and my suggestion to add the FRAS to the 'Time Out' of our WHO Surgical Safety Checklist. To further develop my ideas, I attended one of th
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    UCL has been working on developing their Centre for co-production as a mixed group of members of the public, researchers, patients, carers, healthcare practitioners, charities, local authorities and students (really anyone who wants to get involved or is interested in co-production!), since back in October 2017. After almost exactly 3 years they are officially launching it This event will be a celebration of all things co-production, highlighting the importance of this approach to research, policy-making and service development/improvement. It will include short snippets from UCL's ’Share
  6. News Article
    The NHS has announced that Dr Hilary Cass OBE, former President of the Royal College of Paediatrics and Child Health, will lead an independent review into gender identity services for children and young people. The review will be wide-ranging in scope looking into several aspects of gender identity services, with a focus on how care can be improved for children and young people including key aspects of care such as how and when they are referred to specialist services, and clinical decisions around how doctors and healthcare professionals support and care for patients with gender dysphori
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    Patient-Safety-Learning-Green-Paper-PDF-Online-170918.pdf
  11. Content Article
    This article is aimed at doctors who are practising with telemedicine and would need to understand the guidance and regulation.
  12. Content Article
    Through SHIFT to Safety, the CPSI will help: Patients and their families shift to advocate for their healthcare safety. Healthcare providers shift to prioritise safety when caring for patients. Leaders in healthcare organisations shift to create a positive patient safety culture. SHIFT to Safety promotes a positive, safe healthcare experience for patients, providers, and leaders in healthcare organisations. The tools and resources empower everyone to understand how to make safety a priority while navigating the healthcare system. Includes a short video explaining SH
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    Key learning points Sharing information with the multi-disciplinary team helps break down barriers and reduce anxiety. Women should have an opportunity to discuss concerns and have questions answered face-to-face rather than a written response. There is a huge benefit for women to have access to a service that supports closure and shared understanding following a poor experience whether from the birth or postnatally. Providing reassurance that their concerns are addressed and there is organisational learning from their feedback. Women are at the centre of
  15. Content Article
    Key outcomes UTI hospital admissions reduced by 36% in the four pilot care homes (150 residents). UTIs requiring antibiotics reduced by 58%. The gap between UTIs increased from an average of nine days in the baseline period to 80 days in the implementation and sustainability phase. One residential home was UTI-free for 243 consecutive days. Similar outcomes noted in pilot 2 care homes (215 residents).
  16. Content Article
    What can I learn? Practical guidance and examples of best practice in the design of infusion devices How design can be used to change and make safer the use of infusion devices in practice. Principles that can be widely applied to the design of other technologies
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    What will I learn? What is telehealth? How could telehealth help me? What is telecare? How could telecare help me? How to get telecare products and services What do I need to consider when buying telecare products? What should I do next?
  18. Content Article
    Presentations include: Martin Bromiley talking a little about his story and the impact of design, followed by discussion with Francois Jaulin and Frederic Martin from the Anaesthesia Network. Dr Tom Clutton-Brock, Clinical Director of Trauma Management, discussing regulations in design safety and usability. Tracey Herlihey, Head of Safety Intelligence, HSIB, looks at the consequences of bad design. Colette Longstaffe, Product Assurance Specialist, Clinical and Product Assurance, NHS Supply Chain, looks at what the NHS is doing differently in procurement. Panel dis
  19. Content Article
    What will I learn? The report identifies 10 lessons to support providers and commissioners seeking to adopt this new approach: Start by focusing on a specific population. Involve primary care from the start. Go where the energy is. Spend time developing shared understanding of challenges. Work through and thoroughly test assumptions about how activities will achieve results. Find ways to learn from others and assess suitability of interventions. Set up an ‘engine room’ for change. Distribute decision-making roles. Invest in workforce d
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    This NIHR (National Institute for Health Research) funded study, published in the Health Services and Delivery Research journal, used quantitative and qualitative methods to evaluate the programme in six acute hospitals in England. It found some evidence of a lasting impact, such as wards continuing to display metrics and using equipment storage systems. But most hospitals that adopted the programme had stopped using it after three years, often due to a change in their approach to quality improvement. Productive Ward resources are still available from NHS England’s Sustainable Improvement
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