A recent study in the USA found 41% of patients over the age of 70 years who were hospitalised with acute conditions were discharged with lower levels of function compared with when they were admitted to hospital. A number of risk factors have been identified, including low levels of mobility, sub-optimal continence care and poor nutrition.
Zisberg, A. Shadmi, E. [and] Gur-Yaish, N. [et al] (2015). Hospital-associated functional decline: the role of hospitalization processes beyond individual risk factors. Journal of the American Geriatrics Society. January 2015,Vol.63(1), pp.55–62.
Meanwhile in the UK: the NHS Safety Thermometer Report (April 2014 to April 2015)
The latest NHS Safety Thermometer report presents findings from this local improvement tool for measuring, monitoring and analysing patient harms.
NHS safety thermometer: patient harms and harm free care. April 2014 to April 2015 (official statistics). London: Health and Social Care Information Centre (HSCIC), May 6th 2015.
CAUTI: the Most Common Hospital Acquired Infection?
Mandy Fader, from the University of Southampton, says the design urinary catheters could be improved. She alleges there has been low investment on the part of producers and weak regulation.
There are roughly 90,000 people with long term urinary catheters (i.e. using them for over three months). It is estimated that one in five people in hospital are fitted with urinary catheters, but research suggests more than a quarter of urinary catheters inserted in A&E may be unnecessary.
The Health Innovation Network’s Catheter Associated Urinary Tract Infections (CAUTI) campaign (based at five trusts in south London) involves trying to reduce patient harm through the “No Catheter, No CAUTI” scheme. This aims to reduce inappropriate use of urinary catheters, and is also suggesting that catheters should be removed more promptly. It is hoped to reduce UTIs by 30%.
Brimelow, A. (2015). Industry ‘must do more’ to improve urinary catheters. London: BBC Health News, July 4th 2015.
This relates to:
Fader, M. (2015). Small tube – big problem. London: BBC Health News, July 4th 2015.
Never Events Falling
Latest (provisional) figures from NHS England reveal that between April 1st 2014 and March 31st 2015 there were 308 “never events” in total, compared to 338 the previous year; this represents a 9% reduction. Interpretation of these figures may be required:
“High reporting of incidents is viewed positively because it shows an organisation encourages transparency and learning”.
Provisional publication of Never Events reported as occurring between 1 April 2014 and 31 March 2015. [Online]: National Health Executive, May 6th 2015.
BBC Regional News coverage possibly of interest:
Cawley, L. (2015). Colchester Hospital NHS trust has most ‘never events’. London: BBC News (Essex) / BBC Health News, May 6th 2015.
This relates to:
Provisional publication of Never Events reported as occurring between 1 April 2014 and 31 March 2015. London: NHS England, April 29th 2015.
Patient Safety Alert: Introduction of National Safety Standards for Invasive Procedures
NHS England has issued a Patient Safety Alert launching National Standards for Invasive Procedures (NatSSIPs). These improvements in safe surgery have arisen from recommendation in the NHS England Never Events Taskforce Report (2014).
Writing Local Safety Standards for Invasive Procedures (LocSSIPs)
NHS Improvement has developed two templates to support NHS providers in writing Local Safety Standards for Invasive Procedures (LocSSIPs), based on the National Safety Standards for Invasive Procedures (NatSSIP).
Create your own Local Safety Standards for Invasive Procedures. London: NHS Improvement, September 27th 2016.