Tag Archives: Avoidable Acute Hospital Admission in Older People

Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)

Posted on August 10, 2017 by Dementia and Elderly Care News

Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →

On the Unrealised Potential of Intermediate Care (SCIE / Nuffield Trust)

Posted on July 30, 2017 by Dementia and Elderly Care News

Summary The Social Care Institute for Excellence (SCIE)’s “SCIE Highlights No.1” briefing explores the largely untapped potential of intermediate care. It is asserted that intermediate care could deliver better outcomes for patients, while reducing the pressures of demand faced by … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Statistics, UK, Universal Interest | Tagged Accountable Care Systems (ACSs), Acute Hospitals: Bed-Based Services, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoidable Rehospitalisations, Bed Based Intermediate Care, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Better Care Fund (BCF), Capitated Budgets, Care Closer to Home, Communication and Information Sharing, Community Hospitals: Bed-Based Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Control and Independence, Cookson's Court (Yeovil), Crisis Home Treatment, Crisis Response Services, Crisis Support, Delayed Discharges, Delayed Transfers of Care, Demographic Time-Bomb, Dependency Levels, Destination on Discharge, Dignified Independent Living With Care, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Economic Sustainability, Elderly Rehabilitation Services, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Funding and Payment Mechanisms, Geographical Variations, Health and Social Care Integration, Health and Social Care Reform, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Independence, Independence and Wellbeing, Independent Sector Facilities: Bed-Based Services, Information Resources on Intermediate Care: Social Care Institute for Excellence (SCIE), Information Sharing, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care - Draft Guideline: National Institute for Health and Care Excellence (2017), Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Teams, Intermediate Care: Elements of Effective Implementation, Intermediate Care: Evidence of Effectiveness, Intermediate Care: Return on Investment, Intermediate Care: SCIE Highlights No.1, Length of Stay, Length of Stay (LoS), Lessons and Challenges of Intermediate Care: Social Care Institute for Excellence (SCIE), Local Authority Facilities: Bed-Based Services, Local Sustainability and Transformation Plans (STPs), Local Variations, Maintaining Independence, Moving Healthcare Closer to Home, Multi-Disciplinary Case Management, Multi-Disciplinary Teams, Multi-Disciplinary Working, NHS Sustainability, Nursing Homes: Bed-Based Services, Other Bedbased Settings: Bed-Based Services, Partnership Working, Patient Flows, Policy Context and Models of Intermediate Care, Pooled Health and Social Care Budgets, Preventing Avoidable Emergency Admissions, Preventing Future Crises, Prevention, Prevention Agenda, Prevention and Wellbeing, Quality and Sustainability, Rapid Response Services: Intermediate Services, Re-ablement Services, Reablement, Reablement Services, Reablement: Stabilise and Make Safe (Trafford), Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Regaining Independence, Rehabilitation Services, Residential Care Homes: Bed-Based Services, Return on Investment, Services Maximising Independence, Services Reducing Use of Hospitals, Single Point of Access (SPA), Social Care Institute for Excellence (SCIE), Social Care Institute for Excellence (SCIE)’s SCIE Highlights No.1: Intermediate Care, Somerset Care, Somerset Care and Yeovil District Hospital: Cooksons Court, Somerset County Council, Stabilise and Make Safe (SAMS), Stabilise and Make Safe (Trafford), Standalone Intermediate Care Facilities: Bed-Based Services, Staying Independent, Supporting Health Wellbeing and Independence, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Care, Sustainable Health and Social Care, System Leadership, Theoretical Benefits of Intermediate Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trafford Council, Turning the Ship Around (Avoidance of NHS Unsustainability), Unacceptable Variations, Unwarranted Variations, Variations in Service, Waiting Times for Intermediate Care, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches, Year of Care Commissioning, Year of Care Funding Model, Yeovil District Hospital | Leave a comment

Pharmacist Involvement in Hospital Ward Teams and Rates of Hospital Readmission (European Journal of Clinical Pharmacology)

Posted on April 22, 2017 by Dementia and Elderly Care News

Summary A recent Swedish trial was conducted to assess whether comprehensive medication reviews performed by clinical pharmacists working on hospital wards as part of healthcare multidisciplinary team might reduce drug-related hospital readmission rates for people with dementia or cognitive impairment. … Continue reading →

Posted in Acute Hospitals, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Statistics, Universal Interest | Tagged Acute Care, Acute Hospital Care, Adverse Drug Reactions (ADRs), Avoidable Acute Hospital Admission in Older People, Caring for People with Dementia on Hospital Wards, Clinical Pharmacists, Cognition Disorders, Collaboration for Coordinated Care, Comprehensive Medication Reviews, Dementia Care in the Acute Hospital, Dementia in the Acute Hospital, Department of Community Medicine and Rehabilitation: Umeå University, Department of Pharmacology and Clinical Neuroscience: Umeå University, Division of Clinical Pharmacology: Umeå University, Drug-Related Hospital Readmission Rates for People with Dementia or Cognitive Impairment, Drug-Related Hospital Readmissions, Drug-Related Problems (DRPs), European Journal of Clinical Pharmacology, Geriatric Medicine: Umeå University, Hospital Pharmacies, Hospital Pharmacists, Hospital Pharmacy Services, Hospital Re-Admission Rates, Hospital-Based Multi-Disciplinary Teams, Impact of Ward Pharmacist Involvement on Hospital Readmission, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Interdisciplinary Teams, MDTs: Multidisciplinary Teams, Medication Reviews, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Overprescription, Pharmacist Involvement in Hospital Ward Teams, Pharmacist Participation in Hospital Ward Teams, Pharmacist Participation in Ward MDTs, Pharmacist-Led Medication Reviews, Rates of Hospital Readmissions, Re-Admissions to Hospitals, Readmission Rates, Readmissions, Readmissions to Hospital, Reducing Inappropriate Polypharmacy, Reducing Readmission Rates, Reduction of Drug-Related Problems and Readmissions Among Old People With Dementia (NCT01504672), Skellefteå County Hospital, Sweden, Umeå (Sweden), Umeå University (Sweden), Umeå University Hospital | Leave a comment

Patient Safety Improvement in Care Homes (BMC Health Services Research)

Posted on February 3, 2017 by Dementia and Elderly Care News

Summary A programme to improve patient / resident safety in care homes is to be conducted in Walsall and Wolverhampton over 24 months. This article outlines the evaluation of this care home improvement programme in the West Midlands. The aim is … Continue reading →

Posted in Commissioning, Community Care, Falls, Falls Prevention, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest, Wolverhampton | Tagged Adverse Drug Reaction / Error Champions, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Adverse Safety Events, Avoidable Acute Hospital Admission in Older People, BMC Health Services Research, Care Home Culture, Care Home Environments, Care Homes, Changes in Safety Practices (Care Home Level), Changes in Safety Practices (Staff Level), CLAHRCs: NIHR Collaborations for Leadership in Applied Health Research and Care, Collaboration for Leadership in Applied Health Research and Care (CLAHRC), College of Medical and Dental Sciences: University of Birmingham, Culture of Safety, Dementia Education, Dementia Training, Education and Training, Hospital Activity, Improving Patient Safety, Inappropriate Hospital Admissions, Infection Control, Institute of Applied Health Research: University of Birmingham, Institute of Health Professions: University of Wolverhampton, Local AHSNs, Local Patient Safety Collaboratives, Medication Errors, Meridian Online Health Innovation Exchange, NHS England's Sign Up to Safety Campaign, NHS Walsall CCG, NHS Wolverhampton CCG, NIHR CLAHRC West Midlands, Opportunities to Treat Patients Without Hospital Admission, Patient Safety, Patient Safety Collaborative Programmes, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Positive Approaches to Care (PAC), Pressure Ulcers, Pressure Ulcers: Prevention, Preventable Hospital Admissions, Primary Health Care (Journal), Quality and Safety Improvement Approaches in Care Homes, Quality Improvement, Quality of Life for People Living in Care Homes, Research in Care Homes, Safer Provision and Caring Excellence (SPACE) Programme, Safety Attitudes Questionnaire (SAQ), Safety Improvement in Care Homes, Sign up to Safety, Sign Up to Safety Campaign, Skills and Training, SPACE Programme (WMAHSN), Staff Training, Training and Support, Transfer of Medicines, University of Birmingham, University of Wolverhampton, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Urinary Tract Infections (UTIs), Walsall, Walsall and Wolverhampton Care Home Improvement Programme, Walsall and Wolverhampton Clinical Commissioning Groups (CCGs), Wellbeing in Care Homes, West Midlands, West Midlands Patient Safety Collaborative (PSC), Wolverhampton, Workforce Competencies, Workforce Training | Leave a comment

Carers UK’s Pressure Points Report: Building on the Role of Carers in Supporting the NHS (Carers UK)

Posted on October 13, 2016 by Dementia and Elderly Care News

Summary A recent Carers UK report examined the potential role(s) of carers in helping to reduce emergency admissions and re-admissions to hospital; and to minimise delayed transfers of care from hospital. Around 40% carers who have taken their dependents to A&E … Continue reading →

Posted in Acute Hospitals, Carers UK, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Ageing and Society, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Building Carer Friendly Communities, Care in the Community, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Friendly Communities, Carer Friendly NHS, Carer Friendly NHS Programme, Carer Friendly Primary Care Services, Carer Isolation, Carer Passports, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers and Families, Carers UK’s Pressure Points Report, Carers’ Rights at Discharge, Case Management, Co-Production, Co-Production in Commissioning, Commissioning for Carers Principles, Community-Based Care, Crisis Resolution Teams, Delayed Discharges, Delayed Transfer of Care to Social Care (DToC), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Services, Experiences of Health Care Services, Experiences of Social Care Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Families, Family Caregivers, Family Carers, Funding, Health and Social Care in the Community, Heléna Herklots: Chief Executive of Carers UK, Informal Caregiving, Informal Carers, Integrated and Community-Based Care, Integrated Approach to Identifying and Assessing Carer Health and Wellbeing (NHS England Toolkit), Integrated Discharge Process, Interface Between Primary and Secondary Care, Listening to Carers, Local Sustainability and Transformation Plans (STPs), Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Proactive Personalised Care in the Community, Readmissions, Reasons for Delayed Discharge, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Emergency Admissions Through Community-Based Interventions, Reducing Re-Admissions to NHS Hospitals, Role of Carers in Supporting the NHS, Sustainability and Transformation Plans (STPs), Sustainable Caring, Undervalued Hidden Workforce, Unnecessary Hospital Admissions, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Valuing Carers, Working Together to Support Carers | Leave a comment

Benefits of Comprehensive Older Person’s Evaluation (COPE) Zones Embedded Within Emergency Assessment Units (Clinical Medicine)

Posted on June 18, 2016 by Dementia and Elderly Care News

Summary Promising results have been reported from Salford Royal NHS Foundation Trust (SRFT): “ …introduction of an embedded frailty unit within the EAU at SRFT has allowed resources to be focused on older patients with the greatest need. We have … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Diagnosis, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Royal Wolverhampton NHS Trust, Standards, UK | Tagged A&E, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Hospital Care, Acute Medical Care of Elderly People, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Benchmarking, British Geriatric Society (BGS), Case Management, Complex Care, Complex Needs, Comprehensive Geriatric Assessment (CGA), Comprehensive Older Person's Evaluation (COPE) Zones, COPE Zones Embedded Within Emergency Assessment Units (EAUs), COPE Zones in Emergency Assessment Units (EAUs), COPE Zones: Comprehensive Older Person's Evaluation, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Department for Ageing and Complex Medicine: Salford Royal NHS Foundation Trust, Department of Acute Medicine: Salford Royal NHS Foundation Trust, East Lancashire Hospitals NHS Trust, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Flow Within Hospitals, Frailty, Future Hospital Commission, Identifying People Living With Frailty, Inappropriate Accident and Emergency Department Attendances, Integrated and Community-Based Care, Integrated Emergency Department (A&E), MDTs: Multidisciplinary Teams, Multi-Disciplinary Team (MDT), NHS Benchmarking, NHS Benchmarking Network, Patient flow, Patient Flow Within Hospitals, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Professor John Gladman: BGS / East Midlands AHSN Frail Older People’s Programme, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Salford, Salford Royal Foundation Trust (SRFT), Salford Royal NHS Foundation Trust, Short Stay Admissions, Team-Based Interventions in A&E, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Vision of Patient Care: Future Hospital Commission | Leave a comment

Care Home Residents’ Access to GPs For Basic Health Care: Far Sighted or Short Sighted GP Contract Changes? (BBC News)

Posted on February 2, 2016 by Dementia and Elderly Care News

Summary Care home residents are generally 50% more likely to be admitted to hospital as an emergency than other older persons, and might be expected to be a high priority for primary care. Paradoxically, there are reports that GPs have … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Access and Equity For Care Home Residents to Local NHS Services, Access to Care, Access to General Practice, Access to GP Services, Access to Hospital Services, Access to Primary Care, Access to Services, Age Discrimination, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Harm, Avoidable Mortality, Avoidable Rehospitalisations, Barriers to Integration, Barriers to Joined-Up Care, Barriers to Older People Accessing Help and Support, Barriers to Support, Barriers: Access to Funding, Barriers: Discrimination, Barriers: Inconsistency in Care Standards, Barriers: Lack of Continuity of Care, Barriers: Lack of Timely and Appropriate Diagnosis, Barriers: Potential Age Discrimination, Care England, Care for Vulnerable Older People, Care Home Residents, Care Home Sector, Care Homes, Care Homes Wellbeing, Care Homes: Quality Indicators, Care of Vulnerable Adults, Charges for GP Visits, Clinical Input Into Care Homes, Consumer Vulnerability, Corporate Self-Interest (Ahead of Patients), Dementia-Friendly Care Homes, Empowering GPs to Help Vulnerable Patients (and Carers) to Access Services, Enhanced Health in Care Homes, Factors Contributing to Vulnerability, General Practice, GP Access, GP Contracts, GPs, Health Care for Older Care Home Residents, Health Care Needs of Care Home Residents, High Quality Health Care for Older Care Home Residents, Improving Standards in Care Homes, Integrated Primary and Acute Care Systems (PACS) Vanguard Sites, NHS Managerial Self-Interest, Nursing Homes, Older Care Home Residents, Patient Experience, Patient Safety, Preventable Harm, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Primary and Acute Care Systems (PACS), Primary Care: GP Consultations / Visits, Quality and Continuity of Care for Vulnerable Patients (New Deal), Rationing, Rationing Care, Residential Homes, Retainer Fees for GPs, Support to Care Home Residents, Supporting Vulnerable People, Targeting Resources on Vulnerable Populations, Vulnerable and Disadvantaged Groups | 1 Comment

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