Tag Archives: Avoidable Harm

Detention of Children and Young People With Learning Disabilities and/or Autism (Joint Committee on Human Rights / BBC News)

Posted on November 2, 2019 by Dementia and Elderly Care News

Summary Parliament’s Joint Committee on Human Rights (JCHR) indicates that the human rights of young people with a learning disabilities and / or autism are being breached in mental health hospitals. Proposals for radical reform are advocated. “Too often families of … Continue reading →

Quality Improvement: Strategies Needed to Reduce Preventable Patient Harm (NIHR Signal / BMJ / Future Healthcare Journal / WHO)

Posted on October 6, 2019 by Dementia and Elderly Care News

Summary A recent review found that around 6% patients in healthcare settings (internationally) experience potentially preventable harm; with approximately 1 in 8 such cases resulting in severe harm, permanent disability or death “Six types of patient harm were identified: drug … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, NHS, NHS England, NHS Improvement, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, Royal Wolverhampton NHS Trust, Systematic Reviews, UK, Universal Interest, World Health Organization (WHO) | Tagged 10 Facts About Hospital Care (WHO), Avoidable Harm, Avoidable Hospital Mortality, Avoidable Mortality, Avoidable Patient Harm, BMJ, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Centre for Pharmacoepidemiology and Drug Safety: University of Manchester, Clinical Quality Improvement, Clinical Safety Research: Imperial College London, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Division of Pharmacy and Optometry: University of Manchester, Division of Population Health: University of Manchester, Division of Primary Care: University of Nottingham, Drug Errors, Future Healthcare Journal, Health Services Research and Primary Care: University of Manchester, Honesty and Transparency, Hospital Patient Safety Strategies, Imperial College London, Improving Patient Safety, Improving Safety Measurement Across Whole System, Information Sharing, Innovation and Improvement, Insight: Using Intelligence From Multiple Sources of Patient Safety Information, Lancashire Teaching Hospitals NHS Foundation Trust, Learning Culture, Learning from Deaths, LeDeR: Learning Disabilities Mortality Review, Lucie Musset: National Reporting and Learning System (NRLS), Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Optimisation, National Institute for Health Research (NIHR), NHS Culture, NHS Culture Change, NHS Improvement Patient Safety Alerts, NHS Patient Safety Culture, NHS Patient Safety Strategy, NIHR DC: NIHR Dissemination Centre, NIHR Dissemination Centre, NIHR Greater Manchester Patient Safety Translational Research Centre, NIHR School for Primary Care Research: University of Manchester, NIHR Signal, Oxford Health NHS Foundation Trust, Oxford Healthcare Improvement, Patient Harm, Patient Harms, Patient Safety, Patient Safety Alerts, Patient Safety and Risk Management (WHO), Patient Safety Culture, Patient Safety Fact File (WHO), Prevalence of Patient Harm, Prevalence of Preventable Patient Harm, Preventable Patient Harm, QI Adoption and Spread Approach, Quality and Sustainability, Quality Improvement, Reducing Waste in the NHS, School of Medicine: University of Nottingham, Service Delivery and Safety (WHO), Systematic Reviews and Meta-Analyses, Ten Facts About Hospital Care (WHO), Transparent Learning Culture, Types of Preventable Patient Harm and Overall Patient Harm, UK General Medical Council, University of Manchester, University of Nottingham, University of Oxford, WHO: World Health Organization, World Health Organization (Geneva), World Health Organization (WHO) | Leave a comment

Refusal and Resistance to Care in People With Dementia in Acute Hospitals (Patient Experience Library / NIHR / International Journal of Nursing Studies)

Posted on August 16, 2019 by Dementia and Elderly Care News

Summary Patients with dementia often have a poor experience of care in hospitals. Some hospitals are better than others, almost certainly, thanks to improvements in dementia-friendly hospital care, appropriate staff training and dementia awareness raising; however certain problems may persist … Continue reading →

Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, NHS, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest, Wales | Tagged Abuse of Vulnerable Adults, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Adult Safeguarding, Aneurin Bevan University Health Board, Avoidable Harm, Avoidable Hospital Mortality, Avoiding Long Hospital Stays, Cardiff, Cardiff University, Carers UK, Compassionate Care, Culture of Compassionate Care Versus Routine-Based Ward Culture, De Montfort University, De-Escalation Techniques, Deconditioning in Hospital, Delivering Safe and Compassionate Care, Dementia Awareness, Dementia Awareness Training, Dementia Training, Dementia Training for NHS Staff, Dementia UK, Department of Medicine for Older People Rehabilitation and Stroke: Portsmouth Hospitals NHS Trust, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Education and Staff Training, Emergency Readmissions, Emergency Readmissions to Hospital, Ethical Considerations, Ethical Dilemmas, Ethnographic Research, Faculty of Health Sciences: University of Southampton, Fixed Timetables of Care (Potential Harms), Hermeneutic Approaches, Hospital Culture, Hospital-Acquired Deconditioning, Hospital-Associated Deconditioning, Hospital-Related Deconditioning, Improving Patient Experience, Improving Patient Safety, International Journal of Nursing Studies, Length of Hospital Stay, Length of Stay (LoS), Local Ward Cultures, Long Hospital Stays, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), NIHR CLAHRC Wessex, NIHR CLAHRC Wessex: Innovation Centre, NIHR Health Services Delivery Research, NIHR Journals Library, NIHR Service Delivery and Organisation Programme, Patient Expectations, Patient Experience, Patient Experience Library, Patient Safety, Planned Personal Care (Timetabled), Qualitative Health Research, Qualitative Research, Qualitative Studies, Queen Alexandra Hospital: Portsmouth Hospitals NHS Trust, Re-Admissions to Hospitals, Readmissions to Hospital, Reducing Avoidable Harm, Reducing Avoidable Premature Mortality, Reducing Health Inequalities, Reducing Length of Hospital Stay, Reducing Re-Admissions to NHS Hospitals, Refusal and Resistance to Care Among People With Dementia in Acute Hospitals, Research and Innovation Department: Portsmouth Hospitals NHS Trust, Resistance Refusal or Rejection of Care by People Living With Dementia, Restraint, Restraint and Restrictions, Restraint in Hospital Settings, Restrictive Practices, Rigid Routines, Routines-Based Hospitals Culture, Safeguarding, Safeguarding Adults at Risk, School of Allied Health Sciences: De Montfort University, School of Health Sciences and Social Work: University of Portsmouth, School of Health Sciences: University of Southampton, School of Healthcare Sciences: Cardiff University, Timetabled Mealtimes, Timetabled Medication Rounds, Training and Education, Understanding Refusal and Resistance to Care, University of Portsmouth, University of Southampton, Workforce Education | Leave a comment

CQC Interim Report on Restrictive Interventions in Mental Health, Learning Disabilities or Autism Care Institutions (BBC News / CQC / DHSC / NHS England / Children’s Commissioner / HQIP)

Posted on May 24, 2019 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC) has released an interim report on the persistence of restraint, seclusion and segregation in the care of people with a mental health problems, learning disabilities and / or autism. Full Text Link Reference Triggle, … Continue reading →

Questions Raised About Prescribing Painkillers for Dementia Patients (BBC Radio Four / BBC News)

Posted on May 15, 2019 by Dementia and Elderly Care News

Summary An investigation into the role of big pharma in the international opioid crisis, from BBC Radio 4, touches upon questions about the ethics and suitability of pain management embedded semi-routinely in care for persons with dementia: Full Audio Link … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Management of Condition, Mental Health, Models of Dementia Care, NHS, Pain, Person-Centred Care, Pharmacological Treatments, Quick Insights, UK, Universal Interest | Tagged Addressing Problematic Opioid Use in OECD Countries (OECD 2019), Analgesic Misuse, Analgesic Treatments for People With Dementia, Availability of Opioid Painkillers, Avoidable Harm, BBC Radio 4, BBC Radio Four, BBC Radio Four File on 4, BBC Radio Four’s “File on Four” Programme, Behavioural and Psychological Symptoms of Dementia (BPSD), Big Pharma, Centre for Elderly and Nursing Home Medicine: University of Bergen, Department of Global Public Health and Primary Care: University of Bergen, Department of Health and Care (Bergen Norway), Department of Psychiatry: Harvard Medical School, Deprescribing, Distressed Behaviour, Ethical Dilemmas, Ethical Issues of Dementia Care, Evidence Uncertainties, Expert Opinion on Drug Safety (Journal), Fentanyl, Harvard Medical School, Impact of Opioids, McLean Hospital (Belmont USA), McLean Institute for Technology in Psychiatry and Geriatric Psychiatry Outpatient Services: McLean Hospital (Belmont USA), Medicines Optimisation Group: University of East Anglia, Morphine, NIHR CLAHRC East, NIHR CLAHRC Eastern, Norway, Office for Economic Co-operation and Development (OECD), Opioid Addiction, Opioid Analgesics Dependency, Opioid Crisis, Opioid Deprescribing, Opioids, Optimising Prescribing and Deprescribing in Older Adults With Dementia, Over-Medication, Over-Prescribing, Pain Control and Dementia in the Acute Hospital, Pain Management, Pain Prevalence, Pain Relief, Painkillers, Patient Harm, Psychological and Behavioural Distress, Reducing Agitation and Distress, Reducing Avoidable Harm, Strong Opioids: First-Line Maintenance, Strong Opioids: First-Line Oral Opioids, Strong Opioids: First-Line Transdermal Patches, Tackling Over-Medication, Tramadol, Treatment of Pain to Reduce Behavioural Disturbances, University of Bergen, University of East Anglia, University of East Anglia Medicines Optimisation Group, University of Exeter Medical School, Untreated Pain, USA, USA Opioid Epidemic | Leave a comment

NICE Update on Antipsychotics for People With Dementia (NICE)

Posted on March 28, 2019 by Dementia and Elderly Care News

Summary The National Institute for Health and Care Excellence (NICE) has again updated their summary of evidence on the use (or withdrawal) of antipsychotics for people living with dementia. This document is not a formal NICE guideline. Full Text Link … Continue reading →

Posted in Acute Hospitals, Antipsychotics, 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, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, SCIE, Systematic Reviews, UK, Universal Interest | Tagged Alive Approach to Provision of Meaningful Activities for Older People Living in Care, Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Antipsychotic Drugs, Antipsychotic Prescribing in Primary Care, Antipsychotics, Antipsychotics and Risk of Venous Thromboembolism, Antipsychotics in Elderly People with Dementia, Antipsychotics in People With Dementia, Antipsychotics in People With Dementia: Key Therapeutic Topic [KTT7], Antipsychotics Limitation in Dementia, Antipsychotics-Related Mortality Risks, Atypical Antipsychotics, Avoidable Harm, Avoidable Mortality, Behavioural and Psychological Symptoms of Dementia (BPSD), Inappropriate Use of Antipsychotics in Dementia, Later Life, Long Term Plan (LTP), Medicines Optimisation, Mellifont Abbey Residential Care Home, Mental Health and Illness, Milton Keynes Primary Care Trust, National Institute for Health and Care Excellence (NICE), National Institute for Health and Care Excellence (NICE)’s Quality Standard on Dementia: 2019 Draft For Consultation, Neurological Disorders, NHS England Medicines Optimisation Intelligence Group, NICE Key Therapeutic Topic [KTT7], NICE Key Therapeutic Topics, Potential Harms of Antipsychotic Use, Prescribing of Antipsychotic Drugs For People With Dementia, Prevalence of Potentially Inappropriate Prescribing of Antipsychotic Drugs, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, Social Care Institute for Excellence (SCIE) | Leave a comment

Improving Care for Older People (NHS England / Age UK / PHE / Chief Fire Officer’s Association / JGCR)

Posted on October 14, 2018 by Dementia and Elderly Care News

Summary The guide to Improving Care for Older People, developed by NHS England in partnership with Age UK, Public Health England, and the Chief Fire Officer’s Association, is actually a collection of resources (some dating back several years). This collection … Continue reading →

Posted in Age UK, 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, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Public Health England, Quick Insights, UK, Universal Interest | Tagged Active Ageing, Active and Healthy Ageing, Age and Ageing, Age-Friendly Housing, Age-Related Hearing Loss (ARHL), Ageing Population, Ageing Population Carer Support, Ageing Society, Ageing Well, Ageing Well and Supporting People Living With Frailty (NHS England), Ageing Well With Technology, Amenable Mortality, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Bladder Problems, Burden on Caregivers, Care for Vulnerable Older People, Care Home Admission Delay, Care in an Ageing Society, Care of Frail Older People With Complex Needs, Caregiver Assessments, Caregiver Burden, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Isolation, Carer Organisations, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers Strategy, Carers Trust, Carers UK Adviceline, Carers' Assessments, Carers’ Benefits, Carers’ Health and Wellbeing, Caring and Family Finances, Caring into Later Life, Case Finding and Risk Stratification, Chief Fire Officers Association, Chief Fire Officers Association (CFOA), Chief Fire Officers Association: Ageing Safely Strategy, Cognitive Impairment, Cold Homes, Collaboration, Collaborative Commissioning, Collaborative Models of Delivery, Collaborative Working, Collaborative Working in Local Communities, Community Care Assessments, Community Response Intervention Teams, Community Risk Intervention, Community Risk Intervention Team (CRIT), Community Volunteering, Community-Based Services, Complex Needs, Consensus Statement on Improving Health and Wellbeing (2015), Consent to Share Information, Cooking Arrangements, Coping With Stress, Culture Change in Health and Care, Delivering Better Health and Care Outcomes, Dementia-Friendly Housing, Design Principles for Safe and Well Visits, Determinants of Health, Electronic Frailty Index, electronic Frailty Index (eFI), Emily Holzhausen: Director of Policy and Public Affairs at Carers UK, Falls Prevention, Falls Reduction, Falls Risk Assessment Tool (FRAT), Family Caregivers, Family Carers, Feeling Under the Weather (Campaign), Fire and Rescue Service Delivering Home Modifications, Fire and Rescue Services (FRS), Fire and Rescue Services (FRS): Health Ambassadors, Fire and Rescue Services Act (2004), Fire and Rescue Services Checks on Older People, Fire and Rescue Services Checks on People With Long Term Health Conditions, Fire as a Health Asset: Consensus, Fire Safety Check Programmes, Fires, Frail Older People, Frailty, Frailty Identification and Frailty Care, Frailty Services, Frailty Syndromes, FRS Volunteers, Geriatric Care and Research Organisation (GeriCaRe), Greater Manchester FRS Community Risk Intervention Teams (CRITs), Guide to Healthy Ageing, Happiness and Wellbeing, Health and Care of Older People, Health and Social Care Integration, Health and Wellbeing, Healthy Ageing, Healthy Ageing Conference 2018 (India), Healthy Ageing in India, Healthy Caring Guide, Healthy Feet, Hearing, Hearing Loss, Hoarding, Home Adaptations, Home Modifications, Home Safety, Home Security, Hydration and Nutrition, Identification of Frailty, Identification of Frailty (Routine Screening), Identifying People Living With Frailty, Identifying Vulnerable People, Impact of Caring on Carers, Improving Care for Frail Older People, Improving Care for Older People (NHS England), Improving General Practice, Improving Lives of Carers, Improving Quality in General Practice, Improving the Quality of Care in General Practice, Inappropriate Hospital Admissions, Independence, Independence at Home, Independent Living, Independent Living At Home, India, India (State of Odisha), Informal Caregiving, Informal Carers, Information Needs of Carers, Information Technology, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integrated Prevention Approaches, Integration of Health and Care, Integration of Health and Social Care, Journal of Geriatric Care and Research (JGCR), Keep Warm Keep Well, LGA: Local Government Association, Lifestyle Risk Factors, Links Between Mental Health and Fire Risk, Local Government Association: LGA, Local Government Authority: Beyond Fighting Fires, Local Health and Care Services, Loneliness, Loneliness and Social Isolation, Long Term Health Conditions, Long-Term Care (LTC), Long-Term Care and Support, Long-Term Conditions, Long-Term Conditions (LTCs), Maintaining Independence, Maintaining Relationships, Mental Health Needs of Carers, Mental Wellbeing, Mental Wellbeing and Older People, Mobile Technology, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, Multi-Morbidity, Needs of Carers, NHS England Risk Stratification Guidance, Older Community-Dwelling Adults, Older People At Home, Older People With Complex Needs, Older People: Independence and Mental Wellbeing, Opportunities to Treat Patients Without Hospital Admission, Partnership and Collaboration, Partnership Working, Partnership(s) Between NHS and Fire Service, Pathways for Frail and Vulnerable People, Patient Targeting and Risk Stratification, People Living With Frailty, Personalised Care and Support Planning Handbook, PHE: Public Health England, Portable Heaters and Open Fires, Potentially Modifiable Socio-Environmental Risk Factors, Preparations for Winter, Preventable Hospital Admissions, Prevention, Prevention Agenda, Primary Care, Provision of Risk Appropriate Domestic Fire Detection and Warning, Public Health England (PHE), Recognising and Managing Frailty in Primary Care, Reducing Unplanned Hospitalisation, Regaining Independence, Rehospitalisations, Risk and Protective Factors for Mental Wellbeing, Risk of Nursing Home Admission, Risk Stratification, Social Media, Support for Carers, Support for People with Complex Needs, Supporting Health Wellbeing and Independence, Sustainable Caring, Targeted Screening, Targeting Resources on Vulnerable Populations, Treating Patients Without Hospital Admission, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Unplanned Hospitalisation, Urinary Incontinence, Urinary Infections, Use of Social Media, Vaccination Programmes, Visual Impairment, Voluntary and Community Sector, Voluntary Sector, Warm Homes, Winter Friends | Leave a comment

Tag Archives: Avoidable Harm

Questions Raised About Prescribing Painkillers for Dementia Patients (BBC Radio Four / BBC News)

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