Tag Archives: BMJ Quality and Safety

More on Self-Care, Patient Activation and NHS Sustainability (Health Foundation / BMJ Quality and Safety / Self Care Forum / NHS England / AMROC)

Posted on August 28, 2018 by Dementia and Elderly Care News

Summary A Health Foundation briefing explores the potential of increasing patient activation for better self-care in the management of long-term conditions (including asthma, diabetes and depression) and reducing avoidable hospital admissions. “ …patients who were most able to manage their … Continue reading →

The Weekend Effect: a Summing-Up of the Evidence (Department of Health / BBC News / NHS Employers / BMJ / Journal of Health Services Research and Policy)

Posted on November 3, 2015 by Dementia and Elderly Care News

Summary Debates have arisen recently about possible “spin” and politically-motivated distortion in interpretation of the “weekend effect” and the benefits to patients of seven-day working. The Department of Health has produced an impartial presentation of the research. This includes a … Continue reading →

Posted in Acute Hospitals, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Education England (HEE), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Employers, NHS England, Non-Pharmacological Treatments, Quick Insights, Statistics, UK, Universal Interest | Tagged 7 Day Services, 7 Day Services Project: Acute Collaborative Report (2014), 72 Hour Limit on Maximum Working Week, Academy of Medical Royal Colleges, Academy of Medical Royal Colleges (AoMRC), Acute Care, Acute Hospital Care, Ageing Population, AoMRC: 7 Day Consultant Present Care (2012), BBC Health News, BBC North West Tonight, BMJ, BMJ Quality and Safety, BMJ Quality Improvement Programme, BMJ Quality Improvement Reports, British Medical Association (BMA), British Medical Journal (BMJ), Care in General Hospitals, Costs and Benefits of Seven-Day Services for Emergency Hospital Admissions, Culture Change in the NHS, Day-of-the-Week Effect, Department of Health Sciences: University of York, Department of Primary Care and Public Health: Imperial College London, Dr Foster Unit: Imperial College London, Dr Johann Malawana: Former Chair of BMA Junior Doctors Committee, East Midlands Clinical Senate, East Midlands Clinical Senate: 7 Day Services Project: Acute Collaborative Report (2014), Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Treatment, European Working Time Directive (EWTD), Former Health Secretary Jeremy Hunt, GC Database, Global Comparators (GC) Project, Global Comparators Project, Health Economics, HEE: Health Education England, Hospital Mortality, Hospital Mortality Rates, Imperial College London, Improving Medical Handover at the Weekend: BMJ Quality Improvement Project, Improving Patient Safety, Journal of Health Services Research and Policy, Junior Doctors' Dispute: First Draft of History, Junior Doctors: Contract Dispute of 2015, Manchester Centre for Health Economics: University of Manchester, Margaret Gleeson Inquest, Medical Director of NHS England: Professor Sir Bruce Keogh, Medical Directorate: NHS England, Monday to Friday Culture, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, National Audit Office, NHS England’s Seven Days a Week Forum, NHS Improving Quality (NHS IQ) Seven Day Services Team, NHS Services: Seven Days a Week Forum, NHS Seven Days a Week Forum, Orchestrated Intransigence, Patient Safety, Patient Safety Improvement, Potted Weekend Effect Synopsis (Department of Health), Preventable Hospital Mortality, Professor Jane Dacre: President of Royal College of Physicians, Professor Sir Bruce Keogh, Professor Sir John Temple's Time for Training Report (HEE 2010), Quality Improvement, Quality of Care, Quality of Care at Weekend, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Scarborough General Hospital, Seven Day Consultant Present Care, Seven Day Services Team: NHS Improving Quality (NHS IQ), Seven-Day Hospital Services, Seven-Day Working, University of Manchester, University of York, Urgent and Emergency Care, Variations in Quality of Care, Weekend Effect, Weekend Effect in Obstetrics, Weekend Handover, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Out Of Hours Surgical Handover (WOOSH), Weekend Out Of Hours Surgical Handover (WOOSH) Form, Weekend Surgical Handover, Weekend Working, Workforce Challenges in Emergency Medicine | Leave a comment

A New Quality Improvement Manual (HQIP) Plus an Investigation Into Online Repositories of Quality Improvement (BMJ Quality and Safety / BMJ / King’s Fund)

Posted on July 18, 2015 by Dementia and Elderly Care News

Summary Health Quality Improvement Partnership (HQIP) has produced a guide to the main twelve quality improvement (QI) methods. Section headings comprise: Introduction: Purpose. Definition of ‘quality’. Good governance. Regulation, accreditation and inspection. Patient involvement in quality improvement. Collaboration for quality … Continue reading →

Further Confirmation of the “Weekend Effect”: The Global Comparators Project (BMJ Quality and Safety / BBC News / OHE / Health Economics / BMJ)

Posted on July 12, 2015 by Dementia and Elderly Care News

Summary Recent research indicates that the “weekend effect” is a systematic phenomenon in the quality of healthcare, which impacts upon mortality rates in hospital care internationally. 2,982,570 hospital records from 28 hospitals in England, Australia, the USA and the Netherlands … Continue reading →

Posted in Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, NHS, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged 7 Day Services, ACALM Study Unit: Aston Medical School, Acute Care, Acute Hospital Care, Acute Hospitals, Aston Medical School: Aston University, Aston University, Australia, Avoidable Mortality, BBC Health News, BMJ, BMJ Quality and Safety, British Medical Journal (BMJ), CLAHRCs: NIHR Collaborations for Leadership in Applied Health Research and Care, Costs and Benefits of Seven-Day Services for Emergency Hospital Admissions, Culture Change in the NHS, Day-of-the-Week Effect, Department of Cardiothoracic Surgery: University Hospitals Birmingham NHS Foundation Trust, Department of Health Sciences: University of York, Department of Informatics: University Hospitals Birmingham NHS Foundation Trust, Department of Primary Care and Population Health: University College London, Dr Fiona Godlee: Editor of the British Medical Journal, Dr Foster, Dr Foster Hospital Guide, Dr Foster Intelligence, Dr Foster Unit: Imperial College London, Dr Foster Unit: PCPH Imperial College London, Economics of Elevated Hospital Mortality at Weekends, Elective Procedures, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Treatment, England, Farr Institute of Health Informatics Research: University College London, GC Database, Global Comparators (GC) Project, Global Comparators Project, Health Economics, Health Finance Managers Association (HFMA), Healthcare Financial Management Association, Healthcare Quality Improvement, HFMA: Healthcare Financial Management Association, High-Intensity Specialist-Led Acute Care (HiSLAC) Project, Hospital Mortality, Hospital Mortality Rates, Improving Patient Safety, Journal of the Royal Society of Medicine (JRSM), Manchester Centre for Health Economics: University of Manchester, Medical Director of NHS England: Professor Sir Bruce Keogh, Medical Directorate: NHS England, Monday to Friday Culture, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Myocardial Infarction Data Acquisition System (MIDAS), Netherlands, NHS Culture, NHS England, NHS Improving Quality (NHS IQ), NHS Improving Quality (NHS IQ) Seven Day Services Team, NHS Seven Days a Week Forum, Nigel Edwards: Nuffield Trust, NIHR CLAHRC West Midlands, NIHR Collaborations for Leadership in Applied Health Research and Care for Birmingham and the Black Country (NIHR CLAHRC-BBC), NIHR Health Services and Delivery Research Programme, Office of Health Economics (OHE), Orchestrated Intransigence, Patient Safety, Patient Safety Collaboratives, Patient Safety Improvement, Preventable Hospital Mortality, Professor Sir Bruce Keogh, Quality and Outcomes Research Unit: University Hospitals Birmingham NHS Foundation Trust, Quality Improvement, Quality of Care, Quality of Care at Weekends, QUORUM Metric for Comparing Hospital Death Rates, Seven Day Services Team: NHS Improving Quality (NHS IQ), Seven-Day Hospital Services, Seven-Day Working, Survivorship Models, UK National Institute for Health Research (NIHR) Collaborations for Leadership in Applied Health Research and Care (CLAHRC) West Midlands, United States, University College London, University Hospitals Birmingham NHS Foundation Trust, University of Manchester, University of Warwick, University of Warwick Medical School, University of York, Urgent and Emergency Care, USA, Variations in Quality of Care, Warwick Centre for Applied Health Research and Delivery: University of Warwick, Warwick Medical School: University of Warwick, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Working, Workforce Challenges in Emergency Medicine | Leave a comment

The Financial and Human Costs of Mistakes (BBC News / Frontier Economics / CQC / NHS England / NHS IQ / BMJ Quality and Safety / Department of Health / BMC Family Practice)

Posted on October 16, 2014 by Dementia and Elderly Care News

Summary The NHS in England is being urged to reduce mistakes by half, as mistakes in hospitals cost the NHS around £2.5bn per year. Four aspects of poor patient safety include falls, bed ulcers, urinary infections caused by poorly fitted … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Academic Health Science Networks (AHSNs), Adverse Events, AHSNs, Australia, Australia's Safety Alert Broadcasting Systems, Avoidable Harm, Avoiding Litigation, Avon and Wiltshire Mental Health Partnership NHS Trust, BBC Health News, BBC Shared Data Unit, Bed Sores, Bed Ulcers, Behavioural Insights Team, Berwick Review, Berwick Review of Patient Safety, Birmingham Children’s Hospital (BCH), Birmingham Children’s Hospital NHS Foundation Trust, Blood Clots, BMC Family Practice, BMJ Quality and Safety, Bradford, Bradford Institute for Health Research, Bradford Royal Infirmary, Capping Lawyers' Payments (Negligence Claims), Care Quality Commission (CQC), Centre for Clinical Governance Research: University of New South Wales, Consequences of the Francis Inquiry Report, Costs of NHS Mistakes (Statistics), Costs of Unsafe Care in NHS, County Durham and Darlington NHS Foundation Trust, CQC Hospital Inspections, Decubitus Ulcers, Dr Chris Streather: Managing Director of Health Innovation Network (AHSN for South London), Dr Liz Mear: Chief Executive, Dr Mike Durkin: NHS England’s Director of Patient Safety, DVT, Effectiveness, Ensuring Correct Personal Information, Falls Prevention, Financial Incentives, Financial Penalties, Former Health Secretary Jeremy Hunt, Francis Inquiry, Frontier Economics Ltd, Guy's and St Thomas' NHS Foundation Trust, Haelo (Innovation and Improvement Centre), Harm Free Care, Harm Free Care Website (Run by Haelo Team), HC 691, Healthbus, Healthcare Quality Improvement, Hospital Aquired VTE, Hospital Discharge, IHI Outpatient Adverse Event Trigger Tool, Improving Patient Safety, Incentives, Infection Prevention, Institute of Psychological Sciences, Institute of Psychological Sciences: University of Leeds, Leeds, Legal Costs: Negligence Claims, Litigation Claims, Local Area Teams (LATs), Local Patient Safety Collaboratives, Medical Negligence Claims, Medicines Safety, National Audit Office (NAO), National Patient Safety Agency (NPSA), National Reporting and Learning System (NRLS), Negligence Claims Against the NHS, Never Events, Never Events Policy Framework, Never Events Policy Framework Review, Never Events Policy Framework Review Consultation, NHS Area Teams (ATs), NHS England's Sign Up to Safety Campaign, NHS Improving Quality (NHS IQ), NHS IQ, NHS Litigation Authority (NHSLA), NHS Resolution, NHS Safety Thermometer, NHS Standard Contract, NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre: University of Manchester, North West Coast AHSN, Northamptonshire Healthcare NHS Foundation Trust, NRLS Harm Definitions, Parliamentary and Health Service Ombudsman (PHSO), Patient Safety, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Patient Safety Thermometer, Pay-Outs by NHS Litigation Authority, Payments in Respect of Negligence Claims Against the NHS, Performance Incentives, Positive and Negative Deviance, Positive Behaviours, Positive Deviance, Pressure Sores, Pressure Ulcer Avoidance, Pressure Ulcers, Pressure Ulcers: Prevention, Preventable Adverse Events, Productivity, Professor Don Berwick, Promise to Learn: Berwick Report, Prospective and Proactive Thinking, Quality Improvement Methodologies, Raising Concerns, Raising Questions, Reducing Clinical Negligence Claims, Reducing Litigation Costs, Reduction in Bureaucracy, Rotherham Doncaster and South Humber NHS Foundation Trust, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Safety Alert Broadcasting Systems (Australia), Safety Initiatives, Safety Standards in Hospitals, Safety Standards in Hospitals in England, Safety Thermometer, Salford Royal NHS Foundation Trust, School of Community Health Sciences: University of Nottingham Medical School, Serious Incident Framework, Service Redesign for Productivity, Severe Pressure Ulcers, Sign up to Safety, Sign Up to Safety Campaign, Sign Up to Safety Pledges, STEIS, Strategic Executive Information System (StEIS), Suzette Woodward: Sign Up to Safety, Tools for Primary Care Patient Safety, UK NHS Institute for Innovation and Improvement Primary Care Trigger Tool, University College London Hospitals NHS Foundation Trust, University of Leeds, University of Manchester, University of New South Wales, University of Nottingham, University of Nottingham Medical School, Unsafe Care in NHS, Urinary Catheters, Urinary Infections, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Venous Thromboembolisms (VTEs), VTE (Venous Thromboembolism), Winterbourne View, Zero Harm | Leave a comment

Quality Improvement Approaches for Health and Care (Health Foundation / BMJ Quality and Safety / Journal of Oncology Practice / IHI / BMJ)

Posted on October 7, 2013 by Dementia and Elderly Care News

Summary This Health Foundation has produced a guide to the main approaches to improving quality, explaining the origins and underlying principles of the dominant schools of thought. The efficacy and applicability of these ideas for healthcare are discussed. Full Text Link … Continue reading →

Missed Care Episodes, Nurse Staffing Levels and Patient Safety (BMJ Quality and Safety)

Posted on August 18, 2013 by Dementia and Elderly Care News

Summary Recent research indicates that nurses working in English acute hospitals say some aspects of care are left undone frequently, with a presumed impact on nursing care quality and patient safety. Hospitals could use nurse-rated assessments of “missed care” as … Continue reading →

Posted in Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, National, NHS, Person-Centred Care, Proposed for Next Newsletter, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Avoidable Mortality, BMJ Quality and Safety, Care and Compassion, Care Left Undone, Compassion and Care, Compassionate Care, Compassionate Care in Acute Hospital Settings, Dignity, Dignity and Respect, Dignity in Care, Dignity on the Ward, Elderly Care Nurses, Enabling Compassionate Care in Acute Hospital Settings, Florence Nightingale School of Nursing and Midwifery: King's College London, General Hospital Care, General Hospitals, HCSWs, Hospital Mortality, Hospital-Based Carer Support Worker (HCSW), International RN4Cast Consortium, Kings College London, Missed Care Episodes, National Nursing Research Unit: King's College London, Nurse Staffing Levels, Nurse-Sensitive Adverse Events, Patient Outcomes, Patient Safety, Patient to Nurse Ratios, Patients Per Nurse, Practice Environment Scale (PES), Preventable Hospital Mortality, Rationing Care, Safe Staffing Alliance, Safe Staffing Levels, Staffing (Hospitals), Staffing Levels, Staffing Ratios in Nursing, Time Pressure-Missed Care, Time Pressures, Ward Staffing Levels | Leave a comment

Preventable Deaths Due to Problems in Care in English Acute Hospitals (BMJ Quality and Safety)

Posted on November 27, 2012 by Dementia and Elderly Care News

Summary This retrospective case record review found that incidence of preventable hospital deaths, while lower than previous estimates, is still substantial. This study reviewed estimated life expectancy upon hospital admission, identified problems in care contributing to death and assessed whether … Continue reading →

Posted in Acute Hospitals, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), National, NHS, Patient Care Pathway, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Adverse Events, BMJ Quality and Safety, Care in General Hospitals, Chief Medical Officer, Dehydration, Department of Health Services Research and Policy, Diagnostic Errors, General Hospital Care, General Hospitals, Generalised Hospital Mortality, Hospital Mortality, Hospital Mortality Rates, Hydration, Imperial College London, Inadequate Drug or Fluid Management, Institute of Health and Society, Institute of Health and Society (Newcastle University UK), London School of Hygiene and Tropical Medicine, Mortality, National Patient Safety Agency, NHS Outcomes Framework, NHS Outcomes Framework 2012/13, NHSOF: NHS Outcomes Framework, Patient Safety Incidents, Poor Clinical Monitoring, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Problems in Care in English Acute Hospitals, Retrospective Ccase Record Review (RCRR), US Institute of Medicine Report: To Err is Human | Leave a comment

Top Ten Challenges When Improving Healthcare Quality (University of Leicester / BMJ Quality and Safety)

Posted on November 2, 2012 by Dementia and Elderly Care News

Summary This review analyses evaluation reports from five Health Foundation improvement programmes. It identifies ten key challenges: Convincing people there is a problem of relevance to them. Convincing people that the solution chosen is the right one. Getting data collection and … Continue reading →

Posted in Acute Hospitals, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), Health Foundation, National, NHS, Practical Advice, Quick Insights, Standards, Systematic Reviews, UK, Universal Interest | Tagged BMJ, BMJ Quality and Safety, Carrots and Sticks, Clinical Leadership, Clinician Scientist Fellowship, Culture Change, Data Collection and Monitoring Systems, Department of Health Sciences: University of Leicester, Engagement, Harkness Fellowships in Health Care Policy and Practice, Health Foundation Leadership Fellows Scheme 2003-2005, Improvement Science, Journey to Safety, Leaders for Change, Leadership, Leadership Fellows, Leading Practice through Research, Organisational Culture and Climate, Perverse Incentives, Projectness: Project Orientation Downsides, Quality Improvement, Quality Improvement Fellowships, Quality Innovation, Safer Patients Initiative, Safer Patients Initiative Phase 1, Safer Patients Initiative Phase 2, School of Medicine: University of Leicester, Shaping Culture, Social Science Applied to Healthcare Improvement Research Group: University of Leicester, Staff Engagement, Sustainability, Tribalism, Unintended Consequences | Leave a comment

Tag Archives: BMJ Quality and Safety

Further Confirmation of the “Weekend Effect”: The Global Comparators Project (BMJ Quality and Safety / BBC News / OHE / Health Economics / BMJ)

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