Tag Archives: Harm Free Care

Recent Information on Restraint in Mental Health Trusts, Plus Statistics on Other Safeguarding Topics (BBC News / NHS Digital)

Posted on November 21, 2017 by Dementia and Elderly Care News

Summary Freedom of information requests made by the Liberal Democrats have revealed that the use of restraint by mental health trusts in England has increased yearly since 2013, despite repeated calls over recent years for restraint to be minimised. It … 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, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, Standards, Stroke, UK, Universal Interest | Tagged Abuse, Abuse of Vulnerable Adults, Acute Care, Adult Safeguarding, Adult Safeguarding Concerns and Enquiries, Adult Social Care Analytical Hub, Avoidable Harm, Community and Mental Health Trusts, Councils with Social Services Responsibilities, Culture of Zero-Harm, De-Escalation Techniques, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Dr Sridevi Kalidindi: Royal College of Psychiatrists, Ethical Considerations, Ethical Dilemmas, Ethics and Decision-Making, Experimental Statistics, Face-Down Restraint, FOI: Freedom of information, Freedom of Information, Government Policy on Adult Safeguarding, Harm Free Care, Human Rights, Human Rights and Nursing, Identification and Reporting of Problems, Incident Reporting, Least Restrictive Principle, Liberal Democrat MP Norman Lamb: Former Health Minister (Coalition Government), Liberal Democrats, Making Safeguarding Personal (MSP), Medical Ethics, Mental Capacity, Mental Health Hospitals, Mental Health Trusts, Mental Healthcare, Mind, Neglect and Acts of Omission, NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS Digital: Annual Report for England (2016-17), NHS Digital: Safeguarding Adults Collection (SAC), NHS Mental Health Trusts in England, Norman Lamb MP, Openness and Transparency, Openness. Transparency, Physical Restraint, Physical Restraint in Hospital Settings, Physical Restraint in Mental Healthcare, Psychiatric Hospitals, Recording and Reporting, Reporting Culture in the NHS, Restraint, Restraint in Health and Adult Social Care, Restraint in Mental Health Trusts, Restrictive Practices, Safeguarding, Safeguarding Adults at Risk, Safeguarding Adults Collection, Safeguarding Adults Collection (SAC): Annual Report for England (2016-17), Safeguarding Adults Principles, Safeguarding Adults Reports, safeguarding Adults Reviews, Safeguarding Adults Reviews (SARs), Safeguarding Older People, Transparency, Transparency and Accountability, Unintended Consequences, Use of Reasonable Force, Vicki Nash: Mind | Leave a comment

Towards Harm-Free Care: Modifiable Hospitalisation Risk Factors (Journal of the American Geriatrics Society / HSCIC / BBC News / National Health Executive / NHS England)

Posted on May 7, 2015 by Dementia and Elderly Care News

Summary 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 … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Hip Fractures, In the News, International, Local Interest, Management of Condition, National, NHS England, Nutrition, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Acute Physiology and Chronic Health Evaluation II, Avoidable Harm, BBC Health News, Candour, Candour: Safety and Improvement, Catheter Associated Urinary Tract Infections (CAUTI) Campaign, Charlson Comorbidity Index, Clinical Audit Support Unit (CASU): Health and Social Care Information Centre, Colchester Hospital University NHS Foundation Trust, Continence Care, CQUIN: NHS Safety Thermometer, Culture of Candour, Decubitus Ulcers, Dementia Care in Acute District General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Department of Health Safe Care Team, Dr David Hopper: Health Innovation Network, Epidemiology, Falls in Older People, Guy's and St Thomas' NHS Foundation Trust, Harm Free Care, HCAI, Health and Social Care Information Centre (HSCIC), Health and Social Care Information Centre: Clinical Audit Support Unit (CASU), Health Innovation Network, Healthcare Quality Improvement, Healthcare-Associated Infections (HCAIs), Hospital-Acquired Infections, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Hospitalization Process Effects on Functional Outcomes and Recovery (HoPE-FOR), Inappropriate Use of Urinary Catheters, Incidents reported to National Reporting and Learning System (NRLS), Journal of the American Geriatrics Society, Katherine Murphy: Chief Executive of the Patients Association, King's College Hospital NHS Foundation Trust, Later Life, Local Safety Standards for Invasive Procedures (LocSSIPs), Loss of Independence, Malnutrition Universal Screening Tool, Mandy Fader: University of Southampton, Measuring Harm Free Care, Medication Sedative Load (MSL), Medicines and Healthcare Products Regulatory Agency (MHRA), MHRA Medical Device Directive, Mid Essex Hospital Services NHS Trust, National Health Executive, National Patient Safety AgencyNational Patient Safety Agency, National Reporting and Learning System (NRLS), National Safety Standards for Invasive Procedures (NatSSIPs), National Standards for Invasive Procedures (NatSSIPs), Never Events, Never Events by Healthcare Provider, Never Events by Type of Incident, Never Events Data, Never Events Taskforce Report (2014), NHE: National Health Executive, NHS England Never Events Taskforce Report, NHS England Never Events Taskforce Report (2014), NHS England Patient Safety Domain, NHS Safety Thermometer, NHS Safety Thermometer CQUIN, NHS Safety Thermometer Report (April 2014 to April 2015), No Catheter No CAUTI (Campaign), Official Statistics, Openness and Transparency, Oxford University Hospitals NHS Trust, Patient Harms, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Domain of NHS England, Patient Safety Indicators, Patient Safety Strategies, Patient Safety Thermometer, Patient Voice, Patients First and Foremost, Pfeiffer Short Portable Mental Status Questionnaire, Pressure Ulcers, Prevention of Hospitalisation-Associated Disability, QIPP Safe Care Team, Quality Improvement, Quality Improvement Approaches, Queen Elizabeth Hospital King's Lynn NHS Foundation Trust, Reducing Harm, Reducing Inappropriate Use of Urinary Catheters, Risk Factors, Safer Surgery, Safety Thermometer, STEIS, Strategic Executive Information System (StEIS), Surgical Never Events, Towards Harm-Free Care: Modifiable Hospitalisation Risk Factors, Transparency, Transparency and Accountability, Types of Harm, United States, University Hospitals Bristol NHS Foundation Trust, Urinary Catheterisation, Urinary Catheters, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Urology Trade Association, USA, Venous Thromboembolisms (VTEs), VTE (Venous Thromboembolism), Wrightington Wigan and Leigh NHS Foundation Trust, Zero Harm, Zero Tolerance Healthcare | 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

Berwick Report One Year On: NHS England’s Progress on Patient Safety (NHS England / Health Foundation)

Posted on August 21, 2014 by Dementia and Elderly Care News

Summary It is just over one year since Professor Don Berwick published the “A promise to learn: a commitment to act” report on the safety of patients in England in the wake of the Francis Inquiry. This is a brief review of progress since … 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), Health Foundation, Local Interest, Management of Condition, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Academic Health Science Networks (AHSNs), Action Against Medical Accidents, Airline Industry (Zero Harm), BBC Health News, Berwick Review of Patient Safety, Collaborative Leadership, Collaborative Projects, Collaborative Working, Continuous Learning, Continuous Learning Culture, Culture Change, Culture of Zero-Harm, Dr Mike Durkin: NHS England’s Director of Patient Safety, Ethic of Learning, Fitness to Practise, Fitness to Practise Policy Team: General Medical Council, Francis Inquiry Report, General Medical Council (GMC), GMC Sanctions Guidance, GMC Sanctions: Consultation, Good Medical Practice, Harm Free Care, High Quality Care, Hospital Mortality Rates, Hospital-Acquired Infections, IHI: Institute for Healthcare Improvement, Improvement Collaboratives in Health Care, Incident Reports, Incorrect Priorities, Information Centre for Health and Social Care, Institute for Healthcare Improvement (IHI), Institute of Healthcare Improvement (IHI) Trigger Tool, Kaizen, Leadership, Learning From Mistakes, Local Patient Safety Collaboratives, Local Patient Safety Collaboratives Programme, Measures of Harm, Measuring Safety Culture, Medical Practitioners Tribunal Service (MPTS), Mid Staffordshire NHS Foundation Trust, Mortality Rates, MPTS Panels, National Patient Safety Alerting System (NPSAS), Never Events, Never Events Data, NHS Culture, NHS England National Patient Safety Alerting System, NHS Improving Quality (NHS IQ), NHS Improving Quality (NHSIQ), NHS Regulation, NHS Safety Thermometer, NHS Safety Thermometer Patient Data, No Harm Culture, Open Culture, Openness, Openness and Transparency, PANICOA (Prevention of Abuse and Neglect in the Institutional Care of Older Adults), Patient Harms, Patient Safety, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Patient Safety Indicators, Patient Safety Strategies, Professor Don Berwick, Quality Control, Quality Improvement, Quality Improvement Approaches, Quality of Care, Quality Patient Care, Regulation, Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report, Sign Up to Safety Campaign, Sign Up to Safety Pledges, Target-Chasing (Hitting the Target Missing the Point), Training and Capacity-Building, Transparent Learning Culture, Zero Harm, Zero Tolerance Healthcare | Leave a comment

Fit and Proper Persons Test Regulations / Statutory Duty of Candour / Fundamental Standards (Department of Health)

Posted on July 13, 2014 by Dementia and Elderly Care News

Summary Directors of NHS providers will have to meet a fit and proper person test from October 2014, subject to parliamentary approval. The Care Quality Commission (CQC) can insist on the removal of directors who fail this test. Statutory Duty … 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), National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Accountability, Barring List, Berwick Review of Patient Safety, Best Interests, Best Interests of Patients, Candour, Candour: Safety and Improvement, Care Quality Commission (CQC), Care Quality Commission’s (CQC’s) Regulation and Inspection of Care Providers, Communicating With Patients About Medical Errors, Compassionate Care, Complaints, Confidence, Consent, Consent to Treatment and CTOs, Consequences of the Francis Inquiry Report, Consultations on Fundamental Standards: Duty of Candour, Consultations on Fundamental Standards: Fit and Proper Persons Requirement for Directors, Corporate Accountability, Culture Change, Culture of Candour, Dalton Williams Review: Threshold for Duty of Candour, Dignity and Respect, Duty of Candour, Fit and Proper Person Test, Fit and Proper Person’s Test, Fit and Proper Persons Requirement for Directors, Francis Inquiry, Fundamental Standards, Good Governance, Government Policy, Grounds for Unfitness, Hard Truths, Harm, Harm Free Care, Harm Threshold, Harm Threshold for Adult Social Care, Health and Adult Social Care Providers, Health and Social Care Providers, Health Policy, Healthcare Providers, Healthy Living and Social Care: Red Tape Challenge, Improving Patient Safety, Improving the Safety of Patients in England, Incentivising Candour, Incident Disclosure, Incidents Errors and Near Misses, Informed Patient Consent, Inspection of Commissioners, Learning From Mistakes, Local Care Providers, Local Service Providers, Mental Capacity Act 2005, Mental Capacity and Best Interests, Mid Staffordshire NHS Foundation Trust, Misconduct and Mismanagement, National Reporting and Learning System (NRLS), New Start (CQC), NHS Complaints Process, NHS Constitution, NHS Culture, NHS Providers, No Harm Culture, NRLS Harm Definitions, Nutrition and Hydration, Nutritional Needs, Offences, Open Culture, Openness, Openness and Transparency, Patient Complaints, Patient Safety, Patient Safety Incidents, Patients First and Foremost, Penalties, Policy, Policy Development, Post-Paternalist Age, Premises and Equipment, Protecting Adults from Abuse or Neglect, Providers, Public Confidence, Quality Regulation Branch: Department of Health, Quality Regulation Team: Department of Health, Red Tape Challenge, Registration with the Care Quality Commission (Requirements), Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting Culture, Requirements for Registration with the Care Quality Commission, Safe Care and Treatment, Safe Staffing, Safeguarding Against Abuse, Service Providers, Staff Skills, Stafford Hospital, Standards of Care, Statutory Duty of Candour, Strengthening Corporate Accountability, Threshold for Duty of Candour, Transforming Care, Transparency, Transparency and Accountability, Wilful Neglect | Leave a comment

Statutory Duty of Candour Moves Closer (BBC News / Royal College of Surgeons)

Posted on March 8, 2014 by Dementia and Elderly Care News

Summary The review commissioned by the Government in the wake of the Francis Inquiry report has recommended that the NHS must be open and honest about mistakes. The report calls for a statutory duty of candour in the case of … Continue reading →

Posted in BBC News, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, NHS, Patient Care Pathway, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged Action Against Medical Accidents, Audit Loop, Australian Commission of Safety and Quality in Health Care, Australian Open Disclosure Framework, Avoidable Harm, BBC Health News, Berwick Review of Patient Safety, Breach of Acceptable Practice, Bureaucracy, Candid Conversations: Treating Patients as Equals, Candour, Candour: Safety and Improvement, Care Quality Commission (CQC), Communicating With Patients About Medical Errors, Compassionate Care, Consequences of the Francis Inquiry Report, Culture Change, Culture of Candour, Culture of Zero-Harm, Excessive Regulatory Responses, Fear of Litigation, Fear of Professional Regulatory Consequences, Foundation Trust Network (FTN), Francis Inquiry, Harm, Harm Free Care, Improving Patient Safety, Incentivising Candour, Incident Disclosure, Incidents Errors and Near Misses, Learning From Mistakes, Mid Staffordshire NHS Foundation Trust, Misplaced Paternalism, Moderate Harm, National Reporting and Learning System (NRLS), NHS Culture, NHS Litigation Authority, NHS Litigation Authority (NHS LA), No Harm Culture, Open Culture, Openness, Openness and Transparency, Organisational Reputation, Patient Safety, Patient Safety Incidents, Post-Paternalist Age, Pressure Ulcers, Professional Standards Authority, Professor Norman Williams, Professor Norman Williams: President of Royal College of Surgeons, Prolonged Psychological Harm, Reduction in Bureaucracy, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting Culture, Risk and Consent, Royal College of Nursing (RCN), Royal College of Surgeons, Royal College of Surgeons of England (RCSENG), Sir David Dalton: Salford Royal Hospital, Stafford Hospital, Statutory Duty of Candour, Threshold for Duty of Candour, Transparency, Transparency and Accountability, Violation, Wilful Neglect | 1 Comment

Royal College of Nursing Consultation on Restraint in Health and Adult Social Care (RCN)

Posted on January 10, 2014 by Dementia and Elderly Care News

Summary The Royal College of Nursing (RCN) has been commissioned by the Department of Health to review and develop guidance on positive behaviour support (PBS) and the minimisation of restrictive practices across health and adult social care. The consultation closes … Continue reading →

Posted in Acute Hospitals, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Mental Health, National, NHS, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged Abuse, Abuse of Vulnerable Adults, Acute Care, Adult Safeguarding, Adult Social Care, Attitudinal Change, Avoidable Harm, Behaviour Support Plans, Best Practice in PBS, Chemical Restraint, Culture of Zero-Harm, De-Escalation Techniques, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Ethical Considerations, Ethical Dilemmas, Ethics and Decision-Making, Harm Free Care, Least Restrictive Principle, MCA: Mental Capacity Act 2005, Mechanical Restraint, Medical Ethics, Mental Capacity, Mental Capacity Legislation, Northern Ireland, Openness and Transparency, Openness. Transparency, Physical Restraint, Physical Restraint in Hospital Settings, Physical Restraint in Mental Healthcare, Positive Behaviour Support (PBS), Proportionality in Safeguarding, Proportionality: Human Rights and Mental Capacity Legislation, Respect, Respecting Persons with Dementia, Responsible Commissioning, Restraint, Restraint in Health and Adult Social Care, Restrictive Practices, Royal College of Nursing (RCN), Safeguarding, Safeguarding Adults at Risk, Safeguarding Adults Principles, Safeguarding Older People, Scotland, Transforming Care, Transparency, Transparency and Accountability, Use of Reasonable Force, Wales, Winterbourne View Hospital | Leave a comment

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