Tag Archives: Improving Patient Safety

More on Sustaining Quality Improvement (CQC)

Posted on March 7, 2020 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC) has published further findings about sustaining improvement, based on the positive examples from four case studies, including: Cambridge University Hospitals NHS Foundation Trust. East Lancashire Hospitals NHS Trust. North Staffordshire Combined Healthcare NHS Trust. … Continue reading →

Annual Care Quality Commission State of Care Report (BBC News / CQC / Healthwatch)

Posted on October 20, 2019 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC) recently released the annual State of Care review. It concludes that most care provided across England is of good quality and improving. Community care services need to be improved. Innovations in new approaches to care should be … Continue reading →

Posted in Acute Hospitals, Age UK, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Accelerating Innovation, Access to Health and Social Care Support, Access to Specialised Services (Including CAMHS and Secure Services), Accessible Information Standard, Accessible Information Standard (NHS England), Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Funding, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Vacancy Rates, Adult Social Care: Overall and Key Question Ratings, Alzheimer’s Society’s Dementia Connect Tool, Barriers to Innovation, BBC Health News, Bed Occupancy Rates, British Red Cross, Cambridge University Hospitals NHS Foundation Trust (CUHFT), CAMHS Services, Cancelled Elective Operations, Caremark: PatchCare® Model, Child and Adolescent Mental Health Services (CAMHS), Choice Support, Co-op, Community Connectors, Community Hub Operating Centres (CHOCs), Coventry and Warwickshire Partnership NHS Trust, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Connect Service, Deprivation of Liberty Safeguards (DoLS), Dimensions of Health and Well-being Tool, Dr Nick Scriven: Society of Acute Medicine, East Lancashire Hospitals NHS Trust, Farnham Integrated Care Service, Frimley Health and Care, Funding and Commissioning Challenges, Geographical Variations, GP Practices: Overall and Key Question Ratings, Greater Manchester Health and Care Partnership, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Healthwatch England, Healthwatch England's SpeakUp2020 Campaign, Ian Trenholm: Chief Executive of Care Quality Commission (CQC), Improvements Following Re-inspection, Improving Patient Safety, Innovation, Innovation and Improvement, Innovation and Technology, Integration and Innovation (Proposed), Intensive Home Support Service (IHSS), Joined-Up Care, Joint Commissioning, Leadership, Learning Disability and Autism, Learning Disability Hospitals, Learning Disability Services, Local Community Assets, Local System Reviews, Medvivo, Mental Health Beds: Local Availability, Mental Health Services, Midlands Partnership Foundation Trust, Multispecialty Community Providers (MCPs) - Vanguard Site: Encompass, NHS Acute Hospitals: Overall Core Service and Key Question Ratings, NHS Mental Health Trusts in England, NHS Mental Health Trusts: Overall Core Service and Key Question Ratings, Partnership Working, Patient Safety, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Positive Behaviour Support (PBS), Primary Medical Services, Quality and Sustainability, Quality Improvement, Royal Stoke Hospital, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Social Care Practitioner (SCP) in Emergency Department (St Mary’s Hospital / Isle of Wight Council), Social Care Workforce, SpeakUp2020 Campaign (Healthwatch England), Staff Shortages, Staffing, State of Care 2018/19 (CQC), State of Care 2018/19 Report, State of Care 2018/9. Care Quality Commission (CQC): 2019, State of Care in England 2018/19, State of Care Report, Stoke-on-Trent, Surrey Heartlands Health and Care Partnership, Sustainability, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Whitstable Medical Practice - Encompass (MCP Vanguard), Workforce Challenges, Workforce Race Equality Standard (WRES) | Leave a comment

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

Potential Harms From Polypharmacy in the Elderly (BBC News / Age UK / EJCP / Bazian / Lancet Psychiatry)

Posted on September 8, 2019 by Dementia and Elderly Care News

Summary An Age UK report investigates the potential harms of over-prescribing medicines for older people. Older persons often remain on too many prescribed medicines, putting them at risk of side-effects, potentially resulting in falls and other forms of serious harm. … Continue reading →

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

More on Organisational Approaches to Quality Improvement (Health Foundation / BMJ)

Posted on May 4, 2019 by Dementia and Elderly Care News

Summary The Health Foundation’s report investigates lessons derived from sponsoring and evaluating quality improvement, whether at team, organisation and / or system levels. Case studies covering three NHS trusts in England with a CQC rating of “Outstanding” and which implemented … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, Integrated Care, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged AQuA’s QI Maturity Matrix, Barriers to Engagement, Barriers to Involvement, BMJ, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Chamberlain’s QI Building Blocks Framework, Co-production in Quality Improvement, Compassionate Care, Compassionate Inclusive and Effective Leaders, Compassionate Leadership, Compassionate Leadership and Innovation, Compassionate Leadership: Cultural Elements, Culture and Environment, Culture of Compassionate Care, Delivering Safe and Compassionate Care, Department of Applied Health Research: University College London (UCL), East London NHS Foundation Trust, East London NHS Foundation Trust (ELFT), East London NHS Foundation Trust (QI), ELFT QI Method, Enablers of Organisational Improvement, GenerationQ, Getting It Right First Time (GIRFT), Health Foundation's Quality Improvement Reports, Improving Patient Safety, Infrastructure and Resources, Innovative Leadership, Intermountain Healthcare Delivery Institute, Intrinsic Motivation, Involvement and Participation, Jönköping County Council, Jönköping County Council: Sweden, Jönköping County Council’s QI Programme (Sweden), Johns Hopkins Medicine, Kaizen, Leaders Comfortable With More Autonomy at All Levels, Leadership, Leadership and Culture, Leadership and Governance, Leadership for Improvement Board Development Programme, Leadership Style, Lean and Quality Improvement, Lean Programme, Learning Culture, Learning-Based Approaches, Macro Meso and Micro Contributions to Quality Improvement, Macro Meso and Micro Contributions to Quality of Healthcare, Maximising Health Outcomes, Minimising NHS Costs, NHS Challenges and New Solutions, NHS Culture, NHS Culture Change, NHS Efficiency Savings, NHS Partnership with Virginia Mason Institute, Northumbria Healthcare NHS Foundation Trust, Open Culture, ORCA Tool, Organisation-Wide Approaches to Quality Improvement, Organisational Barriers to Improvement, Organisational Improvement, ORIC Measure, Outstanding Care, Overcoming Challenges to Improving Quality, Overcoming Inertia, Patient Safety, Patient-Centred Culture, People-Driven Approaches to Change, Positive Culture, Positive Inclusion and Participation, Problem-Solving and Innovation, QI Culture, QI: Quality Improvement, QSIR, Quality Improvement, Quality Improvement Approaches, Quality Improvement Culture, Quality Improvement Resources, Quality Service Improvement and Redesign (QSIR) Programmes, Redesigning Care Pathways, Redesigning Services, Reducing Waste in the NHS, Research Culture, Respect for Autonomy, Return on Investment From QI, RUBIS.Qi, Sheffield Teaching Hospitals NHS Foundation Trust: Microsystems Coaching Academy, Skills and Workforce, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, Tackling Barriers to Innovation, Thedacare Accountable Care, Transformative Culture, Transparent Learning Culture, UCL Department of Applied Health Research, University College London (UCL), Virginia Mason Institute Production System, Western Sussex Hospitals NHS Foundation Trust | Leave a comment

Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)

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

Summary While much recent research has cast doubt upon the validity of the “Weekend Effect” construct, the authors of this qualitative research focus instead on the perceptions of patients and hospital workers regarding the quality and safety of care at … Continue reading →

Posted in Acute Hospitals, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged 7 Day Services, Access to Urgent and Emergency Care, Accident and Emergency (A&E) Departments, Acute and Hospital Services, Acute Care, Acute Care and Quality, Acute Hospital Care, Acute Hospitals, Birmingham (UK), BMC Health Services Research, Care in General Hospitals, Care of Deteriorating Patients, Consultant Delivered Care, Consultant Input, Day-of-the-Week Effect, Delays in Clinical Decision-Making (Weekends), Department of Health Sciences: University of Leicester, Deteriorating Patients, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Admission (EHA), Emergency Hospital Treatment, Emergency Medicine, General Hospital Care, High Intensity Specialist Led Acute Care (HiSLAC), High-Intensity Specialist-Led Acute Care (HiSLAC) Project, HiSLAC (High Intensity Specialist-Led Care) Study, Hospital Discharge, Hospital Discharge and Transfers, Hospital Mortality, Hospital Mortality Rates, Improving Patient Safety, Leicester (UK), Monday to Friday Culture, Monitoring and Responding to Deteriorating Patients, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Patient and Public Involvement (PPI), Patient Flows, Patient Safety, Patient Safety Improvement, Positive Deviance, Preventable Hospital Mortality, Qualitative Research, Quality Improvement, Quality of Care, Quality of Care at Weekend, Queen Elizabeth Hospital Birmingham, Reduced Continuity of Clinical Care (Weekends), Rescue and Stabilisation of Sick Patients, Resilience and Risk of Error (Weekends), Seven-Day Hospital Services, Seven-Day Working, Staffing Levels, Staffing Levels and Skill Mix, Thematic Analyses, Therapeutic Pathway Flow, University Hospitals Birmingham, University Hospitals Birmingham NHS Foundation Trust, University of Leicester, Urgent and Emergency Care, Variations in Quality of Care, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Specialist to Patient Ratio in Hospitals, Weekend Working | 1 Comment

Tag Archives: Improving Patient Safety

More on Organisational Approaches to Quality Improvement (Health Foundation / BMJ)

Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)

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