Tag Archives: Improving Patient Safety

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

Recent Report on the State of Care (CQC / DHSC / BBC News / NHS England / SCIE)

Posted on October 30, 2018 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC) recently released their annual State of Care report, which examines the performance and effectiveness of health and social care in England, on every front. It appears that patients’ experiences of care tend to depend on how well the components … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Department of Health and Social Care (DHSC), 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, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest | Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Staff Vacancy Rates, Adult Social Care Workforce, Air Ambulances, Allied Healthcare, Ambulance Services, Asset-Based Approaches, Asset-Based Approaches to Health and Wellbeing, Autumn Budget (2018), Barriers to Joined-Up Care, BBC Health News, BBC Politics News, BBC Reality Check Team, Bed Occupancy, Beyond Alternative Approaches to Performance Management, Beyond Barriers Report: Alternative Approaches to Performance Management, Beyond Barriers Report: Local System Reviews, Beyond Barriers: Birmingham, Beyond Barriers: Bracknell Forest, Beyond Barriers: Bradford, Beyond Barriers: Coventry, Beyond Barriers: CQC Report (2018), Beyond Barriers: Cumbria, Beyond Barriers: East Sussex, Beyond Barriers: Halton and. Hampshire, Beyond Barriers: Hartlepool, Beyond Barriers: Liverpool, Beyond Barriers: Manchester, Beyond Barriers: Northamptonshire, Beyond Barriers: Oxfordshire, Beyond Barriers: Plymouth, Beyond Barriers: Sheffield, Beyond Barriers: Stockport, Beyond Barriers: Stoke-on-Trent, Beyond Barriers: Trafford, Beyond Barriers: Wiltshire, Beyond Barriers: York, Budget 2018: Key Points At-a-Glance, Care Quality Commission (CQC), Caring (CQC Inspection Question), Case Tracking, Chancellor Philip Hammond, Collaborative Working, Community Assets, Community Health Services, Comprehensive Model of Personalised Care, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Review of NHS Radiology Services (Planned), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Care in the Acute Hospital, Deprivation of Liberty Safeguards (DoLS), Digital Interoperability, East London NHS Foundation Trust, Effective (CQC Inspection Question), End to Silo Working, Everett McKinley Dirksen (Quotation: Apocryphal?), Extended Access to Primary Care, Future of Care Report: Number 8 (SCIE), General Practice Workforce, Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, High Impact Change Model, High Impact Change Model (HICM), Hospital Bed Capacity, Hospital Beds, Improved Better Care Fund (iBCF), Improvements Following Re-inspection, Improving Patient Safety, Incentivising Better Joint Working, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Institutional Silos, Joined-Up Care, Joint Commissioning, Joint Workforce Planning, Leadership, Local Community Assets, Local System Reviews, Local Systems Reviews Report (CQC), Local Variations, Mental Health Crisis Care, Mental Health Crisis Centres in Every Accident and Emergency Unit, Mental Health Crisis Hotline, Mental Health Services, Multi-Disciplinary Working, New Settlement for Health and Social Care, NHS Budget, NHS Community Health Services, NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Sustainability, Number of Nursing Home Beds, Nursing Home Beds, Older People: Moving Between Health and Social Care Services, Paradigm Shift: From Service Silos to Systems Outcomes, Patient Safety, Prevention Green Paper, Primary Medical Services, Quality and Sustainability, Quality Improvement, Reablement, Recruitment and Retention, Responsive (CQC Inspection Question), Responsiveness, Risk Sharing: Sharing Risks and Rewards Between Health and Social Care Organisations, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Silo Working, Single Point of Access (SPA), Social Care Green Paper, Social Care Institute for Excellence (SCIE), Social Care Workforce, Staff Shortages, Staffing, State of Care 2017/18 (CQC), State of Care 2017/18 Report, State of Care 2017/8. Care Quality Commission (CQC): 2018, State of Care Report, State of Health Care and Adult Social Care in England 2017/18, Step Down, Sustainability, Training and Competency, Transforming Care and Support: Future of Care Report (SCIE), UK Homecare Association (UKHCA), UKHCA: UK Homecare Association, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Workforce Challenges, Workforce Issues | Leave a comment

Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC News)

Posted on July 3, 2018 by Dementia and Elderly Care News

Summary NHS England is actively considering proposals to discontinue or reduce the availability of 17 routine procedures considered to be either ineffective or risky. The aim is to improve patient outcomes, reduce waste in the NHS (by an estimated 200 … Continue reading →

Persistent Failings Versus Quality Improvement in Mental Health Care (PHSO / CQC)

Posted on April 16, 2018 by Dementia and Elderly Care News

Summary The Parliamentary and Health Service Ombudsman (PHSO) has published a report addressing failings in specialist mental health services in England, and their devastating impact on patients and their families. The complaints in this report predate the Five Year Forward … Continue reading →

NHS England’s Pharmacy Integration Fund (NHS England / BBC News)

Posted on March 18, 2018 by Dementia and Elderly Care News

Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →

Posted in BBC News, Commissioning, Community Care, Falls Prevention, 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, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes | Leave a 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)

Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC News)

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