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Tag Archives: Pressure Ulcers: Risk Assessment
Counter-Intuitive Evidence on the Efficacy of Education for Healthcare Professionals in the Prevention of Pressure Ulcers (Cochrane Database / NHS Improvement)
Summary Conventional wisdom would suggest that education and training of healthcare staff must be of some practical benefit for the prevention of pressure ulcers. In the real world it may well do so, who knows, but a Cochrane Review has … Continue reading →
Posted in Acute Hospitals, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Non-Pharmacological Treatments, Northern Ireland, Person-Centred Care, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest
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Tagged Acute Care, Acute Hospital Care, Acute Hospitals, ASSKING Model, Building Workforce Capability and Capacity, Care Homes Wellbeing, Centre for Health and Rehabilitation Technologies (CHaRT): Ulster University, Co-Morbidity, Cochrane Database of Systematic Reviews, Cochrane Wounds Specialised Register, Commissioning Education and Training, Comorbidity, Complex Comorbidities, Decubitus Ulcers, Dermatologic Complications, Education and Staff Training, Education and Training, Education for Healthcare Professionals on the Prevention of Pressure Ulcers, End-of-Life Care in Acute Hospitals, End-of-Life Skin Changes, Frontier Science Scotland, Improving Standards in Care Homes, Institute of Nursing and Health Research: Ulster University, Ireland, Medical Education and Training, NHS Improvement's Pressure Ulcer Core Curriculum, NHS Safety Thermometer, Nursing Workforce, Pressure Ulcer Core Curriculum (NHS Improvement), Pressure Ulcer Incidence, Pressure Ulcer Prevalence, Pressure Ulcer Treatments, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Pressure Ulcers: Risk Factors, Prevention and Management of Pressure Ulcers, Risk Assessment and Prevention of Pressure Ulcers, Royal College of Surgeons in Ireland, School of Health Sciences: University of Ulster, School of Nursing and Midwifery: Royal College of Surgeons in Ireland, Skin Assessment and Skin Care, SSKIN Bundle, Staff Training, Stop The Pressure, Systematic Reviews and Meta-Analyses, University of Ulster, Workforce Development, Workforce Education, Workforce Training
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Mortality Rate of Persons With Pressure Ulcers in Hospital: a Local Audit (Wounds UK)
Summary An audit was performed at an NHS trust over a 6-month period to examine the mortality rates of patients reported to have SCALE grade 2, 3 or 4 pressure ulcers in acute care. It was found that 44% of … Continue reading →
Posted in Acute Hospitals, End of Life Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Local Interest, Management of Condition, New Cross Hospital, Quick Insights, Royal Wolverhampton NHS Trust, Royal Wolverhampton NHS Trust Authorial Affiliation, Statistics, Universal Interest, Wolverhampton
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Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Co-Morbidity, Comorbidity, Complex Comorbidities, Decreased Tissue Perfusion, Dehydration, End of Life Care, End of Life Care Research, End-of-Life Care in Acute Hospitals, End-of-Life Skin Changes, European Pressure Ulcer Advisory Panel’s SCALE: Skin Changes at Life’s End, Frailty, Hospital End-of-Life Care, Immobility, Incontinence, Inpatient Palliative Care, Irregular Blood Chemistry, Local Audit of Mortality Rates of Persons With Pressure Ulcers in Acute Hospitals, Localised Hypoxia, Loss of Function, Loss of Mobility, Malnutrition, Managing Comorbidity and Complexity, Mortality Rates, Mortality Rates of Persons With Pressure Ulcers in Hospital, Mortality Risk Factors, Multiple Comorbidities, NHS England Midlands and East: Stop the Pressure Campaign, Organic Deterioration Towards End of Life, Overlapping Risk Factors, Pain, Palliative and End-of-Life Care in Hospitals, Palliative Care, Pressure Ulcer Incidence, Pressure Ulcer Prevalence, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Pressure Ulcers: Risk Factors, Prevention and Management of Pressure Ulcers, Reduced Mobility, Reduced Peripheral Tissue Perfusion, Risk Assessment and Prevention of Pressure Ulcers, Risk Factors, Skin Changes at Life’s End (SCALE), Skin Failure, Skin Integrity, Stages of Pressure Ulcers, Stop The Pressure, Tissue Integrity, Wounds UK
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Scotland’s Updated Care of Older People in Hospital Standards (Healthcare Improvement Scotland)
Summary Revised Scottish standards concerning acute care of older people in hospital address all aspects of the patient care pathway, including initial assessment on admission, rehabilitation, care transitions and discharge planning. There are sixteen standards. Section headings comprise: Standard 1: … Continue reading →
Posted in Acute Hospitals, Commissioning, Delirium, Depression, Diagnosis, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Scotland, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Age Scotland, Alzheimer Scotland, Care of Older People in Hospital Standards, Care Transitions, Care Transitions of Older People, Cognitive Capacity and Consent, Comprehensive Geriatric Assessment (CGA), Consent, Dignity, Dignity and Respect, Dignity on the Ward, Discharge Planning, Engagement and Patient Preferences., Frailty, Frailty Syndromes, Healthcare Improvement Scotland, Hospital Pharmacies, Hospital Pharmacy Services, Managing Transitions, NHS Education for Scotland, NHS Fife, NHS Forth Valley, NHS Grampian, NHS Greater Glasgow and Clyde, NHS Institute for Innovation and Improvement, NHS Lanarkshire, NHS Lothian, NHS Tayside, Older People in Acute Care, Patient Flows, Patient Preferences, Patients Charter, Personal Preferences, Pharmaceutical Care, Physical Rehabilitation, Pressure Sores, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Prevention and Management of Pressure Ulcers, Recognition and Diagnosis of Frailty, Recovery and Rehabilitation, Rehabilitation, Rehabilitation Care Pathways, Reshaping Care for Older People, Royal College of Nursing Scotland, Safe Staffing Levels, Scottish Government, Scottish Government’s (2011) Standards of Care for Dementia in Scotland, Scottish Patient Safety Programme, Staffing Levels, Staffing Levels and Skill Mix, Standards for Food Fluid and Nutritional Care, Standards of Care for Dementia in Scotland, Understanding and Improving Transitions of Older People: User and Care Centred Approach, University of Edinburgh, University of Glasgow, Ward Staffing Levels, Whittle Review Group
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Risk Assessment and Prevention of Pressure Ulcers: Clinical Practice Guideline (American College of Physicians Risk Assessment and Prevention of Pressure Ulcers / Annals of Internal Medicine / Wounds UK)
Summary The American College of Physicians (ACP) has issued a clinical guideline on risk assessment and prevention for pressure ulcers. Two related articles, published in Annals of Internal Medicine, cover recommendations for the prevention of pressure ulcers, and assess the … Continue reading →
Posted in Acute Hospitals, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Local Interest, Management of Condition, New Cross Hospital, Non-Pharmacological Treatments, Practical Advice, Quick Insights, UK, Universal Interest
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Tagged Advanced Static Mattresses, Advanced Static Overlays, Agency for Healthcare Research and Quality (AHRQ), Air-Fluidized Beds, Alternating Pressure Beds and Chair Cushions, Alternating-Air Mattresses, Alternating-Air Overlays, Alternating-Pressure Surfaces, American College of Physicians (ACP), American College of Physicians Risk Assessment and Prevention of Pressure Ulcers, American College of Physicians’ Clinical Practice Guideline on Pressure Ulcers, Annals of Internal Medicine, Antimicrobials, Avoidable Harm, Bed Systems, Bleeding, Braden Scale, Carilion Clinic (Virginia), Chronic Wounds: Advanced Wound Dressings and Antimicrobial Dressings, Cleansers, Clinical Guidelines Committee of the American College of Physicians, Cochrane Database of Systematic Reviews, Collagen, Common Pressure Ulcer Sites, Creams, Database of Abstracts of Reviews of Effects, Decubitus Ulcers, Dermatologic Complications, Dextranomer, Direct Health Services, Dressings and Pads, Dyna-Form™ Mercury Advance Mattress, EBM Reviews, Electrical Stimulation, Electrical Stimulation (Adjunctive Therapy to Accelerate Wound Healing), Foam Dressings, Health Technology Assessment Database, Heel Supports or Boots, Hybrid Static Air and Foam Mattresses, Hydrocolloid Dressings, Hydrocolloid or Foam Dressings, Hydrogel Dressings, Infection, Light Therapy, Local Wound Applications, Lotions, Low-Air-Loss Beds, Low–Air-Loss Mattresses, Macrophage Suspensions, Maggot Therapy, National Institute for Health and Care Excellence (NICE), National Pressure Ulcer Advisory Panel Pressure Ulcer Stages, National Pressure Ulcer Advisory Panel Pressure Ulcer Stages / Categories, NICE Evidence Summaries Medicines and Prescribing Briefings (ESMPB2), Nutrition, Nutritional Supplementation, Oregon Health & Science University (Portland), Overlays, Patient Harms, Patient Safety, Phenytoin, Platelet-Derived Growth Factor, Pressure Sores, Pressure Ulcer Treatment Strategies: Comparative Effectiveness, Pressure Ulcer Treatments, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Pressure Ulcers: Risk Factors, Pressure-Relieving Devices, Pressure-Relieving Support Surfaces, Prevention of Osteomyelitis, Prevention of Sepsis, Protein or Amino Acid Supplementation, Protein Supplementation, Radiant Heat Dressings, Recurrence Rate, Repositioning, Risk Assessment and Prevention of Pressure Ulcers, Skin Surface Breakdown, Stages of Pressure Ulcers, Support Surfaces, Tissue Viability, Trans Tasman Dietetic Wound Care Group, United States, University of Nebraska Medical Center, University of Pennsylvania Health System, USA, Vitamin Supplementation With Vitamin C or Zinc, Wounds UK
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Practical and Measurable Patient Safety Improvement Plans (BBC News)
Summary Health Secretary Jeremy Hunt wants NHS trusts to develop plans for halving, by 2016-17, “avoidable harm” to patients arising from preventable problems such as medication errors, blood clots and bedsores. It is estimated that this could eliminate a third of … Continue reading →
Posted in Acute Hospitals, 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, NHS Digital (Previously NHS Choices), Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest
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Tagged Action Against Medical Accidents, Action against Medical Accidents (AvMA), Active Engagement, Acute Care, Acute Hospital Care, Acute Hospitals, Aligning Forces for Quality, American Hospital Association – Health Research & Educational Trust (AHA-HRET) Survey of Hospitals on Patient Engagement Strategies, Armstrong Institute for Patient Safety and Quality at Johns Hopkins, Avoidable Harm, Avoidable Mortality, Avoidance of Litigation, Barriers to Engagement, Bed Sores, Candour, Candour: Safety and Improvement, Care of Older Adults in Acute NHS Trusts, Consumer Engagement in Patient Safety, Contractual Duty of Candour, Covering-Up Mistakes, Declaration on Engagement for Global Health, Engagement on Quality, Former Health Secretary Jeremy Hunt, General Hospital Care, General Hospitals, Gordon and Betty Moore Foundation, Hospital Aquired VTE, How Safe Is My Hospital (NHS Choices), Hydration, Improving Patient Safety, Incentivising Candour, Incident Reporting, Learning From Mistakes, Learning Organisations, Litigation Claims, Local Change Agents, Lower-Than-Expected Incident Reporting (Problematic), Measures of Harm, Measuring Harm Free Care, Medication Errors, Misdiagnosis, MITSS (Medically Induced Trauma Support Services), National Committee for Quality Assurance (NCQA), National Patient Safety Foundation’s Lucian Leape Institute, National Report and Learning System, NHS Litigation Authority, NHS Litigation Authority (NHS LA), NHS Patient Safety Culture, NHS: Safest Healthcare System in the World (Ambition), NPSF: National Patient Safety Foundation, Open and Honest Incident Reporting, Openness and Transparency, Participation in Diagnosis, Partnering with Patients and Families, Patient and Family Engagement, Patient Engagement, Patient Engagement Strategies, Patient Experience, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Potentially Preventable Complications in Hospitalis, PPE: Patient and Public Engagement, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Putting Patients First, Reducing Litigation Costs, Reporting Culture, Reporting of Incidents, Roundtable on Consumer Engagement, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, SAFE: Safety Action for England, Safety Action for England (Safe) Team, Safety Is Personal, Safety Metrics, SDM: Shared Decision Making, Serious Mistakes, Severe Harm, Sign up to Safety, Statutory Duty of Candour, Surveillance and Reporting, Threshold for Duty of Candour, Transparency, Transparency and Accountability, Unconscious Incompetence, Unsafe Care, User Experience, Venous Thromboembolisms (VTEs), Virginia Mason Hospital: Seattle, VTE (Venous Thromboembolism), VTE Risk Assessment, World Innovation Summit for Health (WISH), Zero Harm
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A Selection of Recent Systematic Reviews and Meta-Analyses
Recent reviews and meta-analyses about miscellaneous topics are listed below. Some of these articles are available freely. The full-text of the other articles may need a suitable Athens password, a journal subscription or payment for access. The Bibliographic Citations Defina, … Continue reading →
Posted in Falls, For Doctors (mostly), For Researchers (mostly), Hip Fractures, International, Mental Health, Pain, Parkinson's Disease, Systematic Reviews
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Tagged Activity, Apathy, Apathy / Indifference, Burden of Disease, Cognitive Reserve Hypothesis, Dementia and Driving Guidance, Disclosure, Disclosure of Diagnosis, Driving, Driving and Dementia, HIV-Associated Neurocognitive Disorders, Physical Activity, Physical Activity Programmes, Pressure Ulcers, Pressure Ulcers: Risk Assessment, Pressure Ulcers: Risk Factors, Systematic Reviews and Meta-Analyses
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Pressure Ulcer Treatment Strategies: Comparative Effectiveness (AHRQ / Annals of Internal Medicine)
Summary A high quality systematic review has been published recently on the treatment of pressure ulcers. Readers may opt to read either the study report in full, or a summary version (two articles) in the Annals of Internal Medicine. “Moderate-strength … Continue reading →
Posted in Acute Hospitals, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Non-Pharmacological Treatments, Practical Advice, Proposed for Next Newsletter, Systematic Reviews
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Tagged Adjunctive Therapies, Agency for Healthcare Research and Quality, Agency for Healthcare Research and Quality (US), AHRQ, AHRQ Comparative Effectiveness Review Number 90, AHRQ Comparative Effectiveness Reviews, AHRQ Publication No. 13-EHC003-EF, Air-Fluidized Beds, Alternating Pressure Beds and Chair Cushions, Alternating-Air Mattresses, Alternating-Pressure Surfaces, Annals of Internal Medicine, Antimicrobials, Bed Systems, Cleansers, Collagen, Common Pressure Ulcer Sites, Creams, Decubitus Ulcers, Dextranomer, Dressings and Pads, Electrical Stimulation, Foam Dressings, Heel Supports or Boots, Hydrocolloid Dressings, Hydrogel Dressings, Light Therapy, Local Wound Applications, Lotions, Low-Air-Loss Beds, Low–Air-Loss Mattresses, Macrophage Suspensions, Maggot Therapy, National Pressure Ulcer Advisory Panel Pressure Ulcer Stages, National Pressure Ulcer Advisory Panel Pressure Ulcer Stages / Categories, Nutrition, Nutritional Supplementation, Overlays, Phenytoin, Platelet-Derived Growth Factor, Pressure Ulcer Treatment Strategies: Comparative Effectiveness, Pressure Ulcer Treatments, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Pressure Ulcers: Risk Factors, Protein or Amino Acid Supplementation, Protein Supplementation, Radiant Heat Dressings, Repositioning, Skin Surface Breakdown, Stages of Pressure Ulcers, Support Surfaces, Surgery, Systematic Review, Systematic Reviews and Meta-Analyses, Transparent Film Dressings, U.S. Department of Health and Human Services, Vitamin Supplementation With Vitamin C or Zinc, Wheelchair Cushions
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