Tag Archives: Preventable Deaths in English Acute Hospitals

System to Measure and Prevent Medication Errors Under Development (Department of Health and Social Care / EEPRU / BBC News)

Posted on May 12, 2018 by Dementia and Elderly Care News

Summary The Department of Health and Social Care now has a system to help identify, monitor and prevent medication errors. The aim is to help ensure the NHS becomes the safest healthcare system in the world, as well as avoiding … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Avoidable Admissions, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Ill-Health, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Caroline Dinenage: Care Minister, Choosing Wisely, Choosing Wisely Campaign, Community Pharmacists, Continuous Learning Culture, Culture Change, Culture of Raising Concerns, Defences for Pharmacists: Accidental Dispensing Errors, Department of Health and Social Care (Formerly the Department of Health), Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, ePACT2, Epidemiology and Statistics, Gastric Bleed Statistics, Global Patient Safety Challenge (WHO), Hospital Admissions, Hospital Electronic Prescribing and Medicines Administration (HePMA), Inappropriate Hospital Admissions, Learning Culture, Measurement and Prevention of Medication Errors, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Reviews, Medication Safety, Medication Safety Dashboard, Medication Without Harm (WHO), Medicines Optimisation, Medicines Optimisation Dashboard, Medicines Safety Programme (WHO), NHS Culture Change, NHS England Medicines Optimisation Intelligence Group, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, NHS: Safest Healthcare System in the World (Ambition), No Harm Culture, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Without Gastro Protective Medicine, Openness and Honesty When Things Go Wrong, Openness and Transparency, Patient Safety, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist-Led Medication Reviews, Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Preventable Deaths in English Acute Hospitals, Preventable Hospital Admissions, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Preventing Avoidable Emergency Admissions, Primary Care Adverse Drug Reactions, Putting Patients First, Quality Improvement, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Reducing Waste in the NHS, Regular Medication Reviews, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Royal Pharmaceutical Society (RPS), ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, Unnecessary Hospital Admissions | Leave a comment

Medication Errors: an Open Learning Culture Recommended to Reduce Patient Harm (BBC News / Department of Health / EEPRU / Department of Health and Social Care)

Posted on February 25, 2018 by Dementia and Elderly Care News

Summary Medication errors, which include (i) wrong medications given, (ii) incorrect doses and (iii) delays in medication being administered, cause an estimated 700 deaths per year and might play a role in something between 1,700 to 22,300 further avoidable deaths. … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Acute Care and Quality, Acute Care and Workforce, Adult Psychiatric Intensive Care Services, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, BBC Health News, Blame Culture, Care Home Culture, Care Home Environments, Care Homes, Centre for Health Economics: University of York, Choosing Wisely Campaign, Choosing Wisely in the NHS, CHUMS Study, Clinical Pharmacists, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Community Pharmacists, Continuous Learning Culture, CQC Investigations and Quality Policy, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Department of Health Policy Research Programme, Division of Population Health Health Services Research and Primary Care: University of Manchester, Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, EQUIP Study, Former Health Secretary Jeremy Hunt, Global Patient Safety Challenge (WHO), HePMA, Hospital E-Prescribing and Medicines Administration, Hospital Electronic Prescribing and Medicines Administration (HePMA), Hospital Pharmacists, Learning Culture, Making Choices Together (Previously Choosing Wisely Wales), Manchester Centre for Health Economics: University of Manchester, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Safety Programme (WHO), Medicines Value Programme (NHS England), NHS Culture, NHS Culture Change, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, No Harm Culture, Old Age Psychiatry, Open and Transparent Culture, Openness, Openness and Collaboration, Openness and Honesty When Things Go Wrong, Openness and Transparency, Partnering with Patients and Families, Patient and Family Engagement, Patient and Public Engagement (PPE), Patient and Public Involvement, Patient and Public Involvement (PPI), Patient Engagement, Patient Engagement Strategies, Patient Harm, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist Buddy Scheme (County Durham and Darlington NHS Foundation Trust), Pharmacist-Led Information Technology Intervention (PINCER), Pharmacists, PINCER Intervention, Policy Research Programme (PRP), Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Potentially Preventable Complications in Hospitalis, PREPARE: Partnership for Responsive Policy Analysis and Research, PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study, Prescription Errors in Psychiatry, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Primary Care Adverse Drug Reactions, PROTECT Programme, Putting Patients First, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, SDM: Shared Decision Making, Secondary Care Adverse Drug Reactions, Serious Mistakes, Severe Harm, Shared Care and Education, Shared Decision-Making, Short Life Working Group (SLWG), Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, UK Department of Health Policy Research Programme, United States National Coordinating Council for Medication Error Reporting and Prevention, University of Manchester, University of Sheffield, University of York, University of York Centre for Health Economics (CHE), WHO Domain: Health Care Professionals, WHO Domain: Medicines, WHO Domain: Patients and the Public, WHO Domain: Systems and Practice of Medication, WHO Domains, WHO Global Patient Safety Challenge | Leave a comment

Variations in Excess Hospital Mortality Rates (BBC News / NHS Digital)

Posted on March 10, 2017 by Dementia and Elderly Care News

Summary Significantly higher than expected death rates have been recorded at 19 of the 133 NHS Trusts in England, according to the Dr Foster Unit at Imperial College London. “There were 15,396 more deaths than expected at the trusts in … Continue reading →

All-Party Parliamentary Group on Dementia Concerned About Disjointed and Substandard Care For Common Dementia Comorbidities (ILC-UK / Alzheimer’s Society / Pharma Times Online / APPG on Dementia)

Posted on April 24, 2016 by Dementia and Elderly Care News

Summary Inadequate care and systemic failures in the prevention, diagnosis and treatment of comorbidities experienced by people with dementia is believed to result in (i) unnecessary costs for the NHS, (ii) widespread and preventable reduced quality of life among patients … Continue reading →

Posted in Acute Hospitals, Alzheimer's Society, Charitable Bodies, Commissioning, Community Care, Depression, Diagnosis, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Hip Fractures, Hypertension, In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged All-Party Parliamentary Group (APPG), All-Party Parliamentary Group on Dementia, Amenable Mortality, APPG on Dementia, Average Annual Cost Per Person With Dementia, Average Annual Cost Per Person With Dementia: All Severity Levels, Average Annual Cost Per Person With Dementia: Mild Dementia, Average Annual Cost Per Person With Dementia: Moderate Dementia, Average Annual Cost Per Person With Dementia: People With Dementia Living in Residential Care, Average Annual Cost Per Person With Dementia: People With Dementia Living in the Community, Average Annual Cost Per Person With Dementia: Severe Dementia, Avoidable Hospital Mortality, Avoidable Mortality, Avoidable Premature Mortality, Baroness Sally Greengross (APPG on Dementia), Baroness Sally Greengross: Chief Executive of the International Longevity Centre UK, Barriers to Self-Management for People with Dementia, Barriers to Self-Management in Early Stage Dementia, Co-Morbidities, Co-Morbidities and Dementia, Co-Morbidities In Older Patients, Common Dementia Comorbidities, Comorbidities Framework, Complex Conditions, Cost of Co-Morbidities, Cost of Mismanaging Dementia and Diabetes Depression and Urinary Tract Infections (£1 Billion Per Year), Costs to the National Health Service (NHS): Type 2 Diabetes, CQC Inspection Regimes To Assess Quality of Care Pathways Across Health and Social Care Settings (Proposal), Deaths Associated with Hospitalisation, Debbie Abrahams MP: Co-Chair of APPG on Dementia, Dementia and Comorbidities: Ensuring Parity of Care (ILC-UK), Dementia and Depression, Dementia and Diabetes, Dementia and Mortality, Dementia and Urinary Tract Infections, Dementia Co-Morbidities, Dementia Comorbidities, Dementia Rarely Travels Alone: All-Party Parliamentary Group (APPG) on Dementia 2016 Report, Dementia Risk Factors, Depression and Dementia, Diabetes, Diabetes and Multiple Morbidities, Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Disjointed and Substandard Care, Elderly People With Complex Health and Social Care Needs, Health and Social Care Integration, Holistic Annual Health Review Coordinated by GPs (Proposal), Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Consolidated Review of Separate Conditions (Proposal), Holistic Medical Reviews, Holistic Needs Assessment (HNA), Hospital Mortality, ILC-UK, ILC-UK: International Longevity Centre UK, Impact of Dementia on Hospital Mortality, Integration of Health and Care, Integration of Health and Social Care, Integration of Health and Social Care for Older People, International Longevity Centre UK (ILC-UK), Management of Co-Morbidities, Medication Management, Mental Health Co-Morbidities, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), Parity of Care Report (ILC-UK), Perverse Incentives, Pharma Times Online, PharmaTimes, Premature Death, Preventable Deaths in English Acute Hospitals, Quality Outcomes Framework (QOF), Quality Outcomes Framework (QOF): Perverse Incentives, Quality Outcomes Framework (QOF): Tick-Box Culture, Reducing Catheter Associated Urinary Tract Infections, Revision of Quality Outcomes Framework Which Currently Incentivises Separate Reviews (Proposal), Risk Factors, Self-Care, Self-Management in Chronic Illness, Self-Management in People With Early Stage Dementia, Self-Management of Long-Term Illnesses, Self-Management Support, Standards To Avoid Perverse Incentives, Support for Self-Care, Supporting Self-Care, Type 2 Diabetes, Untreated Comorbidities, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Urinary Tract Infections and Dementia | Leave a comment

Monitor and Trust Development Authority Under Single Leadership: Delivering Better Support to Hospitals (Department of Health / Monitor)

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

Summary Closer working between Monitor and the NHS Trust Development Authority (NHS TDA) should help reduce lack of standardisation and inconsistency, and help to embed hospital patient safety as an NHS priority. All NHS hospitals, whether foundation trusts or non-foundation … Continue reading →

Potentially Avoidable Costs of Parkinson’s Disease Hospitalisations in England (Parkinson’s UK / UCB / Parkinsonism and Related Disorders)

Posted on March 16, 2015 by Dementia and Elderly Care News

Summary Research from the University of Birmingham and Sandwell and West Birmingham Hospitals NHS Trust, concerning preventable hospital admissions and sub-optimal outcomes for persons with Parkinson’s Disease, points to various potential problems and inefficiencies in patient care: Parkinson’s Disease sufferers … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Parkinson's Disease, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Avoidable Admissions, Avoidable Mortality, City Hospital (Birmingham), College of Medicine and Dental Sciences: University of Birmingham, Department of Neurology: Sandwell and West Birmingham Hospitals NHS Trust, Emergency Admissions: Parkinson’s Disease, Hospital Episodes Statistics (HES), Institute of Health and Society: Newcastle University, Length of Stay (LoS): Parkinson’s Disease, Mortality in Parkinson's Disease, Newcastle University, North Tyneside General Hospital, Northumbria Healthcare NHS Foundation Trust, Parkinson’s Dementia, Parkinson’s Disease Dementia, Parkinson’s Disease Hospitalisation in England, Parkinson’s Disease Hospitalisation in England Report, Parkinson’s UK, Parkinson’s UK (Parkinsons Disease Society), Parkinsonism, Parkinsonism & Related Disorders (Journal), Parkinsonism and Related Disorders, Preventable Adverse Events, Preventable Deaths in English Acute Hospitals, Preventable Hospital Admissions, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Professor Carl Clarke: University of Birmingham and Sandwell and West Birmingham Hospitals NHS Trust, Reducing Avoidable Premature Mortality, Sandwell and West Birmingham Hospitals NHS Trust, School of Clinical and Experimental Medicine: University of Birmingham, School of Social and Community Medicine: University of Bristol, Steve Ford: Chief Executive of Parkinson’s UK, UCB Pharma Ltd, University of Birmingham, University of Bristol | Leave a comment

National CQUIN Incentives to Encourage Physical Health Checks for Mental Health Patients (BBC News / NHS England)

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

Summary Mental health patients tend to die from physical health problems around 15 years earlier than the general population. To help overcome these health inequalities, mental health trusts will be paid for performing assessments of the general physical condition and … Continue reading →

Posted in Acute Hospitals, Antipsychotics, BBC News, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, NHS Alliance, NHS England, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Mental Health Services, Adult Mental Health Services (AMHS), Avoidable Ill-Health, Avoidable Mortality, Avoidable Premature Mortality, BBC Health News, Commissioning for Parity of Esteem, Commissioning for Quality and Innovation (CQUIN) Payment Framework, Commissioning for Quality and Innovation Scheme (CQUINs), CQUIN Incentive Payments, CQUIN Payments, CQUINs, Dr Geraldine Strathdee: NHS England’s National Clinical Director for Mental Health, Elderly Mental Health, Health and Wellbeing, Health Inequalities, Health Inequalities in England, Increasing Wellbeing, Integrated Physical and Mental Health, Lifestyle Factors, Lifestyle MOTs, Lifestyle Risk Factors, Living Longer: Reducing Avoidable Premature Mortality, Mental Health Co-Morbidities, Mental Health Commissioning, Mental Health Hospitals, Mental Health Inequalities, Mental Health Trusts, Mental Wellbeing, Mortality Morbidity and Wellbeing, Parity Between Mental and Physical Health, Parity of Esteem, Physical Health Checks for Mental Health Patients, Physical Wellbeing, Potentially Preventable Complications in Hospitalis, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Reducing Avoidable Premature Mortality, Reducing Health Inequalities, Risk Factors, Social Determinants of Health Inequalities | Leave a comment

Practical and Measurable Patient Safety Improvement Plans (BBC News)

Posted on March 26, 2014 by Dementia and Elderly Care 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 | 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 | Leave a comment

Measures of Hospital Mortality Rates and Standards of Care (BBC News / BBC Radio 4’s “File on 4”)

Posted on February 25, 2014 by Dementia and Elderly Care News

Summary A leading health academic, Professor Nick Black, has been asked by NHS England to review whether the two main measures of mortality – the hospital standardised mortality ratio (HSMR) and the summary hospital-level mortality index (SHMI) – are meaningful … Continue reading →

Posted in Acute Hospitals, BBC News, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS Evidence, Patient Information, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, BBC Health News, BBC Radio 4, Care in General Hospitals, Care Quality Commission (CQC), Commissioning Local Services, CQC Acute Care Indicator Definitions and Sources, CQC Hospital Inspections, Dr Foster, Dr Foster Hospital Guide, Dr Foster Intelligence, Excess Mortality, File on 4 (BBC Radio 4), General Hospital Care, General Hospitals, Hospital Mortality, Hospital Mortality Rates, Hospital Standardised Mortality Ratios (HSMRs), Keogh Mortality Review, Keogh Review, Local Context, Local Disease Burden, Local Health Economy, Local Public Health, Local Service Providers, Measures of Hospital Mortality, Medical Director of NHS England: Professor Sir Bruce Keogh, Mortality in Older People, Mortality Statistics, Preventable Deaths in English Acute Hospitals, Professor Nick Black, Professor Sir Bruce Keogh, Quality of Care, Roger Taylor: Director of Research (Dr Foster Intelligence), SHMI: Summary Hospital-level Mortality indicator, Summary Hospital-level Mortality indicator (SHMI), Variations in Quality of Care | Leave a comment

NICE Eyes on Evidence: Cumulative Index 2013 (NICE Evidence)

Posted on September 12, 2013 by Dementia and Elderly Care News

Summary The NICE Evidence‘s Eyes on Evidence service covers significant new evidence across a range of topics. Here is an alphabetical list of the items, which have appeared so far this year, of broad interest to readers of this information … Continue reading →

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