Wednesday, 13 July 2016

Implementing an active foot disease pathway for people with diabetes in South Tees

"A regional referral pathway for active foot disease was set up in April 2015 for 8 NHS Trusts across north east England, which sets out when patients should be referred, who they should be referred to and how they should be referred.

It has helped to ensure that all patients with diabetes requiring care for active foot disease are referred correctly and seen in a timely manner, and is consistent with the recently updated NICE guideline on diabetic foot problems (NG19), which recommends that robust protocols and clear local pathways are in place for the continued and integrated care of people across all settings."

Implementing an active foot disease pathway for people with diabetes in South Tees
Diabetes Care Centre, The James Cook University Hospital
NICE Shared Learning example
July 2016

Read more here.

Talk Cardio Pulmonary Resuscitation Project

"The aim of this project, entitled ‘TalkCPR’, is to improve communication and dialogue between patients and their healthcare professionals about Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions."

Talk Cardio Pulmonary Resuscitation Project
Velindre NHS Trust
NICE Shared Learning example
May 2016

Read more here

Cardiovascular disease integrated care pilot to improve patient outcomes closer to home

"Within the context of a growing elderly population and better survival of people with CVD conditions, this project aimed to support patients to remain in the community for as long as is clinically possible, avoid hospital admissions and reduce length of stay."

Cardiovascular disease: integrated care pilot to improve patient outcomes closer to home
British Heart Foundation
NICE Quality and Productivity case study
May 2016

Read more here.

Tuesday, 28 June 2016

Coproduction of healthcare service

"In our efforts to improve healthcare service, we have often inadvertently approached the work as though healthcare was a ‘good’ produced by healthcare professionals. Recognising that healthcare service is a ‘service’ coproduced by patients and health professionals invites four clusters of opportunity for action."

Coproduction of healthcare service
M Batalden, P Batalden, P Margolis, M Seid, G Armstrong, L Opipari-Arrigan, H Hartung
BMJ Qual Saf 2016;25:509-517 doi:10.1136/bmjqs-2015-004315

Read more here.

Are reductions in emergency department length of stay associated with improvements in quality of care?

"We sought to determine whether patients seen in hospitals who had reduced overall emergency department (ED) length of stay (LOS) in the 2 years following the introduction of the Ontario Emergency Room Wait Time Strategy were more likely to experience improvements in other measures of ED quality of care for three important conditions."

Are reductions in emergency department length of stay associated with improvements in quality of care? A difference-in-differences analysis
MJ Vermeulen et al.
BMJ Qual Saf 2016;25:489-498 doi:10.1136/bmjqs-2015-004189

Read more here.

How safe is primary care?

"Improving patient safety is at the forefront of policy and practice. While considerable progress has been made in understanding the frequency, causes and consequences of error in hospitals, less is known about the safety of primary care."

How safe is primary care? A systematic review
S Singh Panesar et al.
BMJ Qual Saf 2016;25:544-553 doi:10.1136/bmjqs-2015-004178

Read more here.

Friday, 10 June 2016

Outpatient services and primary care: scoping review, substudies and international comparisons

"There is little conclusive evidence on the cost-effectiveness of the provision of more care in the community. In developing new models of care for the NHS, it should not be assumed that community-based care will be cheaper than conventional hospital-based care. Possible reasons care in the community may be more expensive include supply-induced demand and addressing unmet need through new forms of care and through loss of efficiency gained from concentrating services in hospitals."

Outpatient services and primary care: scoping review, substudies and international comparisons 
E Winpenny, C Miani, E Pitchforth, S Ball, E Nolte, S King, et al.
Health Services Delivery Research 2016;4(15)

Read more here.