Wednesday, 27 August 2014

Crisis response falls team: reducing admissions and repeat falls

"This initiative saves money by reducing the proportion of falls related calls that result in hospital admission. From over 1300 referrals accepted by the CRFT in Northamptonshire in 2012, just over 1000 admissions were avoided." 

Crisis response falls team: reducing admissions and repeat falls
East Midlands Ambulance Service NHS Trust
QIPP Case Study
August 2014

Read more here.

Pressure ulcers: NICE clinical audit tools

NICE have published two clinical audit tools for pressure ulcer prevention, one for paediatric care and one for adults.

"Clinical audit tools are Excel spreadsheets developed to help with clinical audit. They contain clinical audit standards, data collection sheets, a clinical audit report an action plan template and a printable data collection form.  When data is entered into the data collection sheets the audit results are automatically displayed in the audit report."

Access the tools and find out more here.

Service redesign: early identification of patients at risk of developing end-stage kidney disease

"This initiative aims to reduce the rate of loss of kidney function in people with diabetes and chronic kidney disease, so that fewer people develop kidney failure and require dialysis."

Service redesign: early identification of patients at risk of developing end-stage kidney disease
Heart of England NHS Foundation Trust
QIPP Case Study
August 2014

Read more here.

Identifying systems failures in the pathway to a catastrophic event

"We identified areas of concern even within the context of a highly controlled standardised national process. If incident reporting systems include and encourage reports of no-harm incidents in addition to actual patient harm, they can facilitate monitoring the resilience of healthcare processes. Patient safety incidents that produce the most serious harm are often rare, and it is difficult to know whether patients are adequately protected. Our approach provides a potential solution."

Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
BD Franklin, SS Panesar, C Vincent, LJ Donaldson
BMJ Quality and Safety, 2014;23:765-772

Read more here.

Nurse-reported hospital characteristics and estimated 30-day survival probabilities

"Perceived staffing adequacy, but not nurse-patient ratio was associated with overall survival. This result suggests that the way resources are organised is a critical factor to achieve the goal of quality and safety. Furthermore, nurses’ assessments of quality of nursing were correlated with overall survival and survival"
An observational study: associations between nurse-reported hospital characteristics and estimated 30-day survival probabilities
C Tvedt, IS Sjetne, J Helgeland, G Bukholm
BMJ Quality and Safety, 2014; 23: 757–764.

Read more here.

The frequency of diagnostic errors in outpatient care

"Our population-based estimate suggests that diagnostic errors affect at least 1 in 20 US adults. This foundational evidence should encourage policymakers, healthcare organisations and researchers to start measuring and reducing diagnostic errors."

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations
H Singh, AND Meyer, EJ Thomas
BMJ Quality and Safety, 2014; 23: 727–731.

Read more here.

Building capability to improve safety

"On 14 May 2014, the Health Foundation hosted a workshop to discuss building capability for improving safety. The event was developed in collaboration with NHS Improving Quality and was attended by leaders from across the NHS. The aim was to produce a useful overview of what capability for safety improvement organisations need, and the best ways to go about developing this capability."

Building capability to improve safety: Event report
The Health Foundation
August 2014

Read more here.