Wednesday, 28 January 2015

Patient-Reported Measures

"As health care organizations focus more on keeping people healthy and delivering value, incorporating patient-reported measures (PRMs) as part of their overall performance improvement measurement system will be crucial."

Patient-Reported Measures
L Savitz, K Luther
Healthcare Executive, 2015 Jan;30(1):74-77

Read more here (free registration required).

Undetermined impact of patient decision support interventions on healthcare costs and savings

"Although there is evidence to show that patients choose more conservative approaches when they become better informed, there is insufficient evidence, as yet, to be confident that the implementation of patient decision support interventions leads to system-wide savings."

Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review
T Walsh, PJ Barr, R Thompson, E Ozanne, C O’Neill, G Elwyn,
BMJ 2014;348:g188

Read more here.

Improving safety through the establishment of a Hospital Alcohol Liaison Service

"The message to others is to ensure that in establishing a new service, this should be done with complete staff engagement in respect to understanding the direct effect of service change on creating a positive patients pathway with sustained positive clinical outcomes. The frontline workforce are key in delivering changes, therefore it is imperative that they are fully involved in the process."

Improving safety - through the establishment of a Hospital Alcohol Liaison Service (HALS), alongside the launch of a therapeutic Chlordiazepoxide prescribing Detoxification Regime
Tameside Hospital NHS Foundation Trust
NICE Shared learning example
January 2015

Read more here.

Ensuring appropriate use of monitored dosage systems

"This initiative aims to reduce the inappropriate use of monitored dosage systems by ensuring they are only issued on a case-by-case basis to address specific practical problems of medicines adherence."

Ensuring appropriate use of monitored dosage systems: reducing unnecessary pharmacy workload: QIPP Case Study
Taunton & Somerset NHS Foundation Trust
NICE Quality and productivity collection
January 2015

Read more here.

Tuesday, 27 January 2015

Leadership and organizational change for implementation

"The present study provides support for the development and deployment of active strategies to improve EBP [evidence based practice] implementation in health and allied healthcare organizations."

Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation
GA Aarons, MG Ehrhart, LR Farahnak, MS Hurlburt
Implementation Science 2015, 10:11  doi:10.1186/s13012-014-0192-y

Read more here.

Exploring patterns of error in acute care using framework analysis

"In order to improve the management of acutely unwell patients by junior doctors, medical educators must understand the causes of common errors. Adequate knowledge alone does not ensure prompt and appropriate management and referral."

Exploring patterns of error in acute care using framework analysis
VR Tallentire, SE Smith, J Skinner, HS Cameron
BMC Medical Education 2015, 15:3 doi:10.1186/s12909-015-0285-6

Read more here

Monday, 26 January 2015

Joining up health and social care personal budgets: Key points on implementation

"Joint health and care personal budgets offer a potential model for delivering integrated care from the bottom up, at the level of the individual person. This briefing outlines the key themes from a workshop for senior professionals on joining up personal budgets, held at the King’s Fund. It also sets out a series of practical approaches to implementation that might be considered by local
leaders as they develop their approaches to integrating personal budgets."

Joining up health and social care personal budgets: Key points on implementation
NHS Confederation Briefing
January 2015 Issue 280

Read more here.