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Showing results for tags 'Nurse'.
Found 672 results
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Content ArticleIdentification of hospitalised patients with suddenly unfavorable clinical course remains challenging. Models using objective data elements from the electronic health record may miss important sources of information available to nurses.
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Content Article"It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
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Content ArticleClinical governance is an umbrella term. It covers activities that help sustain and improve high standards of patient care. Nursing staff may already be familiar with some of these activities, quality and safety improvement, for example. What is different is the effort to bind these activities together and make them more effective. Healthcare organisations now have a duty to the communities they serve for maintaining the quality and safety of care. Whatever structures, systems and processes an organisation puts in place, it must be able to show evidence that standards are upheld. The Royal College of Nursing (RCN) aims to promote a better understanding of clinical governance with this web resource. It wants to help those working within the nursing family to become more involved with local and national quality improvement projects. The resource describes services and support available from the RCN and these match to five key themes of clinical governance. It also shows where to find support from other agencies.
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Content ArticleIn this video, clinicians from Great Ormond Street Children's Hospital who are involved in the SAFE project talk about how the ‘huddle’ technique – a ten minute free, frank exchange of information between clinical and non-clinical professionals involved in a patient’s care every few hours – is helping them to improve their situation awareness, resolve risks to patient safety more quickly and reduce harm.
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Content ArticleThis 15 minute video from the Brighton and Sussex University Hospitals NHS Trust gives an introduction to what human factors is within healthcare.
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Content ArticleThe purpose of this study was to describe patient engagement as a safety strategy from the perspective of hospitalised surgical patients with cancer.
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Content ArticleThis report from the King's Fund explores in more detail the role of leaders in engaging a range of significant others in improving health and healthcare.
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Content ArticleThis guide published by the Agency for Healthcare Research & Quality (AHRQ) is a tested, evidence-based resource to help hospitals in the United States work as partners with patients and families to improve quality and safety.
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Healthier Lancashire & Cumbria - Digital Future
Gary Saunders posted an article in Implementation of improvements
A case study on how Healthier Lancashire and Cumbria have been driving forward their digital strategy. This strategy includes how they are standardising and redesigning digital systems to improve patient safety (see Theme 4 - Manage the system more effectively). -
Content ArticlePotentially preventable adverse events remain a formidable cause of patient harm and health care expenditure despite advances in systems-based risk-reduction strategies. This quality improvement study from Suliburk et al., published in JAMA Network Open, analysed the incidence of human performance deficiencies during the provision of surgical care to identify opportunities to enhance patient safety.
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Content ArticleThe second blog from Claire, a Critical Care Outreach Sister, and Patient Safety Learning's Associate Director, on her visit to Rush University Hospital, Chicago.
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Content ArticleStaff at C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital, Michigan are adopting a new approach to safety. By picking up near misses, close calls, deviation off protocol and investigating each one via a daily huddle, they are able to enable change system wide.
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#TheatreCapChallenge: Where’s the evidence?
Claire Cox posted an article in Implementation of improvements
PatientSafe Network in Australia has been promoting the theatre cap challenge across the world. By wearing your name on your theatre cap it can improve team work and patient safety. The PatientSafe Network is a registered non for profit charity. It has been developed by front line healthcare staff and is for anyone to use – patients, relatives, doctors, nurses, pharmacists, healthcare managers, equipment and system developers, insurers – who wants to improve patient safety. -
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A Day in the life of a Matron
Claire Cox posted an article in Stories from the front line
This article gives a brief description of what a matron does on a daily basis in an acute hospital. -
Content ArticleThis project is led by the Department of Anaesthesia at Newcastle upon Tyne NHS Foundation Trust, in partnership with Northumbria University Newcastle. The aim is to co-design a fatigue risk management strategy at the Trust to help teams effectively manage night shift fatigue.
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Content ArticleFollowing the investigation into the Mid Staffordshire Hospital (United Kingdom) and the subsequent Francis reports (2013 and 2015), all healthcare staff, including students, are called upon to raise concerns if they are concerned about patient safety. Despite this advice, it is evident that some individuals are reluctant to do so and the reasons for this are not always well understood. This research study from Fisher and Kiernan, published in Nurse Education Today, provides an insight into the factors that influence student nurses to speak up or remain silent when witnessing sub-optimal care.
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Content ArticleThis document provides guidance for nurses, midwives and nursing associates on raising concerns (which includes ‘whistleblowing’). It explains the processes you should follow when raising a concern, provides information about the legislation in this area, and tells you where you can get confidential support and advice.
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Content ArticlePolicy to date has mostly focused on the role of 'whistleblowers' in raising concerns about quality and safety of patient care in healthcare settings. However, most opportunities for personnel to identify and act on these concerns are likely to occur much further upstream, in the day-to-day mundane interactions of everyday work. Using qualitative data from over 900 hours of ethnographic observation and 98 interviews across 19 English intensive care units (ICUs), Tarrant et al., in a paper published in Social Science & Medicine, studied how personnel gave voice to concerns about patient safety or poor practice.
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Content ArticlePatients with delirium have changes in their thinking and are often confused and cannot pay attention. About half of patients in an intensive care unit (ICU) have delirium during their stay. Research has shown that patients with delirium are more likely to die or to have long-term brain problems, including posttraumatic stress disorder, depression and other mental health issues, than those without delirium. Although nurses and doctors have tools to measure delirium in the ICU, it can be hard to identify and, in some cases, may be missed. Family members may be the first to notice that their loved ones have changes in their thinking or cannot pay attention. There are tools called the Family Confusion Assessment Method (FAM-CAM) and Sour Seven questionnaire that can be used by family members to detect delirium. However, neither of these tools has been used in an ICU. This study from Krewulak et al., published in CmajOPEN, shows that these tools can be used by family members to measure delirium in the ICU. The results from this study could lead to a change in policy that would involve partnering with family members to improve the diagnosis of delirium in the ICU. In turn, this would improve patient and family care and outcomes in the ICU.
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Content ArticleBack in January 2019, we started a regular team newsletter. Initially this was aimed at only the critical care unit (CCU) team; however, very quickly it developed into an all trust audience. In this post I discuss the multiple benefits the newsletter has offered as well as the challenges I came across. I want to share my experience on developing the newsletter to encourage other teams to consider writing a regular newsletter if they don’t already have one. This followed on from several outreach teams contacting me personally for assistance in writing their own newsletters.
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The Point of Care Foundation – Behind closed doors (July 2017)
Claire Cox posted an article in Culture
This briefing highlights evidence on NHS staff, their experience at work, the pressures they face and the consequences for patients. The Point of Care Foundation believes that it’s critically important that NHS employers pay attention to staff and their experience at work because when staff feel positive and engaged with work it has a positive impact on patient experience. -
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Oxford University surgical lectures: Retained swabs
Claire Cox posted an article in By health and care staff
Dr Clare Dollery reflects on a retained swab 'never event' in Churchill Hospital theatres. Incidents, such as operating on the wrong body part or leaving instruments inside patients are categorised by the Department of Health as 'never events'. Dr Dollery is Oxford University Hospital's Deputy Medical Director. The Surgical Grand Rounds lecture series, hosted by the Nuffield Department of Surgical Sciences at Oxford University, is the key educational meeting for consultants, juniors and medical students. Presentations revolve around clinical cases. -
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Integrity in health care: a nurse's story
Claire Cox posted an article in Stories from the front line
Karen Sanders, Senior Staff Nurse at North Bristol NHS Trust, describes the moral challenges of working in a busy Emergency Department. -
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Barbara, the whole story
Claire Cox posted an article in Dementia
Created by nurses at Guy's and St Thomas' to raise awareness of dementia among staff, Barbara's Story is a series of six films which have changed attitudes to dementia in hospitals across the world. The film here tells the story of how and why Barbara's Story was made and includes a condensed version of all six episodes. -
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The Parable of the Blobs and Squares
Claire Cox posted an article in Patient engagement
A great animated video brought to you by No More Throw Away People – voiced by Brian Blessed, this tale of blobs and squares paints an accurate picture of how co-production matters. This short animation shows why its vitally important to engage and include our patients and service users in clinical system design. It explains simply what may happen if we don't listen to all parts of our system to make care safer.
