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Showing results for tags 'Patient'.
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Content Article
Frimley Health NHS Foundation Trust have devised a patient leaflet to help patients play a role in their safety while at the hospital.- Posted
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Assistive technology: definitions, examples and safe use
Claire Cox posted an article in Equipment
The phrase ‘assistive technology’ is often used to describe products or systems that support and assist individuals with disabilities, restricted mobility or other impairments to perform functions that might otherwise be difficult or impossible. An assistive technology product can be classed either as a medical device, which needs a CE mark and is regulated by the applicable legislation, or it can be an ‘aid for daily living’. It depends on the claims made by the manufacturer. This guidance set out by the Medicines and Healthcare products Regulatory Agency (MHRA) helps manufacturers and healthcare professionals understand the definition of assistive technology and the difference between medical devices and aids to daily living. -
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This report aims to build a better understanding of the role of patient and public involvement (PPI) in research, helping ensure meaningful involvement that has tangible impacts and to mitigate against undesired consequences.- Posted
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The King's Fund commissioned this research project from Picker Institute Europe to examine the role of patient engagement and involvement in the quality and development of general practice services. -
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Patient engagement improves patient, organisation and health system outcomes, but most research is based on primary care. The primary purpose of this study was to describe the characteristics of published research that evaluated patient engagement in hospital health service improvement.- Posted
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The purpose of this study was to describe patient engagement as a safety strategy from the perspective of hospitalised surgical patients with cancer.- Posted
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Interesting article, by the Patient Safety Network, around how patients can be involved in the solution and the cause of some patient safety incidents.- Posted
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Involving patients in improving safety is a Health Foundation publication also known as an evidence scan. It is designed to help those involved in improving the quality of healthcare understand what research is available on a particular topic. This publication describes research into how patients have been involved in improving safety. It addresses two questions: How have patients and carers been involved in improving safety in healthcare? Is there any evidence that patient involvement leads to improved safety?- Posted
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This 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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In this thought paper published by The Health Foundation, Dr Rebecca Lawton and Dr Gerry Armitage look at ways to involve patients in clinical safety and the readiness of patients and health professionals to adopt new roles. They discuss the importance of involving patients in the development of patient engagement and involvement strategies. Genuine patient involvement in their own care requires a fundamental cultural shift in the relationship between patients and clinicians. -
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This 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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This discussion paper published in Patient Safety & Quality Healthcare (PSQH) examines the possible barriers and facilitators to patient engagement drawn from a literature search. It proposes a framework with recommendations to address these barriers and promote patient-provider engagement.- Posted
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A report of the National Patient Safety Foundation’s Lucian Leape Institute's roundtable on consumer engagement in patient safety. This US based report looks at how increasing engagement between those who provide care and those who receive it at every level can result in improved health care outcomes for individuals and safer and more productive work environments for healthcare professionals.- Posted
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This report states that patient and public engagement has been on the NHS agenda for many years, but the impact has been disappointing. There have been a great many public consultations, surveys, and one-off initiatives, but it argues that the service is still not sufficiently patient-centred. In particular, it looks at a lack of focus on engaging patients in their own clinical care, despite strong evidence that this could make a real difference to health outcomes. This paper argues that a more strategic approach is required to create the necessary shift in beliefs, attitudes and behaviours.- Posted
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The involvement of patients in their care is a top priority for the NHS, highlighted in the NHS Constitution and the NHS Five Year Forward View. Healthcare providers are encouraged to develop different relationships with patients and communities to help empower them and engage them in their care. This same approach applies to patient safety in healthcare, where greater engagement of patients is seen as one of the building blocks for improvement. .- Posted
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Patient-centeredness is central to healthcare. Hospitals should address patients’ unique needs to improve safety and quality. Patient engagement in healthcare, which may help prevent adverse events, can be approached as an independent patient safety practice (PSP) or as part of a multifactorial PSP. This systematic review by Berger et al., published in BMJ Quality & Safety, examines how interventions encouraging this engagement have been implemented in controlled trials. It found that while patient engagement in safety is appealing, there is insufficient high-quality evidence informing real-world implementation. Further work is needed to evaluate the effectiveness of interventions on patient and family engagement and clarify the added benefit of incorporating engagement in multifaceted approaches to improve patient safety endpoints. In addition, strategies to assess and overcome barriers to patients’ willingness to actively engage in their care should be investigated. -
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This paper published by Mangar Health gives an insight into the costs, personal and financial, of falls and how simple investment of equipment in the right place at the right time could potential save lives and significant money. -
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AHRQ: Warm handoffs improve patient safety
Claire Cox posted an article in How to engage for patient safety
In 2015, the Agency for Healthcare Research and Quality (AHRQ) sponsored the development of a 'Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families'. One of the strategies introduced was a 'warm handoff' A warm handoff is a handoff conducted in person between two members of the health care team in front of the patient and family or caregiver. This video demonstrates warm handoffs in medical offices. -
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This action plan was produced by the Ipswich & East Suffolk Clinical Commissioning Group and West Suffolk Clinical Commissioning Group following a treatment delay for a patient in intensive care.- Posted
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Information for the Public pre-hospital emergency medicine (PHEM) feedback is a collaboration between the Princess Alexandra Hospital and the services who bring patients to them (ambulances and air ambulance teams) and provide pre-hospital care to those patients. -
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Adverse events in the nursing home setting are common and often preventable. This qualitative study, by Tong et al., of home care patients and their caregivers, published in the International Journal for Quality in Healthcare, revealed concerns about safe care space and ability to address physical needs. These results demonstrate the need for continued focus on safety in home care. -
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In this lecture from the PHEM (Pre Hospital Emergency Medicine) Feedback Showcase, Gordon Patterson (Patient Representative for Resuscitation Council UK and Patient Representative for PHEM Feedback) describes his experiences as a patient who experienced an out of hospital cardiac arrest 15 years ago. With him is Jonathan Dermott, the paramedic who was called to rescue him and provide resuscitative care, and who since has benefited from following up the case. He describes the life-changing consequences of his care both as a clinician and educator. -
Content Article
Patients 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.