Jump to content

Search the hub

Showing results for tags 'Hospital ward'.

More search options

  • Search By Tags

    Start to type the tag you want to use, then select from the list.

  • Search By Author

Content Type


Forums

  • All
    • Commissioning, service provision and innovation in health and care
    • Coronavirus (COVID-19)
    • Culture
    • Improving patient safety
    • Investigations, risk management and legal issues
    • Leadership for patient safety
    • Organisations linked to patient safety (UK and beyond)
    • Patient engagement
    • Patient safety in health and care
    • Patient Safety Learning
    • Professionalising patient safety
    • Research, data and insight
    • Miscellaneous

Categories

  • Commissioning, service provision and innovation in health and care
    • Commissioning and funding patient safety
    • Digital health and care service provision
    • Health records and plans
    • Innovation programmes in health and care
    • Climate change/sustainability
  • Coronavirus (COVID-19)
    • Blogs
    • Data, research and statistics
    • Frontline insights during the pandemic
    • Good practice and useful resources
    • Guidance
    • Mental health
    • Exit strategies
    • Patient recovery
    • Questions around Government governance
  • Culture
    • Bullying and fear
    • Good practice
    • Occupational health and safety
    • Safety culture programmes
    • Second victim
    • Speak Up Guardians
    • Staff safety
    • Whistle blowing
  • Improving patient safety
    • Clinical governance and audits
    • Design for safety
    • Disasters averted/near misses
    • Equipment and facilities
    • Error traps
    • Health inequalities
    • Human factors (improving human performance in care delivery)
    • Improving systems of care
    • Implementation of improvements
    • International development and humanitarian
    • Patient Safety Alerts
    • Safety stories
    • Stories from the front line
    • Workforce and resources
  • Investigations, risk management and legal issues
    • Investigations and complaints
    • Risk management and legal issues
  • Leadership for patient safety
    • Business case for patient safety
    • Boards
    • Clinical leadership
    • Exec teams
    • Inquiries
    • International reports
    • National/Governmental
    • Patient Safety Commissioner
    • Quality and safety reports
    • Techniques
    • Other
  • Organisations linked to patient safety (UK and beyond)
    • Government and ALB direction and guidance
    • International patient safety
    • Regulators and their regulations
  • Patient engagement
    • Consent and privacy
    • Harmed care patient pathways/post-incident pathways
    • How to engage for patient safety
    • Keeping patients safe
    • Patient-centred care
    • Patient Safety Partners
    • Patient stories
  • Patient safety in health and care
    • Care settings
    • Conditions
    • Diagnosis
    • High risk areas
    • Learning disabilities
    • Medication
    • Mental health
    • Men's health
    • Patient management
    • Social care
    • Transitions of care
    • Women's health
  • Patient Safety Learning
    • Patient Safety Learning campaigns
    • Patient Safety Learning documents
    • Patient Safety Standards
    • 2-minute Tuesdays
    • Patient Safety Learning Annual Conference 2019
    • Patient Safety Learning Annual Conference 2018
    • Patient Safety Learning Awards 2019
    • Patient Safety Learning Interviews
    • Patient Safety Learning webinars
  • Professionalising patient safety
    • Accreditation for patient safety
    • Competency framework
    • Medical students
    • Patient safety standards
    • Training & education
  • Research, data and insight
    • Data and insight
    • Research
  • Miscellaneous

News

  • News

Find results in...

Find results that contain...


Date Created

  • Start
    End

Last updated

  • Start
    End

Filter by number of...

Joined

  • Start

    End

Group

First name

Last name

Country

Join a private group (if appropriate)

About me

Organisation

Role

Found 339 results
  1. News Article
    BBC reporters are at Queens hospital in Romford, east London, and, like many across the capital it is busy. Really busy. When filming, 17 patients from their A&E were being treated on beds in corridors. Growing numbers of attendances have meant that what was once an emergency measure has now become the norm. Ruth Green is the director of nursing for the emergency department and says corridor care has become "customary practice" When the BBC last filmed the corridor treatments here back in January 2023, the department was seeing 1,400 patients arrive each month by ambulance. Now that number has risen to 2,100. The number of ambulances arriving every day has gone up in a year too, from around 90 per day to around 120. Ruth Green, the director of nursing for the emergency department said: "Unfortunately it is now customary practice to have patients treated on our corridors pretty much all of the time, not every day now it’s the summer, but still far too often." They have had to install new plugs in the corridors so they can operate the hospital beds, new nurse call buttons and a new sink. One patient in a bed in the corridor is Louis Vella. He spent 18 hours in A&E after coming in with chest pains and was eventually transferred to a corridor to wait for a bed on a ward. He said: "It’s not ideal, no, but they are working as best they can with what they’ve got and what else can one ask for?" Read full story Source: BBC News, 19 July 2024 Related reading on the hub: A silent safety scandal: A nurse’s first-hand account of a corridor nursing shift Reflections on a clinical shift: "After 20 years of nursing, this is one of the worst shifts I have ever completed"
  2. Content Article
    I am one of many staff that undertake additional shifts as bank staff or agency staff. The reasons are varied and personal. This is a reflection on a shift that I undertook a few weeks ago. I have taken the decision to remain anonymous in this account.
  3. Content Article
    The need for sleep has long been assumed to be important for recovery from injury and sickness, and there is an emerging understanding of the restorative role of sleep in health and disease. Unfortunately, the hospital environment is often poorly conducive to sleep. Pain, anxiety, medication effects, medical interventions, environmental noise and light, and the acute illness itself all contribute to decreased quality and quantity of sleep in hospitalised patients. As a result, issues related to sleep and sleep disorders are important to inpatient care. This review will discuss the evaluation, consequences, and management of sleep disturbances in hospitalised adult patients.
  4. Content Article
    Modern patient safety approaches in healthcare highlight the difference between daily practice (work-as-done) and the written rules and guidelines (work-as-imagined). Research in this area has looked at case study examples, but has lacked insights on how results can be embedded within the studied context. This study used Functional Analysis Resonance Method (FRAM) for aligning work-as-imagined with work-as-done. It aimed to show how FRAM can be effectively applied to identify the gap between work prescriptions and practice. It also aimed to show how these findings can be transferred back to and embedded in the daily ward care process of nurses.
  5. Content Article

    Clinical Communiqué (June 2024)

    Anonymous

    Anonymous posted an article in Patient stories

    The Communiqués are an Australian not-for-profit group that develop, produce and distribute innovative and free electronic educational publications and podcasts on lessons learned from Coroners’ investigations into preventable healthcare-related deaths.
  6. Content Article
    The Joint British Diabetes Societies (JBDS) for Inpatient Care group was created in 2008. It aims to improve inpatient diabetes care by developing and promoting high quality evidence-based guidelines and creating better inpatient care pathways. The JBDS–IP group was created and supported by Diabetes UK, ABCD and the Diabetes Inpatient Specialist Nurse (DISN) UK group, and works with NHS England, TREND-UK and with other professional organisations. This webpage contains guidance on a wide range of subjects relating to inpatient care for people with diabetes, including: The hospital management of hypoglycaemia in adults with diabetes mellitus The management of diabetic ketoacidosis in adults Management of adults with diabetes undergoing surgery and elective procedures: improving standards Self-Management of diabetes in hospital Glycaemic management during enteral feeding for people with diabetes in hospital The management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes Admissions avoidance and diabetes: guidance for clinical commissioning groups and clinical teams Management of hyperglycaemia and steroid (glucocorticoid) therapy The use of variable rate intravenous insulin infusion (VRIII) in medical inpatients Discharge planning for adult inpatients with diabetes Management of adults with diabetes on dialysis Managing diabetes and hyperglycaemia during labour and birth with diabetes The management of diabetes in adults and children with psychiatric disorders in inpatient settings A good inpatient diabetes service Inpatient care of the frail older adult with diabetes Diabetes at the front door The management of glycaemic control in people with cancer COncise adVice on Inpatient Diabetes (COVID:Diabetes) - hyperglycaemia Optimal staffing for a good inpatient diabetes service Using technology to support diabetes care in hospital
  7. Content Article
    In this film the team at Leeds Teaching Hospitals NHS Trust provide an overview of Parkinson's and why it is important that medication is administered properly and on time. They also talk about improvements they have made in their own practice, and offer tips around medication management for Parkinson's.
  8. News Article
    NHS England has warned trusts corridor care “must not be considered the norm”, adding that the failings exposed by a recent undercover documentary were “not acceptable”. In a letter to boards after a Dispatches documentary filmed at Royal Shrewsbury Hospital aired on Monday, NHSE’s chief operating officer, chief nursing officer, national medical director and director of urgent and emergency care warned trusts they must ensure basic standards of care. The note, seen by HSJ, described footage filmed at RSH’s emergency department as “stark”, adding that it highlighted the service some patients receive is “not acceptable”. The documentary captured many instances of patients being treated in corridors, and the letter said corridor care or that delivered outside a normal cubicle environment “must not be considered the norm”. NHSE added: “It should only be in periods of escalation and with board-level oversight at trust and system level… where it is deemed a necessity… it must be provided in the safest and most effective manner possible, for the shortest period of time… with patient dignity and respect being maintained throughout.” Read full story (paywalled) Source: HSJ, 27 June 2024 Related reading on the hub: A silent safety scandal: A nurse’s first-hand account of a corridor nursing shift
  9. Content Article
    Infections due to multidrug-resistant organisms (MDROs) are associated with increased morbidity, mortality, length of hospitalisation, and health care costs. Regional interventions may be advantageous in mitigating MDROs and associated infections. This study evaluated whether implementation of a decolonisation collaborative is associated with reduced regional MDRO prevalence, incident clinical cultures, infection-related hospitalisations, costs, and deaths. It found a regional collaborative involving universal decolonisation in long-term care facilities and targeted decolonisation among hospital patients in contact precautions was associated with lower MDRO carriage, infections, hospitalisations, costs, and deaths.
  10. Content Article
    A family describe the lengthy efforts they had to take to try to ensure their complaints about their loved one's end of life care would result in improvements at the hospital.
  11. Event
    This webinar for UK healthcare professionals will be delivered by DISN UK Group committee members. It will focus on using diabetes technology–insulin pumps, CGM, POCT–in the hospital. We will discuss and outline the newest JBDS technology guideline and provide the attendees with most up to date information regarding using diabetes technology when a person with diabetes is admitted to hospital. Educational outcomes – 3 points: Recognise different types of diabetes technology Use of diabetes technology in the different scenarios in inpatient setting Effective support for people with diabetes and use of diabetes technology when admitted to hospital Register for the webinar
  12. Content Article
    Acute inpatient mental health services report high levels of safety incidents. The application of patient safety theory has been sparse, particularly concerning interventions that proactively seek patient perspectives. This recently published NIHR report details research to explore safety on acute mental health wards from patient perspectives using real-time technology.
  13. Content Article
    In a new Royal College of Nursing report, survey findings and member testimonies show the full grave picture of corridor care across the UK. Of those forced to deliver care in inappropriate settings, over half (53%) say it left them without access to life-saving equipment including oxygen and suction. More than two-thirds (67%) said the care they delivered in public compromised patient privacy and dignity. Thousands of nursing staff report how corridor care has become the norm in almost every corner of a typical hospital setting. Heavy patient flow and lack of capacity sees nursing staff left with no space to place patients. What would have been an emergency measure is now routine. The report says corridor care is “a symptom of a system in crisis”, with patient demand in all settings, from primary to community and social care, outstripping workforce supply. The result is patients left unable to access care near their homes and instead being forced to turn to hospitals. Poor population health and a lack of investment in prevention is exacerbating the problem, the report says. The RCN are asking for mandatory national reporting of patients being cared for in corridors, to reveal the extent of hospital overcrowding, as part of a plan to eradicate the practice. They also need members to raise concerns when care in inappropriate settings takes place.  Related reading on the hub: A silent safety scandal: A nurse’s first-hand account of a corridor nursing shift
  14. Content Article
    QualiScope is... a general public information service on the level of quality and safety of care measured by Haute Autorité de Santé (HAS) in all hospitals and clinics in France; access to all the results of the quality and safety indicators of care and certification of health establishments in France; a search engine and an interactive panorama allow access to data from more than 4 000 hospital sites by search by establishment name, geographical area, activity, certification result, indicator results, etc. ; data developed and measured independently by HAS, with robust methods ensuring their reliability and comparability between health facilities; tools for mapping, comparison, data visualisation or data exports to make information accessible and understandable to all.
  15. Content Article
    Medicines waste is a significant problem in the NHS, with an estimated £300m wasted annually on unused or partially used medicines. In hospitals, this waste is added to when patients do not take their medicines home or when their medicines are not transferred with them as they change wards. In this blog for The Pharmaceutical Journal, Claire Williams, deputy clinical pharmacy manager at Hampshire Hospitals NHS Foundation Trust describes how her Trust reduced its medicines waste by moving patients’ medication with them and returning unused medication to the pharmacy in a timely manner. The Trust was participating in the Centre for Sustainable Healthcare ‘Green Team’ competition, and Claire and her colleagues saw it as an opportunity to showcase the impact that pharmacy can have in supporting the green agenda. This article is free to read but you will need to sign up for a Pharmaceutical Journal account to access it.
  16. Content Article
    This cohort study in JAMA Network Open aimed to determine the prognostic performance of the simplified Geneva score and other validated risk assessment models (RAMs) to predict venous thromboembolism (VTE) in medical inpatients. The study provided a head-to-head comparison of validated RAMs among 1352 medical inpatients. It found that sensitivity of RAMs to predict 90-day VTE ranged from 39.3% to 82.1% and specificity of RAMs ranged from 34.3% to 70.4%. The authors concluded that the clinical usefulness of existing RAMs is questionable, highlighting the need for more accurate VTE prediction strategies.
  17. News Article
    Transgender women should not be put on single-sex female NHS wards, the government is proposing. The measure is part of a raft of changes to the NHS Constitution for England, the charter of rights for patients. The proposals stress the importance of biological sex for the first time when it comes to same-sex accommodation and intimate care. In both cases, the rights are available only where possible. For example, same-sex accommodation rights, which have existed for years, can and are breached where there is a clinically urgent need to admit and treat a patient and do not extend to areas such as critical care or accident and emergency. The guidance also means that trans men should not be housed on single-sex male wards. Under the proposals: transgender people, whose gender identity differs from their biological sex, may be provided single rooms, where appropriate patients will have the right to request a person of the same biological sex delivers any intimate care Health Secretary Victoria Atkins said it was about making it clear that "sex matters." She said, "We want to make it abundantly clear that if a patient wants same-sex care, they should have access to it wherever reasonably possible. By putting this in the NHS Constitution, we're highlighting the importance of balancing the rights and needs of all patients, to make a healthcare system that is faster, simpler and fairer to all." Labour's shadow health secretary Wes Streeting said: "Rights on paper are worthless unless they are delivered in practice. "The NHS constitution already pledges that no patient will have to share an overnight ward with patients of the opposite sex, but that is not the case for too many patients." Read full story Source: BBC News, 30 April 2024
  18. News Article
    The use of mixed-sex wards has gone “through the roof” after the number of men and women being put in beds next to each other soared to nearly its highest level in a decade. Official figures from NHS England show the government’s strict rules against doing so were broken nearly 5,000 times in February alone. NHS leaders voiced concerns over the high number of breaches and warned that care that was “unthinkable a decade ago is at risk of becoming the new normal”. Shadow health secretary Wes Streeting said patients were left feeling humiliated and at risk, adding: “The use of mixed-sex wards has gone through the roof under the Tories.” The government outlawed mixed wards in the NHS in 2010. Under the guidance, patients should not share wards overnight, share bathroom facilities or have to walk through areas occupied by patients of the opposite sex to get to the toilets. Despite promises more than a decade ago to eliminate mixed wards, The Independent found: 4,811 reported breaches in February, up from 3,789 last November Nurses warning “sky-high breaches” are the tip of the iceberg Evidence that patients are suffering sexual assaults while on mixed mental health wards Under the guidance, no mental health units should have mixed wards. However, earlier this year, The Independent revealed the practice is widespread, with more than 500 sexual assaults reported across almost half of the NHS mental health hospitals in England. Read full story Source: Independent, 28 April 2024
  19. Content Article
    In this blog, Peter Provonost MD, Chief Quality and Transformation Officer at University Hospitals Cleveland Medical Center, offers advice about what patients and their families can do to prevent health risks associated with hospital stays. He looks ways to mitigate against medication errors, surgical errors, infections, blood clots and other medical complications.
  20. News Article
    A woman who feared she was having a heart attack said she spent nine days in a hospital staff room because of a shortage of beds. Zoe Carlin, 23, was admitted to Altnagelvin Hospital in Londonderry in March after experiencing severe chest pain. She said she spent more than a week in a “locker room” where she had to use a hand bell to call staff during what she described as a “dehumanising” ordeal. The Western Health and Social Care Trust (WHSCT) said it faced "extreme pressures" in its hospital emergency departments but could not comment on individual cases due to confidentiality. “For the full nine days I was in this alcove,” she told BBC Radio Foyle’s North West Today programme. “It’s basically the nurses' locker room. You can see the nurses’ lockers with their names on them. They [staff] just said there’s not enough beds,” she added. A privacy screen did not fully cover the room’s doorway and she had no access to a private bathroom. She said she was forgotten about at meal times on three occasions. A spokesperson for WHSCT said, "We are acutely aware of the continuing challenges and extreme pressures not just in our emergency departments but across both of our acute hospital sites with full escalation of beds on all wards and departments. In the Western Trust, when we learn of examples where care falls below the standard we expect, we review the circumstances and explore ways to improve care in the future." Read full story Source: BBC News, 11 April 2024
  21. News Article
    More than 150,000 patients had to wait a day in A&E before getting a hospital bed last year, according to new data. Freedom of information data compiled by the Liberal Democrats from 73 hospital trusts – about half the total – found that the number of patients forced to wait more than 24 hours in A&E before a bed could be found for them has increased by tenfold since 2019. The majority of those forced to wait were elderly or frail, with two-thirds of the patients over the age of 65. Read full story Source: Guardian 8 April 2024
  22. Content Article
    Following consultation, the Care Quality Commission have now published final guidance to help providers understand and meet the new fundamental standard on visiting and accompanying in care homes, hospitals, and hospices. The guidance (on Regulation 9A: visiting in care homes, hospitals, and hospices) also sets out what people using health and social care services and their families, friends or advocates can expect.
  23. Content Article
    Making hospitals more conducive to high quality sleep might benefit patient experience and wellbeing, and could perhaps even lead to reduced length of stay. Sleep is known to be closely connected to physical and mental health, and yet hospital environments are far from conducive to high quality rest. Noise, light, disturbances for treatment or tests, other patients, staff noise and temperature can all reduce the odds of a good night’s sleep. Overnight observations can also be extremely disruptive. At some trusts, efforts are being made to address this situation. The ultimate aim? Not only to improve the patient experience, but to potentially the speed with which they heal–so reducing the likes of length of stay. Others, meanwhile, are exploring whether supporting better sleep could even reduce the need for hospital admission in the first place.
  24. Content Article
    The National Safety Standards for Invasive Procedures (NatSSIPs) 2 are intended to help share learning and best practice to support multidisciplinary teams and organisations to deliver safer care. This two-page summary document, published by the Centre for Perioperative Care, provides a concise overview of NatSSIPs for anyone who does interventional procedures and the teams who support them.
  25. News Article
    Distressed elderly patients are being “treated like animals” and left begging for care as NHS staff struggle to cope with overwhelmed wards and an ever-increasing ageing population, an investigation by The Independent has revealed. Scores of families have come forward to share harrowing allegations of neglect as one top doctor warns that elderly people are receiving care “well below the standards they should expect” – including long waits in waiting rooms and “degrading” corridor care. In one shocking case, a 96-year-old patient admitted to the hospital with a urinary tract infection (UTI) was allegedly left semi-naked and delirious in his hospital bed – before choking on vomit after being sedated without his family’s permission, his daughter told The Independent. Another patient, 99, was traumatised after being left in a bed next to the body of a dead woman. The investigation was sparked by the horrific story of 73 year old Martin Wild who was left so desperate for pain medication he was forced to call 999 from his hospital bed. It comes as analysis by the Independent shows the government was warned three times last year by coroners over the increasing risk to elderly patients’ lives amid fears they are not being “effectively safeguarded”. Read full story Source: The Independent, 11 March 2024
×
×
  • Create New...