A HSJ commissioned report which sets out key actions and best practice for hospital and system leaders, as well as highlighting a need to reset some expectations.
RQIA conducted unannounced inspections at Northern Ireland's 11 acute hospitals, speaking to over 350 patients and their relatives, observing practice and reviewing patients' notes. This review makes 14 regional recommendations across the areas to improve the quality of care for older people in Northern Ireland's hospitals.
This report focuses on work to identify frailty in 4 locations in Scotland. The purpose is to describe what is happening in each location, reflect on the factors that have helped make their approaches successful, identify any obstacles the teams encountered and draw out key principles.
A short film produced by Health Education England to support healthcare professionals in training and staff at all levels to report and respond to concerns about patient safety.
Toward a high-performance management system in health care, part 4: Using high-performance work practices to prevent central line-associated blood stream infections-a comparative case study
An observational study from the USA which examined the impact of high-performance work practices on interventions to reduce central line associated bloodstream infections.
Produced by the Canadian Patient Safety Institute, this report includes a literature review on effective teamwork and communication in healthcare, a needs assessment of Canadian healthcare organisations, a review of teamwork and communication training programmes, and a consultation with national and international experts in teamwork and communication.
An interview with Dr Kim Holt, Consultant Paediatrician who ‘blew the whistle’ on the Baby P case in Haringey. She also founded Patients First, which is a support group for whistle-blowers.
She discusses her experience and those of other health professionals who have been “whistle-blowers”.
She discusses the need to change the system so that clinical staff feel empowered to speak up.
Improving the Quality of Assessment and Management of Hypoglycaemia in Hospitalised Patients with Diabetes Mellitus by Introducing 'Hypo Boxes' to General Medical Wards with a Specialist Interest in Diabetes
This improvement report looked at how the introduction of ‘Hypo Boxes’ to diabetes wards over a 4 week period improved the assessment and management of patients with hypoglycaemia.
This Quality Improvement Report carried out an audit on the use of the Malnutrition Universal Screening Tool (MUST). It found that patients did not consistently have a MUST score documented, the scores were calculated incorrectly and that high MUST scores were not being acted on appropriately.