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.
This improvement report looked at how to increase the availability of vision and hearing aids in the intensive care unit of the Bristol Royal Infirmary.
A system of payment by results exists for the management of hip fractures in England and Wales.UCLH performed badly in the 2013 national hip fracture database (NHFD) audit against the national standards.
Through the introduction of a multi-disciplinary patient pathway and clerking pro forma, the proportion of patients earning the best practice tariff uplift increased from 44.4% to 91.7%.
In September 2013, three meaningful activity facilitators were appointed to provide additional support for people with dementia across three older people’s wards at Leicester Royal Infirmary.
Activities such as reminiscence, music therapy, and arts and crafts support physical, sensory and psychological well-being help to gain a deeper understanding of the person behind the dementia.
Good Practice Case Study. Angus’ multidisciplinary medication review service for older people - NHS Tayside
This case study illustrates an example of innovative practice to improve medication safety in older people. The team from Tayside in Scotland introduced a collaborative multidisciplinary approach to medication review, which led to a reduction in polypharmacy, improved patient understanding of treatment, and prescribing cost savings.
Good Practice Case Study. Improving the experience for dementia - Taunton and Somerset Foundation Trust
This piece describes the work that Taunton and Somerset NHS Foundation Trust carried out at Musgrove Hospital as part of the Enhancing the Healing Environment (EHE) programme.
Patients with dementia in acute hospitals experience poorer outcomes for all types of admission, stay longer in hospital, and are more likely to be discharged to a care home rather than to their own home.
This improvement report documents the development of a medication review tool, based on the evidence based “STOPP” (screening tool of older persons’ potentially inappropriate prescriptions) for routine use with elderly patiens across all sections of care.
This improvement report discusses work undertaken at Medway NHS Foundation Trust to reduce the incidence of pressure ulcers. The team involved designed a comprehensive database and investigated all acquired pressure ulcers through root cause analysis before creating an action plan.