The perioperative Care bundle, which includes the reduction of surgical site infections, maintenance of normothermia, control of blood glucose, and also the introduction of safety briefings and surgical pause. This was successfully implemented within theatres across Fife.
Venous thromboembolism (VTE) risk assessment and prophylaxis in acute orthopaedic admissions: improving compliance with national guidelines
The study demonstrated that compliance was initially low, but showed a large improvement following the implementation of simple measures.
Rota changes often induce conflict of interest between maintaining adequate services and high levels of patient care or providing suitable and informed induction programmes for new medical staff. Emphasised education of VTE prophylaxis guidelines has now become part of induction of junior medical staff, whilst ward based measures ensure daily compliance
It was recognised that the Emergency Department was unaware of the latest guidance and demonstrated that it was often over and inadequately investigating suspected deep vein thromboses, unnecessarily using resources and putting patients at risk.
This report is drawn from a literature review, meetings with families and patients with learning disabilities and focus groups with health and social care staff.
This slideset from a Patient Safety workshop coordinated by Biomedea gives an introduction to the role of human factors and engineering in medical device malfunction and patient safety. Although some of the technologies mentioned as examples are dated, the principles remain up to date and are well outlined and communicated in this presentation.
A comprehensive and practical guide for hospitals and other organisations to undertake quality improvement work to prevent venous thrombo-embolism written by experts in the UK.
It contains driver diagrams, suggested outcome measures, case studies and suggested PDSA cycles.