Improvement reports
Infection control has been high on the political agenda and on the agenda of the NHS in England in recent years.
Improvement reports
Over the past decade, the Health Foundation has supported front-line teams working in different settings, from hospitals to care homes, to develop and test approaches to making care safer. We have learned about some of the specific causes of harm, and the factors which have both enabled and hindered improvements in safety.
Improvement reports
On 14 May 2014, the Health Foundation hosted a workshop to discuss building capability for improving safety.
Improvement reports
The Choosing Wisely safety initiative addresses hypoglycaemia amongst US Veterans with diabetes by using a medical record system to identify patients at risk and to plot clinical decision support.
Improvement reports
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.
Improvement reports
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.
Improvement reports
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.
Improvement reports
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%.
Improvement reports
This quality improvement project was inspired as an answer to a problem many psychiatric trainees have been struggling with while on-call covering the old age mental health hospital which includes a specialist dementia ward.
Improvement reports
A large proportion of patients who die in hospital will be under the care of geriatric medicine. Mortality reviews have traditionally used trigger tools to try and identify preventable deaths, but the majority of hospital deaths are not preventable and lapses in care are often very complex.
