Other tools and resources
Other tools and resources
Safety in Care Homes and at Home
Top ten resources looking at safety in care homes and at home.
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Discussion papers
A report commissioned by the Health Service Journal: Are you doing enough for frail older people?
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.
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Inquiries and reports
RQIA Review of the Care of Older People in Acute Hospitals - Overview Report
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.
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Academic papers
Developing Interventions for Frailty
This research paper looks at the effect of a twelve-month individually tailored multifactorial, interdisciplinary intervention targeting frailty, compared with usual care. The intervention reduced phenotypically defined frailty (weakness, slowness, and low energy expenditure) and improved mobility.
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Inquiries and reports
Nutritional care and hydration
The Social Care Institute for Excellence (SCIE) was established to improve social care services for adults and children in the United Kingdom. This report discusses nutrition and hydration from the perspective of social care with the emphasis on simple practice points which could be implemented to improve the nutrition of the frail elderly population.
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Inquiries and reports
Improving the identification and management of frailty
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.
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Improvement reports
Nutritional assessment in elderly care: a MUST!
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.
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Improvement reports
Promoting vision and hearing aids use in an intensive care unit
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.
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Improvement reports
Improving inpatient care with the introduction of a hip fracture pathway
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%.