Discussion papers
A guide for patients about how to manage their own blood sugar levels.
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.
Inquiries and reports
The South Australian Patient Safety Reports were developed to provide an overview of some significant achievements in a number of safety and quality programs.
This is the 8th South Australian Patient Safety Report to be published since 2004 and demonstrates the continued systematic improvement across SA Health in a number of safety and quality programmes.
Video
Dr Sinead Millwood, a junior doctor in England, talks through her innovative quality improvement project.
Junior doctors commonly make mistakes which may compromise patient safety. Despite the recent push by the NHS to encourage a “no blame” culture, mistakes are still viewed as shameful, embarrassing and demoralising events.
Dr Millwood taught sessions on "learning from mistakes" and discusses how she implemented her project to change attitudes about discussing such mistakes
