SONAR is a code quality management platform, dedicated to continuously analyze and measure technical quality, from the projects portfolio to the class method.
Calculates various metrics for projects, packages and compilation units. Includes both simple counts like lines of code as well as more complex metrics such as the McCabe cyclomatic complexity.
We must optimize stent deployment & maintain a registry of how well (or poorly) we use drug-eluting stents. Instead of asking “Which stent?” or “How much anti-platelet therapy?” we must ask “How effectively are we deploying our stents?”
Design of Clinical Trials for Treatment of Pain, Development of Clinical Trials, Selected Qualitative Methods, Within-Patient Studies: Cross-over Trials & n-of-1 Studies, Clinical Economics, etc.
Die Qualitätsinitiative E-Learning in Deutschland (Q.E.D.) befasst sich mit der Qualität der Aus- und Weiterbildung unter besonderer Berücksichtigung von E-Learning. Durch die Förderung von Standards sowie deren Integration in die bestehenden Bildungs
The Care Quality Commission now involves ‘experts by experience’ – people who have first-hand experience of health and/or social care services – in its inspections, in training inspectors and in the broader shaping of the organisation. Utilising the 'renewable energy' of patient expertise was one of the central pillars of the NHS five year forward view (Forward View), now more than two years old.
Our inspections of some companies providing online primary care have found significant concerns about patient safety.
Well-run services can offer a convenient and effective form of treatment, but inspectors found services that were putting patients at risk of harm by selling medicines without doing enough to check they were appropriate. We are publishing reports from two urgent inspections today - in both cases the providers have stopped providing services in England.
England’s Chief Inspector of Hospitals has rated the services provided by Northamptonshire Healthcare NHS Foundation Trust as Good following an inspection by the Care Quality Commission in January and February.
Northamptonshire Healthcare NHS Foundation Trust provides services across Northamptonshire to a population of 700,000. The trust offers a comprehensive range of physical, mental health and specialist services, many of which are provided in hospital, or from a GP surgery or clinic.
The trust was previously inspected in February 2015 when it was rated as Requires Improvement overall. Inspectors found considerable improvements had been made at the latest inspection where the care was rated as Good overall.
Inspectors found many examples of excellent care – but they also found too much poor care and far too much variation in both quality and access across different services. This is particularly concerning given the increasing demand for mental health services, meaning that more people risk receiving care that is not good enough – or no care at all.
Staff on Heather ward, based at Airedale Centre for Mental Health, which supports people with complex mental health problems ‘huddle’ twice a day so they can identify any ways they can better support people on the ward in the day ahead and keep people safe.
Devon Partnership NHS Trust ... has been awarded an overall rating of ‘good’ by the Care Quality Commission (CQC).
The services inspected at Devon Partnership NHS Trust in December 2016 were rated as ‘good’ across the board in the five domains assessed by the CQC, these are Safe, Effective, Caring, Responsive and Well-led. Among these the Secure Service, which is based at Langdon in Dawlish, received a rating of ‘outstanding’ for its responsiveness.
One of the largest providers of NHS services in Northamptonshire has been rated as Good by the Care Quality Commission (CQC) and Outstanding regarding whether services were caring.
Northamptonshire Healthcare NHS Foundation Trust (NHFT) provides a comprehensive range of physical, mental health and specialist services, many of which are provided in hospital, from a GP surgery, clinic or in the patient’s own homes.
The CQC carried out a comprehensive assessment of NHFT services in January of this year and rated the Trust overall as Good. This was an improvement on the last inspection in 2015 when the Trust was rated as Requires Improvement.
Despite over a decade of efforts to reduce the adverse event rate in healthcare, the rate has remained relatively unchanged. Root cause analysis (RCA) is a process used by hospitals in an attempt to reduce adverse event rates; however, the outputs of this process have not been well studied in healthcare. This study aimed to examine the types of solutions proposed in RCAs over an 8-year period at a major academic medical institution. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
A south east London trust that specialises in mental health care and community services has been rated Good overall by the Care Quality Commission.
Oxleas NHS Foundation Trust was re-inspected between 27 February and 1 March 2017, following an inspection in April 2016 when it was rated Requires Improvement.
Leeds Teaching Hospitals NHS Trust and SFJ Awards have launched a new Level 5 Qualification to ensure staff recognise and develop the knowledge and skills required for intevestigating serious incidents in healthcare care.
Quality improvement (QI) offers a route to transforming care delivery at the scale and pace needed to ensure sustainability in the National Health Service. However, it is a complex endeavour with numerous challenges to consider, and it takes time. There are many ways of understanding quality and QI in healthcare, and it is important for doctors to develop knowledge of the core principles of QI, which increasingly feature in clinical settings and in training curricula for healthcare professionals. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Calling for the rest of the UK to follow the example of Wales and enshrine safe staffing in law, the RCN reports that a dangerous set of pressures is putting patient safety at risk.
North Cumbria University Hospitals NHS Trust has placed a quality of care board on each of its wards.
The boards are part of the Trust’s commitment to be open and transparent by allowing patients to see key information when they enter a ward such as: staffing levels on that day, hygiene scores, cleaning scores, training rates, and waiting times (for outpatient areas).
Find out about the progress made by trusts to date in relation to the appointment of Freedom to Speak Up (FTSU) guardians and how Dr Hughes and her office are supporting guardians to improve the culture of speaking up safely.
The Care Quality Commission (CQC) has announced the reappointments of Sir Robert Francis QC and Paul Rew as non-executive directors for a second three-year term.
The Care Quality Commission (CQC) has today (Friday, June 2) published its report on the trust, which provides mental health services in Sussex and specialist community mental health services for children and young people in Hampshire and Kent and Medway. These include two adult social care services and primary medical services for HMP Lewes and HMP Ford.
This article, part two, explores the wider involvement of individuals, organisations and nurse education in preventing care erosion, with a particular focus on reflection; mastery of nursing skills and care; supporting nursing values; and addressing denial and trivialisation of, and justifications for, substandard care. To read the full article, log in using your NHS OpenAthens details.
Lean, quality improvement and human factors offer proven techniques for driving efficiency, responsiveness and quality in healthcare and have been instrumental to performance improvement across a growing number of providers.
As a result, NHS organisations are now actively encouraged to adopt them to drive productivity and quality. But local adoption and ownership is essential to success.
Families with dying children must be put at the heart of care, new guidance from NICE (The National Institute for Health and Care Excellence) says.
We advise people working in health and social care to make sure mothers and fathers, brothers and sisters, get the practical and emotional support they need to care for a family member at the end of life.
As part of the consultation for our next phase of regulation, we are seeking views on draft updated guidance for providers registering to care for people with learning disabilities.
Following on from our Registering the Right Support document published in February 2016, the revised draft guidance clarifies the expectation on providers to ensure their care homes or supported living services are focussed on person-centred care and developed in-line with national policy.
England's Chief Inspector of Hospitals has told Sussex Partnership NHS Foundation Trust that, although it has made significant progress since CQC’s last inspection, it must make further improvements to the quality of its services following an inspection by the Care Quality Commission.
We would like to hear your views on the Care Quality Commission (CQC) and NHS Improvement’s 'Consultations on the use of resources and the well-led assessments’.
The consultations will gather proposals for how NHS trusts and foundation trusts can make effective use of resources, leadership and governance enabling them to provide sustainable high quality services.
Responding to the Care Quality Commission’s re-inspection report, Carolyn Regan, Chief Executive at West London Mental Health NHS Trust said:
“This re-inspection report clearly highlights the huge range of improvements that our staff have worked tirelessly to put in place. From our new Thames Lodge medium secure unit to improvements in staff morale, reduction and review of restrictive practices and work to improve the assessment, monitoring and treatment of our patients’ physical health.
Incident reporting is widely recognised as an important method for improving safety in healthcare, and many countries have established their own incident reporting systems.1 However, the actual value of these systems is increasingly subject to debate.2 Reporting systems, both local and national, are overwhelmed by the volume of reports and fall short in defining recommendations for improving healthcare safety: ‘We collect too much and do too little’.3 To read the full article, log in using your NHS OpenAthens details.
The Shrewsbury and Telford Hospital NHS Trust (SaTH) is one of five hospital trusts in the UK taking part in an exciting partnership with VMI and last week it held a Regional Sharing Event to celebrate some of the significant improvements to patient care which have been made since this began.
These Specialised Services Quality Dashboards (SSQD) are designed to provide assurance on the quality of care by collecting information about outcomes from healthcare providers. SSQDs are a key tool in monitoring the quality of services, enabling comparison between service providers and supporting improvements over time in the outcomes of services commissioned by NHS England.
Open access. Quality and safety in healthcare, as an academic discipline, has made significant progress over recent decades, and there is now an active and established community of researchers and practitioners. However, work has predominantly focused on physical health, despite broader controversy regarding the attention paid to, and significance attributed to, mental health. Work from both communities is required in order to ensure that quality and safety is actively embedded within mental health research and practice and that the academic discipline of quality and safety accurately represents the scientific knowledge that has been accumulated within the mental health community.
Home News Press Releases CQC calls for action to end missed opportunities to learn from patient deaths
CQC calls for action to end missed opportunities to learn from patient deaths
Published:
13 December 2016
Categories:
Media
A national review by the Care Quality Commission (CQC) has found that the NHS is missing opportunities to learn from patient deaths and that too many families are not being included or listened to when an investigation happens.
England’s Chief Inspector of Hospitals has upgraded the rating of Lancashire Care NHS Foundation Trust from Requires Improvement to Good following a comprehensive inspection by the CQC in September 2016
England’s Chief Inspector of Hospitals has upgraded the rating of Rotherham Doncaster and South Humber NHS Foundation Trust from Requires Improvement to Good following an inspection by the Care Quality Commission in October 2016.
Care Quality Commission (CQC) inspectors have updated ratings for the Tavistock and Portman NHS Foundation Trust following an inspection in November 2016, rating us as Good across all categories.
During the past decade, the concept of Lean has spread rapidly within the healthcare sector, but there is a lack of instruments that can measure staff’s perceptions of Lean adoption. Thus, the aim of the present study was to develop a questionnaire measuring Lean in healthcare, based on Liker’s description of Lean, by adapting an existing instrument developed for the service sector.
Some exciting examples of how person centred care looks in practice from around the globe, following the International Conference for Integrated Care in Dublin.
A safety organisation drawing on lessons from the airline industry will have new legal powers to investigate serious patient safety incidents in the NHS in England, under plans laid before parliament today (14 September 2017).
just a phenomenon embraced by the young—31% of all seniors are on Facebook.2 With growing engagement across demographics, social media networks offer new platforms of digital interaction at a scale that is hard to comprehend—313 million active Twitter users sending half a billion tweets and 1.9 billion Facebook accounts uploading 350 million photos every day. SnapChat has created some of the country's youngest billionaires. All these activities, driven by the public's desire to curate and share life experiences, provide new opportunities to observe and understand lived reality in greater detail and closer to real time than ever before. To read the full article, log in using your NHS OpenAthens details.
This consultation is targeted at providers of health and social care services registered with CQC. It seeks your views as to whether it is appropriate for CQC to extend performance assessment and ratings to include independent community health services and independent doctors.
service is under intense pressure to innovate given the ever increasing demands placed upon it. Whilst many studies have looked at diffusion of innovation from an organisational perspective, few have sought to understand how individuals working in healthcare innovate successfully. We took a positive deviance approach to understand how innovations are achieved by individuals working in the NHS.
We conducted in depth interviews in 2015 with 15 individuals who had received a national award for being a successful UK innovator in healthcare. We invited only those people who were currently (or had recently) worked in the NHS and whose innovation focused on improving patient safety or quality. Thematic analysis was used.
Although the Commission has improved as an organisation, it needs to overcome some persistent issues with the timeliness of some of its regulation activities if it is to sustain further improvement.
Improvements in health services require a range of technical skills, but like all complex organisational tasks they also rely on the personal skills and attitudes of the staff carrying out the changes. That much is axiomatic.1 2 3 Less certain, but surely potentially helpful to front-line staff undertaking improvement initiatives, is ascertaining just what might be the right sets of skills needed for different kinds of improvement tasks in varying circumstances.4 To read the full article, log in using your NHS OpenAthens details.
To study the effects of scale type (visual analogue scale vs. Likert), item order (systematic vs. random), item non-response and patient-related characteristics (age, gender, subjective health, need for assistance with filling out the questionnaire and length of stay) on the results of patient satisfaction surveys. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
Presentation from NHS Transformathon. This session will show how, as a nation, Scotland is seeking to achieve large scale improvement in health and care through a combination of programme-specific activities and supporting development of sustainable QI cultures within health and care organisations. They’ll do this by sharing their experience of using a range of activities to support cultural change including the Building a QI Infrastructure Programme and Board development activities. They will also share their learning and outcomes from a specific example in the care of people living with frailty and delirium.
Prescribing errors occur in up to 15% of UK inpatient medication orders. However, junior doctors report insufficient feedback on errors. A barrier preventing feedback is that individual prescribers often cannot be clearly identified on prescribing documentation. To read the full article, log in using your NHS OpenAthens details
CQC is carrying out a review of how NHS trusts identify, report, investigate and learn from deaths of people using their services.
This follows a request from the Secretary of State for Health, which was part of the Government’s response to a report into the deaths of people with a learning disability or mental health problem in contact with Southern Health Foundation NHS foundation Trust.
CQC’s review will consider the quality of practice in relation to identifying, reporting and investigating the death of any person in contact with a health service managed by an NHS trust; whether the person is in hospital, receiving care in a community setting or living in their own home. The review will pay particular attention to how NHS trusts investigate and learn from deaths of people with a learning disability or mental health problem.
NICE has updated its guidelines pages to explain how they should be used in offering patients and service users the best care.
The new wording explains that guidelines should be taken fully into account but that the patient, or person receiving care, should be at the heart of decision-making. It also emphasises the importance of a clinician’s expertise and judgement.
The change is in response to conversations NICE has been having with people – including GPs. The new wording reflects NICE’s broader responsibilities within health and social care.
The National Guardian Office has published a document to explain where a local guardian sits in an organisation and the principles which underpin their role to help to improve the culture around raising concerns.
The document, entitled Freedom to speak Up Guardians - Purpose and key principles of the role includes principle examples.
NHS Improvement has launched its single oversight framework consultation.
The framework sets out how the regulator will identify where trusts may benefit from, or require, support in key areas of performance.
We say the new framework is significant for all providers and marks a shift in the regulator's approach
The ‘5 whys’ technique is one of the most widely taught approaches to root-cause analysis (RCA) in healthcare. Its use is promoted by the WHO,1 the English National Health Service,2 the Institute for Healthcare Improvement,3 the Joint Commission4 and many other organisations in the field of healthcare quality and safety. Like most such tools, though, its popularity is not the result of any evidence that it is effective.5–8 Instead, it probably owes its place in the curriculum and practice of RCA to a combination of pedigree, simplicity and pedagogy...........To read the full article, log in using your NHS OpenAthens details.
Northumberland, Tyne and Wear NHS Foundation Trust and East London NHS Foundation Trust have become the first two NHS mental health trusts in England to be awarded overall ratings of outstanding, as detailed in inspection reports published today (Thursday 1 September).
The National Institute for Health and Care Excellence (NICE) has issued new guidelines on what is known as harmful sexual behaviour. As well as sexting (sending sexually explicit pictures or messages via smartphone) it also includes other age inappropriate sexual behaviour such as watching extreme pornography or making inappropriate remarks.
The Mental Health Five Year Forward View Dashboard, published in October 2016, is a response to the recommendation in the Five Year Forward View for Mental Health that NHS England create a tool “that will identify metrics for monitoring key performance and outcomes data and that that will allow us to hold national and local bodies to account for implementing this strategy.”
It includes a suite of metrics based on the proposals in the Implementation Plan and is structured around the core elements of the mental health programme
CQC’s Chief Inspector of Hospitals, Professor Sir Mike Richards and the Chief Executive of NHS Improvement, Jim Mackey have written to all 255 NHS hospital trusts in England to ask them to consider quality and finances on equal footing in their planning decisions.