Open access. Since its publication in 2008, SQUIRE (Standards for Quality Improvement Reporting Excellence) has contributed to the completeness and transparency of reporting of quality improvement work, providing guidance to authors and reviewers of reports on healthcare improvement work. In the interim, enormous growth has occurred in understanding factors that influence the success, and failure, of healthcare improvement efforts. Progress has been particularly strong in three areas: the understanding of the theoretical basis for improvement work; the impact of contextual factors on outcomes; and the development of methodologies for studying improvement work. Consequently, there is now a need to revise the original publication guidelines. To reflect the breadth of knowledge and experience in the field, we solicited input from a wide variety of authors, editors and improvement professionals during the guideline revision process. This Explanation and Elaboration document (E&E) is a companion to the revised SQUIRE guidelines, SQUIRE 2.0.
No standardised tools for assessing the quality of specialist mental health supported accommodation services exist. To address this, we adapted the Quality Indicator for Rehabilitative care-QuIRC-that was originally developed to assess the quality of longer term inpatient and community based mental health facilities. The QuIRC, which is completed by the service manager and gives ratings of seven domains of care, has good psychometric properties.
Quality and patient safety are the highest priorities of provider boards. NHS providers will have noticed a renewed national focus on building cultures of safety and improvement across NHS organisations, and greater proficiency at learning from mistakes and spreading good practice.
Despite a strong reporting culture in trusts, evidenced by over 1.8 million entries into the National Reporting and Learning System (NRLS) last year, widespread translation of reporting into routine learning and demonstrable improvement has yet to happen.
April 2016: Statement 4 describing the use of compression stockings was removed. This is because the guidance from NICE has been updated and the advice on using compression stockings has changed. All other information remains the same.
This guideline covers systems and processes for using and managing controlled drugs safely in all NHS settings except care homes. It aims to improve working practices to comply with legislation and have robust governance arrangements. It also aims to reduce the safety risks associated with controlled drugs.
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.
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.
Hospital board members are asked to consider large amounts of quality and safety data with a duty to act on signals of poor performance. However, in order to do so it is necessary to distinguish signals from noise (chance). This article investigates whether data in English National Health Service (NHS) acute care hospital board papers are presented in a way that helps board members consider the role of chance in their decisions. To read the full article, log in using your NHS OpenAthens details
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
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
The first national, integrated whistleblowing policy has been published by NHS Improvement and NHS England, with the aims of standardising the way that staff are supported to raise concerns within NHS organisations.
Its release follows a public consultation on the draft policy, held throughout November 2015.
Monitor requires all NHS foundation trusts to produce reports on the quality of care as part of their annual reports. Quality reports help trusts to improve public accountability for the quality of care they provide.
PERFORMANCE: Older people’s mental health wards across Sussex require improvement, according to the Care Quality Commission. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai