To identify the methodological quality of each study and analyse the psychometric properties of instruments measuring quality and satisfaction with care from the perspective of mental health patients and professionals.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
We're expanding our Be Aware updates and want to know what physical health topics you'd like to keep updated on. Let us know your ideas by replying to this email with 'physical health topics' followed by your suggestions
Open access. Identifying characteristics associated with struggling healthcare organisations may help inform improvement. Thus, we systematically reviewed the literature to: (1) Identify organisational factors associated with struggling healthcare organisations and (2) Summarise these factors into actionable domains.
Measurement is a vital part of improvement work. While it is known that the context of improvement work influences its success, less is known about how context affects measurement of underlying harms. We sought to explore the use of a harm measurement tool, the NHS Safety Thermometer (NHS-ST), designed for use across diverse healthcare settings in the particular context of community care.. To read the full article, log in using your NHS OpenAthens details.
A discussion of key considerations related to selecting instruments and tools for evaluating healthcare professionals’ evidence‐based practice competencies.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The NHS is today publishing guidance to help trusts work with bereaved families and carers.
Over 70 families and carers worked with NHS England on the guidance which will provide advice to hospitals, mental health and community trusts on how to involve families following the death of a loved one.
In 2014 an interim analysis examined the main Care Quality Commission (CQC) inspection reports of 63 trusts and reported relatively little mention of people with learning disabilities within these reports. Subsequently, the CQC has changed their inspection regime to include specific questions and follow up questions regarding the care and treatment of people with learning disabilities in acute hospitals.
This report examines the CQC inspection reports written since these questions were introduced to see if the changes have impacted upon the information included about people with learning disabilities.
The present study investigates the suitability of various treatment outcome indicators to evaluate performance of mental health institutions that provide care to patients with severe mental illness. Several categorical approaches are compared to a reference indicator (continuous outcome) using pretest-posttest data of the Health of Nation Outcome Scales (HoNOS).
An interline dynamic voltage restorer (IDVR) is a novel c o m p e n s a t i o n piece of equipment for sag
mitigation It is made of several dynamic voltage restorers (DVRs) with a common dc link, here each DVR is
connected in series with a distribution feeder. In the sag period, active power is transferred from a feeder
to other one and voltage sags with long durations can be mitigated. IDVR compensation capacity, still,
depends on the load power factor, and a superior load power factor causes lower presentation of IDVR. To
beat this limitation, a novel design is obtainable in this paper which facilitate sinking the load power factor
under sag conditions and, so, the compensation capacity is enhanced. The proposed IDVR make use of two
cascaded H-bridge multilevel converters to infuse ac voltage with lower total harmonic distortion and
eliminates the necessity to low-frequency isolation transformers in one side. The validity of the planned
configuration is verified by simulations in the MATLAB environment. The Proposed IDVR is applied to the 6.6kv
and extension applied to the 11kv transmission lines then, observed that compensation capacity of IDVR is improved.
Between 12 March and 12 April 2018, a team of CQC inspectors visited ten of the trust’s core services. Inspectors rated the care provided by staff to be Good regarding whether services were effective, caring, responsive and well-led and rated as Requires Improvement regarding whether services were safe.
Developed to share common critical issues initially identified from CQC’s criminal prosecution work against nine health and care providers that have failed to provide care and treatment in a safe way; each of the resources describe the issue – what happened, what CQC and the provider did about it and the steps that can be taken to prevent similar serious incidents from happening again in the future.
Open access. Several countries have national policies and programmes requiring hospitals to use quality and safety (QS) indicators. To present an overview of these indicators, hospital-wide QS (HWQS) dashboards are designed. There is little evidence how these dashboards are developed. The challenges faced to develop these dashboards in Dutch hospitals were retrospectively studied.
NHS England’s board of directors will meet next week to discuss proposals to stop or reduce routine commissioning of 17 interventions, including breast reductions and snoring surgery, where less invasive, safer treatments are available and just as effective.
The plans for consultation are the first step in a new programme to prevent unnecessary pain and inconvenience, curb waste and free up resources for frontline care, and have been developed with and are supported by partner organisations including leading health professionals.
Previous research suggests that the use of outcome feedback technology can enable psychological therapists to identify and resolve obstacles to clinical improvement. We aimed to assess the effectiveness of an outcome feedback quality assurance system applied in stepped care psychological services.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
As quality improvement (QI) programmes have become progressively larger scale, the risks of implementation having unintended consequences are increasingly recognised. More routine use of balancing measures to monitor unintended consequences has been proposed to evaluate overall effectiveness, but in practice published improvement interventions hardly ever report identification or measurement of consequences other than intended goals of improvement.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text. SSOTP (legacy account)- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The updated guidance gives recommendations on preventing and managing PTSD. Adults who are at risk of PTSD should be offered individualised cognitive-behavioural therapy within a month of experiencing a stressful event. Children can be considered for group therapy after shared trauma to reduce the risk of developing PTSD, the guidance says.
South West London and St George’s Mental Health Trust has been rated Good overall by the Care Quality Commission.
The trust which serves five London boroughs was rated Good for being safe, effective, caring, responsive and well-led.
The experiences of the services show that improvement in adult social care is possible. The 9 case studies highlight some clear actions that other providers can use to help them learn and improve.
A team-based QI training programme resulted in a high degree of participants’ involvement in QI activities beyond completion of the programme. A majority of team projects showed improvement in project measures, often occurring after completion of the programme.. To read the full article, log in using your NHS OpenAthens details.
England’s Chief Inspector of Hospitals has rated the services provided by Leeds and York Partnership NHS Foundation Trust as Requires Improvement following inspections by the Care Quality Commission.
The Care Quality Commission has told Kent and Medway NHS and Social Care Partnership Trust that it must make significant improvements to its community-based mental health services for adults of working age, following its latest inspection by the Care Quality Commission.
England’s Chief Inspector of Hospitals has found that Devon Partnership NHS Trust has maintained a high standard in the quality of services for patients.
Ecological fallacy refers to an erroneous inference about individuals on the basis of findings for the group to which those individuals belong. Suppose analysis of a large database shows that hospitals with a high proportion of long length of stay (LOS) patients also have higher than average in-hospital mortality. This may prompt efforts to reduce mortality among patients with long LOS. But patients with long LOS may not be the ones at higher risk of death. It may be that hospitals with higher mortality (regardless of LOS) also have more long LOS patients—either because of quality problems on both counts or because of unaccounted differences in case mix. To provide more insight how the ecological fallacy influences the evaluation of hospital performance indicators, we assessed whether hospital-level associations between in-hospital mortality, readmission and long LOS reflect patient-level associations.. To read the full article, log in using your NHS OpenAthens details.
Open access. Emergency hospital admission on weekends is associated with an increased risk of mortality. Previous studies have been limited to examining single years and assessing day—not time—of admission. We used an enhanced longitudinal data set to estimate the ‘weekend effect’ over time and the effect of night-time admission on all-cause mortality rates.
To determine whether patients treated in hospital on the weekend report different experiences of care compared with those treated on weekdays.. To read the full article, log in using your NHS OpenAthens details.
Editorial. More than 50 years of health services research has driven home a core lesson: unintended and inappropriate variations in care are common.1 2 Identification of such variation in obstetrics was the impetus for Archie Cochrane to start his work.3 In this issue of BMJ Quality & Safety, Weiss and colleagues report an intervention developed to address inappropriate variation in aspects of maternal newborn care across Ontario, Canada’s most populous province.4 The intervention involved systematic collection and analysis of administrative data to assess key quality indicators for all hospital births in the province and provision of this data in a ‘dashboard’ back to hospitals.. To read the full article, log in using your NHS OpenAthens details.
MHRA advice on valproate: In April 2018, we added warnings that valproate must not be used in pregnancy, and only used in girls and women when there is no alternative and a pregnancy prevention plan is in place. This is because of the risk of malformations and developmental abnormalities in the baby. See update information for details.
This guideline covers care and support for adults with learning disabilities as they grow older. It covers identifying changing needs, planning for the future, and delivering services including health, social care and housing. It aims to support people to access the services they need as they get older.
CQC inspectors visited The Priory in January 2018 to check on the safety of patients receiving treatment for drug and alcohol use on West Wing. Previously the service was in breach of regulations around substance misuse and detoxification.
Deputy Chief Inspector of Hospitals, lead for mental health, Dr Paul Lelliott has written to specialist mental health NHS trusts in England to inform them of an upcoming workshop to explore what can be done to improve sexual safety on mental health wards and thank trusts for engaging with CQC on this work.
This review provides the conceptual framework needed to select potentially appropriate characteristics of healthcare outputs to be included in a measure of NHS output.
Open access. In 2001, the Institute of Medicine defined high-quality healthcare as care that is safe, effective, patient-centred, timely, efficient and equitable.1 Subsequently, efforts to improve quality have tended to treat the six dimensions as separate rather than interrelated, with improvement in the various dimensions being pursued independently, led by different professions and occupational groups. Investment in research and improvement knowledge across the dimensions has been comparatively uneven, with little shared learning between researchers and professionals working to improve quality in one dimension about the value and efficacy of improvement approaches and methods used in others. Despite policy efforts to define quality in the round as safe, effective and patient-centred,2 3 and despite intermittent calls for patients to be involved in patient safety,4 the dimensions of quality do not have equal status within the improvement community, and patients and families do not play much part in patient safety: their input in this area is seen as subjective and less relevant to outcomes.
Frank discussions, prompted by the improvement work SaTH are doing through its partnership with the Virginia Mason Institute in Seattle, has resulted in defects in C. diff being reduced by 13 per cent in just one month.
NICE is urging councils and health bodies to make sure that people with learning disabilities can access well-designed services and staff with the right skills so they do not need to move away for care or treatment.
This guideline covers assessing and reducing the risk of venous thromboembolism (VTE or blood clots) and deep vein thrombosis (DVT) in people aged 16 and over in hospital. It aims to help healthcare professionals identify people most at risk and describes interventions that can be used to reduce the risk of VTE.
This guideline covers recognising, diagnosing and managing attention deficit hyperactivity disorder (ADHD) in children, young people and adults. It aims to improve recognition and diagnosis, as well as the quality of care and support for people with ADHD.
During the weeks either side of the Easter holidays the Trust will focus on working differently, testing new ideas; and with local partners such as local authorities and other community providers keep ‘patient flow’ as smooth as possible.
This means resolving any blockages in a patient’s pathway on the same day to ensure the Royal Shrewsbury Hospital and the Princess Royal Hospital in Telford do not go into the following day with any unresolved patient issues.
For better or worse, the EHR has become an integral part of medical care. For every hour we spend on direct patient care, we spend another two with the EHR.5 Even when interacting with patients, our focus is on computer screens up to 80% of the time.6
Given this degree of attention, it is not surprising that the EHR influences physician behaviour, especially the overuse of low-value medical care. For example, an unchecked box on an order set provides a powerful stimulus to order a test, regardless of clinical utility.7 Displaying brand name instead of generic options leads to more expensive prescribing.8 Allowing labs to be ordered recurrently increases unnecessary phlebotomy.9 Even individually listing inappropriate antibiotics (rather than grouping them) can make them more noticeable, resulting in more broad-spectrum use.10. To read the full article, log in using your NHS OpenAthens details.
What does it take to raise standards in a mental health trust? How can a trust that requires improvement become good or outstanding?
To help answer those questions we visited seven NHS mental health trusts that had achieved significant improvements in their ratings.
North Staffordshire Combined Healthcare NHS Trust has today welcomed the publication of its latest CQC inspection, which - for the first time in the Trust's history - rates every Combined Service as "Good" or "Outstanding". The Trust's overall rating is "Good".
The results mean that Combined Healthcare is the best rated mental health trust across the whole of the Midlands and East of England and third highest in the whole country - only 1 of 3 with every service rated at least Good and at least two Outstanding.
North Staffordshire Combined Healthcare NHS Trust is among just a handful of organisations to feature in a new Care Quality Commission (CQC) report showcasing how mental health trusts have led by example in raising standards.
The CQC’s ‘Driving Improvement’ report focusses on a select few mental health trusts that, like Combined Healthcare, have achieved significant improvement in their CQC ratings.
The draft guideline advises local businesses, community services and prisons on the support people considering suicide need. It says physical barriers like fences and netting in problem areas may be enough to make people reconsider their intentions. Using CCTV could also allow staff to monitor when people may need help.
The service was rated as Requires Improvement for safety, Good for caring, effectiveness and responsiveness and Outstanding for well-led. As a result of this inspection, the trust’s overall rating remains unchanged as Good.
CQC last inspected these services in 2016 and rated them as Requires Improvement. Following that inspection, inspectors told the provider of the actions they must take in order to improve the service.
CQC re-inspected in July 2017 to check whether the required improvements had been made. The trust had only completed three of the eight actions we had told them they must take. We changed our rating of the service to Inadequate overall.
Acute wards for adults of working age and psychiatric intensive care units (PICUs) at West London Mental Health NHS Trust have made good progress in some key areas. The trust had undertaken considerable work to better manage patient flow. This had resolved the issue of patients receiving care on one ward while sleeping on another ward.
The CQC has published a focused report on the safety of one ward at South West Yorkshire Partnership NHS Foundation Trust following an inspection in December 2017.
The Open Days, which will be held quarterly, offer the opportunity to hear about the [Virginia Mason] work, our journey and our own learning in developing our Transforming Care Production System.
During the day the people present got the opportunity to hear from the teams on the genba about the improvement work going on across the Trust and also got the opportunity to attend our Friday Report Out.
Open access. Patient decision aids (PDAs) are evidence-based tools designed to help patients make specific and deliberated choices among healthcare options. The International Patient Decision Aid Standards (IPDAS) Collaboration review papers and Cochrane systematic review of PDAs have found significant gaps in the reporting of evaluations of PDAs, including poor or limited reporting of PDA content, development methods and delivery. This study sought to develop and reach consensus on reporting guidelines to improve the quality of publications evaluating PDAs.
Open access. This Explanation and Elaboration (E&E) article expands on the 26 items in the Standards for UNiversal reporting of Decision Aid Evaluations guidelines. The E&E provides a rationale for each item and includes examples for how each item has been reported in published papers evaluating patient decision aids. The E&E focuses on items key to reporting studies evaluating patient decision aids and is intended to be illustrative rather than restrictive. Authors and reviewers may wish to use the E&E broadly to inform structuring of patient decision aid evaluation reports, or use it as a reference to obtain details about how to report individual checklist items.
Open access. Emerging evidence suggests electronic health record (EHR)-related information overload is a risk to patient safety. In the US Department of Veterans Affairs (VA), EHR-based ‘inbox’ notifications originally intended for communicating important clinical information are now cited by 70% of primary care practitioners (PCPs) to be of unmanageable volume. We evaluated the impact of a national, multicomponent, quality improvement (QI) programme to reduce low-value EHR notifications.
Audit and feedback improves clinical care by highlighting the gap between current and ideal practice. We combined best practices of audit and feedback with continuously generated electronic health record data to improve performance on quality metrics in an inpatient setting.. To read the full article, log in using your NHS OpenAthens details.
This reluctance to discuss the negative aspects of healthcare, or ill-health in general, make it difficult to have an honest conversation about choice; one in which we talk about both the risks and benefits of each option available.
CNWL has developed a Quality Improvement (QI) Programme and a dedicated website and Twitter feed to share the latest information on the initiative with staff, service users, carers and anyone else interested in quality improvement.
NELFT's HQ at CEME houses over 70 agile workspaces, six training rooms, seven meeting rooms and the boardroom. Our executive directors and leadership teams have also embraced agile working. They no longer have their own offices and utilise the open plan workplaces, meeting pods and shared facilities. The building was first used by NELFT staff in November 2016 and officially opened by Roy Lilley and the Mayors of our four London boroughs in February 2017.
A report published by Picker and The King’s Fund has uncovered striking associations between NHS staff and patients’ experiences in hospitals and NHS trusts’ reliance on agency healthcare workers.
The Primary Care Outcomes Questionnaire (PCOQ) is a new patient-reported outcome measure designed specifically for primary care. This paper describes the developmental process of improving the item quality and testing the face validity of the PCOQ through cognitive interviews with primary care patients.
The Care Quality Commission has found the quality of care provided by Vision Mental Health Limited in Elstree, Hertfordshire, to be Outstanding following an inspection in October.
Vision Mental Health Limited is a high dependency inpatient rehabilitation unit, registered to provide inpatient treatment for up to 30 people with a mental health diagnosis who may also be detained under the Mental Health Act 1983.
North East London NHS Foundation Trust (NELFT) has been rated Good overall by the Care Quality Commission.
The trust, which was inspected in October and November 2017, was rated Good for being effective, caring, responsive and well-led. It was rated Requires Improvement for being safe.
England’s Chief Inspector of Hospitals has found improvement in the quality of services for patients during the latest inspection of Sussex Partnership NHS Foundation Trust.
As a result of the inspection, Sussex Partnership NHS Foundation Trust is now rated as Good.
The Care Quality Commission (CQC) has today published a report on Cumbria Partnership NHS Foundation Trust. The trust has been rated Requires Improvement following an inspection in September and October 2017.
Many CAMHS teams across the United Kingdom are now required to use Routine Outcome Monitoring (ROM). However, some clinicians hold negative attitudes towards ROM and various practical implementation issues have been identified.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
As part of her improvement project exploring how to increase capability to deliver continuous quality improvement, she shares her thoughts Sweden's approach to health and care systems.
Open access. The Care Quality Commission (CQC) is responsible for ensuring the quality of healthcare in England. To that end, CQC has developed statistical surveillance tools that periodically aggregate large numbers of quantitative performance measures to identify risks to the quality of care and prioritise its limited inspection resource. These tools have, however, failed to successfully identify poor-quality providers. Facing continued budget cuts, CQC is now further reliant on an ‘intelligence-driven’, risk-based approach to prioritising inspections and a new effective tool is required.
Open access. Although previous research suggests that different kinds of patient feedback are used in different ways to help improve the quality of hospital care, there have been no studies of the ways in which hospital boards of directors use feedback for this purpose.
Open access. Measuring quality of care and comparing this against agreed-upon standards of practice or peer performance (ie, audit) and delivery of the results to healthcare professionals and/or administrators (ie, feedback) is a common quality improvement strategy.5 Whether referred to as ‘audit and feedback’, ‘report cards’, ‘benchmarking’, ‘practice profiles’ or other synonyms, the underlying rationale for audit and feedback is sound. The large literature evaluating this approach indicates that (1) clinicians are relatively poor at self-assessment,6 meaning that they tend to pursue continuing professional development or quality improvement in areas of interest (where performance is often already high) rather than areas of greatest need; (2) comparing current performance to a target can drive increased performance in motivated individuals,7–9 meaning that when desired behaviours can be measured and presented in a formative fashion,10 health professionals may respond positively to them; and (3) high-performing health systems tend to feature audit and feedback as an evidence-based, scalable and relatively inexpensive strategy to encourage uptake of best practices.11
The American Journal of Occupational Therapy; Bethesda Vol. 72, Iss. 1, (Jan/Feb 2018): 1-8.
Health Care Audit and Documentation A recent Cochrane review (Ivers et al., 2012) examining the effectiveness of audits on health care professionals (mostly physicians) concluded that audit and feedback processes can play an important role in improving professional practice, but effectiveness is highly variable. The group, known as the redesign team, consisted of a physical therapist, an occupational therapist, a speech-language pathologist, a clinical research educator, a therapy coder, a therapy support specialist, a department leader, and a facilitator.. To read the full article, log in using your NHS OpenAthens details.
This programme of work has seen the development of new national guidance from the National Quality Board, of which CQC is a member. For NHS trusts the guidance sets out the actions they must take when someone in their care dies and clear reporting expectations requiring trusts to collect and publish specific information on patient deaths on a quarterly basis. Work to produce guidance for families and carers on what to expect from the investigation process is also underway.
Research suggests customers are more satisfied when a member of staff takes constructive action to resolve an issue rather than simply providing an empathetic response. To read the full article, log in using your NHS OpenAthens details.
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.. To read the full article, log in using your NHS OpenAthens details.
Open access. South West London and St George's Mental Health NHS Trust developed a system of weekend new patient reviews by higher trainees to provide senior medical input 7 days a week. To evaluate the effectiveness of these reviews, the notes for all patients admitted over 3 months were examined. The mean length of stay for patients before and after the introduction of the weekend new patient reviews were compared via unpaired t-test.
Measurement is a vital part of improvement work. While it is known that the context of improvement work influences its success, less is known about how context affects measurement of underlying harms. We sought to explore the use of a harm measurement tool, the NHS Safety Thermometer (NHS-ST), designed for use across diverse healthcare settings in the particular context of community care. . To read the full article, log in using your NHS OpenAthens details.
The National Health Service (NHS) is known to be a challenging place to work, with financial and performance targets placing increasing pressure on the organisation. This study aimed to investigate whether these pressures and threats might be detrimental to the quality of care and the compassion that the NHS strives to deliver. Quantitative data were collected via self-report questionnaires from healthcare professionals across 3 NHS trusts in England in order to measure Self-compassion; Compassion for Others; Perceived Organisational Threat; and Perceived Organisational Compassion. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To provide an overview of the evidence regarding outcomes of remediation and rehabilitation programmes for healthcare professionals with performance concerns, and to explore if outcomes differ for specific concerns and professions. To read the full article, log in using your NHS OpenAthens details.
Open access. Health systems worldwide are increasingly holding boards of healthcare organisations accountable for the quality of care that they provide. Previous empirical research has found associations between certain board practices and higher quality patient care; however, little is known about how boards govern for quality improvement (QI).
Despite concerns about the degree of compassion in contemporary healthcare, there is a dearth of evidence for health service managers about how to promote compassionate healthcare. This paper reports on the implementation of the Creating Learning Environments for Compassionate Care (CLECC) intervention by four hospital ward nursing teams. CLECC is a workplace educational intervention focused on developing sustainable leadership and work-team practices designed to support team relational capacity and compassionate care delivery. To read the full article, log in using your NHS OpenAthens details.
Handoff communication errors are a leading source of sentinel events. We sought to determine the impact of a handoff improvement programme for nurses. To read the full article, log in using your NHS OpenAthens details.
Open access. Editorial. Alongside concern about avoidable mortality, one of the key findings of the public enquiry into failings at Mid Staffordshire NHS Foundation Trust,1 which ran Stafford Hospital in England, was the lack of compassion in care delivery. Sir Robert Francis, who led the enquiry, laid the blame for the compassion deficit at the door nursing and support staff. He recommended, among other things, that people should work as care assistants prior to nurse training and that values-based recruitment should be used to ensure that the ‘right’ people are recruited to be nurses. However, there has been little evidence to support these propositions. For example Snowden et al 2 found that nursing students who had previous care jobs scored no higher for emotional intelligence than those without prior experience.
Compassion has historically been defined as an underpinning principle of work conducted by health professionals, especially nurses.1 Numerous definitions of compassionate care exist, incorporating a range of elements. Most include a cognitive element: understanding what is important to the other by exploring their perspective; a volitional element: choosing to act to try and alleviate the other’s disquiet; an affective element: actively imagining what the other is going through; an altruistic element: reacting to the other’s needs selflessly; and a moral element: to not show compassion may compound any pain or distress already being experienced by the other.....To read the full article, log in using your NHS OpenAthens details.
NELFT celebrated its first quality improvement week – One Small Change – from the 18th- 22nd of September.
The aim of the week was to engage with our staff and service users and ask the question “what one small change would you recommend to improve the care and services at NELFT?”
CQC has now inspected all NHS hospitals, general practices and adult social care providers in England. The inspections are reportedly more intelligence-driven than in the past. And although CQC continues to have difficulties recruiting inspectors and other staff, vacancy rates are nowhere near as high as they were in 2015.
This year’s quality strand at our annual conference and exhibition, taking place on 7-8 November in Birmingham, will explore three innovative approaches that NHS organisations are taking to bridge conventional healthcare divides, and establish cultures of learning and quality improvement which are underpinned by a systems approach to patient safety.
We’re aiming to improve the way we engage the public by using their views and experiences in our work and helping them use the information we have about the quality of care.
Three animations demonstrate how nurses and midwives could use the Enabling professionalism framework to reflect on practice and challenge poor behaviour.
S. Sen, F. Harper, A. LaPitz, и J. Riedl. GROUP '07: Proceedings of the 2007 international ACM conference on Supporting group work, стр. 361--370. New York, NY, USA, ACM, (2007)