Welcome to the new style Quality and Safety e-Bulletin
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Patient safety Agency for Healthcare Research and Quality (AHRQ) PS Net: The role of patient safety. This American webinar explores strategies to engage patients and families in patient safety. BBC Health: Large city hospitals ‘breed and spread’ MRSA. Research done at Edinburgh University shows that the MRSA infection “started its journey in large city centre hospitals – in London and Glasgow – and then spread to smaller local hospitals”. BMJ: Evaluation of the national Cleanyourhands campaign to reduce Staphylococcus aureus bacteraemia and Clostridium difficile infection in hospitals in England and Wales by improved hand hygiene: four year, prospective, ecological, interrupted time series study. This aimed to evaluate the impact of the Cleanyourhands campaign on rates of hospital procurement of alcohol hand rub and soap, report trends in selected healthcare associated infections, and investigate the association between infections and procurement. Care Inspectorate: Guidance on the role of the Care Inspectorate with regards to membership of an NHS lead Incident Management Team (IMT) during a Public Health Incident. NHS boards must take action to protect public health in an incident and it is the responsibility of the NHS board to convene an IMT, if required. When services regulated by the Care Inspectorate are involved the Care Inspectorate should be become a member of an IMT. This guidance explains the role of Care Inspectorate staff when attending such a meeting. DH: Poly Implant Prothèse (PIP) silicone breast implants: Review of the actions of the Medicines and Healthcare products Regulatory Agency (MHRA) and Department of Health. Review into PIP implants published. DH: Save lives: Clean your hands. New cases of MRSA bloodstream infection have dropped by 41 per cent and C. difficile by 30 per cent across the NHS in England since 2009/10. DH: Summary of consultation response on organ transplantation directive published. An overwhelming majority of respondents rejected the proposed implementation approach. They saw little or no benefits from the UK implementing the Organ Directive. Health Protection Agency (HPA): HPA welcomes pre-entry TB screening programme. The new measures, announced by the Home Office, mean migrants wanting to enter the UK for more than six months, who are from over 67 countries with a high risk of TB, will need to be screened before they are granted a visa for the UK. HPA: English national Point Prevalence Survey on Healthcare-associated infections and antimicrobial use, 2011: preliminary data. The prevalence of healthcare-associated infections (HCAI) was 6.4 per cent in 2011 compared to 8.2 per cent in 2006. Health Protection Scotland: Annual surveillance of healthcare associated infection report 2011. The third Annual surveillance of healthcare associated infection report January – December 2011, “shows further improvement in rates of Clostridium difficile, MRSA and surgical site infections, the three most common types of HAI in Scotland”. Health Protection Scotland: Noroviral activity increase in hospitals. Norovirus activity in hospitals for week 20 showed an increase for the time of year with 22 wards closed in eight hospitals. "While it is not unusual to have a general increase in norovirus activity at this stage of the season, it is unusual for it to generate the season's (equal) highest weekly level of ward closures". Health Protection Scotland: HAI Newsletter Volume 9 Issue 1 March to August 2012. NES: Breaking the Chain of Infection in Healthcare. Update of the DVD training resource developed around Standard Infection Control Precautions “which are intended for use by all staff, in all care settings at all times for all individuals, whether infection is known to be present or not”. NES: Scottish Patient Safety Programme Fellowship. Applications are currently being invited for the next cohort of the Scottish Patient Safety Programme Fellowship which is a programme of additional learning and coaching support for clinicians as part of the Scottish Patient Safety Programme (SPSP). The closing date is 13 July 2012. NHS Information Centre for health and social care (NHS IC): Hospitals make nearly four thousand medication errors in one week for inpatients with diabetes. Nearly one in three hospital patients with diabetes are affected by errors which can result in dangerously high blood glucose levels. NHS Technology Adoption Centre: Intraoperative Fluid Management Technologies Adoption Pack (798KB). The use of Intraoperative Fluid Management Technologies (IOFMT) enables closer monitoring and management of patients' hydration status during major and high-risk surgery. Evidence shows that the use of this technology can facilitate improved outcomes for patients and benefits for the health economy. This pack has been commissioned by the Department of Health (DH) to help Trusts implement the technology and realise the benefits it can bring. RCN: Patient safety and human factors conference November 2012. Stimulating improvements in safety through a focus on nursing education and simulation training. There is a growing movement in modern healthcare to ensure that human factors are embedded within practice, policy, education, research and development and this conference will provide participants with information about the ways in which innovators are using human factors to continuously improve the safety and quality of patient care at the frontline. To be held on 23 November 2012 at Hallam Conference Centre London. Welsh Government: Commitment to purpose: Eliminating preventable healthcare associated infections (HCAIs). A framework of actions for healthcare organisations in Wales. HCAI refers to infection that occurs as a result of contact with the healthcare system in its widest sense - from care provided in the home, to general practice, nursing home care and care in acute hospitals. This guidance sets out what healthcare organisations and others who work in healthcare settings must do to tackle HCAIs. Patient focus Alzheimer’s Society: Dementia a massive worry for many of us. The YouGov survey - released to mark Dementia Awareness Week™ - found that 63 per cent of people say they are worried about dementia in some way. Welsh Government: Bespoke dementia information packs launched to reassure dementia sufferers Dementia Awareness Week 20-26 May 2012 BBC Health: Social care reform: No half-measures, campaigners urge. Campaigners are warning that there must be no half-measures on the reform of social care in England. Eighty-five groups have written to David Cameron asking him to make urgent reform his "personal mission", and to host a summit to galvanise support. DH: Choice: further proposals. Detailed proposals to secure genuinely shared decision-making for patients have been published. The Department of Health is consulting further on these detailed proposals to implement the Government’s commitment to giving patients more say and choice over their care and treatment. The consultation closes on 20 July 2012. DH: NHS Information Service for Patients. This new service will give new parents information and advice they can trust covering a wide range of issues related to staying healthy in pregnancy, preparing for birth and looking after their baby. DH: NHS Patient Feedback Challenge uses online crowdsourcing to collect ideas and support projects. This recently launched challenge is using new ways of working to share, spread and implement the measurement and improvement of patient experience across the NHS. A web channel will be used to collect ideas and support the development of strong bids and projects. DH: Case study: Principia Rushcliffe patient and public involvement (PPI). This document describes the arrangements for testing the structure of PPI across the Rushcliffe area in the transitional period ahead of the authorisation process for CCGs. General Social Care Council: Involving people who use services and their carers in the work of the GSCC (2001-2012). This learning report sets out the key achievements and challenges faced by GSCC in involving service users and carers. It outlines the aims and benefits of user involvement as well as an evaluation of the GSCC's activities in this area. Headway: Acquired brain injury – the psychological and physical effects on carers. “Carers of people with brain injury are failing to get adequate support from their local health care providers and social services departments, causing long-term mental and physical health problems, according to the results of new research released by Headway - the brain injury association”. News: Local authorities ‘failing brain injury carers’, says new research Action for Brain Injury Week 2012. The week is 14-20 May 2012. National Institute for Health Research & Mental Health Research Network: Good practice guidance for involving carers, family members and close friends of service users in research (PDF 986KB). The NIHR Mental Health Research Network has published guidance that aims to provide practical, accessible guidance for researchers who seek to involve carers in mental health research. NHS Connecting for Health (NHS CFH): Patient and public reference group (PPRG). The Patient and Public Assurance team in the Department of Health Informatics Directorate (DHID) has recently recruited six people with experience as users of NHS services or as carers. They also have experience or an interest in health informatics and of how technology can be used to improve services and bring benefits to patients. NHS Institute for Innovation and Improvement: 15 steps challenge. Quality from a patient’s perspective. The following resources provide information about the 15 Steps Challenge and step by step guidance on how to get started. [You will need to register and log-in for this resource.] NHS Kidney Care: How-to guide: Solo dialysis: more freedom and control for patients living alone (PDF 123KB). Looks at the benefits of kidney dialysis at home. NHS kidney Care: Summary of the evidence on the performance of the Patient Activation Measure (PAM) (PDF 3.5MB). The PAM is a tool for measuring the level of patient engagement in their healthcare, designed to assess an individual’s knowledge, skill and confidence for self-management. NHS Kidney Care has commissioned 23 trusts across England to implement and embed care planning processes, and will be using the PAM in 18 of these trusts to evaluate patient activation as the projects progress. RCN: ‘See beyond the sickness’ Congress told. Sir Keith Pearson who co-chairs the Commission on Improving Dignity in Care, said dignity should be taken as seriously as providing clinically correct care. “We call for fundamental change so that hospitals and care homes stamp out undignified care and ensure all patients and residents are treated with dignity and respect.” Scottish Government: Are you entitled to help with health costs. An information booklet providing advice on what help a person may be entitled to for NHS charges. Scottish Government: Links Project report: developing the connections between general practices and their communities. The Links Project was established between October 2010 and May 2011. Staff in ten Scottish General Practices explored connections with their communities. Six of the practices were in areas of deprivation in Glasgow and four in different areas of Fife. Scottish Government: Finding the care that is right for you. Booklet about information on care services to support older people living in Scotland. Social Care Institute for Excellence (SCIE): At a glance 60: Preventing loneliness and social isolation among older people. This briefing, based on an earlier research briefing, explains the importance of tackling social isolation and loneliness, particularly among older people. It highlights the adverse effects of feeling isolated and describes a number of services that have been found to help reduce the problem. eHealth BMC Health Services Research: Measuring data reliability for preventive services in electronic medical records. Electronic Medical Records (EMRs) contain potentially valuable new sources of health data. Data reliability (are the same data elements being measured over time?) is a prerequisite for data validity (are the data accurate?). This Canadian study measured the reliability of data for preventive services in primary care EMRs during the transition to EMR. DH: The power of information: putting all of us in control of the health and care information we need. This information strategy from the Department of Health sets a ten-year framework for transforming information for the NHS, public health and social care. One of the key commitments is that patients will be able to view their GP record online by 2015. The website includes links to a visual guide to the information strategy and case studies supporting the power of information. View the Information Strategy document in full, and the RCN response. eHealth Industries Innovation Centre: A new definition for ehealth was launched through a video animation in conjunction with the new NHS Wales Informatics Service Research Laboratories opening event this week. Journal of Medical Internet Research (JMIR): There’s an App for That: Content Analysis of Paid Health and Fitness Apps. This study provides an overview of the developers’ written descriptions of health and fitness apps and appraises each app’s potential for influencing behavior change. JMIR: Efficacy of a Computerized Simulation in Promoting Walking in Individuals With Diabetes. This study suggests that a brief, Internet-ready, simulation-based intervention can improve knowledge, beliefs, intentions, and short-term behaviour in individuals with Type 2 Diabetes Mellitus. JMIR: Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study. The use of mHealth apps has shown improved health outcomes in adult populations with type 2 diabetes mellitus. However, this has not been shown in the adolescent type 1 population, despite their predisposition to the use of technology. The study hypothesized that a more tailored approach and a strong adherence mechanism is needed for this group. NHS CFH: GP2GP: new landing page. GP2GP section has a new landing page that promotes more key areas and includes a video of Stonefield Surgery's GP2GP experiences. NHS CFH: Summary Care Record (SCR) bulletin: Issue one – 8 May 2012. The Bulletin is designed to communicate progress, share good practice and lessons and as a useful resources to boost engagement between the programme and NHS colleagues and address frequently asked questions. NHS CFH: ‘Mobile working’ videos. A collection of videos that explain the benefits of using mobile technology in the NHS. NHS CFH: EPS mailing list. The Electronic Prescription Service is now offering a mailing list, to provide the definitive source of information on EPS deployments, issue resolution and end-user feedback. NHS Confederation: Alive and clicking: information that benefits all. This paper explores the potential for using and sharing information in the NHS. It looks at the costs and benefits of informing and communicating with patients through web and social media platforms versus the costs of not doing so effectively. NHS Wales: NHS Wales Data Dictionary. The dictionary is intended as a user-friendly guide to the definitions, collection and interpretation of nationally agreed data standards adopted by the NHS in Wales. It has been prepared for the use of everyone who is actively involved in the collection of data and the management of information in NHS Wales. Related reference sources also include Health Reference Data (NHS Wales Users Only), Classifications and Grouping. NHS Wales Informatics Service: NWIS Service Guide (PDF 5.2MB). The NWIS Service Guide outlines the services provided to NHS Wales. NHS Wales Informatics Service: Health Informatics Careers in NHS Wales (PDF 607KB). A new NHS careers guide has been developed for Health Informatics Careers in NHS Wales. The booklet talks about the wide range of opportunities within Health Informatics in the NHS. PricewaterhouseCoopers: Social media “likes” healthcare: From marketing to social business. This report looks at what some of the largest health care companies are doing in and with social media. The report's findings are based on a survey of more than 1,000 consumers and 124 health care executives [you will need to register to access the full report]. RCN: Multimedia: Using technology to complement nursing practice (PDF 1.1MB). This guidance which introduces a range of guides on using technology to complement nursing practice, provides an overview, covering the broad principles and key issues to consider for safe and effective eHealth services. Using telephone advice for patients with long-term conditions (PDF 1.4MB). This guide provides health care practitioners with an initial framework for building or redesigning a telephone advice service. Using text messaging services (PDF 723.6KB). This raises awareness about the complex issues around using text messaging on mobile phones such as using text to mail software system to ensure a documentation trail and provides guidance for writing a policy. Developing and using websites (PDF 941.1KB). This provides guidance on what needs to be considered in developing and using websites or providing a web service including tips for creating a good website. Using telehealth to monitor patients remotely (PDF 2.9MB). Includes information about types of information being transmitted and on designing a remote monitoring service. Evidence based practice Annals of Internal Medicine: Guidelines International Network: Toward International Standards for Clinical Practice Guidelines (PDF 150KB). This article in the Annals of Internal Medicine presents recommendations for clinical practice guideline development by the Guidelines International Network (GIN), a group of 93 organizations representing 46 countries. Proposed sets of components address funding, conflicts of interest, panel composition, objectives, decision-making, and the basis, rating and updating of evidence. BBC Health: Calcium pills pose ‘heart risk’. "People who take calcium supplements could be increasing their risk of having a heart attack, according to researchers in Germany". BBC Health: C-section 'may double risk of childhood obesity'. Research done by Boston Children's Hospital in Massachusetts suggests that "babies who are delivered through Caesarean section are twice as likely to become obese than those born traditionally". BioMed Central author academy. The editors at Edanz have pooled their expertise to create this academy, a free online learning resource for authors on writing and publishing in scientific journals. As well as advice on how to structure and write a good research article, the author academy includes help on choosing a target journal and publication ethics. BMC Health Services Research: Information seeking for making evidence-informed decisions: a social network analysis on the staff of a public health department in Canada. "Social network analysis is an approach to study the interactions and exchange of resources among people. It can help understanding the underlying structural and behavioral complexities that influence the process of capacity building towards evidence-informed decision making. A social network analysis was conducted to understand if and how the staff of a public health department in Ontario turn to peers to get help incorporating research evidence into practice.” BMC Public Health: Socioeconomic inequalities in mortality from conditions amenable to medical interventions: do they reflect inequalities in access or quality of health care? Using data from 12 countries the authors "did not find evidence that inequalities in mortality from amenable conditions are related to inequalities in access or quality of health care. Further research is needed to find the causes of socio-economic inequalities in mortality from amenable conditions, and caution should be exercised in interpreting these inequalities as indicating health care deficiencies". Health Foundation: Research scan. Each month the Health Foundation search more than 40,000 journals to pick out what they hope are the most important studies about improving quality in healthcare. the results are arranged under headings: patients; safety; organisations; professionals; productivity; approaches. It is also possible to search by keyword. HEIDI wiki: Health in Europe: Information and data interface. Heidi wiki is an internet based wiki tool for European health information and data. It aims to offer a broad spectrum of articles and data, relating e.g. to health status, diseases, determinants, health systems and policies. Implementation Science: Research into practice: Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Nottinghamshire, Derbyshire, Lincolnshire (NDL). The model shows promising results in putting research into practice, which may be transferable to other healthcare contexts. Implementation Science: Clinical guidelines contribute to the health inequities experienced by individuals with intellectual disabilities. “Clinical practice guidelines are developed to improve the quality of healthcare. However, clinical guidelines may contribute to health inequities experienced by disadvantaged groups. This study uses an equity lens developed by the International Clinical Epidemiology Network (INCLEN) to examine how well clinical guidelines address inequities experienced by individuals with intellectual disabilities.” INVOLVE: International Clinical Trials Day, 20 May 2012. This is celebrated around the world to remember the day that James Lind started his famous trial on the 20 of May 1747 and to raise awareness of the importance of research to health care. NHS Evidence: Eyes on Evidence. Issue 37 – May 2012. A free monthly e-bulletin covering significant new evidence as it emerges with an explanation about what it means for current practice. NHS Evidence Update: Familial breast cancer. May 2012. A summary of selected new evidence relevant to NICE clinical guideline 41 ‘The classification and care of women at risk of familial breast cancer in primary, secondary and tertiary care’ (2006). NHS Evidence Update: Improving outcomes in head and neck cancers. May 2012. A summary of selected new evidence relevant to NICE cancer services guidance ‘Improving outcomes in head and neck cancers’ (2004). NHS Evidence: Food allergy in children and young people. This summarises a selection of new evidence relevant to NICE clinical guideline 116 ‘Diagnosis and assessment of food allergy in children and young people in primary care and community settings’ published in 2011. NICE: Ovarian cancer quality standard This quality standard for ovarian cancer states that an integrated approach to the diagnosis and management of the disease is fundamental to the delivery of high quality care to women. The new quality standard for ovarian cancer consists of eight quality statements that describe high-quality, cost-effective care that should contribute to improving the effectiveness, safety and experience of care for women with ovarian cancer. NICE: More to receive IVF under draft fertility guidelines. Some women in their early 40s should be allowed to have fertility treatment on the NHS, according to draft updated guidelines from NICE. NICE: Health ACT makes NICE stronger. Addressing delegates at the NICE Annual Conference in Birmingham yesterday, Andrew Lansley said that NICE will be central to developing a NHS based on evidence and will be placed on a firmer footing to do so. RCN: Your chance to influence research in dementia care. The Alzheimer's Society is encouraging health care professionals to join people with dementia, their carers, former carers and others with an interest in the issue to submit questions you have been unable to find answers for around the prevention, diagnosis, treatment and care of dementia. See also: Alzheimer’s Society: Dementia Priority Setting Partnership. RCN: Catheter care: RCN guidance for nurses (PDF 625.0KB). This updates an earlier edition and aims to provide further clarity to six competences related to aspects of catheter care in the national Occupational Standards. WHO: Embedding of research into decision-making processes (PDF 1.1MB). Written for the WHO, this paper concerns the uptake of research evidence in policy decisions for health. It examines both conceptual paradigms and country case studies from the perspective of six WHO building blocks: service delivery, health workforce, information, medical products, financing, and governance. 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