Food, fluid and nutritional care: standards – Healthcare Improvement Scotland – October 2014

Posted on November 7, 2014. Filed under: Dietetics | Tags: |

Food, fluid and nutritional care: standards – Healthcare Improvement Scotland – October 2014

“Food, fluid and nutrition are fundamental to health and wellbeing, and therefore fundamental to quality and safety in healthcare.

These standards replace the previous ‘Clinical Standards for Food, Fluid and Nutritional Care in hospitals’ published by NHS Quality Improvement Scotland in 2003.

This document specifies a minimum set of performance criteria for food, fluid and nutritional care. The standards apply to the care of all patients, paediatric and adult, in both community health care and hospital care in Scotland, whether directly provided by an NHS board or secured on behalf of an NHS board.

These standards can be used to reinforce national consistency and drive improvement in food, fluid and nutritional care across Scotland.”

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Releasing time to care final report – Healthcare Improvement Scotland – 20 December 2013

Posted on January 10, 2014. Filed under: Educ for Hlth Professions, Workforce | Tags: |

Releasing time to care final report – Healthcare Improvement Scotland – 20 December 2013

“Our report marks the conclusion of the formal national support for the Releasing Time to Care programme at the end of October 2013. It highlights the programme’s achievements along with the critical success factors and challenges faced. The latest data on spread of the programme across NHSScotland is presented together with a summary of the sustainability plans in place to make sure that RTC is embedded in the quality improvement infrastructures in NHS boards.”

 

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Learning from adverse events through reporting and review: A national framework for NHS Scotland – Healthcare Improvement Scotland – September 2013

Posted on October 4, 2013. Filed under: Patient Safety | Tags: |

Learning from adverse events through reporting and review: A national framework for NHS Scotland – Healthcare Improvement Scotland – September 2013

“This framework outlines consistent definitions and a standardised approach to adverse event management across NHSScotland that will maximise the opportunities for NHS boards to share and actively learn from each other in order to put improvements into practice.

The national framework is built on the views of patients, clinicians, NHS boards and others involved in delivering high quality healthcare, and will help to develop a positive safety culture that:
promotes avoidance, prevention and reduction of risks,
where everyone is valued and treated with dignity and respect, and
that encourages reporting of adverse events, in order that we can learn from these events and make improvements.

The framework will be revised when the review of NHS boards is complete, adding any subsequent learning from the reviews.”

… continues on the site

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Staff, patients and families experiences of giving and receiving care during an episode of delirium in an acute hospital care setting – Healthcare Improvement Scotland – September 2013

Posted on September 13, 2013. Filed under: Acute Care, Aged Care / Geriatrics | Tags: , |

Staff, patients and families experiences of giving and receiving care during an episode of delirium in an acute hospital care setting – Healthcare Improvement Scotland – September 2013

A Report by Professor Belinda Dewar, University of West of Scotland, Penny Bond, Michelle Miller and Karen Goudie, Healthcare Improvement Scotland

“This report provides details of a project undertaken to explore staff, patients’ and families’ experience of episodes of delirium in an acute hospital setting. The Improving Care for Older People in Acute Care workstream has been working with colleagues from the Scottish Delirium Association and others to design, develop and test a delirium bundle to support staff with the early identification and management of delirium in caring for older people in the acute care setting. As part of this development, the project team was keen to explore what it felt like to both give and receive care during an episode of delirium to:
enhance our learning about caring for patients and family during an episode of delirium
help us to improve communication, and
contribute to the development of a guidance document for the delirium bundle.”

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Patient self-monitoring of oral anticoagulation therapy: Advice Statement 007/12 – Healthcare Improvement Scotland – 11 July 2013

Posted on August 2, 2013. Filed under: Haematology, Patient Safety, Pharmacy | Tags: |

Patient self-monitoring of oral anticoagulation therapy: Advice Statement 007/12 – Healthcare Improvement Scotland – 11 July 2013

“Is patient self-monitoring (including self-testing and self-management) of oral anticoagulation therapy safe, efficacious and cost-effective?”

 

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Public involvement in decision making relating to potential: Technologies scoping report 16 – Healthcare Improvement Scotland – 17 July 2013

Posted on August 2, 2013. Filed under: Health Economics, Health Technology Assessment, Patient Participation | Tags: |

Public involvement in decision making relating to potential: Technologies scoping report 16 – Healthcare Improvement Scotland – 17 July 2013

“What approaches have been taken and efforts made to ensure public involvement in decision making relating to potential disinvestment in healthcare interventions and technologies?

In response to an enquiry from the Scottish Health Council, Healthcare Improvement Scotland

The following question was scoped:
1. What approaches have been taken and efforts made to ensure public involvement in decision making relating to potential disinvestment in healthcare interventions and technologies?”

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What evidence is there on the clinical and cost effectiveness of major trauma centres, as the core component of a trauma service, compared with standard care for adults with major trauma? – Healthcare Improvement Scotland – 19 July 2013

Posted on August 2, 2013. Filed under: Emergency Medicine | Tags: , |

What evidence is there on the clinical and cost effectiveness of major trauma centres, as the core component of a trauma service, compared with standard care for adults with major trauma? – Healthcare Improvement Scotland – 19 July 2013

Major trauma centres as the core component of a trauma service: Technologies scoping report 17

“In response to an enquiry from the National Planning Forum

The following questions were scoped:
1. What evidence is there that adults with major trauma have better outcomes if cared for in a major trauma centre, as the core component of a trauma service, compared with standard care?

2. What is the evidence for the cost effectiveness of trauma centres, as the core component of a trauma service, compared with standard care for adults with major trauma?”

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Do not attempt cardiopulmonary resuscitation (DNACPR) indicator – Healthcare Improvement Scotland – July 2013

Posted on August 2, 2013. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , |

Do not attempt cardiopulmonary resuscitation (DNACPR) indicator – Healthcare Improvement Scotland – July 2013

“The purpose of this document is to specify a minimum high level measure or ‘indicator’ for healthcare services in Scotland on do not attempt cardiopulmonary resuscitation (DNACPR) decision-making and communication.

Our DNACPR indicator focuses on four areas of improvement:

. all resuscitation attempts are carried out in line with the national resuscitation guidelines of the Resuscitation Council (UK) and the Scottish Government DNACPR Adult and CYPADM policies.
. all recognised expected deaths have a DNACPR/CYPADM decision documented in line with national policy
. the NHSScotland DNACPR or CYPADM form is completed correctly for every DNACPR decision, and
. all advance/anticipatory care plan templates must include a field about resuscitation status and DNACPR/CYPADM decision.”

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Systemic Anti-Cancer Therapy governance framework and audit tool – Healthcare Improvement Scotland – 10 April 2013

Posted on April 12, 2013. Filed under: Oncology | Tags: |

Systemic Anti-Cancer Therapy governance framework and audit tool – Healthcare Improvement Scotland – 10 April 2013

“Systemic Anti-Cancer Therapy (SACT) encompasses both biological therapy (therapies which use the body’s immune system to fight cancer or to lessen the side effects that may be caused by some cancer treatments) and cytotoxic chemotherapy (a group of medicines containing chemicals directly toxic to cells preventing their replication or growth, and so active against cancer).

CEL 30 (2012) ‘[Revised] Guidance for the Safe Delivery of Systemic Anti-Cancer Therapy’, published by the Scottish Government in July 2012 provides guidance on the safe delivery of SACT. The Systemic Anti Cancer Therapy working group, convened by Healthcare Improvement Scotland in September 2012, developed the Systemic Anti-Cancer Therapy governance framework and audit tool to support the implementation of this guidance.

NHS boards will use the audit tool to self-assess SACT services by September 2013, following which a three-year rolling programme of peer review will be implemented, with results reported to the Scottish Cancer Taskforce through an expert review group.

This work forms part of the Medicines Strategy, and is linked to the Cancer Quality Performance Indicators (QPIs) programme.”

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Palliative and end of life care indicators – Healthcare Improvement Scotland – 28 March 2013

Posted on April 12, 2013. Filed under: Palliative Care | Tags: |

Palliative and end of life care indicators – Healthcare Improvement Scotland – 28 March 2013

“For all palliative and end of life care services in Scotland, these indicators specify a minimum set of measures that demonstrate person-centred, safe and effective care is being delivered.

Patients, carers, third sector and healthcare professionals helped to develop the indicators for palliative and end of life care.”

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