Friday, 4 December 2015

Improving documentation within the acute stroke unit

"The results of this project have shown that by introducing a stroke specific clerking document, the quality of information recorded has significantly improved."

Improving documentation within the acute stroke unit: Introducing a stroke specific clerking proforma
S Patel
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u208852.w3847

Read more here.

Improving emergency department flow through Rapid Medical Evaluation unit

"By specifically re-purposing a fraction of existing staff, resources, and infrastructure for patients with lower acuity presentations, we were able to streamline their care and decrease wait times in the ED"

Improving emergency department flow through Rapid Medical Evaluation unit
L Chartier, T Josephson, K Bates, M Kuipers
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u206156.w2663

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A simple prioritisation system to improve the electronic handover

"Overall the introduction of an uncomplicated traffic light system provided an effective addition to the electronic handover structure aimed to allow patient prioritisation and improved efficiency during weekend hours."

A simple prioritisation system to improve the electronic handover
L Ah-kye, M Moore
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u205385.w4127

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Improving the quality of the surgical preoperative assessment in a district general hospital

"The interventions described proved to be cheap and effective methods of improving the quality of the preoperative assessment, bringing it in line with the anaesthetic assessment and reducing the risk of same day cancellations."

Improving the quality of the surgical preoperative assessment in a district general hospital
J Koris, C Hopkins
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u205381.w3406

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Implementing the NICE guideline on Transition between inpatient hospital settings and community or care home settings for adults with social care needs

"Overall, it is expected that implementing the guideline will be cost saving. Implementing the guideline is likely to have resource implications (both costs and savings) for health and social care commissioners and for providers"

Implementing the NICE guideline on Transition between inpatient hospital settings and community or care home settings for adults with social care needs (NG27) 
NICE (Costing statement)
December 2015

Read more here.

Improving Diagnosis in Health Care

"Improving the diagnostic process is not only possible, but it also represents a moral, professional, and public health imperative. Achieving that goal will require a significant reenvisioning of the diagnostic process and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers."

Improving Diagnosis in Health Care
EP Balogh, BT Miller, JR Ball
National Academies Press
September 2015

Read more here.

Wednesday, 2 December 2015

Do pneumonia readmissions flagged as potentially preventable by the 3M PPR software have more process of care problems?

"Among VA [Veterans Health Administration] pneumonia readmissions, PPR [Potentially Preventable Readmissions] categorisation did not produce the expected quality of care findings. Either PPR–yes cases are not more preventable, or preventability assessment requires other data collection methods to capture poorly documented processes (eg, direct observation)."

Do pneumonia readmissions flagged as potentially preventable by the 3M PPR software have more process of care problems? A cross-sectional observational study
AM Borzecki et al.
BMJ Quality and Safety 2015;24:753-763 doi:10.1136/bmjqs-2014-003911

Read more here.