Succeeding in Sustained Reduction in the use of Restraint using the Improvement Model

"As part of the Scottish Patient Safety Programme – Mental Health one of the main drivers was the reduction of harm to patients caused by restraint. The aim of this project was to reduce the number of restraints on our Acute Admissions ward."

Succeeding in Sustained Reduction in the use of Restraint using the Improvement Model
A Bell, N Gallacher
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u211050.w4430

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Improving length of stay: what can hospitals do?

"This report on length of stay by the Nuffield Trust is part of a larger project undertaken by Monitor which aims to find the best ways to improve quality of care across the health system in light of recent pressures on urgent and emergency care."
Improving length of stay: what can hospitals do?
N Edwards, R Lewis Nuffield Trust
September 2015

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Services for people with neurological conditions: progress review

"Part One of this report sets out a range of data on the quality of neurological services since we reported in 2011, including waiting times and emergency admissions."

Services for people with neurological conditions: progress review
Department of Health and NHS England
National Audit Office
July 2015

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Do practice performance scores predict emergency admissions?

"We tested whether or not better-quality primary care, as assessed by the SMI [serious mental illness] quality indicators measured routinely in the Quality and Outcomes Framework (QOF) in English general practice, is associated with lower rates of emergency hospital admissions for people with SMIs"

Do higher primary care practice performance scores predict lower rates of emergency admissions for persons with serious mental illness? An analysis of secondary panel data 
R Jacobs et al.
Health Services and Delivery Research, (16), April 2015

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Effect of a national primary care pay for performance scheme on emergency hospital admissions for ambulatory care sensitive conditions

"We found relative reductions in rates of emergency admissions for conditions incentivised under the Quality and Outcomes Framework scheme, particularly for coronary heart disease and stroke."

Effect of a national primary care pay for performance scheme on emergency hospital admissions for ambulatory care sensitive conditions: controlled longitudinal study
MJ Harrison, M Dusheiko, M Sutton, H Gravelle, T Doran, M Roland
BMJ 2014;349:g6423

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Focus on: A&E attendances

"We explored a range of factors thought to be contributing to increased pressure on A&E in the English NHS and tested whether recent changes in these factors could explain the current pressures observed in the system." 

Focus on: A&E attendances: Why are patients waiting longer?
I Blunt
Nuffield Trust, The Health Foundation
July 2014

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Variations and inter-relationship in outcome from emergency admissions in England

"Hospital-level risk-standardised outcomes for emergency admissions across a range of specialties vary considerably and cross traditional speciality boundaries. This suggests that global institutional infra-structure and processes of care influence outcomes."

Variations and inter-relationship in outcome from emergency admissions in England: a retrospective analysis of Hospital Episode Statistics from 2005-2010
PJ Holt, S Sinha, BA Ozdemir, A Karthikesalingam, JD Poloniecki, MM Thompson
BMC Health Services Research, 2014, 14: 270

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Emergency admissions to hospital: managing the demand

"Once patients are admitted, hospitals, working with community and social care services, can ensure that patients stay no longer than necessary and are discharged promptly."

Emergency admissions to hospital: managing the demand
Department of Health
National Audit Office
October 2013

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Focus on preventable admissions

"This study examined the pattern of admissions across England for people with ambulatory care sensitive conditions over the 12-year period from 2001 to 2013 as an indicator of how well primary and preventive care were working to reduce emergency admissions."

Focus on preventable admissions
I Blunt
QualityWatch
The Health Foundation, Nuffield Trust
October 2013

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