Methods for Reducing Sepsis Mortality in Emergency Departments and Inpatient Units

"In 2011, North Shore-LIJ Health System (now Northwell Health) launched a strategic partnership with the Institute for Healthcare Improvement to accelerate the pace of sepsis improvement, focusing initially on sepsis recognition and treatment in emergency departments (EDs). The health system reduced overall sepsis mortality by approximately 50 percent in a six-year period (2008-2013; sustained through 2014) "

Methods for Reducing Sepsis Mortality in Emergency Departments and Inpatient Units
ME Doerfler  et al.
Joint Commission Journal on Quality and Patient Safety. 2015 May;41(5):205-211.

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Is cost effectiveness sustained after weekend inpatient rehabilitation?

"Our previous work showed that providing additional rehabilitation on a Saturday was cost effective in the short term from the perspective of the health service provider. This study aimed to evaluate if providing additional rehabilitation on a Saturday was cost effective at 12 months"

Is cost effectiveness sustained after weekend inpatient rehabilitation? 12 month follow up from a randomized controlled trial
N Kareem Brusco, JJ Watts, N Shields, NF Taylor
BMC Health Services Research 2015, 15:165  doi:10.1186/s12913-015-0822-3

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Toolkit to support NHS commissioners to reduce poor experience of in-patient care

"This toolkit has been developed to support NHS commissioners to work collaboratively with patients, carers and NHS provider organisations to reduce poor experiences of in-patient care."

Toolkit to support NHS commissioners to reduce poor experience of in-patient care
NHS England
March 2015

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Improving inpatient care with the introduction of a hip fracture pathway

"A system of payment by results exists for the management of hip fractures in England and Wales. Poor performance against the national standards was noted, reflecting failure to deliver optimal care. Through the introduction of a multi-disciplinary patient pathway and clerking pro forma, the proportion of patients earning the best practice tariff uplift increased from 44.4% to 91.7%. "

Improving inpatient care with the introduction of a hip fracture pathway
M Chamberlain, H Pugh
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u204075.w2786

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Improving early recognition of delirium using SQiD

"Following awareness raising activities, the awareness and use of SQiD increased from 12.5% to 83% and 20% respectively. Incorporating the SQiD question into the care round form delivered 100% awareness and 50% use during testing."

Improving early recognition of delirium using SQiD (Single Question to identify Delirium): a hospital based quality improvement project
E McCleary, P Cumming
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u206598.w2653

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Safe staffing for nursing in adult inpatient wards in acute hospitals

"The guideline identifies organisational and managerial factors that are required to support safe staffing for nursing, and makes recommendations for monitoring and taking action if there are not enough nursing staff available to meet the nursing needs of patients on the ward.Safe staffing for nursing in adult inpatient wards in acute hospitals"

Safe staffing for nursing in adult inpatient wards in acute hospitals
NICE Guidelines [SG1]
July 2014

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National Diabetes Inpatient Audit 2013 national summary

"The National Diabetes Inpatient Audit is a snapshot audit of diabetes inpatient care in England and Wales. The audit is set out to answer the following questions:

• Did diabetes management minimise the risk of avoidable complications?
• Did harm result from the inpatient stay?
• Was patient experience of the inpatient stay favourable?
• Has the quality of care and patient feedback changed...?"

National Diabetes Inpatient Audit 2013 national summary

Health and Social Care Information Centre

2014

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