Improving physical health monitoring for patients with chronic mental health problems who receive antipsychotic medications

Improving physical health monitoring for patients with chronic mental health problems who receive antipsychotic medications
N Abdallah, R Conn, A Latif Marini
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u210300.w4189

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Reducing inpatient falls in a 100% single room elderly care environment

"The nurse training programme on falls risk assessment has improved nurse knowledge of falls risk and actual completion of Falls Risk Assessments. This is especially in areas of cognition, environmental hazard, osteoporosis risk. The collaborative quality improvement work has led to a reduction of inpatient falls by 34% in a high-risk 100% single room environment." 

Reducing inpatient falls in a 100% single room elderly care environment: evaluation of the impact of a systematic nurse training programme on falls risk assessment (FRA)
I Singh, J Okeke
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u210921.w4741

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Improving Clinical Remission Rates in Pediatric Inflammatory Bowel Disease with Previsit Planning

"PVP [previsit planning] for management of a chronic disease in pediatrics is feasible, even in a high volume practice. Initiation of this process at MGHfC has resulted in the improvement of care provided to children and adolescents with IBD. The primary goal of increasing clinical remission rate from 77% to greater than 80% within one year of initiating PVP was achieved."

Improving Clinical Remission Rates in Pediatric Inflammatory Bowel Disease with Previsit Planning
JR Savarino, JL Kaplan, HS Winter, CJ Moran, EJ Israel
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u211063.w4361

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Patients and families as teachers: a collaborative learning model for medical error disclosure and prevention

"An educational paradigm that includes patients as teachers and collaborative learners with clinicians in patient safety is feasible, valued by clinicians and P/F and promising for P/F-centred medical error disclosure and prevention training."

Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention
T Langer, W Martinez, DM Browning, P Varrin, B Sarnoff Lee, SK Bell
BMJ Quality and Safety 2016;25:615-625 doi:10.1136/bmjqs-2015-004292

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Progressing patient and public involvement in healthcare improvement

"Our findings point to a need to re-evaluate methods and approaches for involving patients and the public in all aspects of healthcare and in healthcare improvement. Partnership working has long been the explicit stated goal of involvement. However, current involvement practices at a national and local level often involve a narrow group of individuals in involvement activities, with little consideration given to including a broader demographic of the population."

From tokenism to empowerment: progressing patient and public involvement in healthcare improvement
J Ocloo, R Matthews
BMJ Quality and Safety 2016;25:626-632 doi:10.1136/bmjqs-2015-004839

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Radiologist-initiated double reading of abdominal CT

"A 14% rate of clinically important changes made during double reading may justify quality assurance of radiological interpretation. Using expert second readers and a targeted selection of urgent cases and radiologists reading outside their specialty may increase the yield of discrepant cases."
Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports
PM Lauritzen et al.
BMJ Quality and Safety 2016;25:595-603 doi:10.1136/bmjqs-2015-004536

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Plans to accelerate innovation in health systems are less than IDEAL

"An adapted IDEAL framework offers a pathway for prospective longitudinal evaluation of the Vanguard test bed sites and similar complex and emergent innovations. Adopting a common analytical framework will encourage iterative development, reporting and evaluation of innovations from the outset and before more widespread and rigorous testing is pursued."
Plans to accelerate innovation in health systems are less than IDEAL
PM Wilson, R Boaden, G Harvey
BMJ Quality and Safety 2016;25:572-576 doi:10.1136/bmjqs-2015-004605

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