Future hospital journal最新文献_第5页

Mum's story - refocusing on the human dimension of quality healthcare. 妈妈的故事——重新关注高质量医疗保健的人性维度。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-195

Sharon-Ann North, John Walsh

{"title":"Mum's story - refocusing on the human dimension of quality healthcare.","authors":"Sharon-Ann North, John Walsh","doi":"10.7861/futurehosp.3-3-195","DOIUrl":"https://doi.org/10.7861/futurehosp.3-3-195","url":null,"abstract":"Quality in healthcare comes in many guises; these may be adherence to national best practice guidelines, use of cutting edge technology or the delivery of evidence-based medicine. However, one must not overlook the fundamental human basis of healthcare and always acknowledge that the delivery of a compassionate and caring service, to both patients and their carers, is at the core of delivering a quality service.\u0000\u0000The story below is that of my beloved mum, at the end of her life; a life that was filled with kindness and compassion to others. Unfortunately, the care she received in her final days lacked compassion and care; the effect of this lack of empathy for her and my family has left an indelible scar. This article is not meant to be persecutory; however, it is honest and may be uncomfortable to read. Its purpose is to highlight the human face of quality and I share it with you to encourage you to reflect on the impact of delivering high-quality technical care without due consideration of the personal human domain, which is essential in quality improvement.\u0000\u0000As I walked through the hospital car park my mind raced, my heart was heavy and I was filled with sadness and anxiety. I felt totally alone and helpless, despite the crowds of people in the hospital. The intensive care unit (ICU) bustled with an array of medical professionals attending to the patients who had tubes and wires connected to a plethora of bleeping monitors and ventilators.\u0000\u0000In a dream-like state, I edged slowly towards my mum in bed 3 as sheer panic welled up inside me. I felt nauseated and light headed and froze just short of the bed, trying to gather my thoughts and compose myself. I was frantic and distraught, trying to rationalise the enormity …","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 3","pages":"195-196"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465808/pdf/futurehosp-3-3-195.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Improving quality of care through national clinical audit. 通过国家临床审计提高护理质量。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-203

Kevin Stewart, Ben Bray, Rhona Buckingham

引用次数: 17

Update on the Future Hospital Programme. 未来医院计划的最新情况。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-158

引用次数: 0

Challenging blood transfusion practice: effect of targeted behavioural intervention on red cell transfusion in a district general hospital. 挑战输血实践:针对性行为干预对地区综合医院红细胞输血的影响。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-169

Katharine G Warburton, Monique Chituku, Kasia Ballard, Magda Jabbar Al-Obaidi

{"title":"Challenging blood transfusion practice: effect of targeted behavioural intervention on red cell transfusion in a district general hospital.","authors":"Katharine G Warburton, Monique Chituku, Kasia Ballard, Magda Jabbar Al-Obaidi","doi":"10.7861/futurehosp.3-3-169","DOIUrl":"https://doi.org/10.7861/futurehosp.3-3-169","url":null,"abstract":"Existing evidence shows that restrictive blood transfusion is safe and may avert potential harm associated with more liberal transfusion strategies. A significant number of patients are being both unnecessarily transfused and over-transfused for their age, diagnosis and comorbidities. We describe the implementation of a behavioural strategy through educational sessions and the provision of individualised patient-centred advice, offering haematinic investigation and supplementation where appropriate. We compared our interventional data with a retrospective analysis of patients receiving blood transfusion for number of units transfused, haemoglobin triggers and incidence of haematinic investigations. The data were also analysed for patient length of stay and cost effectiveness. There was a significant reduction in the number of red cell units transfused across all specialties (p=0.003). In total, 431 units were transfused in the interventional group compared with 571 in the control group. There was a significant reduction in over-transfusion (p=0.003). Patients undergoing haematinic testing increased by 16.6% (p=0.0002). There was no change in length of hospital stay and our strategy has been shown to not only be cost effective, but provide significant monetary saving. Our patient-centred approach, through clinician engagement and challenging outdated behaviours, has been shown to significantly reduce inappropriate blood transfusions.","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 3","pages":"169-173"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7861/futurehosp.3-3-169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Managing older medical patients in hospital: a study of the outcomes from a shift of resources to the 'front door'. 管理住院的老年患者：对资源转移到“前门”的结果的研究。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-174

Divya Tiwari, Michael Vassallo, Charlotte Owen, Richard Renaut, Stephen Allen

{"title":"Managing older medical patients in hospital: a study of the outcomes from a shift of resources to the 'front door'.","authors":"Divya Tiwari, Michael Vassallo, Charlotte Owen, Richard Renaut, Stephen Allen","doi":"10.7861/futurehosp.3-3-174","DOIUrl":"10.7861/futurehosp.3-3-174","url":null,"abstract":"We performed a retrospective cohort comparison study to look at the processes for concentrating geriatric resources in the acute admissions area in a general hospital in the UK and compare key outcomes. The number of consultant geriatricians and other staff working at the 'front door' - acute medical unit (AMU) and short stay ward (SSW) - was increased. We compared 'front door' outcomes with whole department outcomes in 2013 and 2014, looking at the proportion of patients discharged within 3 and 5 days of admission, the proportion discharged from the 'front door', mean lengths of stay (LOS) and readmissions within 28 days of discharge. There were 1,147 and 1,381 discharge episodes in 2013 and 2014, respectively. 'Front door' discharges rose from 36% to 46% (p<0.001) between 2013 and 2014, and the proportion of 'front door' discharges occurring within 3 days rose from 56% (2013) to 68% (2014), compared with 35% and 33% for the department as a whole (p=0.006). The mean LOS at the 'front door' fell from 6.1 to 3.8 days (p=0.007). Readmissions from 'front door' discharges rose from 12% to 14% (p=0.004). The change in the configuration of the acute geriatric service was associated with more favourable discharge performance outcomes at the 'front door' but modest improvements in discharge performance for the geriatric service as a whole.","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 3","pages":"174-177"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465802/pdf/futurehosp-3-3-174.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Embedding quality improvement into routine clinical practice. 将质量改进纳入常规临床实践。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-155

Ed Nicol

{"title":"Embedding quality improvement into routine clinical practice.","authors":"Ed Nicol","doi":"10.7861/futurehosp.3-3-155","DOIUrl":"10.7861/futurehosp.3-3-155","url":null,"abstract":"Our patients rightly expect quality healthcare, our politicians expect the £100bn funding of the NHS to deliver quality healthcare and we, as clinicians, strive to deliver quality healthcare; so why is quality improvement (QI) so difficult to routinely deliver, and why does it remain a Cinderella function in healthcare?\u0000\u0000This edition of Future Hospital Journal ( FHJ ) presents a series of articles that offer readers the opportunity to view QI from multiple perspectives covering different aspects of the theory, educational requirement, delivery and intended outcomes of QI within the UK healthcare sector. A number of major challenges are identified that all require addressing if we are to embed a routine quality driven culture within our clinical workspace.\u0000\u0000Highlighting systemic issues, Leatherman et al 1 give a strategic view from the Health Foundation, highlighting the lack of ownership of the quality agenda within NHS England, the disparate accountability landscape for quality and the lack of national leadership development for QI (as opposed to initiatives for personal development). Along with other contributors, the challenges and tensions that arise from both top-down, policy driven and bottom-up, local approaches to QI are acknowledged and explored. As is so often the way, while setting of standards from the top …","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 3","pages":"155-156"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7861/futurehosp.3-3-155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Future Hospital update from Wales. 来自威尔士的未来医院最新消息。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-160

Andrew Freedman

引用次数: 0

Training healthcare professionals in quality improvement. 培训医疗保健专业人员提高质量。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-207

Calum Worsley, Stephen Webb, Emma Vaux

{"title":"Training healthcare professionals in quality improvement.","authors":"Calum Worsley, Stephen Webb, Emma Vaux","doi":"10.7861/futurehosp.3-3-207","DOIUrl":"https://doi.org/10.7861/futurehosp.3-3-207","url":null,"abstract":"The Academy of Medical Royal College's report Quality improvement - training for better outcomes sets a path for the normalisation of quality improvement as part of all health professionals' jobs. This accompanies similar calls to action by the King's Fund and the Faculty of Medical Leadership and Management and is aligned with NHS Improvement and Health Education England future strategies. These exhortations to action come on the backdrop of increased fiscal constraints within the NHS, low morale, a burgeoning volume of research evidence and audit outputs and increasing complexity of how we deliver care in a bewildering NHS landscape. Asking the question 'how can we do something better?' or 'do we really need to do this?', and building our resilience and capability to respond effectively gives us new purpose, the right skills and a means to influence and make a difference to the safety, -effectiveness and experience of patient care. Most importantly, we do this through harnessing the talents of -multiprofessional teams - with meaningful patient involvement - to rediscover the joy and optimism in our work and what truly motivates us and to see this translated into improved sustainable outcomes for our patients and our working days.","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 3","pages":"207-210"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465816/pdf/futurehosp-3-3-207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

The Future Hospital: a blueprint for effective delirium care. 未来医院:有效谵妄护理的蓝图。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-178

Sarah J Richardson, James Michael Fisher, Andrew Teodorczuk

引用次数: 5

Taking an organisational approach to quality improvement. 采用组织方法提高质量。

Future hospital journal Pub Date : 2016-10-01 DOI: 10.7861/futurehosp.3-3-165

Robert E Klaber, Ralph A Critchley

引用次数: 0