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  • Remote telemonitoring
    centre for monitoring against the parameters set by the patient s clinical team When the vital signs are outside the set parameters the RTNI service provides clinical triage and reinforcement of health education by healthcare professionals and will refer on to a local response team in the community when necessary Providing remote telemonitoring for a patient requires a range of clinical and non clinical personnel to be involved including self

    Original URL path: http://www.publichealthagency.org/print/789 (2016-02-11)
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  • News
    CEO Social Care Institute for Excellence SKIE are just two highlights of a quality programme A poster with more details can be viewed or downloaded here 3 Attendance is free to delegates due to the support of the partnering organisations The registration form can be accessed here 4 Cross Border Patient Safety Project Wins First Prize at Irish Patient Safety Conference Dr Jeremy Sargent and Ms Lisa Toland from Our Lady of Lourdes Hospital in Drogheda were participants in the cross border patient safety programme run by HSC Safety Forum the Royal College of Physicians of Ireland and the HSE with funding from CAWT Jeremy and Lisa team developed a system to ensure early notification of admissions of cancer patients to their relevant primary team ensuring early access to expert clinical input The impact of this project not only includes timely access to appropriate expert care but also additional benefits including decreased unnecessary admissions reduction in length of stay reduced inappropriate investigations and treatments and improved patient satisfaction Please click here to view A Patient Centered Approach to Improving Communication across a Hospital pdf pdf 5 Acute Kidney Injury Dr Niall Leonard and staff from the Renal Unit Ulster Hospital promoting the Acute Kidney Injury checklist as part of World Kidney Day 2013 Dr Niall Leonard Consultant Nephrologist at the Ulster Hospital was a mentor for the 2012 Leading in Safety Quality and Experience Programme in South Eastern HSC Trust Through this programme Dr Leonard s team developed a checklist to aid the recognition and management of patients with Acute Kidney Injury in two Surgical Wards This work has now spread across all Surgery Wards and is in the process of spreading to Medicine Next steps are to work with Primary Care leads to adapt and develop a similar checklist for the community setting Dr Leonard will be presenting a poster of his work at the International Forum on Quality and Safety in Healthcare 2013 in London Please click on the link to view the Acute Kidney Injury poster pdf 6 Patient safety training programme a success Friday 7 December 2012 A unique cross border patient safety training programme brought together 27 senior managers and clinicians from hospitals and services on both sides of the border to focus on best practice in patient safety and how it can be applied in local health facilities To read teh full press release please click here 7 Prevention of Venous Thromboembolism A Key Patient Safety Priority Prevention of venous thromboembolism VTE is an important part of our strategy to improve patient safety The Northern Ireland HSC Safety Forum established and facilitated a regional collaborative which developed a single VTE Risk Assessment Tool for N Ireland 8 In a letter 9 issued in July 2011 the CMO commended the use of this assessment tool across the region This should ensure that every adult patient has a documented VTE risk assessment on admission to hospital which reflects guidance from the National Institute of Clinical Excellence

    Original URL path: http://www.publichealthagency.org/print/798 (2016-02-11)
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  • Collaboratives
    teams will test and implement changes in their own settings and collect data to measure whether or not improvement is occurring A final Holding the Gains event will be held approximately 6 months after the final Learning Set and will focus on Attainment of the improvement goals The impact of the improvement work Sustainability of the identified measures Celebrate success To provide some additional information on this improvement method please

    Original URL path: http://www.publichealthagency.org/print/1497 (2016-02-11)
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  • Nursing Homes | HSC Public Health Agency
    Advisory Group to steer and support the collaborative was established with representation from Public Health Authority Health Social Care Board RQIA general practitioners Carers NI AGENI Independent Care Homes and HSC Trusts Key areas of safety were identified and a decision was made to focus initially on falls prevention Other areas identified for work later in the life of the collaborative included i the interface with secondary care ii nutrition hydration iii pressure ulcers and iv medicines management From the original cohort of 17 nursing homes expressing interest 8 nursing homes were chosen to participate Selection criteria included geographical area type of home and whether the home was a single provider or part of a commercial group of homes Current Position It is proposed that this collaborative will include 4 learning sets spread over 12 months from February 2012 Conference calls and site visits will also take place between learning sets Teams from each Nursing Home will begin by gathering baseline data on the number of falls within their respective nursing homes As part of the work of the collaborative monthly data also be collected in relation to compliance with risk assessment for falls on admission to the home and risk assessment review These process measures and the monthly falls rate will be the key improvement measures Teams will choose a range of interventions known to improve safety and test these at local level These include the use of safety crosses intentional rounding and safety briefings as well as other more specific interventions when indicated Next steps As well as sustaining and spreading the falls prevention work the Advisory Group will decide on the next strands of the project Nursing home teams are currently collecting data on transfers of their residents to secondary care We will build on this in

    Original URL path: http://www.publichealthagency.org/nursing-homes (2016-02-11)
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  • Emergency Department | HSC Public Health Agency
    Thrombolysis in acute stroke Trusts are collecting data on the following measures Assessed by Stroke team within 30 minutesCT scan within 45 minutes Door to needle time 60 minutes Onward transfer to acute stroke unit or appropriate environment within 90 minutes Patients who leave before treatment is complete Trusts are collating monthly data on percentages with a target of less than 5 aligned to the CEM standard It was agreed that in addition to staff collecting the monthly percentages that they would also undertake a more in depth analysis of the profile of these patients on a quarterly basis i e gender age post code presenting complaint and to ascertain if they fall into what might be termed a high risk category such as mental health or children Unscheduled re attenders Trusts are collating monthly data on percentages with a target of between 1 5 aligned to the CEM standard Patient Client experience agreement was reached with the regional patient client experience group that they will use their audit period of April to July 2012 to focus on emergency departments yielding data which will inform the collaborative on the most appropriate subject areas for work Next steps The first Learning set for this collaborative was held on the 27th March 2012 Over forty Doctors nurses and managers from all Trusts including Ambulance Service Trusts participated in the event which included talks from Professor Fiona Lecky and Dr Susan Robinson from the College of Emergency Medicine and Dr Una Geary who leads the National Clinical Programme in the Republic of Ireland It is planned that the initiatives north and south of the border will share their learning and maintain links throughout the collaborative Learning Session 2 LS2 is scheduled for June 2012 at which participants will share their improvement work including

    Original URL path: http://www.publichealthagency.org/directorate-nursing-and-allied-health-professions/hsc-safety-forum/emergency-department (2016-02-11)
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  • Maternity | HSC Public Health Agency
    in collaboration with Obstetric and Midwifery staff have developed a regionally agreed Obstetric Early Warning Score chart to provide a standardised approach to the documentation of observations and the appropriate escalation of concerns Regional Obstetric Early Warning Score Chart pdf Guide to completion of OEWS pdf Regional Obstetric Early Warning Scoring Chart Oct 2013 ppt On Wednesday 30 October over 40 clinical staff attended a meeting Antrim to discuss Quality Improvement in maternity services and they had the opportunity to hear from Professor Michael Robson and Ms Ann Rath from the National Maternity Hospital in Dublin on their insights into what constitutes high quality safe maternity care Ann Rath Diagnosis of Labour Maternity QI LS1 30 October ppt M Robson Antrim ppt SF Maternity QI Learning Session One opening slides 30 October 2013 ppt Print Facebook Twitter HSC Safety Forum News Collaboratives Nursing Homes Emergency Department Maternity Paediatrics The Pressure Ulcer Prevention Group Cross Border Patient Safety Training Programme Patient and Public Involvement Useful links Publications Repository for Quality Initiatives in Northern Ireland Site menu Home About Directorates News Publications Contracts Consultations Webcasts Links Contact Legal information Freedom of Information Cookies Privacy Policy Terms of use and disclaimer Our websites

    Original URL path: http://www.publichealthagency.org/directorate-nursing-and-allied-health-professions/hsc-safety-forum/maternity (2016-02-11)
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  • Paediatrics | HSC Public Health Agency
    Improvement will be used to test and implement changes by local teams As with all HSC Safety Forum collaboratives an Improvement Advisory Group has been established to provide drive and direction as well as overcome any perceived obstacles This group has senior representatives from each HSC Trust as well as input from PHA patient representatives and the DHSSPS Lachman Moving to reliable care in paediatrics pdf SF Paediatric Learning Session One opening slides pdf Paed Process Mapping Process Flow Charting LS2 Dr G Lavery pdf YOU KNOW YOUR CHILD BEST The Health and Social Care Safety Forum Paediatric Collaborative has launched its child safety poster for use in all paediatric in patient settings This poster was co designed with parents to enhance communication and assist with a partnership approach to safe and effective care The poster is currently being assessed for official endorsement by National Bodies with a remit for Safety in paediatric practice To download the poster click here Print Facebook Twitter HSC Safety Forum News Collaboratives Nursing Homes Emergency Department Maternity Paediatrics The Pressure Ulcer Prevention Group Cross Border Patient Safety Training Programme Patient and Public Involvement Useful links Publications Repository for Quality Initiatives in Northern Ireland Site

    Original URL path: http://www.publichealthagency.org/directorate-nursing-and-allied-health-professions/hsc-safety-forum/paediatrics (2016-02-11)
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  • The Pressure Ulcer Prevention Group
    practice Developed in USA the SKIN bundle is a collection of evidenced based interventions which provide a systematic measurable approach to care delivery The group aims to support and evaluate educational developments advise on the development of key performance indicators and the reporting and data collection requirements to evaluate and sustain improvement 2011 06 Preventing Pressure Ulcers SKIN bundle for website 2 pdf 1 Pressure Ulcer collaborative Learning Session 1

    Original URL path: http://www.publichealthagency.org/print/1386 (2016-02-11)
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