Experiences from Norway. Barthold Vonen Nordland Hospital Trust
|
|
|
- Jared Pitts
- 8 years ago
- Views:
Transcription
1 Experiences from Norway Barthold Vonen Nordland Hospital Trust
2 Overview Short background on Norway s work in JA PaSQ with regard to the checklist Experiences from Nordland Hospital Trust
3 Use of the WHO Safe Surgery Checklist in Norway December 2008 Western Norway regional hospital trust decided to test the WHO protoype surgical checklist 2009 Voss hospital started using the checklist followed by a systematic implementation project in all theaters in the 4 Hospital Trusts in the region Effect of the World Health Organization Checklist on patient Outcomes: A stepped wedge cluster randomized Trial. Haugen et al. Ann Surg May the checklist (or adapted versions) was implemented in several hospitals around the country, Nordland Hospital Trust among others
4 Use of the WHO Safe Surgery Checklist in Norway 2011 The Norwegian patient safety program In Safe Hands initiated Safe Surgery was one of 8 target areas Implementation/spread via the Breakthrough Series/Model (IHI) 2012 Norway joined the Joint Action on Patient Safety and Quality of care and thus the Norwegian Knowledge Centre received financial support to implement the checklist in Norway through In Safe Hands However, the checklist was already in use and the campaign had further set focus on the checklist
5 Norwegian strategy and work JA PaSQ Autumn 2013: JA PaSQ implementation start (Baseline) Status in Norway Safe Surgery Checklist already implemented in several hospitals «Adjusted» aim to further support the implementation of the checklist in Norway Focus areas Correct use of the checklist, not only compliance Improvement model education of health care workers How Three whole-day workshops (October 2013, January and May 2014) Invited speakers, group discussions, sharing of experiences etc Who 7 hospitals participated (3 to 8 people from each hospital) Clinicians (surgeons, anaethetists, nurses), managers, quality managers etc
6 Future challenges in Norway - my personal opinion Lack of top level management desicions on using the checklist No concequences for not using the checklist No systematic documentation of use of the checklist in the patient notes Not systematic focus from governement health board on use of checklist when handling patient complaints A certain movement in some academic departments adressing use of the checklist as Desicion based evidence making
7 Implementation of the Safe Surgery Checklist at Nordland Hospital Trust - turning a hospital crisis around Three locations Vesterålen Lofoten Bodø
8 SUMMER 2010
9 Board meeting 16. sept 2010 Quote from the minutes: «The Board supports the proposed strategy on patient Safety and quality of care developed by the task group» «Ten initiatives will be implemented a. Docmap skal tas i bruk fullt ut som kvalitetssystem i NLSH b. Trygg Kirurgi sjekklisten skal innføres c. Det gjennomføres innledende undersøkelse av ansattes holdninger til pasientsikkerhet d. Det gjennomføres innledende undersøkelse av sykehusdødelighet e. Standardisert sykehus dødelighetsrate og skadefrekvens per 1000 liggedøgn monitoreres f. Det innføres pasientsikkerhetsvisitter g. Det innføres avdelingsvise/seksjonsvise kvalitetsparametre h. Det skal utvikles en pasientsikkerhets score for NLSH i. Det skal brukes tverrfaglige team for gjennomgang av diagnostikk og behandling av kreftpasienter j. Det skal etableres systematisk bruk av komplikasjonsmøter i kjernevirksomheten ved NLSH» Implementation of the Safe Surgery Checklist encouragement from the hospital management
10 Implemention First used October 2010 Today used at all surgical units at the hospital trust Goal achieved - 95% compliance (including acute operations) Main focus somewhat wider than the national patient safety campagin (i.e. not primarily prevention of surgical site infections)
11 Usefullness beyond reduction in morbidity as perceived when introducing the list in 2010 Empowerment/accountability for other health workers than the doctors (surgeons, anaesthetists) Emphasise the role/presence of each member of the team Particpation and responsibility by the whole team
12 Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Uke av Proportions of operations using the Checklist February 2012 March 2014, Nordlandssykehuset HF TREND
13 Annual revisions in 2012 and 2013 Why revision? The implementation went quick and «easy» motivation was present A lot of external/internal focus in the initial phase, but what when focus is reduced? Where should the resources be allocated? Ownership to the tool Bottom up engagement
14 Is the Checklist read in detail? Status 2012 Bodø Vesterålen 7% 27% 73% Lest opp Lest, men omformulert 39% 54% Lest opp Tatt "på husk" Ikke besvart Lofoten 2% 14% 84% Lest opp Tatt "på husk" Ikke besvart
15 Is the Checklist read in detail? Status 2013 Bodø Vesterålen 19% 19% 81% LEST OPP OMFORMULERT 81% Lest opp Omformulert Lofoten 100% LEST OPP OMFORMULERT
16 Has the implemetion of the Checklist reduced harm? Global Trigger Tool (GTT) analyses on 7 sites in the trust
17 Proportion of admissions with at least one adverse event across locations
18 Thoughts regarding the quote from PaSQ: (from «Speakers briefing» for this webinar) Senior leaders who are hoping to effect organisation change should identify clinical leaders with credibility within hospital, high personal commitment to program, linkages to organizations administrative structure, and knowledge about the organizational culture Bradley et. al 2004: 1878, Stephanie Soo et al., Role of Champions in the implementation of patient safety practice change, Healthcare Quarterly Vol 12, Special Issue 2009
19 Thank you for the attention!
Online Supplement to Clinical Peer Review Programs Impact on Quality and Safety in U.S. Hospitals, by Marc T. Edwards, MD
Online Supplement to Clinical Peer Review Programs Impact on Quality and Safety in U.S. Hospitals, by Marc T. Edwards, MD Journal of Healthcare Management 58(5), September/October 2013 Tabulated Survey
Open Disclosure Workshop with Case Studies
APHA 33 rd National Congress Open Disclosure Workshop with Case Studies Presented by Dr Chris Beck, Prof Rick Iedema, Dr John Wakefield, and Shane Evans 25 March 2014 ME_112150592 A. Overview and Framework
You need good systems and managers who lead
Patient Safety and Management Laura Hawken Technical Officer, Health Services Delivery World Health Organization Regional Office for the Western Pacific WHO Western Pacific Region 1 You want quality and
Cross Media Implementation Survey
Cross Media Implementation Survey Printfuture and IPIA August 2013 Introduction This is the first of a series of surveys that Printfuture has conducted on behalf of the IPIA. It purpose is to explore how
THE WESTERN AUSTRALIAN REVIEW OF DEATH POLICY 2013
THE WESTERN AUSTRALIAN REVIEW OF DEATH POLICY 2013 Department of Health, State of Western Australia (2013). Copyright to this material produced by the Western Australian Department of Health belongs to
INSTRUCTIONS FOR MEDICAL EXAMINATION. All immigrant visa applicants must undergo a medical examination in Norway.
Embassy of the United States of America Oslo, Norway INSTRUCTIONS FOR MEDICAL EXAMINATION All immigrant visa applicants must undergo a medical examination in Norway. Applicants fifteen (15) years of age
Occupational Noise in the Norwegian oil industry:
Occupational Noise in the Norwegian oil industry: Cost/benefit as a result of new requirements in Norwegian Oil and Gas Recommended Guidelines for Handling Noise Tønnes A. Ognedal, Sinus AS Reidulf Klovning,
NHS Safety Thermometer. Measuring harm at the point of care
NHS Safety Thermometer Measuring harm at the point of care It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm Hospitals are only
Standard 5. Patient Identification and Procedure Matching. Safety and Quality Improvement Guide
Standard 5 Patient Identification and Procedure Matching Safety and Quality Improvement Guide 5 5 5October 5 2012 ISBN: Print: 978-1-921983-35-1 Electronic: 978-1-921983-36-8 Suggested citation: Australian
Maximizing customer protections
Maximizing customer protections 8 7 Vista XP XP end of support 8 XP 7 Vista XP What is the risk of continuing to run XP? Attackers will have the advantage over defenders After support ends, when Microsoft
Hip replacements: Getting it right first time
Report by the Comptroller and Auditor General NHS Executive Hip replacements: Getting it right first time Ordered by the House of Commons to be printed 17 April 2000 LONDON: The Stationery Office 0.00
University Hospitals. May 2010
University s May 2010 The Organization University s (UH) is a diverse, not-for-profit integrated delivery system serving northeastern Ohio. The UH system consists of UH Case Medical Center, a major academic
Pregnant workers offshore. 34 th Joint International Health Meeting Oslo, 3 rd June 2014 Petter Kristensen
Pregnant workers offshore 34 th Joint International Health Meeting Oslo, 3 rd June 2014 Petter Kristensen 1 Outline Restrict to healthy pregnant workers Regulations Practices in Norway Risk assessment
Employment, Social policy, Health and Consumer affairs Council meeting Brussels, 1 December 2014
Council of the European Union PRESS EN COUNCIL CONCLUSIONS Brussels, 1 December 2014 Council conclusions on patient safety and quality of care, including the prevention and control of healthcare associated
Norwegian hospital planning tools
Norwegian hospital planning tools Knut Bergsland SINTEF Health Research Espoo, Dec.1.2006 1 SINTEF Health Research Research for improved health and a better quality of life 2 SINTEF Health Research Organisational
Making Sense of Regulatory Entities
Making Sense of Regulatory Entities Diane Bradley, PhD, RN, NEA-BC, CPHQ,FACHE, FACHCA Regional Chief Clinical Officer HealthTech Management Services Objectives The participants will be able to: Compare
Stacy McLaughlin, RN, MSN. Director of Quality & Performance Improvement
Stacy McLaughlin, RN, MSN Director of Quality & Performance Improvement 25-bed CAH 21 beds: acute / observation / swingbed 4 bed ICU ED volumes: 14,400 encounters/year 5 Clinics: Rural Health / Primary
About. The Children's Cancer Society
About Our Objectives improve comprehensive treatment and rehabilitation offered to children and Facts provide support and assistance to their families to cooperate with doctors, nurses and others who care
Flex Program Member Assessment Satisfaction Member Needs Education
Flex Program Member Assessment Satisfaction Member Needs Education Demographic Information Facility Position *Check all that apply CEO/Administrator Chief Financial Officer Coding Director of Nursing Quality
DATA IN THE SERVICE OF THE PATIENT: IMPROVING PATIENT OUTCOMES AND PATIENT SAFETY WITH BETTER DATA
DATA IN THE SERVICE OF THE PATIENT: IMPROVING PATIENT OUTCOMES AND PATIENT SAFETY WITH BETTER DATA Greg Adams, Vice President Wolters Kluwer UpToDate gregory.adams@wolterskluwer.com Doctors Have Clinical
Hvis personallisten ikke er ført slik reglene sier, kan Skatteetaten ilegge overtredelsesgebyr.
Denne boken er utgitt av Skatteetaten og sendes gratis til alle som er pålagt å føre personalliste fra 1. januar 2014. Det vil si bransjene servering, frisør, skjønnhetspleie, bilpleie og bilverksted.
Standard Reporting Template Patient Participation DES 2014/15. Surrey & Sussex Area Team
Standard Reporting Template Patient Participation DES 2014/15 Surrey & Sussex Area Team Practice Name Preston Park Surgery Practice Code G81018 Signed on behalf of practice Dr David Supple Date 27 th March
Medication Safety in Norway
Medication Safety in Norway In Safe Hands 24-7; Norwegian Patient Safety Program 1 Anne-Grete Skjellanger, Head of Secretariat October 2014 Adverse events in Norway: Approx. 13 % of hospitalized patients
Curriculum Vitae. 2009-2013 Director, Research Department - Financial Stability, Norges Bank
Curriculum Vitae Name: Qaisar Farooq AKRAM E-mail: farooq.akram@norges-bank.no; Tel: +47 22316692 Positions 2013- Director, Norges Bank Research 2009-2013 Director, Research Department - Financial Stability,
Language policies and language use in Norwegian higher education
Language policies and language use in Norwegian higher education National Languages g and Terminology in Higher Education, Science & Technology, 7 November 2013 Marita Kristiansen Norwegian School of Economics
Securing software systems in the health care domain
Securing software systems in the health care domain Monika Katrin Kosmo Master of Science in Communication Technology Submission date: June 2014 Supervisor: Poul Einar Heegaard, ITEM Co-supervisor: Karin
Revolusjonen COPYRIGHT NOTICE
Revolusjonen COPYRIGHT NOTICE The creative work in this presentation is protected by copyright. Redistribution or commercial use 2003: Facemash Dating? 2004: THEFACEBOOK.COM 2004: Facebook.com 25/8-2011:736
Smart Grid Smart Home Study Tour Canada, September 14-20, 2013
Smart Grid Smart Home Study Tour Canada, September 14-20, 2013 Canada and Smart Grid: Massive investments have been made Research centres and leading edge centres of competence established Interest and
Saving lives in Surgery
A Guide for Chief Executives in implementing the Surgical Safety Checklist Why this matters Within health care we now have a term for those events that should never happen, can have catastrophic consequences
Translating Evidence to Safer Care Patient Safety Research Introductory Course Session 7 Albert W Wu, MD, MPH Former Senior Adviser, WHO Professor of Health Policy & Management, Johns Hopkins Bloomberg
ActionPhoto International
360 Panoramic Guide a new visualisation and communication tool Per Erik Berger Managing Director ActionPhoto International AS action-photo.no Agenda What is a 360 Panoramic Guide? Example Bideford Dolphin.
National Clinical Programme in Surgery (NCPS) Care Pathway for the Management of Day Case Laparoscopic Cholecystectomy
National Clinical Programme in Surgery (NCPS) Care Pathway for the Management of Day Case Consultant Surgeon DRAFT VERSION 0.5 090415 Table of Contents 1.0 Purpose... 3 2.0 Scope... 3 3.0 Responsibility...
Paediatric Early Warning Scores (PEWS)
Paediatric Early Warning Scores (PEWS) Lynne Caley Lorraine Major Deckzeile WELCOME Name, Veranstaltung, Datum 2 Introductions Lynne Caley Lorraine Major The site Name, Veranstaltung, Datum 3 Agenda for
Partnering with Consumers
National Safety and Quality Health Service Standard 2: Partnering with Consumers Embedding partnerships in health care November 2014 Commonwealth of Australia 2014 This work is copyright. It may be reproduced
Tender document for equipment procurement: 0.2 Equipment for road toll collection - Kristiansand
Statens vegvesen Tender document for equipment procurement: 0.2 Equipment for road toll collection - Kristiansand Document date: 01.12.2009 Archive no: 2009227630 TABLE OF CONTENTS Page 2 of 12 A TENDER
Ask Us About Clinical Trials
Ask Us About Clinical Trials Clinical Trials and You. Our specialists and researchers are at the forefront of their fields and are leading the way in developing new therapies and procedures for diagnosing
How To Teach Crew Resource Management
Team dynamics in critical situations Crew Resource Management (CRM) and other approaches Developing a CRM course: experience from a project with Norwegian Coastal Authorities Kystverket- Malin Dreijer,
SAKSTITTEL: 2010 Gjennomgang av SMR som Nasjonal institusjon for menneskerettigheter i Norge. FORSLAG TIL VEDTAK: <Utformes evt.
Til Styret ved Norsk senter for menneskerettigheter Fra Direktøren Sakstype: Diskusjons-/vedtakssak Møtesaksnr.: Møtenr. 1/2010 Møtedato: 18.03.10 Notatdato: 11.03.10 Arkivsaksnr.: Saksbehandler: Kristin
The Care Quality Commission and the Healthwatch network: working together
The Care Quality Commission and the Healthwatch network: working together September 2014 Introduction This briefing describes how the Care Quality Commission (CQC) will work with local Healthwatch and
304 Predictive Informatics: What Is Its Place in Healthcare?
close window ANNUAL CONFERENCE AND EXHIBITION APRIL 4-8, 2009 / CHICAGO www.himssconference.org View PowerPoint Presentation Print PowerPoint Presentation Roundtable 304 Predictive Informatics: What Is
PATIENT INFORMATION SHEET
PATIENT INFORMATION SHEET Surgical and large bore pleural procedures in Malignant pleural Mesothelioma And Radiotherapy Trial (SMART trial) Stoke Mandeville Hospital Mandeville Road Aylesbury Buckinghamshire
XenDesktop Workshop. Hva, Hvordan.? The best desktop virtualization solution is now even better
powered by XenDesktop Workshop. Hva, Hvordan.? The best desktop virtualization solution is now even better Stian A. Petersen Løsnings Arkitekt Stian@commaxx.no Commaxx Denne workshop er basert på følgende:
HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS
HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS "HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS" HOPE EXCHANGE PROGRAMME 2009 HOPE, the European Hospital and Healthcare Federation, is a non-profit
Profileringsseminaret 2011. Internasjonal strategi: Profilering/branding og markedsposisjonering
Profileringsseminaret 2011 Internasjonal strategi: Profilering/branding og markedsposisjonering Feite van Dijk Senior Rådgiver HH BI International Marketing & Recruitment International programme cooperation
BEFORE THE DEPARTMENT OF JUSTICE FOR THE STATE OF MONTANA
BEFORE THE DEPARTMENT OF JUSTICE FOR THE STATE OF MONTANA In the Matter of the Certificate ) PRELIMINARY of Public Advantage Issued to ) FINDINGS CONCERNING Benefis Healthcare, Great Falls, ) COMPLIANCE
The power of information: Putting all of us in control of the health and care information we need (Department of Health) 2012 2
Policy backdrop to the Quality Outcomes workstream Over recent years there have been increasing calls for greater collection of health outcomes data and wider use of such data. The establishment of the
Registration at www.nav.no English translation
Registration at www.nav.no English translation Registrer deg - Please register (You can find information about e.g. job seeking in different languages by choosing other languages and then English on this
UW Medicine Case Study
Learn Serve Lead April 2013 Association of American Medical Colleges ABOUT THE BEST PRACTICES FOR BETTER CARE CASE STUDY SERIES Better performers from the Best Practices for Better Care initiative, identified
Jorun Sivertsen, Master student Centre for Evidence-Based Practice, Bergen University College
DYSPHAGIA SCREENING AFTER ACUTE STROKE - A QUALITY IMPROVEMENT PROJECT USING CRITERION-BASED CLINICAL AUDIT Jorun Sivertsen, Master student Centre for Evidence-Based Practice, Bergen University College
Safety Improvement Plan. Phao Hewitson Head of Clinical Governance
Meeting Trust Board Date 29 th January 2015 ENC No 8 Title of Paper Lead Director Author Sign up to Safety Safety Improvement Plan Amir Khan Medical Director Phao Hewitson Head of Clinical Governance PURPOSE
Assessment of the technical dossier submitted under EFSA/GMO/NL/2011/91 for approval of transgenic soya event DAS-68416-4 from Dow AgroSciences LLC
Assessment of the technical dossier submitted under EFSA/GMO/NL/2011/91 for approval of transgenic soya event DAS-68416-4 from Dow AgroSciences LLC Submitted to Direktoratet for Naturforvaltning by David
OECD Skills Strategy
Skills strategy OECD har utviklet et analyseverktøy kalt Skills strategy. Norge var første nasjon til å melde seg. Skills strategy er ment som hjelp til nasjoner, for å utarbeide en helhetlig utdanningsstrategi.
Developing a Culture of Radiation Protection in the Hospital Environment
Developing a Culture of Radiation Protection in the Hospital Environment Julie Haglund Sykehuset Østfold Fredrikstad, Norway Julie.haglund@so-hf.no Nationellt möte om sjukhusfysik 2013 Varbergs kurort,
Konsernsjef Sven Ombudstvedt. We believe in our industry, we believe in our products, we believe in a Future on Paper.
Konsernsjef Sven Ombudstvedt We believe in our industry, we believe in our products, we believe in a Future on Paper. Juni 2013 Norske Skog in brief Publication paper producer Newsprint capacity 2.3 mill.
Date: 30 th May 2013. Agenda Item: 5.5. Ian Mackenzie Director of Information and Estates REPORT AUTHOR:
TRUST BOARD IN PUBLIC Date: 30 th May 2013 Agenda Item: 5.5 REPORT TITLE: Information Governance Annual Report EXECUTIVE SPONSOR: Ian Mackenzie Director of Information and Estates REPORT AUTHOR: Sarah
UNIVERSITY OF OSLO. Faculty of Mathematics and Natural Sciences
UNIVERSITY OF OSLO Faculty of Mathematics and Natural Sciences Exam: INF 4300 Digital image analysis Date: Friday December 11, 2009 Exam hours: 14.30-17.30 Number of pages: 7 pages plus 1 page enclosure
This guide was published in 2011 and will be reviewed in 2012. The latest version will always be available online at www.1000livesplus.wales.nhs.
Acknowledgements This guide has been produced by Julie Parry. We would particularly like to thank healthcare organisations in Wales and their teams for their work in implementing this intervention and
DIPLOMA IN LEADERSHIP & QUALITY IN HEALTHCARE 2015-2016
DIPLOMA IN LEADERSHIP & QUALITY IN HEALTHCARE 2015-2016 DIPLOMA IN LEADERSHIP & QUALITY IN HEALTHCARE 2015-2016 Senior healthcare managers and clinicians are expected to demonstrate skills in leadership
I Introduction. Clarifications regarding the implementation of the Water Framework Directive in respect of heavily modified water bodies
Case handler: Gabrielle Somers Tel: (+32)(0)2286 r876 e-mail: gas@eftasurv.int Brussels, 4l:une 2014 Case No: 69544 Event No: 709494 Ministry of Climate and Environment Postboks 8013 Dep N-0030 Oslo Norway
Risk Management and Patient Safety Evolution and Progress
Risk Management and Patient Safety Evolution and Progress Madrid February 2005 Charles Vincent Professor of Clinical Safety Research Department of Surgical Oncology & Technology Imperial College London
Nordplus Junior 2014 Application
Nordplus Junior 2014 Application 1.Start - Basisinformsjon 1.1. Prosjektinformasjon Navn på prosjekt Similar, but different: Increasing quality of art, handcraft and hairdressing education by cooperation
Spring 2014. in partnership with. Employee Outlook
Spring 2014 in partnership with Employee Outlook WORK WORKFORCE WORKPLACE Championing better work and working lives The CIPD s purpose is to champion better work and working lives by improving practices
Teena Robinson NZRN, MN,FCNA (NZ) NP Nurse Practitioner: adult elective perioperative
Teena Robinson NZRN, MN,FCNA (NZ) NP Nurse Practitioner: adult elective perioperative Information to.. talk to our patients & families help with clinical decisions help staff allocation support new nurse
FORMAT The Healthcare Design Conference offers educational content delivery through several formats.
WWW.HEALTHDESIGN.ORG 2015 HEALTHCARE DESIGN Conference Call for Presentations Gaylord National Resort and Convention Center Washington, DC November 14-17, 2015 Submission deadline Friday, January 30, 2015
Australian Safety and Quality Framework for Health Care
Activities for MANAGERS Australian Safety and Quality Framework for Health Care Putting the Framework into action: Getting started Contents Principle: Consumer centred Area for action: 1.1 Develop methods
How To Improve Safety In The Nhs
PS035 Original research completed in 2010 Briefing Paper Introduction: Principal Investigator: Professor John Clarkson Should the NHS adopt a new system for predicting possible risks to patient safety?
BOARD OF DIRECTORS PAPER PART 1 COVER SHEET. Meeting Date: 30 May 2012. National NHS Staff Survey report and action plan.
BOARD OF DIRECTORS PAPER PART 1 COVER SHEET Meeting Date: 30 May 2012 Agenda Item: 1.11 Paper No: F Title: National NHS Staff Survey report and action plan. Purpose: To advise of the main findings of the
A small selection of emails we have chosen to include to show some of our communication with the open source community and how this has proceeded.
Chapter 1 Various emails A small selection of emails we have chosen to include to show some of our communication with the open source community and how this has proceeded. 1.1 Communication with a teachers
Tilbyr forskerkurset for våren 2011: Offers the PhD course, spring 2011:
Seksjon for læring og lærerutdanning Institutt for matematiske realfag og teknologi (IMT) Section for Learning and Teacher Education Dep. of Mathematical Sciences and Technology Norwegian University of
Local Patient Participation Report North End and Steeple Claydon Surgeries, Buckingham
Local Patient Participation Report North End and Steeple Claydon Surgeries, Buckingham Table of Contents Introduction... 1 Patient Reference Group... 1 Agreeing areas of priority... 2 Collating patients
Warden Lodge Medical Practice. Patient Participation Annual Report 2014/2015
Warden Lodge Medical Practice Patient Participation Annual Report 2014/2015 Surgery Hours Monday to Friday 8.00-6.30 01992 622324 We also offer extended surgery hours opening every other Saturday from
Root Cause Analysis Investigation Tools. Concise RCA investigation report examples
Root Cause Analysis Investigation Tools Concise RCA investigation report examples www.npsa.nhs.uk/nrls Acute service example Mental health example Ambulance service example Primary care example Acute service
Belønning i GE. November 2009
Belønning i GE November 2009 A company with global reach Operations in over 100 countries Manufacturing facilities in 32 countries 300.000 employees, approx 2000 in Norway $183 billion in revenues in 2008
Results Based Financing Initiative for Maternal and Neonatal Health Malawi
Results Based Financing Initiative for Maternal and Neonatal Health Malawi Interagency Working Group on Results-Based Financing Meeting in Frankfurt/ Germany 7 th May 2013 Dr Brigitte Jordan-Harder MD
Review of compliance. Mid Staffordshire NHS Foundation Trust Stafford Hospital. West Midlands. Region:
Review of compliance Mid Staffordshire NHS Foundation Trust Stafford Hospital Region: Location address: Type of service: Regulated activities provided: Type of review: West Midlands Mid Staffordshire NHS
PATIENT SAFETY AND HEALTHCARE-ASSOCIATED INFECTIONS. REPORT FROM THE COMMISSION TO THE COUNCIL June 2014. Health
PATIENT SAFETY AND HEALTHCARE-ASSOCIATED INFECTIONS REPORT FROM THE COMMISSION TO THE COUNCIL June 2014 Health Brussels, 19.06.2014 COM(2014) 371 REPORT FROM THE COMMISSION TO THE COUNCIL The Commission
NHS Heywood, Middleton and Rochdale Community Health Care
NHS Heywood, Middleton and Rochdale Community Health Care Quality Account 2010-2011 Page 1 of 11 Contents Page Part 1 1.0 Statement from the Managing Director 3 Part 2 2.0 Priorities for Improvement and
Ministero della Salute
Why clinical risk is relevant to patient safety? Workshop on Clinical Risk Management and Management of Adverse Event Belgrade 16-17 December 2013 Dott.ssa Lucia Guidotti Ministry of Health, Department
How To Manage Risk In Ancient Health Trust
SharePoint Location Non-clinical Policies and Guidelines SharePoint Index Directory 3.0 Corporate Sub Area 3.1 Risk and Health & Safety Documents Key words (for search purposes) Risk, Risk Management,
A Registered Nurses Place in Affordable Healthcare Barbara Mayer, RN, PhD Director of Nursing Quality Stanford Health Care Stanford, California
A Registered Nurses Place in Affordable Healthcare Barbara Mayer, RN, PhD Director of Nursing Quality Stanford Health Care Stanford, California People in Health Care January 29, 2015 San Diego, California
Nordic Master in Didactics of Mathematics
Nordic Master in Didactics of Mathematics NORDIMA Barbro Grevholm Seminar i Bergen den 7-8 september 2011 Nordic Master in Didactics of Mathematics Project number NMP-2009/10730 The Master Consortium consists
Developing a National Audit for Rheumatoid and Early Inflammatory Arthritis Ian Rowe
Developing a National Audit for Rheumatoid and Early Inflammatory Arthritis Ian Rowe Chair Clinical Affairs Committee, BSR Outline The British Society for Rheumatology Challenges in improving patient outcomes
Windows Server 2008 R2
Windows Server 2008 R2 Olav Tvedt olav@tvedt.info TVEDT.info 10/2/2009 1 Agenda Direct Acces Remote Desktop Services Group Policyer 10/2/2009 2 Direct Access Teknologier i bruk IPv6 Isatap 6To4 Teredo
Going to hospital can be daunting, especially if you ve never been before. This guide will help you with some of your queries.
Going to Hospital Going to hospital can be daunting, especially if you ve never been before. This guide will help you with some of your queries. We ll answer your questions, and then we ll give more questions
Wigan Local Authority
Wigan Local Authority Co-ordinated Admission Scheme Primary Schools 2016-2017 Contents Admission to primary school 1.1 The timetable for admissions to primary school 2016-2017 1.2 Registration of interest
Page 1. www.brookhavenhospital.com
Page 1 Highlights from Brookhaven Hospital s Outcome Validation Study 2014 Since 1997 Brookhaven Hospital has conducted an Outcome Validation Study that evaluates the performance and quality of its clinical
An Enterprise Risk Management Approach to Consent to Treatment
An Enterprise Risk Management Approach to Consent to Treatment Fay A. Rozovsky, JD, MPH The Rozovsky Group, Inc., Bloomfield, CT Timothy Kelly, MS, MBA Dialog Medical, Atlanta, GA AGENDA Discuss the historic
Supporting the IOM s Recommendations for the Future of Nursing
EBSCO Publishing s Key Nursing Resources, CINAHL & Nursing Reference Center : Supporting the IOM s Recommendations for the Future of Nursing The 2010 The Future of Nursing: Leading Change, Advancing Health
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY COUNCIL OF GOVERNORS 2 ND DECEMBER 2014
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST C EXECUTIVE SUMMARY COUNCIL OF GOVERNORS 2 ND DECEMBER 2014 Subject: Supporting Director: Author: Status 1 NHS England Five Year Forward View A Summary
Characteristics, Clinical & Cost Effectiveness Assessment of a Community Ambulatory Surgery Center Compared with a Public.
Characteristics, Clinical & Cost Effectiveness Assessment of a Community Ambulatory Surgery Center Compared with a Public { Hospital Kesner D 1, Shapira C 2, Kaufman L 1, Milman U 3. 1. Zvulun medical
Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice. Innovation Showcase Series Using Technology to Improve Access
Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice Innovation Showcase Series Using Technology to Improve Access February 2015: Showcase Two About PMCF In October 2013, the Prime
Learning from Defects
Learning from Defects Problem Statement: Healthcare organizations could increase the extent to which they learn from defects. We define learning as reducing the probability that a future patient will be
Difficult Issues for Clinical Directors Mr Gabriel Sayer Divisional Director of Surgery Consultant vascular and general surgeon BHRUT NHS trust
Difficult Issues for Clinical Directors Mr Gabriel Sayer Divisional Director of Surgery Consultant vascular and general surgeon BHRUT NHS trust Learning The essential conflict of being a Clinical Director
Electronic Health Records
Electronic Health Records Costs and benefits Ulf E. W. Sigurdsen, MD, PhD Hans Nielsen Hauge, MD Regional Health Authority SE Norway - What are the main gains of implementing EHR? EHR = Media that facilitate
Guide to Choosing a Hospital
C E N T E R S F O R M E D I C A R E & M E D I C A I D S E R V I C E S Guide to Choosing a Hospital This official government booklet explains the following: Steps to find and compare hospitals Why hospital
Hospital Quality Initiative Overview CENTERS FOR MEDICARE & MEDICAID SERVICES December 2005
Hospital Quality Initiative Overview CENTERS FOR MEDICARE & MEDICAID SERVICES December 2005 Background Quality health care is a high priority for the Bush administration, the Department of Health and Human
CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/07/2013 to 30/09/2013
CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 1/7/213 to 3/9/213 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 1. Introduction On a quarterly basis,