15.45 p.m. 16.30 p.m. - learning from audits pb
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This document summarizes the results of an audit of multi-disciplinary operational group meetings across several NHS cancer screening programs. The audit found variability in adherence to standards, with only two of five programs meeting monthly as required. Meeting attendance was incomplete, and one program did not take minutes. The audit recommendations include holding monthly meetings according to guidelines, establishing terms of reference, and regularly minute-taking and auditing meetings to improve adherence to standards.
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This document summarizes the key themes and common recommendations from the ANNB QA visits conducted in London in 2016-17. It discusses the visit process and provides data on the number of visits conducted. The main themes identified relate to governance, including strategic oversight, leadership, risk management, and quality improvement. Common recommendations include revising terms of reference, defining roles and responsibilities, improving communication of governance structures, ensuring risk management processes are robust, and monitoring quality.
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This document discusses quality assurance for NHS screening programmes in England. It provides the following information:
1. Public Health England leads the NHS Screening Programmes. The Midlands and East Screening QA Service ensures screening is performed to high standards of quality and patient safety through monitoring, visits, and sharing best practices.
2. The QA Service monitors screening programme performance, participates in management boards, advises on incidents, and undertakes visits to assess providers and ensure national standards are followed.
3. The objectives of QA visits are to examine quality of care, verify standards achievement, identify best practices, and contribute to national development through shared experiences.
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- The implementation of HPV primary screening and the benefits of this approach.
- Updates to guidance documents, standards, and the call and recall system provided by Primary Care Support England.
- Efforts to improve cervical screening coverage rates through data analysis, community engagement, and working with sexual health services.
- The development of an e-learning module on the cervical screening programme to provide education and training.
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This document provides an overview of clinical audit, including:
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- It identifies areas for waste reduction, good practice promotion, and stopping bad practices while improving professional practice, outcomes, and releasing funds for better patient care.
- Successful clinical audits follow a plan-do-check-act cycle, have clear standards and criteria, measure current performance, validate findings, and make appropriate changes to close the loop through re-evaluation.
Impact measurement and client wellbeing
Mission Australia conducted a pilot study to measure client wellbeing outcomes in two of its programs. The study found that clients in the PHaMs program, which provides intensive wrap-around support, experienced significant improvements in personal wellbeing, life satisfaction, and reduced poor outcomes over time. In contrast, clients in the Job Services Australia program, which has a narrower focus on employment, did not see similar improvements. Key lessons included developing a sound framework, gaining management support, using repeat measures to track progress, and reflecting on results to inform practice improvements.
Medicines Breakthrough Collaborative 1
This document discusses quality improvement approaches to patient safety in medicines optimization. It provides an overview of quality improvement science and outlines several key principles, including using small tests of change and repeated PDSA cycles to drive continuous learning and improvement over time. The document also discusses using a collaborative approach to improvement that engages both staff and patients in the process.
AAA London Network Event 27 Nov 2015 Jan Yates overview presentation
The document outlines an agenda for a network day for the Abdominal Aortic Aneurysm (AAA) Screening Programmes in London to improve quality through achieving pathway standards, sharing best practices, and establishing standardized reporting. Key topics to be discussed include the national and regional overviews of AAA screening, training requirements, and roles and responsibilities within screening teams. The overall aim is to support London programmes in safely and effectively screening their populations for AAAs.
Jan Yates - Overview presentation
The document outlines an agenda for a network day for the Abdominal Aortic Aneurysm (AAA) Screening Programmes in London to improve quality through achieving pathway standards, sharing best practices, and establishing standardized reporting. Key topics to be discussed include the national and regional overviews of AAA screening, training requirements, and roles and responsibilities within screening teams. The overall aim is to support London programmes in safely and effectively screening their populations for AAAs.
Introduction of agpmpn quality program
This document outlines a quality program from Aesculapius Healthcare Consultants for the AGPMPN. It includes workshops to develop healthcare professionals in quality management and patient safety. Hospitals will go through an individual empowerment program to assess safety culture, implement safety plans, and integrate teamwork principles. Hospitals will be peer reviewed using a Hospital Quality Index to rate leadership, management, safety, and other areas. The program aims to build capacity for transformation across AGPMPN members and influence healthcare in Nigeria by developing new standards for peer monitoring and performance management.
ELFT Quality improvement roadshow - 2014
The document outlines a quality improvement program for a mental health and community care organization. It discusses establishing a long-term mission to provide the highest quality care in England and sets stretch aims to reduce harm and ensure right care at the right time. It describes forming a central QI team to coordinate the program and build improvement skills through training and an external partner. The program will use measurement and data to track progress, and will involve staff, patients, and carers through local champions and feedback groups. Projects will follow the Model for Improvement using PDSA cycles to test changes aimed at meeting the program's mission and aims.
Maintenance of Certification, Quality Improvement and Your EMR
This document summarizes a presentation about Maintenance of Certification (MOC), quality improvement using electronic medical records (EMRs), and developing quality improvement projects. The presentation discusses how MOC can integrate professional competency maintenance with EMR-based quality improvement programs. It outlines the four parts of MOC and various pathways to fulfill the requirements. It also explains how EMRs can be leveraged as tools for quality improvement through functions like clinical decision support, computerized order entry, and reporting quality measures. The document provides guidance on developing a quality improvement project, including writing an aims statement and measure, creating a process flow, and planning the project timeline and team.
NCA TBC Session 6 April 26 2017
Here are some questions teams have about core and extended teams, pre-visit planning/huddles, self-management goal setting workflows, and coaching roles:
Core and Extended Teams:
- How are you identifying your patient care teams (PODS) so patients know their team?
- What specific roles have you seen change on teams and how?
- How are you training staff on team-based care?
- How do you maintain team integrity with turnover/MAs covering multiple teams?
- Are managers/leaders part of your core and extended team model?
Pre-Visit Planning/Huddles:
- How do you manage prep time for huddles? Are you using E
NCA TBC Session 6 April 26 2017
Here are some questions teams have about core and extended teams, pre-visit planning/huddles, self-management goal setting workflows, and the coaching role:
Core and Extended Teams:
- How are you identifying your patient care teams (PODS) so staff and patients know their team?
- What specific roles have you seen change on teams and how?
- How are you training staff on team-based care?
- How do you maintain team integrity with turnover/MAs covering multiple teams?
- Are managers/leaders part of your core and extended team model?
Pre-Visit Planning and Huddles:
- How do you manage prep time for huddles? Are
Clinical Audit Overview
An overview of clinical audit. Talk by Yvonne Murray as part of the Fastbleep Academic Masterclasses 2011.
Quality assurance in nursing, (nursing audit).pptx
This document discusses nursing audit, including its definition, purpose, characteristics, and methods. It defines nursing audit as a process to evaluate nursing care quality by comparing actual practice to agreed standards. The main methods discussed are retrospective review of patient records and concurrent review involving bedside assessment. Retrospective review examines records after discharge while concurrent review evaluates patients still undergoing care. Tools, training, the audit cycle, and uses of nursing audit are also outlined.
Similar to 15.45 p.m. 16.30 p.m. - learning from audits pb (20)
NHS CSP Screening Quality Assurance Service update
NHS CSP Screening Quality Assurance Service update
AAA nurses training: programme boards presentation September 2019
AAA nurses training: programme boards presentation September 2019
Hot Topics in Social and Behavior Change CHELSEA COOPER
Hot Topics in Social and Behavior Change CHELSEA COOPER
Clinical audit for the enlightened ian callanan hslg conference 2013
Clinical audit for the enlightened ian callanan hslg conference 2013
AAA London Network Event 27 Nov 2015 Jan Yates overview presentation
AAA London Network Event 27 Nov 2015 Jan Yates overview presentation
Maintenance of Certification, Quality Improvement and Your EMR
Maintenance of Certification, Quality Improvement and Your EMR
Quality assurance in nursing, (nursing audit).pptx
Quality assurance in nursing, (nursing audit).pptx
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NHS screening leaflet short urls and qr codes PDF
This document provides short URLs and QR codes for digital information leaflets about various NHS screening programs in the UK, including antenatal and newborn, AAA, bowel cancer, breast cancer, cervical cancer, and diabetic eye screening. Short URLs and QR codes are included to easily direct people to online collections of digital information leaflets for each screening program through mobile devices.
NHS screening leaflet short urls and qr codes
This document provides short URLs and QR codes for digital information leaflets about various NHS screening programs in the UK, including antenatal and newborn, AAA, bowel cancer, breast cancer, cervical cancer, and diabetic eye screening. Short URLs and QR codes are included to easily direct people to online collections of digital information leaflets for each screening program through mobile devices.
PHE screening inequalities conference final slides
This document outlines plans for a conference on addressing inequalities in screening. The aims of the conference are to share information on actions being taken to tackle inequalities, seek expert input on further steps, and discuss successes and new learning. The document provides background on PHE's screening inequalities strategy, examples of data showing inequalities, and initiatives underway like the FIT screening implementation and health equity audit toolkit. Speakers will discuss evidence-based practices to address inequalities including effective invitee interventions and potential program-level changes. The final section covers accessing screening data to support inequalities work while complying with information governance.
AAA screening nurses inequalities presentation final
1) The document discusses health inequalities and screening inequalities, noting that uptake rates tend to be lower for those in more deprived socioeconomic groups and for certain minority populations.
2) It provides an overview of the Public Health England's Screening Division Inequalities Strategy, which aims to increase uptake in the most deprived areas by 10% by addressing barriers to screening.
3) The strategy involves tools to help services analyze uptake data and identify groups with lower participation, as well as guidance on improving access for populations such as those with severe mental illness.
AAA screening technicians inequalities presentation final
The document discusses health inequalities in cancer screening programs. It aims to familiarize screening technicians with health inequalities, update them on initiatives to address inequalities from the UK Public Health England screening division, and explore further actions that could be taken. It notes that screening inequalities exist for groups experiencing economic deprivation, minority ethnic groups, people with disabilities, and other protected groups. Addressing inequalities requires understanding differences in participation within and between screening programs and targeting groups at higher risk who are less likely to participate. Actions discussed include analyzing screening data to identify inequalities, making programs more accessible, and establishing collaboration groups to share information.
AAA Technicians - Screening Inequalities
1) The document discusses health inequalities in cancer screening programs. It notes that uptake rates tend to be lower for populations experiencing economic deprivation, belonging to minority ethnic groups, or having disabilities.
2) Data is presented showing gaps in life expectancy between deprived and affluent areas of up to 9 years for males. Screening coverage and outcomes also tend to be lower for disadvantaged groups.
3) Actions are proposed to improve accessibility of screening for people with disabilities or severe mental illness through targeted outreach and accommodations. Establishing collaborations through online platforms and sharing work at program board meetings is encouraged.
AAA Nurses - Screening Inequalities
This document discusses health inequalities and screening inequalities. It aims to refresh knowledge on health inequalities, update on the Public Health England screening division's inequalities strategy, and explore actions screening nurses can take to tackle inequalities. It provides data showing screening uptake disparities based on factors like learning disabilities, ethnicity, and socioeconomic status. It also outlines guidance and tools to help screening services increase uptake in deprived areas and make screening more accessible for groups facing inequalities.
AAA Screening : Extending the screener role
This document describes extending the role of screening technicians in an abdominal aortic aneurysm (AAA) screening program to include basic physical health checks. It provides details on the current and proposed screening models, including the additional training and guidance technicians receive to take blood pressure and seek nurse advice. An example is given of how a high blood pressure reading was identified during screening and subsequently treated, benefiting both the patient and their GP. Feedback from patients and GPs is positive about the expanded technician role in detecting other health issues alongside AAA screening.
AAA Screening : Extending the screener role for nurses
The document discusses extending the role of screening technicians in an abdominal aortic aneurysm (AAA) screening program to include basic physical health checks. The program saw a decline in eligible men for screening over time as the population grew. The extended screener role would have technicians take basic observations like blood pressure and seek nurse practitioner advice if needed. Patients would receive education materials and follow up calls. Nurses would conduct further assessments over the phone. The changes aim to catch other health issues and assure quality through training, audits, and patient and doctor feedback. The feedback received has been positive.
AAA screening national programme update September 2019: Lisa Summers
This document provides a national update on the AAA screening programme in the UK. It discusses updates to clinical leads, screening figures, key performance indicators, standards and guidance, IT systems, equipment evaluation, rationale for modifying surveillance intervals, and initiatives across the four nations and to address inequalities in screening.
Improving outcomes of patients on AAA surveillance Adam Haque
This document discusses improving outcomes for patients undergoing abdominal aortic aneurysm (AAA) surveillance through exercise interventions. It presents evidence that cardiovascular fitness, as measured by cardiopulmonary exercise testing (CPET), is a key determinant of outcomes for AAA patients. A trial is proposed to evaluate the effects of a 24-week patient-directed exercise program on CPET measures of fitness for AAA surveillance patients compared to standard advice. The goal is to determine if objective measures of cardiovascular fitness can be improved through a scalable and deliverable exercise program to provide benefits like reduced peri-operative risk and improved survival for AAA patients.
AAA screeners LGBT awareness training September 2019
The document discusses LGBTQ+ awareness in abdominal aortic aneurysm screening programs, including definitions of key terms like sexual orientation, gender identity, and pronouns. It also notes potential health inequalities faced by LGBTQ+ people and how current AAA screening procedures and invitations may need improvements to be more inclusive of transgender and non-binary individuals.
Digital screening information event 2 October 2019
Slides from the event for antenatal screening co-ordinators in Birmingham on 2 October 2019 to discuss the plans for moving to digital screening information.
NHS Breast Screening Programme & Association of Breast Surgery Audit
The document describes the NHS Breast Screening Programme (NHSBSP) and Association of Breast Surgery (ABS) audit. The audit compares surgical data to quality assurance standards to assess performance. It analyzes data on all breast cancers detected through screening in the UK each year. The annual audit has three parts - the main audit examines the most recent year's data, the adjuvant audit examines treatment data from the prior year, and the survival audit examines 5-year survival rates. The document provides guidance on extracting data from the NBSS database system, checking the data for errors or missing information, and resolving issues by updating records in NBSS before uploading the data to the Breast Screening System Information System (BSIS
IDPS programme update Sharon Webb
This document provides an update on the Infectious Diseases in Pregnancy Screening (IDPS) Programme in the UK. It discusses the aims of the programme, which include enabling early detection and treatment of infections in pregnancy to reduce mother-to-child transmission. It summarizes screening activity data which shows high uptake rates of over 99% for HIV, hepatitis B, and syphilis screening. It also discusses efforts to improve laboratory quality, establish screening standards and outcomes data, and provide education resources to professionals and the public. Specific updates are provided on actions relating to HIV, syphilis, hepatitis B, and developing seamless maternal and neonatal pathways between screening and immunization programs.
10. Siobhan O'callaghan findings from QA activities
The QA advisor summarizes findings from 30 QA visits reports between September 2017 and July 2018. A total of 786 QA recommendations were made across various themes. The top theme was infectious diseases in pregnancy, receiving 218 recommendations. Of these, 61 recommendations were specific to the laboratory, focusing on issues like properly identifying and tracking antenatal samples, notifying screening results, and ensuring UKAS accreditation. Generic recommendations that appeared across themes included formalizing governance, managing incidents, and meeting standards for staff training and turnaround times.
9. Judith Timms HIV screening incidents
This document discusses false positive HIV results that can occur during HIV screening. The main causes of false positives are wrong blood in the tube or laboratory error. Laboratory error is found to be the most common cause, responsible for false positives in 8 of 9 cases reviewed from 2014 to 2017. Specific cases of laboratory errors are presented, including possible contamination during automated testing processes and issues with old laboratory equipment. The implications of false positive results, such as distress to patients, are also covered.
8. Nadia Permalloo learning from incidents
This document summarizes themes from quarterly incident reports of a screening program covering October 2015 to December 2017. Key issues identified include screening without informed consent, insufficient samples not being repeated in a timely manner, tracking and communication failures leading to unreported positive screening results, delays when using reference laboratories, and unconfirmed screening results being communicated to patients. The document concludes with a checklist of questions around improving processes to address these issues.
7. Tom Lewis Getting it right for pathology presentation
This document summarizes a presentation on the Getting It Right First Time (GIRFT) program and its workstream focused on pathology. GIRFT aims to reduce unwarranted variation in clinical care through data collection, identifying best practices, and promoting changes. The pathology workstream is led by four clinical leads and aims to measure current variability in pathology services, create a vision for the future, and test changes. Key activities will include collecting data through questionnaires and site visits to understand variations and identify opportunities for improvement.
6. Madeline McMahon IDPS workshop 13 march v2.0
The document discusses standards for infectious disease screening in pregnancy. It outlines 7 standards for screening coverage and test turnaround time. Standard 4 focuses on the test turnaround time for HIV, hepatitis B, and syphilis screening, requiring results be reported within 8 working days of sample receipt. Performance is tracked by region. Common issues with submitting data are outlined, and a proposed change to the submission template is presented to help clarify reporting of pending or inconclusive results. Laboratories are responsible for submitting Standard 4 data to maternity services by the end of June for the previous year's reporting period.
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- 1. CST and Screening Technician Workshop – 10 November 2016 - Learning from Audits Public Health England leads the NHS Screening Programmes Paola Beresh, QA Advisor, SQAS (London)
- 2. Audit Last study day held in November 2015, we had a presentation by Dr Louise Wilkinson, Director of Screening/Consultant Radiologist for the South West London Breast Screening Service on the importance of audit within screening programmes Audit can be used to assess, evaluate and improve standards So what learning have we done so far? 2 Learning from Audit
- 3. For example Screening Centre Meetings Audit 3 Learning from Audit
- 4. Standard/Service Specification Audit should measure current practice against a defined (desired) standard: Standard/Service Specification: NHS England’s NHS public health functions agreement 2016-17 service specification No.23 states that: • an internal multi-disciplinary operational group is established • this group meets monthly as a minimum. • this group will ensure robust operational processes are in place between individuals delivering the services 4 Learning from Audit
- 5. Audit Methodology 5 Learning from Audit Each of the five AAA screening programmes were asked to complete a proforma confirming:- terms of reference how often meetings are held who is invited are minutes taken dates of meetings held in the last 6 months.
- 6. Results Terms of Reference Yes No No - 4 Yes - 1 6 Learning from Audit Only 1 out of 4 screening programmes had a terms of reference
- 7. Results 0 1 2 Weekly Monthly Twice in 6 months Once in 6 months Meetings Held in last 6 months Screening Programme 7 Learning from Audit Variable 2 out of 5 screening programme are achieving the standard of meeting at least monthly outlined in the service specification
- 8. Results Invited (Attendance% in last 6 months):- Clinical Lead Programme Manager Screening Technician CST Vascular Nurse Specialist Admin Screening Centre 1 No (0%) Yes (100%) Yes (100%) No (0%) Yes 66% Yes (100%) Screening Centre 2 Yes (0%) Yes (100%) Yes (100%) Yes (33%) Yes (0%) Yes (100%) Screening Centre 3 Yes (0%) Yes (100%) Yes (100%) Yes (0%) Yes (0%) Yes (0%) Screening Centre 4 Yes (0%) Yes (100%) Yes (100%) Yes (100%) Yes (100%) Yes (100%) Screening Centre 5 Yes (Unknown – not minuted) Yes (Unknown – not minuted) No Yes (Unknown – not minuted) No No 8 Learning from Audit 3 out of 5 screening programme invited all screening programme personnel No attendance by Clinical Lead Only 1 in 5 had a CST present Variable attendance by VNS and Admin
- 9. Results Yes - Typed 3 Yes – Not Typed 1 No 1 Minuted 9 Learning from Audit 4 of 5 of the screening programmes took minutes from their meetings However 1 of those took minutes but were not typed
- 10. Recommendations To hold meetings once a month in accordance with service specification To produce a Terms of reference outlining quorum and attendance to meeting by key representative of the screening programme To minute and audit meetings on a regular basis 10 Learning from Audit
- 11. Next time….. Could it be…… 11 Learning from Audit ….. to present an audit