This document outlines Scotland's approach to integrating scrutiny and improvement efforts to enhance care for older people in acute hospitals. It discusses the policy context, a timeline of inspection efforts beginning in 2011, key themes and areas for improvement identified in initial inspections, and an integrated cycle of local self-assessment, inspection, and improvement using evidence-based standards and practices to drive sustainable change. The approach centers patients and aims to address issues like nutrition, hydration, falls prevention, and dementia care through prototype testing of ideas and spreading proven practices.
University of Utah Surgical Unit Improves Response to Call LightsUniversity of Utah
University of Utah's Kathy Schumann, RN, CCTN, provides an overview of how a nursing intervention to improve response to call lights improved pain management outcomes, increased patient satisfaction, quality outcomes and patient safety.
Patient activation: New insights into the role of patients in self-managementMS Trust
This presentation by Helen Gilburt, Fellow at The King's Fund, looks at why some people are active at managing their health while others are quite passive, and how levels of patient activation impact on health outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
People Helping People - Patient power learning about peer-to-peer healthcar...Nesta
This presentation was delivered at People Helping People - The future of public services - 3rd September 2014. For more information on the event visit http://www.nesta.org.uk/event/people-helping-people-future-public-services
University of Utah Surgical Unit Improves Response to Call LightsUniversity of Utah
University of Utah's Kathy Schumann, RN, CCTN, provides an overview of how a nursing intervention to improve response to call lights improved pain management outcomes, increased patient satisfaction, quality outcomes and patient safety.
Patient activation: New insights into the role of patients in self-managementMS Trust
This presentation by Helen Gilburt, Fellow at The King's Fund, looks at why some people are active at managing their health while others are quite passive, and how levels of patient activation impact on health outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
People Helping People - Patient power learning about peer-to-peer healthcar...Nesta
This presentation was delivered at People Helping People - The future of public services - 3rd September 2014. For more information on the event visit http://www.nesta.org.uk/event/people-helping-people-future-public-services
Measuring “Culture of Safety” Tawam’s Experience
Discovery:
Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc).
Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool.
Solution:
Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008.
An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey.
Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey.
Those who spent at least 50% of their time in the identified units were only included to participate in the survey.
Survey was administered during departmental meetings to increase response rate.
Conducted separate sessions of physicians.
Staff dropped the completed surveys in an envelope.
82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey.
The three CUSP pilot units were re-surveyed in 2010.
Anonymity, privacy and confidentiality were maintained from the beginning till the end.
Outcome:
The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm.
The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables.
The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans.
The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
Person-centred care and patient activationNuffield Trust
Richard Owen, NHS England, and Dr Natalie Armstrong of the University of Leicester present on evaluating Person Centred Care through Patient Activation Measure (PAM).
This plenary took place on Tuesday, October 6, at 8:30 am at the International Conference on Communication in Healthcare (ICCH), in Miami Beach, Florida, USA.
The Path to Safe and Reliable Healthcare
Michael Leonard, MD
Michael Leonard, MD, is the Physician Leader for Patient Safety at Kaiser Permanente, a Principal at Pascal Metrics, and a Faculty member at the Institute for Healthcare Improvement (IHI). An Honors graduate of the University of Missouri School of Medicine, Michael did his postgraduate
training in Internal Medicine and Anesthesiology at Harvard’s Beth Israel Hospital in Boston, with fellowship training in cardiac anesthesia. Michael was a practicing anaesthesiologist for 14 years
with the Colorado Permanente Medical Group, where he was Chief of Anesthesia, Chief of Surgical Services, and Chairman of the Board of Directors. In 1999, he helped Kaiser forge a collaborative relationship with Dr. Robert Helmreich’s Human Factors Research Project to work on the application
of human factors teamwork and communication training in medicine.
For the past several years, he has taught extensively throughout the Kaiser system and outside organizations in high-risk areas such as surgery, obstetrics, critical care and others to enhance safety. His relationships with outside organizations include Duke, Baylor, Sloan Kettering, ICSI, Minnesota Children’s, Ascension, Adventist, VHA, Greater New York Hospital Association and
others. At the IHI, he has been active in several domains, including the Patient Safety Officer Training Course, Transforming Care at the Bedside, the Superior Performance Initiative in the United Kingdom, and Patient Safety Scotland.
Annette Bartley: Making it happen - Intentional RoundingThe King's Fund
Annette Bartley, Independent Healthcare Consultant, The Health Foundation, highlights the key findings of the CQC report on the State of Care and discusses the benefits of Intentional Rounding for patients.
University of Utah Health: Wellness Champion Poster Session 2017University of Utah
Improving Wellness: 40 Champions, 20 Projects and 12-months of Progress: The Wellness and Integrative Health’s Resiliency Center, Accelerate, and the Spencer S. Eccles Health Sciences Library presented a Faculty Wellness Poster Session. Each department in the School of Medicine highlighted the past year’s Wellness Champion projects, which are focused on personal resilience, burden reduction, and team work. The poster session demonstrates work completed so far as the Wellness Champion program is expanded to faculty and staff across U of U Health.
Objective
Introduce principles and review strategies for supporting healthcare professionals impacted by adverse patient safety events. By the end of the session the participant will be able to:
1.Relate to the impact of a patient safety adverse event on the provider, based on a personal story provided by a healthcare professional.
2.Describe the potential impact of traumatic experiences on the health and well-being of healthcare professionals.
3.Identify key elements of an effective program for supporting caregiver coping with adverse patient safety events.
4.Explain how a just culture promotes peer to peer support of the second victim.
WATCH: http://bit.ly/1HxceIf
Whittington Health Enhanced Recovery Health System
Dr Martin Kuper
Medical Director and Intensive Care Consultant
Whittington Health, London
Previously
National Clinical Advisor to NHS Improvement
Clinical Lead for Enhanced Recovery in London
Presentation from Shaping the Future Direction of Enhanced Recovery Care Pathway Seven Days a Week workshop held in London on 5 December 2013
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
This is a slide show about how including the patient perspective as decisions are made about their health care - improves the quality of care being given in the Medical setting.
Measuring “Culture of Safety” Tawam’s Experience
Discovery:
Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc).
Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool.
Solution:
Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008.
An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey.
Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey.
Those who spent at least 50% of their time in the identified units were only included to participate in the survey.
Survey was administered during departmental meetings to increase response rate.
Conducted separate sessions of physicians.
Staff dropped the completed surveys in an envelope.
82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey.
The three CUSP pilot units were re-surveyed in 2010.
Anonymity, privacy and confidentiality were maintained from the beginning till the end.
Outcome:
The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm.
The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables.
The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans.
The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
Person-centred care and patient activationNuffield Trust
Richard Owen, NHS England, and Dr Natalie Armstrong of the University of Leicester present on evaluating Person Centred Care through Patient Activation Measure (PAM).
This plenary took place on Tuesday, October 6, at 8:30 am at the International Conference on Communication in Healthcare (ICCH), in Miami Beach, Florida, USA.
The Path to Safe and Reliable Healthcare
Michael Leonard, MD
Michael Leonard, MD, is the Physician Leader for Patient Safety at Kaiser Permanente, a Principal at Pascal Metrics, and a Faculty member at the Institute for Healthcare Improvement (IHI). An Honors graduate of the University of Missouri School of Medicine, Michael did his postgraduate
training in Internal Medicine and Anesthesiology at Harvard’s Beth Israel Hospital in Boston, with fellowship training in cardiac anesthesia. Michael was a practicing anaesthesiologist for 14 years
with the Colorado Permanente Medical Group, where he was Chief of Anesthesia, Chief of Surgical Services, and Chairman of the Board of Directors. In 1999, he helped Kaiser forge a collaborative relationship with Dr. Robert Helmreich’s Human Factors Research Project to work on the application
of human factors teamwork and communication training in medicine.
For the past several years, he has taught extensively throughout the Kaiser system and outside organizations in high-risk areas such as surgery, obstetrics, critical care and others to enhance safety. His relationships with outside organizations include Duke, Baylor, Sloan Kettering, ICSI, Minnesota Children’s, Ascension, Adventist, VHA, Greater New York Hospital Association and
others. At the IHI, he has been active in several domains, including the Patient Safety Officer Training Course, Transforming Care at the Bedside, the Superior Performance Initiative in the United Kingdom, and Patient Safety Scotland.
Annette Bartley: Making it happen - Intentional RoundingThe King's Fund
Annette Bartley, Independent Healthcare Consultant, The Health Foundation, highlights the key findings of the CQC report on the State of Care and discusses the benefits of Intentional Rounding for patients.
University of Utah Health: Wellness Champion Poster Session 2017University of Utah
Improving Wellness: 40 Champions, 20 Projects and 12-months of Progress: The Wellness and Integrative Health’s Resiliency Center, Accelerate, and the Spencer S. Eccles Health Sciences Library presented a Faculty Wellness Poster Session. Each department in the School of Medicine highlighted the past year’s Wellness Champion projects, which are focused on personal resilience, burden reduction, and team work. The poster session demonstrates work completed so far as the Wellness Champion program is expanded to faculty and staff across U of U Health.
Objective
Introduce principles and review strategies for supporting healthcare professionals impacted by adverse patient safety events. By the end of the session the participant will be able to:
1.Relate to the impact of a patient safety adverse event on the provider, based on a personal story provided by a healthcare professional.
2.Describe the potential impact of traumatic experiences on the health and well-being of healthcare professionals.
3.Identify key elements of an effective program for supporting caregiver coping with adverse patient safety events.
4.Explain how a just culture promotes peer to peer support of the second victim.
WATCH: http://bit.ly/1HxceIf
Whittington Health Enhanced Recovery Health System
Dr Martin Kuper
Medical Director and Intensive Care Consultant
Whittington Health, London
Previously
National Clinical Advisor to NHS Improvement
Clinical Lead for Enhanced Recovery in London
Presentation from Shaping the Future Direction of Enhanced Recovery Care Pathway Seven Days a Week workshop held in London on 5 December 2013
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
This is a slide show about how including the patient perspective as decisions are made about their health care - improves the quality of care being given in the Medical setting.
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
Older and Better: Living Well at Home or in the CommunityNHSScotlandEvent
Every healthcare contact is a health improvement opportunity but how well do we embed lifestyle advice in our day‐to‐day encounters? Gain a greater awareness and understanding of the Health Promoting Health Service and how we can implement this activity in your workplace.
Presentation given by L P Rai, Deputy General Manager, State Bank of India on August 3rd, 2011 at eWorld Forum (www.eworldforum.net) in the session ICT in Financial Inclusion, Taxation, Excise and Finance
The Research Design & Conduct Service recently gave a presentation to staff at the Cardiff School of Medicine to let people know about their services, advice and support, which they offer to health professionals who are in the process of developing research projects. The RDCS was funded in 2010 by the National Institute for Social Care and Health Research (NISCHR), part of the Welsh Assembly Government. Their partner organisations are Cardiff and Vale University HB, Cwm Taf HB, Aneurin Bevan HB and Powys Teaching HB.
Learn more about the RDCS by viewing the presentation below and by visiting their website: http://medicine.cf.ac.uk/rdcs/
Breakout 2.2 Commissioning Quality Care: Tools to support the commissioning p...NHS Improvement
Breakout 2.2 Commissioning Quality Care: Tools to support the commissioning process - Stephen Callaghan:
Principal Consultant, EQE Health.
Associate Consultant, Hope Street Centre.
Visiting Lecturer, University of Chester.
ANP, A&E University Hospitals Aintree
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
What we know about how to improve quality and safety in hospitals - Mary Dixo...The Health Foundation
Professor Mary Dixon-Woods looks at improving the quality and safety of care in hospitals, and suggests that we need to take a three-pronged approach: ensuring we are collecting the right data and interpreting it intelligently, looking at the systems we work in and finally how culture and behaviour impact on quality of care.
To watch this presentation with accompanying audio/narration, go to:
http://www.health.org.uk/multimedia/slideshow/what-we-know-about-how-to-improve-quality-and-safety-in-hospitals/
Final Progress Report on the Implementation of the Government‟s Response to the Special Commission of Inquiry into Acute Care Services in NSW Hospitals
October 2011
Jeanette Ives Erickson: Influencing professional nursing practiceThe King's Fund
Jeanette Ives Erickson, Senior Vice President for Patient Care and Chief Nurse, Massachusetts General Hospital and Instructor, Harvard Medical School articulates the importance of a structure for clearly understanding fundamental standards that is accepted and embraced by both the public and health care professionals.
The Role of Health Services Research in a Learning Healthcare SystemAcademyHealth
Dr. David Atkins, U.S. Department of Veterans Affairs, presented at AcademyHealth's 2012 Capitol Hill briefing entitled "Health and the Deficit: Using Health Services Research to Reduce Costs and Improve Quality."
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
3. CONTEXT
• the Scottish context
• Quality Strategy
• external confidence and
assurance at a time of financial
constraint and rising expectations
• shifting balance in power
between health professionals and
patients
• integration of care - regulation &
scrutiny with fewer boundaries
6. TIMELINE
6th June 2011
Cabinet Secretary announcement directing HIS to
undertake inspections of care of older people in acute care
29th November 2011
Scottish Parliament Health and Sport Committee Report
published on Inquiry into the Regulation of Care for Older
People
1st December 2011
Letter to Chair HIS setting out the policy context from
Director General
7. TIMELINE
October – January 2012
6 test inspections completed
3rd February 2012
Letter to Chief Executive, HIS asking for the formal
programme of inspections to commence as swiftly as
possible
8. 6 INSPECTIONS UNDERTAKEN
• Western Infirmary 21st February
• Hairmyres Hospital 5th March
• Royal Alexandra Hospital 14th March
• Western General Hospital 11th April
• Glasgow Royal Infirmary 2nd May
• Wishaw General Hospital 28th May
Reports published with improvement action plans
9. INTEGRATED CYCLE OF IMPROVEMENT
• Improving Older People’s Care in
Acute Hospital programme
•Key themes adapted to other work
• Local self assessment
•Local inspection report
•Older People in Acute
Care Clinical Standards
•National Care Standards
•Inspection of Older People’s
•Review of literature:
Services in acute care
CAAP process (April 2012)
•Learning from other reports
•Relevant reports eg Audit
Scotland
10. AREAS OF STRENGTH
• Caring behaviours of staff, taking account of privacy,
dignity and respect
AREAS OF IMPROVEMENT
• Staff don’t always act to safeguard the best interests of
patients with dementia, their families and carers(legal
and ethical implications)
• Food, fluid and nutrition
• Pressure ulcer care
12. USING THE EVIDENCE
• Patient and User feedback
• Observation in the ward
• Research and evidence
• Reports and Reviews
• Standards of practice and care
• Common Sense
13. WHAT NEXT ?
• We know the size of the
problem
• We know where we want
to get to
• What are the few things
which we know will make
a difference ?
• How do we bring them
together ?
14. BUILDING THE IMPROVEMENT PROGRAMME
Research and Development.
Driven by need
Prototype
Ideas shaped by small scale
tests of change
Spread
Good practice supported by
Quality Improvement
Sustainability
Part of normal working
ensured by Scrutiny
15. Improving care for older people in acute hospital Integration of Scrutiny
and Improvement
3
Improvement Plan
Admission and In-patient
2 Transitions
Assessment care
Inspection Themes
Continence Nutritional
Falls Tissue
Dementia care Viability
1 Local NHS
board test
sites
16. Improving care for older people in acute hospital Integration of Evidence and
Improvement
MUST screen
in 24 hours
Nutritional care
Assistance at
meal times
Hydration
17.
18. Improving care for older people in acute hospital Integration of Evidence and
Improvement
Environmental
issues
Falls
Falls Prevention
Assessment
20. QUESTIONS
• What are the challenges/opportunities in integrating
inspection and improvement ?
• What opportunities do you see in integrating
inspection and improvement of older people?
• How do you ensure the patient/carer is central to all
scrutiny and improvement work?
Editor's Notes
(Image) Relatives of those who have died at Stafford general hospital stand in front of a tribute wall. An independent inquiry found patients routinely neglected, humiliated and in pain as the trust focused on cutting costs and hitting government targets.Healthcare Commission found that between 400 and 1,200 more people died at the Mid Staffordshire NHS Foundation Trust than at other hospital trusts between 2005 and 2008.The report found that:• Patients were left in sheets soiled with urine and faeces for considerable periods of time.• There was striking evidence of the incidence of falls suffered by patients, some of which led to serious injury. Many took place unobserved by staff• The attitude of nursing staff left much to be desired• Relatives took to taking sheets home to wash• There was insufficient care for patients' dignity, with some left in degrading conditions and others inadequately dressed in view of passersby• Families were forced to remove used bandages and dressings from public areas and clean toilets themselves for fear of catching infections.
you will be familiar with this diagram – the integrated cycle. Evidence – Scrutiny - Improvement Mechanisms which underpin Evidence Local self assessment Local inspection reportOlder People in Acute Care Clinical Standards National Care StandardsReview of literature: CAAP process (April 2012) Relevant reports eg Audit Scotland
Remember that scrutiny processes, which ever they are:Identify strengths and weaknesses.It not just the negatives , but often that is all that people rememberAction plans and activities focus on the areas for improvement Boards and leaders also need to reflect on the positives , the things that teams do well …..
(Images)Translate patients and carers experiences and stories into case studies, and use the learning to develop ideas for change. Take concepts and characteristics from best practice in other settings and specialities - Adapt these Find examples of good practice, ideas which have been developed by you, but which have not been shared. Work with the service to understand the problems on the ground and commit to develop solutions. Use the research evidence from published guidelines.
We know what they are - Robbies earlier slide mentioned the themes and concerns Staff don’t always act to safeguard the best interests of patients with dementia, their families and carersFood, fluid and nutritionPressure ulcer careFalls
Which approach do we use ? - the older peoples programme is about spreading good practice, the ideas and good practice that the reports have captured and the ideas and good practice which we know should be done consistently – so the method of choice will be working together in a collaborative, to support teams to make changes.
Key themes from reports and self assessments : the actual areas of concern:Continence – management of incontinence Falls – avoidance of fracture Nutrition – best possible chance of health and healingTissue viability – avoidance Pressure ulcersCare for the people with dementia - and identification of delirium The improvement plan, what needs to happen along the pathway :What happens at assessment and admission What happens during care and treatmentWhat happens at points of transitionThe Improvement programme- a 2 year national improvement programme : Built around the same themes The same core areas of care.Intention to :Help teams to introduce the right care To know what should be done and make changes in care delivery Identify and spread good practice from one site to others To help with the how to make the changes not just what changes to introduce
The nutritional care programme highlighted key areas for improvement which have been restated in the recent scrutiny – how can we embed improvements on a continuous basis? There are examples of good practice across NHS Scotland challenge continues to be spreading the good practice across the whole system.
We know the importance of nutritional care – unfortunately this picture is not consistently replicated across NHS Scotland – how can we spread these smiles across every ward?
Evidence of the critical requirements to reduce the number of falls in hospitals continues to be witnessed as part of the inspection. Evidence has provided approaches which can be taken to reduce the number of falls. The implementation of a continuous cycle of improvement at local level is a key factor in embeding change at local level.
Remember that scrutiny processes, which ever they are:Identify strengths and weaknesses.It not just the negatives , but often that is all that people rememberAction plans and activities focus on the areas for improvement Boards and leaders also need to reflect on the positives , the things that teams do well …..