Support overdue: women\u2019s experiences of maternity services –\u00a0NCT<\/strong> Quality gaps identified through mortality review – BMJ Quality & Safety current issue<\/strong> International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process – BMJ Quality & Safety current issue<\/strong> BJGP Open: primary health care journal launched BMA calls for urgent meeting with prime minister to discuss NHS crisis – BMJ 2017<\/strong> NHS Guidance Key Therapeutic Topics – updated: Statistics<\/strong><\/p>\n HSJ roundup: (contact the library for further details on any of these HSJ articles)<\/strong><\/span><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":"Support overdue: women\u2019s experiences of maternity services –\u00a0NCT This report is based on the NCT’s second survey of women\u2019s experiences of their maternity care carried out with the WI. Women are generally positive about the maternity care they receive and many praised the kindness and professionalism of the staff who…\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[37,15,1],"tags":[],"class_list":["post-6086","post","type-post","status-publish","format-standard","hentry","category-ccg","category-daily-news","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-1Aa","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/6086","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/comments?post=6086"}],"version-history":[{"count":5,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/6086\/revisions"}],"predecessor-version":[{"id":6118,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/6086\/revisions\/6118"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=6086"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=6086"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=6086"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nThis report <\/a>is based on the NCT’s second survey of women\u2019s experiences of their maternity care carried out with the WI. Women are generally positive about the maternity care they receive and many praised the kindness and professionalism of the staff who cared for them. \u00a0However, some findings gave cause for concern. For example, the survey asked about \u2018red-flag\u2019 events \u2013 indicators of dangerously low staffing levels, such as a women not receiving one-to-one care during established labour \u2013 and found that half of all women surveyed had experienced a red flag event. Postnatal care remains an area of concern with no change in the percentage of women \u2013 roughly one in five \u2013 telling us they were not able to see a midwife as much as they needed post-birth.<\/p>\n
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\nHospital mortality rate is a common measure of healthcare quality. Morbidity and mortality meetings are common but there are few reports of hospital-wide mortality-review processes to provide understanding of quality-of-care problems associated with patient deaths. <\/a>A nurse and a physician independently reviewed every death that occurred at our multisite teaching institution over a 3-month period. Deaths judged by either reviewer to be unanticipated or to have any opportunity for improvement were reviewed by a multidisciplinary committee. We report characteristics of patients with unanticipated death or opportunity for improved care and summarise the opportunities for improved care.<\/p>\n
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\nPatient safety incident reporting systems (PSRS) have been established for over a decade, but uncertainty remains regarding the role that they can and ought to play in quantifying healthcare-related harm and improving care. We obtained reasonable consensus among experts on aims and specifications of PSRS. This information <\/a>can be used to reflect on existing and future PSRS, and their role within the wider patient safety landscape. The role of PSRS as instruments for learning needs to be elaborated and developed further internationally.<\/p>\n
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\n<\/strong>The Royal College of General Practitioners has launched BJGP Open<\/a>. This open access journal aims to serve the primary healthcare community, showcasing original research from around the world. Accounts of new developments in primary care, clinical case studies, novel directions for healthcare policy, and research protocols for planned clinical trials from around the world will all feature in the journal.<\/p>\n
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\nThe BMA\u2019s chair of council, Mark Porter, has requested an urgent meeting <\/a>with Theresa May to discuss the crisis in the NHS in England after Downing Street\u2019s controversial decision to point the finger of blame at GPs for the current pressure on hospital emergency departments.1<\/p>\n
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\n<\/strong>Evidence summary:
\n<\/strong>ES4\u00a0\u00a0 Refractory extrapulmonary sarcoidosis: infliximab<\/a><\/p>\n
\nKTT3\u00a0\u00a0\u00a0\u00a0Lipid-modifying drugs<\/a>
\nKTT5\u00a0\u00a0\u00a0\u00a0Asthma: medicines optimisation priorities<\/a>
\nKTT6\u00a0\u00a0\u00a0Hypnotics<\/a>
\nKTT7\u00a0\u00a0\u00a0\u00a0Low-dose antipsychotics in people with dementia<\/a>
\nKTT9\u00a0\u00a0\u00a0\u00a0Antimicrobial stewardship: prescribing antibiotics<\/a>
\nKTT13\u00a0\u00a0Non-steroidal anti-inflammatory drugs<\/a>
\nKTT14\u00a0\u00a0Wound care products<\/a>
\nKTT15\u00a0\u00a0\u00a0Biosimilar medicines<\/a>
\nKTT16\u00a0\u00a0\u00a0Anticoagulants, including non-vitamin K antagonist oral anticoagulants (NOACs)<\/a>
\nKTT17\u00a0\u00a0 Acute kidney injury (AKI): use of medicines in people with or at increased risk of AKI<\/a><\/p>\n
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\nA Newcastle MP has called on his local acute foundation trust to be more transparent and give a \u201creasonable explanation\u201d as to why its chief executive, Sir Leonard Fenwick, is on extended leave.<\/li>\n
\nAccountable care organisations and STP footprints could be given responsibility for collecting patient data, according to a proposal being drafted for consultation by NHS England.<\/li>\n
\nA major community trust has told local GPs it will be restricting routine referrals and prioritising urgent ones due to \u201csevere pressure\u201d on its services, HSJ has learned.<\/li>\n
\nCambridge University Hospitals Foundation Trust has been recommended to leave special measures by the Care Quality Commission, after it was rated good in its last inspection.<\/li>\n<\/ul>\n
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