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Patient Safety

Patient Safety is the freedom from harm in healthcare and is a process by which an organisation makes patient care safer.

Industrial Action Update - Issued on 16 January 2023

Ahead of this week’s planned industrial action by the Royal College of Nursing (RCN), we’ve developed an in-depth briefing which we hope colleagues will find useful. It also signposts to other helpful sources of information.

Keep up to date with innovations and emerging research to improve your practice

introducing KnowledgeShare - an online web-based current awareness system being offered by Derbyshire NHS Library and Knowledge Service.

Files

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Invite to Stage 3 - Supporting Maintaining Attendance (SAMA).docx

Invite to Stage 3 Meeting - Supporting Maintaining Attendance

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Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)

Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.

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Remote Consultation (telehealth) – Standard Operating Procedure Planned Care and Specialist Services (S120)

This standard operating procedure sets out the process by which we will determine, for each patient, for each contact, when it is safe and effective to offer a remote consultation, and when a face to face consultation will be needed. This will ensure that all patients who wish to access remote consultation are able to do so equitably, based on clear clinical decision making.

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Patient Medication Reminder Cards SOP (S155)

The aim of this Standard Operating Procedure (SOP) is to advise staff which patients should be considered for a Patient Medication Reminder Card and to provide guidance on producing them.

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Clinical Strategy.pdf

DCHS Clinical Strategy

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Temperature Monitoring of Medicines Storage Rooms SOP (S74)

Aim of SOP; to reduce risk to patient safety by monitoring exposure of medicines to high temperatures. DCHS accepts that the storage of medicines may exceed 25°C in exceptionally hot weather. However, all staff must follow the actions outlined in this SOP to reduce this risk.

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Self Administration of Medicines Procedure (S28)

The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.

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Appendix 7 Secondment Evaluation Form.docx

Appendix 7 – Secondment Evaluation Form

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HRP14 Appendix 4 Wellbeing conversation template.docx

HRP14 Wellbeing Conversations Template

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A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes