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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.

Health Psychology for Professionals

The information here is for professionals in Derbyshire seeking more information on the Health Psychology service.

Files

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Equipment provision - A guide for community therapy and nursing teams (G347)

This document aims to support clinicians, prescribers, and authorisers in taking a consistent approach to equipment provision. By focusing on essential equipment, patients can receive what they need more quickly.

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Disclosure Ref 2024250 - Formal disciplinary processes for taking / removing prescription medication not prescribed.pdf

Freedom of Information disclosure ref 2024250 relating to formal disciplinary processes for taking / removing prescription medication not prescribed to them stored in the hospital / GP practice from 2020 - 2024

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Disclosure Ref 2025190 - Contracts & Purchases for ID cards, Lanyards and Access Control Supplies .doc

Freedom of Information disclosure relating to contracts & purchases for ID cards, lanyards and access control supplies

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Dysphagia Management Guidelines for Adults with neurological disorders in community - Derbyshire and Derby City (G3)

These guidelines set out the process of Dysphagia management used by the Speech and Language Therapy Department in the community in Derbyshire and Derby City. The overall aim of our Dysphagia Service is to ensure that individuals are identified and enabled to eat / drink / take medication safely and comfortably. The guidelines aim to provide a highly specialised and holistic service to individuals with complex forms of Dysphagia using the latest evidence based assessments, treatments and Dysphagia management policies. We aim to improve dysphagia related health outcomes and individuals quality of life, and employ effective risk management strategies for preventing harm and improving individual’s health outcomes.

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L159 - Coping with Cancer

L159 - Coping with Cancer, is a patient information leaflet to help patients make sense of some of the changes and the feelings that they may experience.

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Identification and Treatment of Different Types of Moisture Lesions (G179)

A moisture lesion is most commonly associated with either incontinence or sweating between skin folds. If left untreated then skin is more at risk of pressure ulcer development. It is important to establish the cause of the moisture lesion in order to treat it correctly.

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Witness Destruction of Controlled Drugs (S34)

This Procedure is to formally record the process to be undertaken in order for the Trust Accountable Officer for Controlled Drugs to authorise named people to witness the destruction of stock controlled drugs.

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Non-Medical Prescribing Policy (P57)

This policy has been developed to support local implementation of non-medical prescribing in Derbyshire Community Health Services NHS Foundation Trust (DCHS) to ensure all qualified Non-medical Prescribers (NMPs) and their managers are aware of their accountability and responsibility in relation to prescribing

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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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Identification Policy for Patients (P70)

Derbyshire Community Health Services NHS Foundation Trust (DCHS) aims to take all reasonable steps to ensure the safety of patients by having robust systems in place to confirm a patient’s identify. This policy provides guidance for staff to reduce the risk of misidentification of patients using the guidance issued in the National Patient Safety Agency (NPSA) Safer Practice Notice (2007) “Standardising wristbands improves patient safety”. This policy aims to: • Reduce the potential of harm to patients caused by misidentification; • Ensure compliance with National Patient Safety Agency (NPSA) advice.