Higher nurse to patient ratio is linked to reduced risk of inpatient death

Click for article

Click for article

Death rates in English hospitals where registered nurses cared for six or fewer patients were 20% lower than in those where they cared for more than 10, research published in the online journal BMJ Open has found.

Researchers looked at the number of beds per registered nurse, doctor, and healthcare support worker in 137 acute care trusts from 2009 to 2011. They also analysed the number of patients per ward nurse in a survey of 2917 registered nurses from a nationally representative subsample of 31 of these trusts.

Oral antifungal is associated with increased risk of miscarriage

Click for article

Click for article

Use of the oral antifungal drug fluconazole during pregnancy was associated with an increased risk of miscarriage in an analysis of 1.4 million pregnancies in Denmark published in JAMA.

Vaginal candidiasis is common during pregnancy. Although intravaginal formulations of topical azole antifungals are the first line treatment for pregnant women, oral fluconazole is often used in cases of recurrence or severe symptoms or when topical treatment has failed.

NHS staff invited to comment on new policy to encourage whistleblowing

Click for article

Click for article

The first national whistleblowing policy for the NHS aims to encourage doctors and other NHS employees in England to report bullying, threats to the safety of patients, and other harmful practices in their organisation, without blighting their careers in the process.

The draft policy, drawn up by Monitor, the NHS Development Authority, and NHS England, will be open to consultation for eight weeks from 16 November. NHS organisations, patients, and staff are invited to comment, in confidence if they wish.

Caring Together Induction Pack: now available online

Caring Together Eastern CheshireThe new Caring Together Induction Pack is now available online.

The intention is to promote the pack to all new starters with health and social care organisations commissioning or providing services for the people of Eastern Cheshire. Organisations include third sector partners and providers of social housing.

For the avoidance of doubt, the pack is not relevant to employees involved exclusively in commissioning or providing services outside Eastern Cheshire. This pack is to be made available with immediate effect to new recruits, either salaried or voluntary.

At the end of every third month, a member of the Caring Together team will send managers a link to a brief online survey for new recruits to complete. This will enable them to measure awareness of the pack and the extent to which it is achieving its aim of improving understanding of Caring Together. Consultees will have the option to remain anonymous as the purpose of the survey is not to test individuals’ knowledge or pay attention to people who don’t answer all the questions correctly!

While the principal aim of the survey is to ensure that new starters are introduced to Caring Together as soon as practicable, the pack can also be shared with colleagues more widely. Reference copies of the pack are also available in the Staff Library (Top Floor, New Alderley House).

Many thanks to all in anticipation of your support for this important initiative to promote understanding of – and engagement in – our transformation programme.

Patient safety alert – Support to minimise the risk of distress and death from inappropriate doses of naloxone

Click for article

Click for article

A patient safety alert has been issued by NHS England to support providers of NHS funded care to minimise the risk of distress and death caused by inappropriate doses of naloxone.

The new ‘Stage 2: Resource’ alert highlights a number of resources now available to help providers ensure their local protocols and training related to naloxone reflect best practice.

Patient safety incident reporting continues to improve

 

Click for article

Click for article

NHS England has today (23 September 2015) published a six-monthly data report on patient safety incidents reported to the National Reporting and Learning System (NRLS) between 1 October 2014 and 31 March 2015.

BETHLEM 351-11202Acute hospitals, mental health services, community trusts, ambulance services and primary care organisations report incidents to the NRLS where any patient could have been harmed or has suffered any level of harm. The reporting of incidents to a national central system helps protect patients from avoidable harm by increasing opportunities to learn from mistakes and where things go wrong.