... Titre du document / Document title. A national bedrail safety project to help reduce falls. A... more ... Titre du document / Document title. A national bedrail safety project to help reduce falls. Auteur(s) / Author(s). HEALEY Frances ; STEVENSON Elaine ; OLIVER David ; Revue / Journal Title. Nursing times ISSN 0954-7762 Source / Source. 2007, vol. 103, n o 21, pp. ...
Lamont et al provide a thorough review of confirming the correct positioning of an NG tube. Most ... more Lamont et al provide a thorough review of confirming the correct positioning of an NG tube. Most of what they report can be concisely summarised as two words: common sense. If the NG tube is in the correct position, it should be below the diaphragm. Anyone who has ...
Commentary on: WebsterJCourtneyMMarshN. The STRATIFY tool and clinical judgment were poor predict... more Commentary on: WebsterJCourtneyMMarshN. The STRATIFY tool and clinical judgment were poor predictors of falling in an acute hospital setting. J Clin Epidemiol 2010;63:109–13.
Background Pressure ulcer risk assessment is a component of the assessment process used to identi... more Background Pressure ulcer risk assessment is a component of the assessment process used to identify individuals at risk of developing a pressure ulcer. Use of a risk assessment tool is recommended by many international pressure ulcer prevention guidelines; however, it is not known whether using a risk assessment tool makes a difference to patient outcomes. We conducted a review to clarify the role of pressure ulcer risk assessment in clinical practice.
Introduction Falls are the most common type of safety incident reported by acute hospitals and ca... more Introduction Falls are the most common type of safety incident reported by acute hospitals and can cause both physical (eg, hip fractures) and non-physical harm (eg, reduced confidence) to patients. It is recommended that, in order to prevent falls in hospital, patients should receive a multifactorial falls risk assessment and be provided with a multifactorial intervention, tailored to address the patient’s identified individual risk factors. It is estimated that such an approach could reduce the incidence of inpatient falls by 25%–30% and reduce the annual cost of falls by up to 25%. However, there is substantial unexplained variation between hospitals in the number and type of assessments undertaken and interventions implemented. Methods and analysis A realist review will be undertaken to construct and test programme theories regarding (1) what supports and constrains the implementation of multifactorial falls risk assessment and tailored multifactorial falls prevention interventi...
Many different pressure sore classification scales are used in the UK. They all have differing st... more Many different pressure sore classification scales are used in the UK. They all have differing strengths and weaknesses which may affect their use in research studies, prevalence and incidence surveys, and collaborative care planning. This article, the second of a two-part series, examines which scales fit the NHS Executive's (1995) recommendations of practice guidelines for the classification of pressure sores and discusses what evidence is available relating to the validity, reliability and utility of existing classification scales. None of the scales comply fully with the practice guidelines’ recommendation that they should be applicable to all skin types, and only two scales have demonstrated fair levels of inter-observer reliability.
This paper looks at the role of carpeted and vinyl floors in relation to the injuries older patie... more This paper looks at the role of carpeted and vinyl floors in relation to the injuries older patients receive when falling in hospital. A random sample of 225 accident forms were analysed retrospectively and separated into two patient groups. Out of a group of patients falling on carpet, only 17% sustained injuries. In the group of patients who fell on vinyl, 46% sustained injuries. Statistical analysis indicated that there was a less than 1% probability that the reduced rate of injury for those patients who fell on carpets was owing to chance. The implications of these findings on the type of flooring provided in hospital wards for older people are discussed, and suggestions are made for further research.
Objective To determine if applying change analysis to the narrative reports made by reviewers of ... more Objective To determine if applying change analysis to the narrative reports made by reviewers of hospital deaths increases the utility of this information in the systematic analysis of patient harm. Design Qualitative analysis of causes and contributory factors underlying patient harm in 52 case narratives linked to preventable deaths derived from a retrospective case record review of 1000 deaths in acute National Health Service Trusts in 2009. Participants 52 preventable hospital deaths. Setting England. Main outcome measures The nature of problems in care and contributory factors underlying avoidable deaths in hospital. Results The change analysis approach enabled explicit characterisation of multiple problems in care, both across the admission and also at the boundary between primary and secondary care, and illuminated how these problems accumulate to cause harm. It demonstrated links between problems and underlying contributory factors and highlighted other threats to quality of...
... Titre du document / Document title. A national bedrail safety project to help reduce falls. A... more ... Titre du document / Document title. A national bedrail safety project to help reduce falls. Auteur(s) / Author(s). HEALEY Frances ; STEVENSON Elaine ; OLIVER David ; Revue / Journal Title. Nursing times ISSN 0954-7762 Source / Source. 2007, vol. 103, n o 21, pp. ...
Lamont et al provide a thorough review of confirming the correct positioning of an NG tube. Most ... more Lamont et al provide a thorough review of confirming the correct positioning of an NG tube. Most of what they report can be concisely summarised as two words: common sense. If the NG tube is in the correct position, it should be below the diaphragm. Anyone who has ...
Commentary on: WebsterJCourtneyMMarshN. The STRATIFY tool and clinical judgment were poor predict... more Commentary on: WebsterJCourtneyMMarshN. The STRATIFY tool and clinical judgment were poor predictors of falling in an acute hospital setting. J Clin Epidemiol 2010;63:109–13.
Background Pressure ulcer risk assessment is a component of the assessment process used to identi... more Background Pressure ulcer risk assessment is a component of the assessment process used to identify individuals at risk of developing a pressure ulcer. Use of a risk assessment tool is recommended by many international pressure ulcer prevention guidelines; however, it is not known whether using a risk assessment tool makes a difference to patient outcomes. We conducted a review to clarify the role of pressure ulcer risk assessment in clinical practice.
Introduction Falls are the most common type of safety incident reported by acute hospitals and ca... more Introduction Falls are the most common type of safety incident reported by acute hospitals and can cause both physical (eg, hip fractures) and non-physical harm (eg, reduced confidence) to patients. It is recommended that, in order to prevent falls in hospital, patients should receive a multifactorial falls risk assessment and be provided with a multifactorial intervention, tailored to address the patient’s identified individual risk factors. It is estimated that such an approach could reduce the incidence of inpatient falls by 25%–30% and reduce the annual cost of falls by up to 25%. However, there is substantial unexplained variation between hospitals in the number and type of assessments undertaken and interventions implemented. Methods and analysis A realist review will be undertaken to construct and test programme theories regarding (1) what supports and constrains the implementation of multifactorial falls risk assessment and tailored multifactorial falls prevention interventi...
Many different pressure sore classification scales are used in the UK. They all have differing st... more Many different pressure sore classification scales are used in the UK. They all have differing strengths and weaknesses which may affect their use in research studies, prevalence and incidence surveys, and collaborative care planning. This article, the second of a two-part series, examines which scales fit the NHS Executive's (1995) recommendations of practice guidelines for the classification of pressure sores and discusses what evidence is available relating to the validity, reliability and utility of existing classification scales. None of the scales comply fully with the practice guidelines’ recommendation that they should be applicable to all skin types, and only two scales have demonstrated fair levels of inter-observer reliability.
This paper looks at the role of carpeted and vinyl floors in relation to the injuries older patie... more This paper looks at the role of carpeted and vinyl floors in relation to the injuries older patients receive when falling in hospital. A random sample of 225 accident forms were analysed retrospectively and separated into two patient groups. Out of a group of patients falling on carpet, only 17% sustained injuries. In the group of patients who fell on vinyl, 46% sustained injuries. Statistical analysis indicated that there was a less than 1% probability that the reduced rate of injury for those patients who fell on carpets was owing to chance. The implications of these findings on the type of flooring provided in hospital wards for older people are discussed, and suggestions are made for further research.
Objective To determine if applying change analysis to the narrative reports made by reviewers of ... more Objective To determine if applying change analysis to the narrative reports made by reviewers of hospital deaths increases the utility of this information in the systematic analysis of patient harm. Design Qualitative analysis of causes and contributory factors underlying patient harm in 52 case narratives linked to preventable deaths derived from a retrospective case record review of 1000 deaths in acute National Health Service Trusts in 2009. Participants 52 preventable hospital deaths. Setting England. Main outcome measures The nature of problems in care and contributory factors underlying avoidable deaths in hospital. Results The change analysis approach enabled explicit characterisation of multiple problems in care, both across the admission and also at the boundary between primary and secondary care, and illuminated how these problems accumulate to cause harm. It demonstrated links between problems and underlying contributory factors and highlighted other threats to quality of...
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Papers by F. Healey