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Falls in older people: QS86
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2017
- Place of publication:
- London
Updated NICE quality standard which sets out best practice for health and social care professionals in preventing falls in older people and assessing older people after a fall. The standard covers older people who are living in the community or staying in hospital. It includes eight quality statements, which cover: identifying older people at risk; multifactorial risk assessment and intervention; checking for injury after an inpatient fall; moving people safely after a fall; strength and balance training, and home hazard assessment and intervention. It highlights the value of health and social care practitioners asking questions about falls during routine appointments to identify older people most at risk and the importance of offering multifactoral falls risk assessment to help to prevent falls, disability and loss of independence. It updates the previous quality standard which was published in 2015. (Edited publisher abstract)
Achieving timely simple discharge from hospital: a toolkit for the multi-disciplinary team
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2004
- Pagination:
- 48p.
- Place of publication:
- London
What happens during the discharge process is a key part of patients’ experiences of hospital care. Whether patients are admitted for elective care or as an emergency, they want to know how long they are likely to stay in hospital. Information about their treatment and when they can expect to be discharged helps them to feel involved in decisions and motivated in achieving goals towards recovery. It also helps them to make plans for their own discharge. In the latest Healthcare Commission National Patient Survey (2004) patients identify delays in the day of discharge home from hospital as a key area where standards can be improved. This toolkit, focuses on the practical steps that health and social care professionals can take to improve discharge. It supports members of the multi-disciplinary team by providing practical advice, factsheets and case studies. The toolkit has been designed and tested with practitioners in the field and is grounded in the reality of day to day practice. At least 80% of patients discharged from hospital can be classified as simple discharges: they are discharged to their own home and have simple ongoing health care needs which can be met without complex planning. Changing the way in which discharge occurs for this large group of patients will have a major impact on patient flow and effective use of the bed capacity. It can mean the difference between a system where patients experience long delays or one where delays are minimal, with patients fully informed about when they will be able to leave hospital.The Department of Health has also launched checklists that will contribute to more effective discharge as part of a total approach to improving bed management and flow of patients into and out of hospital.