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Patient safety | British Geriatrics Society
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role="main"> <div class="outer-wrapper"> <section id="content"> <h1 id="page-title">Patient safety</h1> <div class="content-main"> <div class="view view-topic-node view-id-topic_node view-display-id-page_1 collapsible-filters match-heights search-page-content-type-tpl views-row-alt-separation row-max-4 view-card-default-palette view-dom-id-e4e998effea88df2b739fb6ed8be13cf"> <div class="view-header"> <div class="topic-intro"><h5>The topic content is divided into the information types below</h5></div> <div class="topics-view-switch"> <span class="view-mode-switch latest-view-default">Resources</span> <span class="view-mode-switch latest-view-events">Events</span> <span class="view-mode-switch latest-view-policies">Policy</span> <span class="view-mode-switch latest-view-news">News</span> <span class="view-mode-switch latest-view-blogs">Blogs</span> <span class="view-mode-switch latest-view-resource-series">Resources series</span> <span class="view-mode-switch latest-view-sig">Special interest groups</span> </div> </div> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first"> <a href="/resources/proactive-care-of-older-people-undergoing-surgery" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Proactive care of older people undergoing surgery</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2012-05-23T00:00:00+01:00">23 May 2012</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>More older people are undergoing surgery, but postoperative outcomes are worse than for younger patients. This case study looks at the Proactive Care of Older People undergoing Surgery (POPS) team at Guy's and St Thomas's.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Case study </div> </div></div></a> </div> <div class="views-row views-row-2 views-row-even"> <a href="/coldweather" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Information for healthcare professionals caring for older people during cold weather </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2023-11-21T00:00:00+00:00">21 November 2023</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>This article lays out UK Health Security Agency’s guidance on how healthcare professionals can best prepare for cold weather and how to look after older adults when temperatures drop below freezing.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-3 views-row-odd"> <a href="/hotweather" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Information for healthcare professionals caring for older people during hot weather </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2023-09-07T00:00:00+01:00">07 September 2023</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>This article lays out UK Health Security Agency’s guidance on how healthcare professionals can best prepare for hot weather and how to look after patients in extreme heat. </p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-4 views-row-even"> <a href="/resources/falls-in-older-people-2022-update" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Falls in older people 2022 update</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-11-22T00:00:00+00:00">22 November 2022</span> </div> <div class="card-display-date"> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> </div></div></a> </div> <div class="views-row views-row-5 views-row-odd"> <a href="/resources/quality-improvement" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Quality Improvement </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2018-03-21T00:00:00+00:00">21 March 2018</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Although much progress has been made in defining best practice, setting standards for delivery and improving the processes of care, there is still variability; there is no consistent delivery or outcomes.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-6 views-row-even"> <a href="/resources/presentation-recordings-2021-south-east-and-south-west-thames-joint-region-meeting" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Presentation Recordings: 2021 South East and South West Thames Joint Region Meeting</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2021-11-05T00:00:00+00:00">05 November 2021</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Presentations from 2021 South East and South West Thames Joint Region Meeting (4 CPD Points)</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional"> <div class="card-content-members-only">Members only</div> </div> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Presentation </div> </div></div></a> </div> <div class="views-row views-row-7 views-row-odd"> <a href="/resources/driving-with-dementia-or-mild-cognitive-impairment-consensus-guidelines-for-clinicians" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Driving with dementia or mild cognitive impairment: Consensus guidelines for clinicians</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-10T00:00:00+00:00">10 January 2019</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>The assessment of driving risk can be difficult for clinicians. These Guidelines set out the responsibilities of clinicians to their patients, and provide a framework for thinking about the management of their driving safety.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Clinical guidelines </div> </div></div></a> </div> <div class="views-row views-row-8 views-row-even"> <a href="/resources/frailty-in-older-people-and-the-stay-safe-initiative" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Frailty in older people and the stay safe initiative</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2018-08-15T00:00:00+01:00">15 August 2018</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>The website 'Staysafe' has been created to signpost people to the wealth of resources and advice available to help them as they get older – including support on nutrition, exercise and accident prevention. </p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional"> <div class="card-content-members-only">Members only</div> </div> <div class="card-resource-type"> Newsletters </div> </div></div></a> </div> <div class="views-row views-row-9 views-row-odd"> <a href="/resources/fallsafe" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Fallsafe </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2011-07-08T00:00:00+01:00">08 July 2011</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>A quality improvement programme that uses specially trained nurses to introduce an evidence based care bundle to reduce inpatient falls</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Fact sheet </div> </div></div></a> </div> <div class="views-row views-row-10 views-row-even"> <a href="/resources/mental-capacity-and-deprivation-of-liberty" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Mental Capacity and Deprivation of Liberty</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2017-05-27T00:00:00+01:00">27 May 2017</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Deprivation of Liberty Safeguards are protections for adults who lack mental capacity to consent to, say, admission to hospital or a care home for treatment or care. Caroline Cooke and Premila Fade assess why they are being reviewed and the Law Commission's proposals.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-11 views-row-odd"> <a href="/resources/clinical-guidelines-on-falls-and-fractures" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Clinical guidelines on falls and fractures</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2016-11-27T00:00:00+00:00">27 November 2016</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Guidelines from NICE and Public Health England on prevention of falls and fractures, and the diagnosis and management of hip fractures.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Clinical guidelines </div> </div></div></a> </div> <div class="views-row views-row-12 views-row-even"> <a href="/resources/clinical-guidelines-on-drugs-and-prescribing" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Clinical guidelines on drugs and prescribing</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2014-03-18T00:00:00+00:00">18 March 2014</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Clinical guidelines on intravenous fluid therapy in adults in hospital, managing medicines in care homes and medicines optimisation, from the National Institute for Health and Care Excellence (NICE).</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Clinical guidelines </div> </div></div></a> </div> <div class="views-row views-row-13 views-row-odd"> <a href="/resources/safe-nurse-staffing-levels-on-wards" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Safe Nurse Staffing Levels on Wards</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2012-12-04T00:00:00+00:00">04 December 2012</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Can it be used by nurses to determine whether staffing levels are safe on their wards?</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional"> <div class="card-content-members-only">Members only</div> </div> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-14 views-row-even"> <a href="/resources/promoting-self-management-in-care-home-residents" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Promoting self-management in care home residents</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2012-10-01T00:00:00+01:00">01 October 2012</span> </div> <div class="card-display-date"> </div> </div><div class="card-footer"> <div class="card-resource-type"> E-learning </div> </div></div></a> </div> <div class="views-row views-row-15 views-row-odd"> <a href="/resources/mental-health-helping-an-older-person-who-is-experiencing-anxiety" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Mental health - Helping an older person who is experiencing anxiety?</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2012-10-01T00:00:00+01:00">01 October 2012</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Feeling anxious from time to time is a normal human experience. When someone is anxious they might experience feelings of tension, nervousness, heightened awareness, fear or uncertainty, dry mouth and throat, and tightness in the chest. </p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional"> <div class="card-content-members-only">Members only</div> </div> <div class="card-resource-type"> E-learning </div> </div></div></a> </div> <div class="views-row views-row-16 views-row-even"> <a href="/resources/mental-capacity" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Mental capacity</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2010-03-09T00:00:00+00:00">09 March 2010</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>What is mental capacity? What do we really mean when we ask if a patient has (or lacks) capacity? Capacity often depends on context. The ethical conundrum of mental capacity unravelled. </p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Fact sheet </div> </div></div></a> </div> <div class="views-row views-row-17 views-row-odd views-row-last"> <a href="/resources/care-of-patients-with-fragility-fracture-blue-book" class="card resource-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Care of patients with fragility fracture (Blue Book)</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2007-09-03T00:00:00+01:00">03 September 2007</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Fracture services often fail to respond to the true complexity of their older patients’ needs. The Care of Patients with Fragility Fracture (the 'Blue Book', available as a download) sets out best practice in the care and prevention of fragility fractures.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> </div> <div class="attachment attachment-after"> <div class="view view-topic-node view-id-topic_node view-display-id-sig collapsible-filters match-heights search-page-content-type-tpl views-row-alt-separation row-max-4 view-card-default-palette"> <div class="view-empty"> We currently have no content associated with this topic, please visit one of the other tabs </div> </div><div class="view view-topic-node view-id-topic_node view-display-id-news collapsible-filters match-heights search-page-content-type-tpl views-row-alt-separation row-max-4 view-card-default-palette"> <div class="view-empty"> We currently have no content associated with this topic, please visit one of the other tabs </div> </div><div class="view view-topic-node view-id-topic_node view-display-id-blogs collapsible-filters match-heights search-page-content-type-tpl views-row-alt-separation row-max-4 view-card-default-palette"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first"> <a href="/blog/the-price-of-poverty-the-dire-impact-of-the-cost-of-living-crisis-in-older-adults" class="card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>The Price of Poverty - The dire impact of the cost of living crisis in older adults</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2023-01-09T00:00:00+00:00">09 January 2023</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>The UK is experiencing a cost of living crisis and older people are particularly vulnerable to the impact this has on their health. Age UK estimated that 1.1 million older households were in fuel poverty at the end of 2021. A year later and this figure has almost trebled. An estimated 8,500 people died last year in England and Wales as a result of living in cold homes.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional-1"> <div class="card-type">Blog</div> </div> </div></div></a> </div> <div class="views-row views-row-2 views-row-even"> <a href="/blog/avoiding-hospital-associated-harm-for-older-people-this-winter" class="card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Avoiding hospital associated harm for older people this winter </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-12-27T00:00:00+00:00">27 December 2022</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>As we pass the winter solstice and the days start to lengthen, it feels hard to believe we will ever leave ‘winter’ in the NHS. Back-to-back ‘crises’ for health and social care, a perfect storm of a continuing pandemic/pandemic recovery, a chronically under-funded and under-staffed health service and social care sector and a cost of living crisis mean that our patients are going to struggle even more than usual this winter.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional-1"> <div class="card-type">Blog</div> </div> </div></div></a> </div> <div class="views-row views-row-3 views-row-odd"> <a href="/blog/memorable-event-me-and-my-handwriting" class="card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Memorable Event: me and my handwriting</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-06-09T00:00:00+01:00">09 June 2022</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Writing is a form of communication. Hence, from a very young age onwards, there is an emphasis on having good handwriting. We are taught how to write capital letters, lowercase letters and then how to join them up, beautifying them and making them legible.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional-1"> <div class="card-type">Blog</div> </div> </div></div></a> </div> <div class="views-row views-row-4 views-row-even"> <a href="/blog/the-face-shield-clouded-my-vision" class="card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>The Face Shield Clouded My Vision </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2020-08-08T00:00:00+01:00">08 August 2020</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>He was sitting on the bed. He had presented to the emergency room with fever and shortness of breath and was labeled a PUI - “Person Under Investigation.” Every time he took a deep breath, I saw his chest wall retract between his ribs.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional-1"> <div class="card-type">Blog</div> </div> </div></div></a> </div> <div class="views-row views-row-5 views-row-odd views-row-last"> <a href="/blog/sepsis-in-older-people-%E2%80%93-news2-and-the-nhs-long-term-plan" class="card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>Sepsis in older people – NEWS2 and the NHS Long Term Plan </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-05-28T00:00:00+01:00">28 May 2019</span> </div> <div class="card-display-date"> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> <p>Every trust must take action to identify and treat Sepsis, which costs 37,000 lives per year. Sepsis occurs when the body responds poorly to a bacterial infection, attacking its own tissues and organs, and while early treatment is effective, the condition is hard to identify.</p> </div> </div> </div> </div><div class="card-footer"> <div class="card-views-conditional-1"> <div class="card-type">Blog</div> </div> </div></div></a> </div> </div> <div class="view-footer"> <div class="view-results">5 results</div><div class="view-mode"><span class="layout-trigger"><span class="view-mode-label">View as</span><span class="trigger-grid active">Grid</span><span class="trigger-list">List</span></span></div> </div> </div><div class="view view-topic-node view-id-topic_node view-display-id-events collapsible-filters match-heights search-page-content-type-tpl views-row-alt-separation row-max-4 view-card-default-palette"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="/events/ni-townhall-no-more-silos-2" class="card event-card"> <div class="card-text"><div class="card-content"> <div class="card-title"> <h3>NI Townhall - No More Silos 2</h3> </div> <div class="card-display-date"> 13.00 - 14.00 12 May 2021 </div> </div><div class="card-footer"> <div class="card-event-type"> Webinar </div> </div></div></a> </div> </div> <div class="view-footer"> <div class="view-results">1 results</div><div class="view-mode"><span class="layout-trigger"><span class="view-mode-label">View as</span><span class="trigger-grid active">Grid</span><span class="trigger-list">List</span></span></div> </div> </div><div class="view view-topic-node view-id-topic_node view-display-id-policies collapsible-filters match-heights search-page-content-type-tpl views-row-alt-separation row-max-4 view-card-default-palette"> <div class="view-empty"> We currently have no content associated with this topic, please visit one of the other tabs </div> </div><div class="view view-topic-node view-id-topic_node view-display-id-resource_series collapsible-filters match-heights search-page-content-type-tpl views-row-alt-separation row-max-4 view-card-default-palette"> <div class="view-empty"> We currently have no content associated with this topic, please visit one of the other tabs </div> </div> </div> <div class="view-footer"> <div class="view-results">17 results</div><div class="view-mode"><span class="layout-trigger"><span class="view-mode-label">View as</span><span class="trigger-grid active">Grid</span><span class="trigger-list">List</span></span></div> </div> </div> </div> </section> </div> </main> <footer id="site-footer" role="contentinfo"> <section class="footer-first"> <div class="outer-wrapper"> <section class="block block-views"> <div class="view view-footer-sections view-id-footer_sections view-display-id-orgs view-display-grid view-dom-id-1b9151a97a4433ae5a24eb2e889ae59c"> <div class="view-header"> <script> if(jQuery('#Main.CRM_Contribute_Form_Contribution_Main').length > 0){ jQuery('#Main.CRM_Contribute_Form_Contribution_Main').on('submit',function(e){ setTimeout(function(){ e.preventDefault(); 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