Posted by: Witch Doctor | July 16, 2013

Musings on the Keogh Review

BlackCatVap

Review into the quality of care and treatment provided by 14 hospital trusts in England: overview report

Professor Sir Bruce Keogh KBE.

14 HOSPITALS REVIEWED

Deficiencies in :

BED MANAGEMENT – FLOW (1)

BED MANAGEMENT – OUTLIERS (5)

MEDICAL STAFFING LEVELS (5)

NURSING STAFFING LEVELS (6)

STAFFING LEVELS (Unspecified) (6)

OUT OF HOURS / OVERNIGHT STAFFING (6)

EQUIPMENT SAFETY CHECKS (4)

INFECTION CONTROL (4)

RECOGNITION OF ILL AND DETERIORATING PATIENTS (3)

DELAY DISCHARGE LETTERS (1)

DELAY REPORTING SCANS AND XRAYS (1)

Huh! There is not much point in measuring mortality, morbidity, complaints, legal compensation costs etc as indicators of poor quality care when staffing levels are inadequate to examine, diagnose, treat, observe and provide even the most basic care for patients, if these patients are difficult for doctors to find because they are continually being moved around or are “outliers” (i.e. boarded out in inappropriate wards) or the equipment is unsafe.

Maybe correct all of this first, then count things if funds allow?

Eh?

But then, these are just the views of a simple witch’s cat with a preference for hands on activities like hunting rats rather than measuring them.


Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Categories

%d bloggers like this: