The London quality standards: a case study in changing clinical care (Record no. 76261)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02416cam a2200193 4500 |
| 001 - CONTROL NUMBER | |
| control field | NMDX7319 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 120401t2017 xxu||||| |||| 00| 0 eng d |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER | |
| International Standard Book Number | 9781910953198 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Vaughan, Louella |
| 245 ## - TITLE STATEMENT | |
| Title | The London quality standards: a case study in changing clinical care |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) | |
| Place of publication, distribution, etc. | London |
| Date of publication, distribution, etc. | 2017 |
| 500 ## - GENERAL NOTE | |
| General note | E-books |
| 500 ## - GENERAL NOTE | |
| General note | 156 p. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <p style="box-sizing: inherit; margin: 0px 0px 24px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-stretch: inherit; font-size: 16px; line-height: 24px; font-family: &quot;Utopia W01&quot;, &quot;Times New Roman&quot;, serif; vertical-align: baseline; color: #0e1b26; background-color: #f4f4f4;"><span style="font-family: Arial;"><span style="font-size: 10pt;">From 2011, the NHS in London embarked on a major programme to improve care for patients in emergency and acute services by introducing a set of professional standards. The London Quality Standards set out a range of minimum requirements, including regular consultant review during out-of-hours and at the weekends. Several formed the basis for the Seven Day Services Standards which the NHS is now committed to rolling out across England.&nbsp;</span></span><span style="font-size: 10pt; font-family: Arial;">Our evaluation draws on surveys and interviews with those responsible for developing the standards and the frontline staff responsible for making them a reality. We found that the introduction of the LQS worked well in making people aware of shortcomings in care, and drove real change in how people worked. Our initial statistical analysis did not show any evidence that they achieved consistent improvement in patient outcomes.</span><span style="font-size: 10pt; font-family: Arial;">The most important factor in making the standards a reality was a bottom-up effort from clinicians. We saw some deficiencies in hospitals’ ability to manage complex changes, and evidence of a deep disconnect between frontline staff and top managers. The use of reconfiguration as a “stick” to drive the standards demotivated staff, and eventually came to be seen as an empty threat.</span></p> |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Machaqueiro, Sílvia |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gaskins, Matt |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Imison, Candace. |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://www.nuffieldtrust.org.uk/files/2017-02/1487076311_lqs-report-web.pdf">https://www.nuffieldtrust.org.uk/files/2017-02/1487076311_lqs-report-web.pdf</a> |
| Withdrawn status | Lost status | Damaged status | Not for loan | Home library | Current library | Shelving location | Date acquired | Total Checkouts | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ferriman information and Library Service (North Middlesex) | Ferriman information and Library Service (North Middlesex) | Shelves | 23/05/2017 | 07/06/2022 | 07/06/2022 | Book |