Latest News
Latest trusts to launch trials.
Heart of England Foundation Trust have now begun a trial CRAB in surgery and medicine, using the system over a 6 month period to engage front-line staff in the benefits of CRAB for practice audit as well as routine clinical governance.
Homerton Hospital NHS Trust is also joining the growing list of organisations to trial CRAB and find out how the system can support them and their clinical staff.
C-CI have secured a nationally sponsored trial in Scotland.
NHS Ayrshire and Arran is launching a trial of CRAB in Surgery. This has been sponsored by NHS National Services Scotland, with a view to assessing its suitability as a more widespread application nationally. Scotland has for many years managed a very successful mortality review based on POSSUM, and CRAB is a natural enhancement to this approach.
World Bank and Turkish Government approved Trial.
The latest country to look to the CRAB system to understand where to improve healthcare standards is Turkey, where following a successful presentation at the Turkish Congress last year, the Turkish Government and World Bank have approved funding for a nationally monitored dual trial in two leading University Teaching sites in Istanbul.
In 2004 new national legislation for Performance Management and Improvement in Healthcare was introduced and is now a growing and dynamic model across Turkey. CRAB has been identified as a great way of supporting the two core elements of the model, firstly measuring individual performance (to which pay is directly related); and secondly measuring organisational performance and quality improvement. The incumbent government has just been returned with an increased majority, and with this popular mandate, the Ministry of Health is continuing its radical plans for further change and innovation in healthcare services with CRAB as a core component.
CRAB in Sweden.
CRAB is now an established partner with The Stockholm region and the Karolinska Hospital where our system is being introduced to assess the quality of orthopaedic services.
CRAB has provided the Karolinska’s Orthopaedic Centre with an effective means of real-time post-operative audit of clinical performance, and COMPASS has been newly installed to support pre-operative risk-assessment of patients for managing treatment, length of stay and critical care. By training selected staff in intelligent use of the system the centre can now produce detailed reporting for consultant-level appraisal, as well as for organisational safety and quality assurance.
Following the introduction of CRAB for orthopaedics, the Karolinska team are aiming to publish academic research based on the system, and the Regional authority has plans to extend CRAB to other specialties and hospitals.
Emergency Surgery: Standards for unplanned surgical care and the introduction of pre-assessment units.
Click to read full publication
Following the publication of 'Taking Care in an Emergency' in the June addition of HSJ, we thought it appropriate to comment on how our COMPASS module can support the Royal College of Surgeons new standards and guidance for delivering this type of care, which can be found here: http://www.rcseng.ac.uk/publications/docs/emergency-surgery-standards-for-unscheduled-care
The legacy of Lord Darzi
Lord Darzi may have moved on, but his legacy of focusing on quality and safety remains very much in the limelight, not least in the recent report of the Health Select Committee:
From now on, all Government policy in respect of the NHS must be predicated on the principle that the Service’s first priority, always and without exception, is to ensure that patients in its care do not suffer avoidable harm
(rec. P95)
Our Clinical Intelligence range offers the most sophisticated and detailed analysis of its kind, to identify small problems early on and ensure harm is avoided before it escalates. Clinical Intelligence can make safety reporting a positive part of clinical practice by placing it at the heart of supportive learning and improvement.
Supporting Imperials Safer Surgery Checklist with the WHO.
More recently, we have started to use CRAB to support the implementation of the World Health Organisation’s Safer Surgery Checklist. The Checklist has been shown to save lives and improve the safety of surgical care around the world by ensuring adherence to proven standards of care. In a national research project sponsored by the National Patient Safety Agency, Imperial College London is monitoring the application and results of the Checklist in England. C-CI is proud to be supporting this research with bespoke software designed to create an electronic means of completing the checklist and auditing its application
