Graling, P.R. (2017) AORN Journal. 105(3) pp. 317–321
In 1980, McLain identified the top five risk management issues in the OR as wrong patient; wrong procedure performed; improper consent; unreconciled sponge, needle, or instrument count; and burns from equipment.
Approximately 20 years later, the Institute of Medicine report To Err Is Human: Building a Safer Health System described the complexity of health care systems in the United States and the epidemic occurrence of medical errors. Despite widespread awareness of medical errors, there has been little progress in this area to improve patient safety, and sentinel or never events continue to occur in the United States.
Telecare is a range of remote care technologies and associated services that have been developed to accommodate an ageing population while helping people to stay in their homes | The Conversation
Over the next 25 years, the percentage of people aged over 85 is set to more than double, with one in four in this age group already counting as “frail”. In the over 65s, this is estimated at one in ten. At the same time, the number of people, such as family, who might be caregivers is reducing due to different patterns of marriage and parenting, people living apart at greater distances and more women in paid employment.
Traditionally, elderly people who need care in their own homes rely on paid or unpaid carers. Telecare can be thought of as a form of care at a distance, which can allow older and frailer people to live independently. While some might see a risk of decreasing social contact, it can provide safety and security to those people who because of mobility problems and other health issues are housebound. Telecare should be considered as an aid, not a solution to growing demands for care.
Telecare can provide some care on a personal level through attachments that can develop between users and telephone operators, who regularly check in with the telephone operators for weekly test calls.
This paper looks at the approach of the NHS to productivity improvement half-way through the implementation of the Five Year Forward View. It particularly examines the role of digital technology in delivering productivity improvements.