The patient safety collaborative programme: opportunities for physician engagement.

Driving improvements in patient safety has been a core goal of the Academic Health Science Networks (AHSNs) in England since their inception in 2013. The National Patient Safety Collaborative Programme, nested within the 15 geographically located AHSNs, was established in 2014 in response to the Berwick review. In 2019, the new NHS national patient safety strategy was published, which placed the AHSNs as a key vehicle for delivering its ambitions.

Patients' perceptions of and emotional outcome after intensive care: results from a multicentre study.

Background: Recovery from critical illness can be prolonged and can result in a number of significant short- and long-term psychological consequences. These may be associated with the patient's perception of the intensive care experience.

Aim: The aims of the study were to assess patients' perceptions of their intensive care unit (ICU) experience and the effect of these on anxiety, depression and post-traumatic stress up to 6 months after discharge.

Weaning from ventilation needs to be tailored to individual patients and involve them.

Aim: To improve understanding of how nurses use technology to wean patients from mechanical ventilation.

Background: The literature tends to focus on weaning indices, predictors of success or weaning methods. Few papers address patients' experiences of weaning.

Following the patient journey to improve medicines management and reduce errors.

Patient safety is a major concern in the NHS, and medicines management is a vital aspect of this. This article describes one patient's journey through healthcare from the perspective of how medicines are managed. The patient's journey starts with an emergency admission to hospital, followed by a 10 day inpatient stay, including a brief stay in the high dependency unit, through to discharge.

The importance of knowing the patient in weaning from mechanical ventilation.

Aim: The aim of the research was to understand how nurses used technology to wean patients from mechanical ventilation.

Background: The literature concerned with the development of critical care centres on the role of technology with little emphasis on the nursing contribution.

Design: An ethnographic approach was used to understand how nurses used technology to wean patients from mechanical ventilation.

Weaning from ventilation--current state of the science and art.

Weaning from mechanical ventilation has attracted a growing interest recently in the medical and nursing press. Attempts have been made to determine a patient's readiness to wean, define criteria for successful weaning and enhance the weaning process through the developments of protocols. Key to this work is the role of the critical care nurse.

The role of technology in critical care nursing.

Aim: This paper is a report of a study to identify the meaning for critical care nurses of technology related to weaning from mechanical ventilation and to explore how that technology was used in practice.

Background: The literature concerned with the development of critical care (intensive care and high dependency units) focuses mainly on innovative medical technology. Although this use of technology in critical care is portrayed as new, it actually represents a transfer of technology from operating theatres.

Weaning from ventilation: does a care bundle approach work?

There has been renewed interest in weaning from mechanical ventilation in critical care since the publication of the Modernisation Agency paper in 2002. There have been many papers reporting ways of improving the weaning process but these are specific to single elements and neglect the contextual issues that influence the weaning process. Care bundles have been introduced nationally to standardise patient care and improve patient outcome.

The development of critical care in England.

The paper offers a view of the development of critical care from the position of nursing. The nursing contribution is not fully acknowledged in the historical and professional literature. This paper offers an alternative history of the development of intensive care (ICU), which takes account of the nursing profession's contribution, rather than the commonly held view that ICU developed predominately as a result of new and innovative technology.

Nurse-led discharge to the ward from high dependency: a service improvement project.

Nurse-led discharge from the High Dependency Unit (HDU) was introduced in 2002 with the aim of improving access to level 2 beds (beds offering higher level of support and observation; ). The project has yet to be formally evaluated but there have been perceived benefits for both patients and staff.

A study exploring factors which influence the decision to commence nurse-led weaning.

Nurse-led weaning can improve patient outcome. Exploration of the factors that influence the commencement of weaning. Themes of decision-making, pathophysiological and multidisciplinary team factors emerged.

A multidisciplinary follow-up clinic after patients' discharge from ITU.

Follow-up clinics following discharge from intensive care are not a new phenomenon - Whiston Hospital in Liverpool has been running a clinic since 1990. Its pioneering work has set a precedent and has inspired Nottingham City Hospital to set up its own clinic. The Department of Health (2000) recommended that all NHS trusts 'review the provision of follow-up services and ensure there is appropriate provision for those patients who will benefit'.

Nurse led weaning from ventilatory and respiratory support.

Weaning from mechanical ventilation is challenging and requires expert knowledge and skill. Weaning can be defined as the process of assisting patients to breathe spontaneously without mechanical ventilatory support [Am. J.