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December 2020

RLDatix: Product Highlight Series: Tools for patient safety - root cause analysis

The best way to solve problems is to identify their root causes. With RCA, you’re equipped to build a learning culture, help identify frequent modes of failure and take action to develop new policies or training to prevent incidents from happening in the future.  
Incorporate and blend taxonomies to support your organisation’s key initiatives.  Increase efficiency by initiating a root cause analysis from multiple existing files in RL6.  Leverage dashboards and reports to learn and drive safety improvements.   Utilize the Joint Commission and RCA2 framework to uncover the root cause(s) and opportunities for risk reduction. Register

Advancing mental health equalities. Making mental health care fairer for all


The advancing mental health equalities strategy published in September 2020 outlines the core enabling actions NHS England and NHS Improvement will take with the support of the Advancing Mental Health Equalities Taskforce – an alliance of sector experts, including patients and carers, who are committed to creating more equitable access, experience and outcomes in mental health services in England. It sits alongside the NHS Mental Health Implementation Plan 2019/20–2023/24 and as such is similarly focused in scope. This strategy is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to COVID-19.
This webinar lead by Dr Jacqui Dyer MBE will introduce advancing mental health equalities strategy and summarise the core actions that NHS England and NHS Improvement will take to bridge the gaps for communities fairing worse than others in mental health services.

Fab Thank YOU Show


Normally each year the Academy of Fabulous Stuff has a FabAwards Show, shares to the website are shortlisted and voted on and at the awards show the winner announced. This is no ordinary year. Given the amazing work that NHS/Health and Social care staff are doing during the pandemic, now is NOT the time to judge peoples work and vote for winners. Right NOW is a time to say thank You.
This is a fabulous free event for everyone working in health and social care. 
Further information

The King's Fund: Population health global summit


The COVID-19 pandemic has underlined the deep inequalities and stark differences in health that exist between different population groups and areas of England. There are many factors that affect people’s health and wellbeing, and traditional health and care services is only one of these. Addressing all these factors is key to tackling health inequalities. 
With NHS England and NHS Improvement, The King's Fund brings you this free one-day virtual event. Sign up now to hear from national and international examples of best practice and explore how:
local organisations working in partnership and collaborating with one another can help deliver population health locally data and insight can be used to analyse and develop population health strategies and new integrated care models  addressing the wider determinants of health as part of a population health approach can help reduce health inequalities. Registration

Nursing Times Workforce Awards 2020 - virtual ceremony


The Nursing Times awards are free to attend and will give you the chance to highlight and reward innovation in workforce planning and management that will contribute to sustaining a workforce fit for the future.
The summit will take place over two days, connecting nurses responsible for the recruitment, retention and development of the workforce to meet with solution providers and workforce experts.
Book tickets

Using human factors to support clinical decision making


Coping with complexity: how a human factors systems approach can support competency development for pharmacists.
Support in clinical decision making is recognised as an educational development need for pharmacists. The health policy landscape puts the pharmacist in a central role for clinical management of long-term complex morbidities, making clinical decision making and taking responsibility for patient outcomes increasingly important.
This is compounded by the COVID-19 pandemic, where healthcare environments have become more complex and challenging to navigate. In this environment, foundation pharmacists were unable to sit the GPhC registration assessment during the summer of 2020 but provisionally the registration assessment is due to take place online during the first quarter of 2021.
In response to this, a suite of resources has been developed with collaboration between Chartered Institute of Ergonomics and Human Factors (CIEHF) and Health Education England (HEE). These resources are aimed in particular at early career pharmacists and their supervisors, especially those in foundation pharmacist positions managing the transition from education to the workplace environment.
This session will act as the launch event for these resources and can support early career pharmacists and supervisors to navigate the CIEHF learning resources developed so far.

MindTech2020: Digital mental health in the age of COVID-19


The 2020 MindTech Symposium (#MindTech2020) will be held online as a virtual event for the very first time. The Symposium topic is ‘Digital Mental Health in the Age of Covid-19’  
The session times are as follows:
Wednesday 2nd December 2020: 
8.00pm - 9.00pm: The digital mental health response to COVID-19: A global Perspective  Thursday 3rd December 2020: 
1st Session 10.00am - 11.30am: A rapid digital response to a global pandemic 2nd Session 1.15pm - 2.30pm: Virtual PPI: the way forward?  3rd Session 3.00pm - 4.00pm: Rethinking mental health services for a brave new world post-COVID-19                                                                                                                              Wednesday evening’s opening session will embrace a global perspective on the digital mental health response to COVID-19 and includes international expert panellists Helen Christensen (Australia), John Torous (USA) and Sally Merry (New Zealand).
Thursday’s sessions will cover emerging technologies and how they can be harnessed in the ‘new normal’ of mental healthcare in the post-Covid world.
Thursday will also host a dedicated session encompassing Patient & Public Involvement (PPI) and user-centred co-design in a virtual world. This session will be delivered by MindTech’s own PPI group.

The courage of compassion: transforming nurses’ and midwives’ working environments to enable them to flourish


How can we better support nurses and midwives to flourish and thrive in their work? Join the King's Fund at this free online event to discuss the changes needed to empower nurses and midwives to shape and provide the compassionate, high-quality care that they aspire to in a sustainable way – through the COVID-19 pandemic and beyond. 

The conversation will explore:  
workplace stressors, work conditions and ways of working – including workload, shift patterns and supervision – that have an impact on nurse and midwife wellbeing, and how these can be positively transformed organisational cultures and leadership styles – including those around diversity and inclusion, psychological safety and compassionate leadership at all levels – that need to be cultivated, and how progress can be achieved lessons and examples of good practice from across the health and care system, from both before and during the COVID-19 pandemic. Register

Tutorial on the AHRQ SOPS Data Entry and Analysis Tool

This webcast provides a tutorial on the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Data Entry and Analysis Tool. Speakers will demonstrate how you can enter your SOPS survey data into the tool and it will automatically create tables and graphs to display your survey results. The tool allows healthcare organisations to compare results to the data in SOPS Databases.

Post Covid 19 Syndrome: Engaging patients with biochemists, specialists & global health experts

The Chronic Long Covid19 support group presents this international conference for patients.
Dr David Tuller, Global Public Health Expert, University of Berkeley, California: graded exercise therapy/cognitive behavior therapy treatment approach to ME and why it should not be used for long-covid patients. Nikita Alexandrov biochemist/biohacker, University of Alabama, USA: COVID-19 and the elephants in the room – big misconceptions and important out of the box observations made so far. Secondary infections: why there is no real cytokine storm concern and the issue of mast cell activation. Book your place

APPG on Coronavirus: report launch

Release of a major report containing recommendations gathered through the work of the All-Party Parliamentary Group (APPG) on Coronavirus. 
This report will be the first comprehensive assessment of the UK government’s handling of the pandemic, and consists of 40 recommendations which we will deliver directly to the Prime Minister. From the failure to protect the elderly in care homes, to the over-centralised, outsourced and ineffective test, trace, isolate and support system, the report will make clear the government’s mishandling of the pandemic. 
There will be a live Q&A on the day of the launch of the report.

Root Cause Analysis: 1 Day Masterclass

This intensive masterclass will provide in-house Root Cause Analysis training in line with The NHS Patient Safety Strategy (July 2019).
The course will offer a practical guide to Root Cause Analysis with a focus on systems-based patient safety investigation as proposed by the forthcoming National Patient Safety Incident Response Framework which emphasises the requirement for investigations to be led by those with safety investigation training/expertise and with dedicated time and resource to complete the work. This course will include an opportunity for learners to gain a Level 3 qualification (A level equivalent) in RCA skills (2 credits / 20 hours) on successful completion of a short-written assignment.
hub members can receive a 10% discount with code hcuk10psl.
Further information and registration

2020 IHI National Forum on Quality Improvement in Health Care


The Institute for Healthcare Improvement (IHI) National Forum on Quality Improvement in Health Care is a four-day conference that has been the home of quality improvement (QI) in health care for more than 30 years. It brings together health care visionaries, improvement professionals, world leaders and industry newcomers.

The King's Fund. Prevention in mental health: from theory to practice (virtual conference)


Mental ill health will always be a part of many people’s lives but, increasingly,  many of the causes of mental ill health can be successfully addressed.  Preventive approaches can help to reduce levels of mental ill health in the population and can also mean that more people living with mental health problems are able to stay well and avoid relapse or crisis.
The COVID-19 pandemic has shown that addressing growing levels of mental ill health is one of the defining public health challenges of our time. Preventive  approaches are fundamental to achieving this, but there often needs to be greater clarity about what these mean in practice and how they can be implemented within the NHS, local communities, schools and families.
From health promotion to suicide prevention, and from the role of general practitioners to that of local authorities, this conference will bring together experts from all parts of the health and care sector to discuss what prevention means with regard to mental health and how preventive approaches can be applied in practice. Join us to hear from a range of speakers, including academic and policy experts, national body leaders, frontline staff, experts by experience and young people.
This event is run in partnership with the Mental Health Foundation. You can watch the sessions live or catch up on demand until Sunday 20 December.

Leadership for patient safety during the COVID 19 pandemic


How are we ensuring that patient and staff safety is being prioritised during the pandemic?  
Presenters: Helen Hughes, Chief Executive, Patient Safety Learning, Dr Abdulelah Alhawsawi, Director General, Saudi Patient Safety Center, Professor Ted Baker, Chief Inspector of Hospitals, Care Quality Commission 
It can be argued that staff safety has not been prioritised as it should have been in recent years. The Covid-19 pandemic has reinforced this. It has exposed risks to staff physical and mental wellbeing, with inadequate Personal Protective Equipment (PPE), intensely difficult physical and psychological working conditions, and, tragically, it has resulted in deaths from exposure to Covid-19 as a result of inadequate infection control.
The importance of overarching leadership for patient safety in health and social care is a key concept. Ensuring that leaders embed staff safety into safety programmes is essential.
 Some of the core issues that the panel will be exploring:
How are leaders ensuring patient and staff safety during the pandemic? Are we doing enough? How are we prioritising patient access to non Covid care and treatment? Are we doing enough to encourage just and learning cultures and staff speaking up for safety? How are we sharing learning and knowledge on safe treatment and care? How are system and professional regulators ensuring that patient safety is a priority? Register

Writing health information online workshop – December 2020


The Patient Information Forum's sell-out writing training course has been redeveloped for online delivery, maintaining the element of classroom style teaching with direct interaction with tutors and group work with practical exercises.
The course features practical exercises, group work and feedback from tutors.
The course is ideal for anyone starting out in health information and for those wishing to improve and refresh their skills. It is also ideal for staff planning to return from furlough who may have lost confidence while away from work.

The course will be delivered via Zoom and will be held over three consecutive mornings with a maximum of 30 delegates.

Masterclass: Aiming for zero patient safety incidents or errors

This virtual masterclass, facilitated by Mr Perbinder Grewal, will focus on patient safety and how to setup a proactive safety culture. We will look at what patient safety is and how we can setup and improve the safety culture. We will look at human factors and how we can mitigate some of the common errors. Can we have a system with zero patient safety incidents or errors?
Further information and to book your place or email kerry@hc-uk.org.uk
We are pleased to offer hub members a 10% discount. Email: info@pslhub.org for the code.

RSM: Sources of stress and its impact on the individual and the team


Explore the link between healthcare staff wellbeing and patient safety in the first episode of the Royal Society of Medicine's Patient Safety Section's webinar series, Optimising Strength and Resilience. 
The wellbeing of healthcare professionals is fundamental to the delivery of high-quality, safe patient care. It has become a major focus of attention during the COVID-19 pandemic, especially in relation to physical and mental health, resilience and potential for burnout.
In contrast to existing resources and support initiatives, this series is designed to be proactive and help healthcare staff anticipate and prepare for stressful events. It will offer knowledge and tools to help staff to manage stressful events in both their professional and personal lives.
Join Dr Anne-Marie Doyle, consultant clinical psychologist and Dr Elizabeth Haxby, immediate Past President of the RSM Patient Safety Section, for this interactive webinar which will help healthcare professionals to identify sources of stress, acknowledge its impact on individuals and teams and understand how they respond to stresses.
Using systems theory and strengths-based positive psychology, this session will examine the concept of integrated health and psychological resilience.

How close are we to closing the gender pain gap?


The institution of medicine has always excluded women. From ancient beliefs that the womb wandered through the body causing 'humours' to 19th century Freudian hysteria, female bodies have been marked as unruly, defective, and lesser.
We are still feeling the effects of these beliefs today. In 2008, a study of over 16,000 images in anatomy textbooks found that the white, heterosexual male was presented as the ‘universal model’ of a human being.
We see this play out in medical research, when it isn't considered necessary to include women's experiences: approximately 70% of people who experience chronic pain are women, and yet 80% of pain study participants are men or male rats.
We also see these beliefs inform clinical decisions. When experiencing pain, women are more likely to be given sedatives than painkillers, in a nod to the stereotype that women are more emotional and are therefore probably exaggerating the nature of their pain.
This phenomenon is known as the gender pain gap, which describes the disparities in medical care that men and women receive purely due to their gender.
But while awareness has risen over the last few years, how close are we to really closing the gender pain gap?
Join The Femedic and Hysterical Women in discussion with Dr Omon Imohi, Dr Hannah Short, and research charity Wellbeing of Women as we consider how far medicine has come and how far we still have to go.

Tackling ethnic minority inequality in health and social care - improving care outcomes, learning from COVID-19, addressing underlying factors, and priorities for leadership and the workforce

Westminster Health Forum policy conference.
The agenda:
Assessing the impact of COVID-19 on the ethnic minority community, and priorities for improving health outcomes. The health and social care response to inequality through the pandemic and taking forward new initiatives. Understanding the data and risk factors for COVID-19 in ethnic minority groups. Wider health inequalities faced by people in ethnic minorities - addressing underlying factors, and the role of COVID-19 recovery strategies in supporting long-term change. Priorities for providing leadership in tackling health inequalities in the workforce. Driving forward and ensuring race equality in the NHS. Providing support to the ethnic minority health workforce and taking forward key learnings from COVID-19. Next steps for action in race disparity in healthcare. Book

Long COVID-19 Forum


International Severe Acute Respiratory & emerging Infection Consortium's Long-Covid forum.

Long COVID Joint Research Forum


Currently very little is known about the clinical, biological, psychological and socio-environmental impact of COVID-19. While most people may have uncomplicated recoveries, some experience prolonged or new symptoms and complications.
The wide range of Long Covid symptoms documented indicates that multiple body systems are involved. Some of the more commonly reported symptoms include fatigue, breathing difficulties, joint pain, chest pain, as well as muscle weakness and neurological symptoms. These are common among both people who were hospitalised in the early phase of COVID-19 and those who were not.
Systematic reviews show that people worldwide are experiencing prolonged symptoms of COVID-19. There are implications at an individual level for people’s quality of life and their ability to work, as well as at a socioeconomic level due to the risk of widening health inequalities. As well as breadth of the physical, psychological and social complications, there is a need to understand the causes (aetiology) of the symptoms and complications experienced. It is also vital to be able to identify people at higher risk of Long Covid, as well as interventions that might reduce that risk, and support rehabilitation and recovery.
There is an urgent need for robust scientific studies into the long-term impact of COVID-19 in both adults and children, and for healthcare providers to be informed to support prevention, assessment, rehabilitation and interventions to improve recovery and patient outcomes.
With this need in mind, ISARIC and GloPID-R are organising the Long Covid Forum on December 9 and 10, 2020 in collaboration with the Long Covid Support. The objectives of the forum will be:
to gain a better understanding of Long Covid; the science and the personal impact to define research gaps for funders and researchers to take forward. Register

RSM: Managing stress and building resilience


Using psychological theory and research-based techniques, this session will demonstrate how to enhance recovery and build resilience for healthcare professionals. 
In this interactive webinar, Dr Anne-Marie Doyle, consultant clinical psychologist and Dr Elizabeth Haxby, immediate Past President of the RSM Patient Safety Section, will offer strategies to protect the wellbeing of healthcare professionals by helping to anticipate and manage stress, recovery and build resilience. 

HSJ webinar: How can local health and care economies best develop a shared understanding of covid and other pressures?


Chief executive Joe Rafferty and strategic advisor for digital programmes Jim Hughes, will discuss how Mersey Care Foundation Trust has been part of a region-wide programme to develop shared understanding of covid and other pressures.
Joining them on the panel will be Rebecca Malby, professor in health systems innovation at London South Bank University, and Markus Bolton, director of Graphnet Health – which is supporting the event.
In a discussion chaired by HSJ contributor Claire Read, they will explore the value of a shared understanding of which pressures and caseloads exist in an area and consider how digital technologies might play a role here. Which parties need to be involved? Which information is most important to which groups? How can worries about information governance be overcome?

RSM: Healthy sleep and sleep for health


Explore the key role of sleep in physical and mental health and wellbeing in the third episode of the Royal Society of Medicine's Patient Safety Section's Optimising Strength and Resilience webinar series.
Dr Allie Hare, consultant physician in respiratory and sleep medicine, and Dr Elizabeth Haxby, immediate Past President of the RSM Patient Safety Section, will help you to understand what happens when you sleep and how to improve your sleep. 
Arguably the most undervalued component of health in today’s society, sleep is the foundation of energy recovery, growth and repair. Even small amounts of sleep deprivation can affect us. Fast-paced modern life and busy wards and clinics can leave little time to rest and relax, which can be detrimental to health and impact our ability to unwind and sleep well. 
This webinar will offer evidence-based tips and techniques to help you improve the quality and quantity of your sleep to enhance your health, wellbeing and productivity. 

Deteriorating Patient Summit

The Deteriorating Patient Summit focuses on recognising and responding to the deteriorating patient through improving the reliability of patient observations and ensuring quality of care.
The conference will include National Developments including the recent recommendations from the Royal College of Physicians on NEWS2 and COVID-19, and implementing the recommendations from the Healthcare Safety Investigation Branch Report Investigation into recognising and responding to critically unwell patients. The conference will include practical case study based sessions on identifying patients at risk of deterioration, improving practice in patient observations, responding to the deteriorating patient, improving escalation and understanding success factors in escalation, sepsis and COVID-19, involving patients and families in recognising deterioration, and  improving the communication and use of NEWS2 in the community, including care homes, and at the interface of care. 
Follow the conference on Twitter #deterioratingpatient

RSM: Exercise and fitness for wellbeing


Join this interactive webinar for an overview of the benefits of exercise and physical activity on wellbeing for healthcare professionals. 
Anja Hudson, specialist physiotherapist and Dr Elizabeth Haxby, immediate Past President of the RSM Patient Safety Section, will explore the benefits of exercise on our physical and mental health. 
Outlining the risks associated with working from home and how this may affect wellbeing, this session will arm you with the resources, confidence and motivation needed to pursue exercise in the coronavirus era. We will also offer you tools to facilitate exercise during lockdown along with some general physiotherapy and musculoskeletal advice to maximise your exercise goals. 

When things go wrong - Doctors in the dock: I experienced medical errors


When things go wrong - doctors in the dock series provides a unique opportunity to hear real patients discuss their experience of medical errors.
Well-known witnesses of clinical errors will talk about their first-hand experiences, what happened, how they and their family had to deal with them, and how they have dealt with the aftermath in the most constructive way possible.
Gain more experience and insight about the best way to deal with clinical errors as professionals, and from a patient perspective, and convert them into an opportunity for improvement for all involved, even leading to very successful careers.

Improving baby and child health and reducing inequalities

This Westminster Health Forum conference will discuss the priorities for improving the health outcomes in babies and young children and the next steps for policy.
It is taking place as The Rt Hon Andrea Leadsom MP, Government's Early Years Health Adviser - who is a keynote speaker at this conference - leads a review into improving health outcomes in babies and young children as part of the Government’s levelling up policy agenda.
With the first phase of the review expected in early 2021, this conference will be an opportunity for stakeholders to discuss the priorities and latest thinking on improving health outcomes.
The discussion is bringing together stakeholders with key policy officials who are due to attend from DHSC and the DfE.
The agenda:
The priorities for improving health outcomes for babies and young children. Understanding the importance of the first 1,000 days in child development' Improving child public health, reducing inequalities and the impact of social adversity in childhood. Identifying measures for supporting vulnerable and disadvantaged young children and families - and learning from the COVID-19 pandemic. Priorities for system-wide collaboration to address underlying health inequalities and key opportunities for improving health outcomes in young children going forward. Next steps for the commissioning of health services for children in the early stages of life. Improving health outcomes for young children across health and care - integrating services, care pathways, workforce training, and partnership working. Register

Patient Safety Officer roundtable engagement: When disaster strikes in the OR will you be prepared?

As we continue to adjust to a new way of conducting business and with your safety in mind, the Patient Safety Authority are continuing their series of roundtable discussions to facilitate engagement between PA healthcare facilities.
Instead of regional in-person events, the Engagement Roundtable series will be conducted virtually, with participation open statewide via Microsoft Teams. The Patient Safety Authority believes that in the age of social distancing, finding ways to stay connected with other patient safety professionals is more important than ever. The primary goal of these events is to facilitate the sharing and discussion of information in a collaborative environment for a range of patient safety topics.
This session is intended to give hospitals and ambulatory surgery facilities an opportunity to discuss current topics of interest and issues of concern submitted by facilities. This session will lead off with a discussion of how facilities prepare for potential disasters in the OR and lessons learned from actual events, followed by a general discussion.

Develop. Execute. Adapt. How Wirral University Teaching Hospital maintains quality accreditation during a pandemic


Discover how Wirral University Teaching Hospitals maintains their quality accreditation programme during a pandemic.  The webinar will feature a presentation, followed by a discussion, and concluded with a Q&A from the audience. Les Porter and Jenine Kelly from Wirral University Teaching Hospital will be joined by Helen Hughes from Patient Safety Learning

Scaling the mountain: peaks and pitfalls of perioperative pain management

Join Dr Tanya Uritsky, clinical pharmacy specialist in pain stewardship at the Hospital of the University of Pennsylvania, where she will identify risk factors for opioid-induced respiratory depression in hospitalised surgical patients, define opioid tolerance, recognise other CNS depressants that can potentiate opioid-induced sedation and respiratory depression, and recommend an appropriate opioid starting dose for an opioid naïve perioperative patient.
Opioid stewardship is the appropriate use of opioids and is an important part of patient safety. The highest risk for the development of opioid-induced respiratory depression is during the first 24 hours post-operatively. Knowing the best practices for pain management in the perioperative period, including how to identify a patient at increased risk for opioid-related adverse events, can help to improve patient safety. This session will provide insights into patient-related risk factors and considerations for pain management in the perioperative period.  

Restorative healing after healthcare harm webinar


Harmed Patients Alliance we will be hosting an online webinar focusing on restorative healing after healthcare harm.
This online webinar will explore the issue of second harm in healthcare with a range of patient, academic and clinical expert members of our advisory group.  Each panel member will give a presentation sharing their experience and perspective, followed by an interactive panel discussion chaired by Shaun Lintern, Health Correspondent for the Independent.


Managing patient safety across the sedation continuum

Dr Donna Prosser, Chief Clinical Officer at the Patient Safety Movement Foundation, is joined by a group of experts, including pharmacists, anesthesiologists, respiratory therapists, family members, and nursing leaders, to explore the patient safety priorities of sedation, opioid therapy and respiratory depression. The group will discuss frequently encountered safety issues, explore organisational processes to reduce sedation safety events, and assess the role patients and family members can play in reducing harm.

ASiT Christmas Human Factors Webinar

He's making a list, he's checking it twice... Santa Claus definitely understands the importance of human factors - how else could he be so efficient in just 24 hours..?

Join the Association of Surgeons in Training on 22nd December for a festive human factors webinar, featuring Prof Peter Brennan and Critical Factors. (Read Peter's recent blog for the BMJ's Christmas feature.)

Free to attend, and open to the whole healthcare team.