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  1. Yesterday
  2. Content Article Comment
    This gave me so much anxiety reading this. How we have got to this state is beyond me. How is this ok? How can we change this ? My heart goes out to this nurse and the thousands of others that work in these awful conditions.
  3. Content Article
    The NHS wasn’t the only health system that experienced severe disruption of care during the pandemic, but how quickly have waiting times in England recovered in comparison to other nations? Sarah Reed and Theo Georghiou look at how waiting times have changed in England and in other countries since the peak of the Covid-19 crisis.
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    Serious failings in support for deaf children have been laid bare in the final report of the Independent Review of Audiology Services in Scotland. Mark Ballard, National Deaf Children's Society, Head of Policy for Scotland, outlines the history of the Review, and suggests that it is time for the Scottish Government to act on the recommendations of the report.
  5. Content Article
    Review report and recommendations from the Independent Review of Audiology Services in NHS Scotland. The Review was announced by the Scottish Government in January 2022 in the context of failings in the standards of care provided in the NHS Lothian Paediatrics Services.
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    Research on clinical deterioration has mostly focused on clinicians' roles. Although patients and families can identify subtle cues of early deterioration, little research has focused on their experience of recognising, speaking up and communicating with clinicians during this period of instability. This study explored patient and family narratives about their recognition and response to clinical deterioration and their interactions with clinicians prior to and during Medical Emergency Team (MET) activations in hospital.
  7. Content Article
    How do we make change happen at scale across a complex health system? When we look at the results of incident investigations, communication is the number one reason for things going wrong. We need to sign up to a common language for safety and a common understanding, says Patient Safety Commissioner Henrietta Hughes.
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    In this episode of the Safety Talks podcast. you will have the chance to hear from Dr Ali Mehdi, Consultant Trauma & Orthopedic Surgeon and Medical Director of Kent & Canterbury Hospital on workplace identity and team work. Safety Talks is a podcast series as part of the Safety for All Campaign, launched to shine a light on the symbiotic relationship and benefits of integrating the approach to deliver healthcare worker safety and patient safety.
  9. Content Article
    Patients with endometriosis are having their symptoms dismissed and investigations delayed because of a lack of awareness among healthcare professionals of the chronic condition and how it presents, a report has found. The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) set out to determine the quality of care provided to adult patients with endometriosis by reviewing questionnaire responses from 623 clinicians, 167 hospitals, and 941 patients and looking at 309 sets of case notes. The inquiry found that, unlike with other chronic conditions, there is no NHS care pathway for endometriosis.
  10. Content Article
    This toolkit is designed to support integrated care systems (ICSs) to design, plan, and deliver high-quality treatment and care for children and young adults aged 0-25 years with all types of diabetes.
  11. Content Article
    US doctor Frederick Gibson describes his experience having a sudden cardiac arrest as a 26 year-old medical student. It took paramedics 45 minutes to resuscitate him in his kitchen and two further rounds of CPR before he reached the hospital to keep him alive. Frederick describes the profound impact the experience has had on him and his partner and reflects on how it has changed his attitude to the experience of being a patient. He highlights the significance of interactions between doctors and their patients—a doctor's words, tone and attitude are carried by the patient in their everyday life, outside of the consultation room, for the next few months and years.
  12. Content Article
    This study in the International Journal of Infectious Diseases aimed to identify the highest-risk subgroups for Covid-19 and Long Covid, particularly relating to influenza and cardiovascular disease (CVD). The authors looked at the records of patients with Covid-19 and Long Covid in linked electronic health records for England. They compared all-cause hospitalisation and mortality by prior CVD, high CV risk, vaccination status (Covid-19/influenza) and CVD drugs, to investigate the impact of vaccination and CVD prevention. The results of the study showed that prior CVD and high CV risk are associated with increased hospitalisation and mortality in Covid-19 and Long Covid. The authors call for targeted Covid-19 vaccination and CVD prevention to be prioritised.
  13. Content Article
    In this webinar, Tracey Herlihey, Head of patient safety incident response policy, NHS England, looks at how the Patient Safety Incident Response Framework (PSIRF) is changing the culture amongst healthcare workers and what this means for individuals. Dr Henrietta Hughes discusses the events leading up to the creation of the Patient Safety Commissioner role, her priorities and the role of leaders. She also explores the importance of ‘what matters to you'—that is, why we must listen to patients and what happens if we don’t.
  14. Last week
  15. Content Article
    The Patient Experience Network National Awards (PENNA) recognise best practice in patient experience across all facets of health and social care in the UK. Submissions for PENNA 2024 are now officially open. Place these important PENNA dates in your diary for this year: 08/04/24 – PENNA Submissions Open 19/07/24 – PENNA Submissions Close 12/08/24 – PENNA Shortlist Announced Find out more at the link below.
  16. Content Article
    When thinking about the difference patients can make in improving care, Patient Safety Commissioner Henrietta Hughes recalls a recent visit to a stroke unit. “One of the patients said, ‘In the toilets, it would be much better if you had toilet paper on both sides of the cubicle, because if you’ve had a stroke you’ve only got a 50% chance of being able to reach it,’” she says. “Now, the power of that story is that you can have a unit full of experts—clinical nurse specialists, professors, people with PhDs—and they know everything about stroke, but they’ve never been in a cubicle with a patient who’s had a stroke when they’re on the toilet.” For Hughes, that one moment crystallises the kind of insight that only a patient can bring. However, evidence that NHS patients often aren’t listened to keeps on coming. “The patient’s anecdote is the canary in the coal mine,” tells Hughes to the BMJ. “It’s the thing that tells us there’s something going wrong. But too often we hear about patients who have raised concerns being gaslighted, dismissed, and fobbed off.”
  17. Content Article
    If the health and care sector is to safely and securely use and expand digital services, with clinicians becoming ever more dependent on it for the delivery of care, then we must get the basics of digital service delivery right and enable a digitally safe culture. Rob Ludman, Director of Ludman Consulting Ltd, shares the three priorities he feels is needed to tackle this.
  18. Content Article
    This film demonstrates how using SEIPS can help illuminate contributory factors within a work system, such as unconscious bias, stereotyping, workload, incivility, societal pressures and environmental factors under the six entity headings. Staff watch an animated explanation of SEIPS and then a short fictional maternity scenario looking out for relevant contributory factors. After viewing the film staff take part in a facilitated discussion to reflect. It is hoped that those using this film will be able to build on this experience, and then reflect on their own clinical service through the SEIPS lens, as taking a systems-based approach will strengthen a Just Culture, reduce blame and supports the PSIRF process.
  19. Content Article
    The aim of the study was to describe the experiences related to sleep and night time rest of patients hospitalised in the intensive care unit (ICU). The study used a qualitative project based on phenomenology as a research method. A semi-structured interview was used as the method to achieve the goal. The patients’ answers were recorded and transcribed. The data were coded and cross-processed. Five themes were identified from the interview as factors disturbing sleep: fear, noise, light, medical staff, and at home best. Chronic anxiety appears to contribute to sleep disturbances in the ICUs, psychological support, and individualised approach to the hospitalised patient seem necessary. By raising the awareness of the essence of sleep among medical staff, environmental factors can be reduced as disturbing sleep. Based on the participants’ comments, it is possible that repeated actions could also increase the patients’ sense of security.
  20. Content Article
    The need for sleep has long been assumed to be important for recovery from injury and sickness, and there is an emerging understanding of the restorative role of sleep in health and disease. Unfortunately, the hospital environment is often poorly conducive to sleep. Pain, anxiety, medication effects, medical interventions, environmental noise and light, and the acute illness itself all contribute to decreased quality and quantity of sleep in hospitalised patients. As a result, issues related to sleep and sleep disorders are important to inpatient care. This review will discuss the evaluation, consequences, and management of sleep disturbances in hospitalised adult patients.
  21. Content Article
    Modern patient safety approaches in healthcare highlight the difference between daily practice (work-as-done) and the written rules and guidelines (work-as-imagined). Research in this area has looked at case study examples, but has lacked insights on how results can be embedded within the studied context. This study used Functional Analysis Resonance Method (FRAM) for aligning work-as-imagined with work-as-done. It aimed to show how FRAM can be effectively applied to identify the gap between work prescriptions and practice. It also aimed to show how these findings can be transferred back to and embedded in the daily ward care process of nurses.
  22. Content Article
    The role of patients in the design and assessment of products is increasingly becoming important for product approval. At the June Health Tech Alliance member Meeting, Clive Flashman and Rachel Power presented on engaging patients in digital health innovation. Below is a summary of their presentation and Q&As after.
  23. Content Article
    This blog by Tom Geraghty provides a definition of 'work as 'imagined' and how this differs from 'work as done'. He outlines the roots of the concept of difference between how people think work is done and the reality and also describes the concepts of 'work as prescribed' (how we think the work should be done) and 'work as disclosed' (what we say about the work that has been done). He discusses how we can close the gap between work as done and work as imagined through honest conversations, observations and simulations.
  24. Content Article
    This video provides an in-depth look at how Patient and Public Involvement (PPI) can enhance quality improvement projects. Involving patients and the public ensures transparency and enriches the team dynamic, bringing new thinking and ideas. It looks at the collaborative approach adopted in an HDR-UK funded initiative which demonstrates the significant impact of PPI and co-production. The video was produced by the Healthcare Quality Improvement Partnership (HQIP) to mark Clinical Audit Awareness Week 2024.
  25. Content Article
    This document by the Centre for Perioperative Care outlines principles that should be used to design checklists for invasive procedures.
  26. Content Article
    Current levels of inactivity on CQC’s part risks a range of detrimental impacts on service users, staff, operators and investors across the health and social care sector writes Carlton Sadler.
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