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  1. Past hour
  2. Content Article Comment
    I am hoping to attend the patient safety meeting 10/5/24 online so will feedback my thoughts on this then.
  3. Today
  4. Content Article
    Healthcare access, quality of care received and social factors such as income, housing and food insecurity, all impact the health outcomes of US residents. Growing evidence has pointed to wellness gaps and disparities among the different racial and ethnic populations that make up the country. This research by Innerbody takes a closer look at: what groups are the most uninsured across the US healthcare quality and life expectancy across races.
  5. Content Article
    Implementing a new Electronic Patient Record (EPR) is a complex process and requires meticulous planning, coordination, involving change across every aspect of a healthcare organization. However, it also presents a unique opportunity to transform patient and staff experiences and enhance productivity by eliminating time-consuming manual processes. This webinar was hosted by Deloitte and brought together some of the UK digital health industry’s most experienced leaders with significant experience in implementing electronic patient records in their own organisations. Panellists included: Dr Cormac Breen, Chief Clinical Information Officer, Guy's and St Thomas' NHS Foundation Trust Jacqui Cooper, RN Chief Nursing Information Officer, Health Innovation Manchester Professor Adrian Harris, Chief Medical Officer, Royal Devon University Healthcare NHS Foundation Trust Dr Henry Morriss, Chief Clinical Information Officer, Manchester Royal Infirmary Consultant Emergency, and Intensive Care Medicine Frances Cousins, Digital Health Lead Partner, Deloitte UK Dr Afzal Chaudhry, Executive Chief Clinical Information Officer, Epic The speakers shared insights for success across a wide variety of topics including crafting a clinical safety case, safely transferring patient data, optimising staff training, preparing for operational readiness across and within organisations and change management for a successful Go-Live.
  6. Content Article
    This fellowship program from the Patient Safety Movement Foundation offers a unique educational opportunity for healthcare professionals around the world to expand their knowledge in the theory and practice of patient safety. Building on the World Health Organization (WHO) Global Patient Safety Action Plan, the fellowship aims to develop future leaders particularly from lower middle- and middle-income countries. We aim to have learners from all WHO regions as learners on the program and from any profession within or allied to healthcare. The program combines a year-long curriculum developed by patient safety experts in a variety of areas, taught via monthly live virtual classroom sessions. Fellows complete monthly readings on specific topics, actively participate in discussions on the interpretation of theory and methods, and its implication to practice. Fellows submit monthly reflections on their learning as well as a longer reflection at the end of the fellowship. Applied learning is achieved by completing a hands-on improvement project that explores and advances issues of patient safety in each fellow’s respective professional environment. Fellows are encouraged to publish the outcome of their project and present at conferences. Our fellows are driven by a deep passion for patient safety, often sparked by first-hand encounters with patient harm events, and a desire to improve care outcomes in their home communities and workplace settings. They become part of a global social movement for patient and healthcare worker safety. The program consists of 12 sessions that run from will run from January to December 2025. Fellowship applications are accepted from 1 May to 1 August 2024.
  7. Content Article
    This BMJ opinion piece highlights that seeing women’s health as synonymous with sexual, reproductive and maternal health means that gaps remain in health provision to meet the wider needs of women. The Government recently outlined its 2024 priorities that build on the 2022 Women’s Health Strategy for England. The authors welcome the focus on specific areas of need, but highlight that the priorities reinforce a traditional view of women’s health and miss an opportunity to encourage policymakers, healthcare providers and the public to take a broader view. They argue that a broader approach would reduce critical gaps in the evidence base and care and treatment relating to diseases and conditions that present only in women, disproportionately in women, and differently in women.
  8. Content Article
    It’s well known that diagnosis at an early stage of cancer dramatically increases chances of survival. Current NHS policy is focused on diagnosing cancer at an earlier stage and improving the speed with which patients receive a definitive diagnosis. This article from the Nuffield Trust and The Health Foundation presents graphical data illustrating that the NHS is seriously off course in achieving these aims. It examines the reasons for delays to diagnosis including difficulties patients face in getting their concerns and symptoms taken seriously, the role of deprivation in increasing diagnostic inequalities and pressures due to increasing numbers of referrals. It also looks at the role screening has to play in achieving earlier diagnosis and highlights issues with patients understanding the information they are given.
  9. Content Article
    This investigation by the Health Services Safety Investigations Body (HSSIB) considers improvements that can be made to patient safety in relation to the use of continuous observation with adult patients in acute hospital wards who are at risk of self-harm. For its reference case, it looks at the case of a patient who self-harmed when receiving care at a high dependency unit while two members of staff were continuously observing her.
  10. Yesterday
  11. Content Article
    In this opinion piece for the BMJ, Scarlett McNally looks at patient safety concerns relating to maternity care in the NHS. She considers the costs associated with additional spending in the sector intended to improve safety and emphases the need to train and retain more midwives.
  12. Content Article
    Co-production is a method of engaging with communities, via partnership and power-sharing between professionals and communities to co-create solutions and decisions, with the intended long-term benefit of improving healthcare delivery and outcomes. This report from NHS Providers outlines the principles of co-production and actions trusts can take to apply engagement methodologies across their organisation. It provides an overview of different forms of engagement and summarises the potential benefits to trusts, including improved patient experiences and outcomes, and the delivery of more inclusive healthcare services that better meet the needs of local communities. It also makes the connection between engagement, co-production and the broader health inequalities agenda, unlocking the potential for collaboratively developing solutions to address complex barriers to health services experienced by some communities.
  13. Content Article
    Antimicrobial resistance (AMR) occurs when bacteria, and other microorganisms, develop resistance to antimicrobial drugs, such as antibiotics, making them less responsive or unresponsive to treatment. This National Action Plan sets out how the UK will reduce its use of antimicrobials in humans and animals, strengthen surveillance of drug resistant infections before they emerge and incentivise industry to develop the next generation of treatments.
  14. Content Article
    A large number of people live with long-term breathlessness that has a significant impact on their daily lives. For some, breathlessness is not directly linked to an underlying, diagnosable illness, and these people can struggle to access effective treatment and support. In this interview, respiratory doctor Anna Moore explains some of the causes of breathlessness including its links to a wide range of socioeconomic factors. She outlines the person-centred, multi-disciplinary approach her team at Barts Health is taking to help people overcome breathlessness and highlights the need for more research in this area.
  15. Last week
  16. Content Article
    In this article, published by Pragmatic Improvement, Pete Gordon discusses the 2023 NHS staff satisfaction survey and the link with emergency department performance.
  17. Content Article
    The MAPLE project led by the Bristol Biomedical Research Centre, aims to co-produce an accessible patient information leaflet (PIL) that will aim to improve diversity in those who choose to take part in clinical research. The first stage of this work is to understand the barriers preventing people taking part in clinical research and gain views on how existing, accessible PILs may address these barriers. National Voices was commissioned to work with relevant charities and the people they advocate for to understand barriers to participation in clinical research, including, but not limited to literacy.
  18. Content Article
    The following account and poem has been kindly shared with Patient Safety Learning by Tom Bell.
  19. Content Article
    A subjective, biased, and an open ended inquiry into one of the most famous accidents in the maritime history – the capsizing of the Costa Concordia.  Nippin Anand's first-hand interviews with the captain followed by a series of workshops around the world gradually became a source of learning and inner change. Read a foreword by Steven Shorrock Buy the book here
  20. Content Article
    David Stockwell, M.D., M.B.A., is Chief Medical Officer at Johns Hopkins Children’s Center and Associate Professor of Pediatrics and Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine. He is also Chief Clinical Officer at Pascal Metrics, a federally listed Patient Safety Organization working with the Betsy Lehman Center on a pilot to test the impact of automated safety event monitoring in a diverse set of six-to-eight acute care hospitals in Massachusetts. In this Q&A session, Stockwell talked with Patient Safety Beat about Pascal’s approach to using electronic data to transform safety.
  21. Content Article
    In this article for Health Service Journal, Lord Hunt updates readers on progress in revolutionising NHS procurement by focusing on value-based healthcare, patient outcomes and cost-effectiveness.
  22. Content Article
    The UK Council on Deafness created Deaf Awareness Week (6-12 May) to increase the visibility of challenges the deaf community face and educate others on how they can support them. Patient Safety Learning has pulled together seven useful resources shared on the hub to help healthcare professionals, friends and family communicate and support people with hearing loss or deafness.
  23. Content Article Comment
    Are the slides available please?
  24. Content Article
    In this Guardian article. Palliative Care doctor Rachel Clarke examines the debate around legalising assisted dying, focusing on the need to ensure patients do not want to end their lives due to lack of adequate health and social care. She highlights the risk that if assisted dying were legalised, patients might be coerced into choosing death "not by some rightwing politician or avaricious family member, but by the woeful inadequacy of their care." She goes on to look at wider attitudes to the dying in the NHS, pointing out that hospice care is mostly funded by charities, not the NHS, and that last year in England, almost 14,000 people died in A&E while waiting more than 12 hours for a bed.
  25. Content Article
    This systematic review and meta-analysis in JAMA Network Open investigated whether perioperative telemedicine can reduce the incidence of adverse events in abdominal surgery. The findings suggest that perioperative telemedicine is associated with reduced risk of readmissions and emergency department visits after abdominal surgery. However, the mechanisms of action for specific types of abdominal surgery are still largely unknown and warrant further research.
  26. Content Article
    The theme of this year's World Hand Hygiene Day—which takes place on 5 May—is 'sharing knowledge'. In this blog, hub topic leader Julie Storr looks at the question of why it's still so important to share knowledge about hand hygiene. She highlights the power of sharing knowledge to save lives, the need to address research gaps and that hand hygiene should be integrated into all aspects of frontline care.  She also shares tools and resources that can be used to help train and equip frontline healthcare professionals.
  27. Earlier
  28. Content Article
    The risk of a patient being harmed in a hospital is high in low- and middle-income countries, with the risk of health care-associated infection being up to 20 times higher than in developed countries. This review seeks to assess the current patient safety culture in health facilities in African countries to provide insight into areas of strength and areas for improvement.
  29. Content Article
    Local authorities fund many of the services—such as housing, education and social care—which either support or tackle the drivers of health inequalities. The Institute of Health Equity (IHE) has looked at every local authority in England and plotted levels of health, inequalities in health and cuts in their spending power. This report provides information from 17 local authorities with statistically significant increases in inequalities in life expectancy. The report shows, since 2010, central government spending cuts to local authorities were highest in areas with lower life expectancy and more health inequalities, further harming health in these places. It also confirms widening inequalities in life expectancy between regions in England and within local authorities since 2010.
  30. Content Article
    In this article, Radar Healthcare provides a summary of the main sessions, messages and themes emerging from the Care Show London and the Digital Healthcare Show 2024, which both took place in April 2024. It discusses these topics: Embracing technology in care provision Mastering CQC-ready feedback processes The importance of integration between social care and the NHS Leveraging social media AI: The challenges and opportunities Avoiding digital fatigue:  Fostering patient safety In this final section, the article highlights a presentation given by Patient Safety Learning's Chief Executive Helen Hughes and Chief Digital Officer Clive Flashman about the organisation's patient safety standards. They spoke about the standards and accompanying online patient safety assessment toolkit, an easy-to-use resource designed to help organisations establish clearly defined patient safety aims and goals, support their delivery and demonstrate achievement. The article also highlights the contribution of the hub to improving patient safety, saying, "Patient Safety Learning's platform is recognised for its excellence in sharing knowledge on patient safety. It provides a comprehensive suite of tools, resources, case studies, and best practices to support those striving to improve patient care."
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