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Patient Safety Learning


Everything posted by Patient Safety Learning

  1. Community Post
    Have you attempted to access treatment for a urinary tract infection (UTI), or recurrent UTIs? We'd love you to share your experiences with us. Did you feel listened to by your doctor or healthcare professional? Did they take your symptoms seriously? Did you receive timely and appropriate treatment?
  2. Content Article
    The Improvement Academy interviewed 60 healthcare staff across a variety of healthcare settings between November 2019 and August 2021. This revealed five key messages about the extent of strain staff have been under since before the Covid-19 pandemic, but that has been magnified intensely since. These key messages are: Covid brings new pressures to an already pressurised system. Desire and expectation to provide good care is undermined by constant worry that this is not possible. Reliance on team cohesion to survive Staff are not getting what they need in order t
  3. News Article
    NHS trusts in England lost nearly 2m days in staff absences due to long Covid in the first 18 months of the pandemic, according to figures that reveal the hidden burden of ongoing illness in the health service. MPs on the all-party parliamentary group (APPG) on coronavirus estimate that more than 1.82m days were lost to healthcare workers with long Covid from March 2020 to September 2021 across England’s 219 NHS trusts. The estimate is based on data obtained under the Freedom of Information Act from 70 NHS trusts and does not include the impact of the highly transmissible Omicron var
  4. News Article
    New data from the US Centers for Disease Control and Prevention (CDC) has revealed that unvaccinated adults infected with Covid-19 who are 65 and older are 49 times more likely to need hospitalisation compared to those who have received booster doses. The CDC also found that in December, unvaccinated adults in that same age group experienced a rate of Covid-related hospitalisation 17 times higher than those who are fully vaccinated. For unvaccinated adults between 50 and 64, they are 44 times more likely to require hospitalisation compared with those who are immunised. In that s
  5. News Article
    The significantly longer waiting times suffered by patients from minority ethnic groups and in more deprived areas for a range of elective procedures have been laid bare in NHS analysis shared with HSJ. The problem of waiting time disparities between different patient groups has been highlighted by health leaders for several years. But the NHS chief who oversaw this new work quantifies the issue for a local NHS trust, provides a template for others to follow, and has led to an improvement in waiting times disparities in response. The analysis of elective waiting lists by Calderd
  6. News Article
    Clinical care for sufferers of endometriosis is not meeting "base level", according to new research seen by BBC Scotland. The debilitating condition affects 100,000 women in Scotland and is more common than diabetes, yet it takes eight and a half years to be diagnosed. Almost half of those with endometriosis are in pain most days. The study, commissioned as part of the Scottish government's Women's Health Plan, found that services were lacking. The charity Endometriosis UK said the condition costs the UK economy £8.2bn each year in treatment, healthcare costs and loss of wo
  7. News Article
    A group of survivors and relatives of people who died in the infected blood scandal are suing a school where they contracted hepatitis and HIV after being given experimental treatment without informed consent. A proposed group action lodged by Collins Solicitors in the high court on Friday alleges that Treloar College, a boarding school in Hampshire that specialised in teaching haemophiliacs, failed in its duty of care to these pupils in the 1970s and 80s. The claim could result in a payout running into millions of pounds, and is based on new testimony given by former staff at the sc
  8. News Article
    Britain’s sickest children are being treated in intensive care units that are struggling with severe shortages of the specialist nurses needed to look after them, a report says. The shortages in the UK’s 30 paediatric intensive care units (PICUs) are so severe that healthcare assistants are covering the work of nurses in an attempt to ensure that staffing levels are maintained. Only one of the PICUs – at the James Cook University hospital in Middlesbrough – was found to have enough nurses to guarantee the standards of care expected. About 15,000 children and young people a year, ofte
  9. News Article
    At the age of 36, Nola Borcherds could hardly walk ten steps without gasping for breath. A viral infection years earlier had weakened her heart and left her with a constant wheezy chest. Her heart was failing and she needed a new one. No transplant was available, but the next best thing was an implant called HeartWare. Unlike pacemakers, which send an electrical pulse to keep it beating regularly, the device would attach to Nola’s heart and keep her alive by taking over its function, continuously pumping blood around the body. Brochures promised the gadget could be life changing. It
  10. News Article
    Women are being forced to wait longer for operations and healthcare appointments in the wake of the pandemic, according to a new report. Research carried out by the Care Quality Commission, England’s regulator of health and social care, found 53% of women experienced longer waiting times for appointments or healthcare procedures during the Covid crisis. The report also found 3 in 10 women experienced appointment cancellations. More women report grappling with these issues than men – with some 44% of men saying they have experienced longer waiting times for appointments or proced
  11. News Article
    The Irish Cabinet has approved general indemnity cover and product liability cover for claims to two public sector bodies relating to transvaginal mesh products and the Gardasil HPV vaccine. The Health Minister Stephen Donnelly brought forward a proposal to Cabinet Wednesday for the provision of this cover to the Irish Blood Transfusion Service (IBTS) and the Mental Health Commission (MHC) for claims relating to the mesh products or Gardasil. Gardasil is a type of vaccine used to protect against HPV. Vaginal mesh devices have been used in operations to treat stress urinary incontin
  12. Event
    This conference focuses on the prevention and management of pressure ulcers including monitoring, reporting and improvement and will focus on Learning from the Inaugural National Pressure Ulcer Prevalence and Quality of Care Audit and reflecting on the challenges of Covid-19. The conference will open with National Developments from the National Wound Care Strategy Programme, learning from the inaugural Stop the Pressure: National Pressure Ulcer Prevalence and Quality of Care Audit and understanding Pressure Ulcers and Covid-19. The conference will continue with a focus on training and educatin
  13. News Article
    An external review into the Healthcare Safety Investigations Branch (HSIB), the national safety watchdog, has revealed ‘damaging’ cultural problems, including bullying, sexism and racism which go ‘right to the top of the organisation’. The King’s Fund was commissioned by NHS England to undertake a review of the HSIB’s leadership and culture, as it prepares to be an independent organisation. The review, seen by HSJ, concluded: “Bullying, sexism, racism and other forms of discrimination and unprofessional behaviours appear to be prevalent and tolerated – this goes right to the top of t
  14. News Article
    The NHS could be forced to dismiss almost 2,000 midwives by the government’s mandatory vaccination policy, amid warnings from a former chief nurse of England that mothers and babies will be put at risk. Well-placed senior sources have told HSJ around 1,700 midwives remain unvaccinated nationally, according to the latest data from trusts. Based on official headcount data that would amount to between 6.5-8% of the workforce, depending on whether it counts full time equivalent or total staff numbers. However, they are mostly in London, with the latest estimate in the city said to b
  15. News Article
    The public are being urged not to put off seeking help for worrying cancer symptoms because of NHS pressures. NHS England chiefs said record numbers were being seen for check-ups before Omicron hit - and despite the current situation cancer was being prioritised. There have been nearly 50,000 fewer cancer diagnoses across the UK since the start of the pandemic, Macmillan Cancer Support say. This risks an increase in late-stage diagnoses, reducing survival chances. Past surveys have suggested people are reluctant to come forward during surges in Covid cases because they did
  16. Content Article
    The investigation identified the following learning points that could potentially offer benefits at a national level: The correct identification of patients relies on staff checking patient details and therefore will not always occur effectively. There may be opportunities for further engineered or technological barriers to help mitigate the risk of incorrect identification. The investigation recognises that a single hospital trust may receive patients from multiple ambulance trusts, and ambulances from a single ambulance trust may attend several hospital trusts. Pathways and pro
  17. Content Article
    Find out more from Jo's Cervical Cancer Trust on: The symptoms of cervical cancer. Vaginal bleeding that is unusual for you. Changes to vaginal discharge. Pain or discomfort during sex. Unexplained pain in your lower back or between your hipbones.
  18. Content Article
    Key findings Improving patient safety culture (PSC) is a significant priority for OECD countries as they work to improve healthcare quality and safety—a goal that has increased in importance as countries have faced new safety concerns connected to the COVID-19 pandemic. Findings from benchmarking work in PSC show that there is significant room for improvement. Across included survey findings from OECD countries, only 46% of surveyed health workers believe that important patient care information is transferred across hospital units and during shift changes. Just two-in-
  19. Event
    This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) a version of which has now been published and which is being tested in early adopter sites. NHS Improvement is working with these early adopters to test implementation, and analysis of this will inform the final version. Local systems and organisations outside of the early adopter areas are free to use the already published version
  20. Event
    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