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Patient Safety Learning

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Everything posted by Patient Safety Learning

  1. Content Article
    Key findings The environmental scan revealed that while patient safety events, overall, were characterised by racial and ethnic disparities, methodological challenges—primarily related to data availability—limited in-depth analysis of this finding. The environmental scan also indicated that racism and its impact on patient safety events was more often discussed in editorials than in peer-reviewed and grey literature. Subject-matter expert interviews indicated that various levels of racism ranging from internalized and interpersonal to institutional and systemic directly impa
  2. Content Article
    The study found that of the 60 268 adverse incidents, falls were the most common event (36%), followed by behaviour-related events (33%), other impacts and injuries (22%) and medication errors (9%). The number of adverse incidents per resident ranged from 0 (42%) to 171, with a median of 2. Women and residents with low care needs were significantly less likely to adverse incidents compared with men and residents with high care needs respectively. This study demonstrates that data already collected within electronic management systems can provide crucial baseline information about the risk
  3. News Article
    Legal costs in some lower-value medical negligence claims can be double or even triple the amount of compensation paid to patients. Figures in the Medical Defence Union’s (MDU’s) annual report for 2021 reveal the average sum paid in claimants’ legal costs on medical claims settled for up to £10,000 was in excess of £18,500. For claims settled between £10,000 and £25,000, the average was nearly £35,000. The not-for-profit indemnifier called on the Government to proceed quickly with the reforms needed to the clinical negligence system to make disproportionate legal costs a thin
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  5. Content Article
    The book aims to provide well-founded, practical guidance to those responsible for leading and implementing human factors programmes and interventions in health and social care. It's structured around the different levels of a system, where practitioners might place their focus. For each level, the nature of issues that are frequently addressed is given, followed by a characterisation of available human factors methods and approaches. Then, a selection of representative and important human factors methods and approaches is described in detail using a practical example, helping guide practition
  6. News Article
    A woman with fast-growing stage-four breast cancer says the NHS has let her down, with delays at every stage of her treatment. Caroline Boulton, 56, had several appointments for a mammogram, which checks for early signs of cancer, cancelled because of Covid, in March and November 2020. In late 2021, she found a small lump, went to her GP and was referred urgently to a specialist - but then the delays began. "They haven't moved quickly enough," Ms Boulton says, who lives in Greater Manchester. "It's been really, really slow." "Between each appointment, each scan, there's bee
  7. News Article
    A cyber attack that has caused a major outage of NHS IT systems is expected to last for more than three weeks, leaving doctors unable to see patients’ notes, The Independent has learned. Mental health trusts across the country will be left unable to access patient notes for weeks, and possibly months. Oxford Health Foundation Trust has declared a critical incident over the outage, which is believed to affect dozens of trusts, and has told staff it is putting emergency plans in place. One NHS trust chief said the situation could possibly last for “months” with several mental heal
  8. News Article
    England’s mental health inpatient system is “running very hot” and operating well above recommended occupancy levels, HSJ has been told, as new funding to address the problem is revealed. The move was announced by NHS England mental health director Claire Murdoch in an exclusive interview with HSJ. It comes amid a steep rise in mental health patients waiting more than 12 hours in accident and emergency. Last month, an HSJ investigation revealed 12-hour waits for people in crisis had ballooned by 150% in 2022 compared to pre-pandemic levels. Problems finding specialist beds have been
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  10. News Article
    All children aged one to nine and living in Greater London will be offered a polio vaccine after the virus was detected in sewage. The virus, which can cause paralysis, has been found 116 times in London's wastewater since February. The urgent immunisation campaign will see nearly a million children offered the vaccine - including those already up to date with their jabs. Parents and carers will be contacted by their GP within the next month. Polio is seen as a disease of the past in the UK after the whole of Europe was declared polio-free in 2003. Dr Vanessa Saliba, a
  11. News Article
    A 35-year-old mum says she's been left crippled by surgical mesh implanted into her body allegedly without her informed consent. Listen to her story here or click on the video below. Source: New Zealand Herald, 9 August 2022
  12. Event
    This Westminster Health Forum policy conference will examine the key priorities for the future of cancer prevention, diagnosis, care and treatment as the Government develops a 10-year Cancer Plan for England. Delegates will discuss priorities for the next stage of the elective care backlog delivery plan, including meeting demand as waiting times for new referrals increase, and what can be learned from success in clearing the longest waiting times for patients. With questions about the future of the National Insurance increase and social care funding, it will be an opportunity to disc
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    In the face of new challenges, developing requirements, and restructuring of local systems within the NHS it’s vital to bring together the Digital Health community again. HETT 2022 will explore the systems and infrastructure that underpin and enable a data-driven NHS, supporting the ecosystem to deliver patient outcomes through the meaningful implementation of technology. Two days of free CPD accredited educational sessions, interactive activities, and networking opportunities with 150+ innovative suppliers and 200+ expert speakers. Further information and registration
  14. News Article
    The Senate passed a sweeping budget package Sunday intended to bring financial relief to Americans, but not before Republican senators voted to strip a proposal that would have capped the price of insulin at $35 per month for many patients. A proposal that limits the monthly cost of insulin to $35 for Medicare patients was left untouched. But using a parliamentary rule, GOP lawmakers were able to jettison the part of the proposal that would apply to privately insured patients. Lowering the price of drugs such as insulin, which is used by diabetics to manage their blood sugar levels,
  15. Content Article
  16. Community Post
    @AmaniKrayem Thanks for posting. We will share on social media.
  17. News Article
    Doctors and nurses often “weight-shame” people who are overweight or obese, leaving them feeling anxious, depressed and wrongly blaming themselves for their condition, research has found. Such behaviour, although usually the result of “unconscious weight bias”, leads to people not attending medical appointments, feeling humiliated and being more likely to put on weight. Dr Anastasia Kalea and colleagues at University College London analysed 25 previous studies about “weight stigma”, undertaken in different countries, involving 3,554 health professionals. They found “extensive evidenc
  18. News Article
    Half of UK adults with a possible cancer symptom do not contact their GP within six months, despite spotting changes to their body, research suggests. A YouGov poll of 2,468 people for Cancer Research UK found that just 48% of those who had experienced a red flag symptom – including coughing up blood, unexplained weight loss and a new or unusual lump – contacted their GP within half a year. Not telling a doctor about unusual health changes or possible cancer symptoms reduces the chances of an early cancer diagnosis, leading to potentially devastating outcomes. Cancer Research UK
  19. News Article
    A trust which rented 1,100 lone worker alarms has found just four were in use after a year. Sussex Partnership Foundation Trust rented the system for five years, with the contract starting in early 2021. But a year later only 51 of the units were assigned to a user, and just four were being used. Most of the users had not completed their training and 19 had not even logged into the system to set up a profile, according to an annual health and safety report covering 2021-22. The health and safety report said: “Unfortunately the system has yet to demonstrate value for money as the
  20. News Article
    Action rather than reports is needed to tackle healthcare inequalities faced by black people in Birmingham, a charity says. It follows a report which found people from black communities continued to face racism and discrimination when accessing treatment. The city's director of public health said he was "horrified" by the finding. Dr Justin Varney said the system must be adapted to meet the needs of all. Charity The First Class Foundation wants to see implementation of changes and says among the healthcare problems in need of tackling are "microaggressions" faced by communities.
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  22. News Article
    The medical body at Norfolk and Suffolk Foundation Trust has written to the trust’s chair saying that it is unable to provide safe care and expressing a lack of confidence in the board. The letter, which has been seen by HSJ, is signed by 140 of doctors at the mental health provider. It claims the trust’s “clinical services are unable to provide good basic care and are unsafe”. Significant criticism is reserved for the trust’s senior management, with the letter stating “there is a general dysfunction with perpetual changes of key staff in executive posts and ever increasing layers of
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  25. Event
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    As this year's theme of World Patient Safety Day 2022 is "Medication safety" and increasing awareness about safe medication usage in clinical practice, the Peerless Hospital, Kolkata, India, are organising a one day conference " MediSafeCon" dedicated to increasing awareness about patient safety and medication safety in clinical practice among pharmacists, nurses and doctors. The following sessions by leading doctors, pharmacists, nurses and medicolegal experts of West Bengal and India: 1. Medication safety issues in Critical Care practice 2. Medication safety issues in Ped
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