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Patient Safety Learning

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Everything posted by Patient Safety Learning

  1. Content Article
    An informal conversation with Dr Tejal Gandhi and Dr Jeffrey Brady about their work as co-chairs of the National Steering Committee for Patient Safety and how the committee’s new action plan, Safer Together: A National Action Plan to Advance Patient Safety, aims to change the patient safety landscape. The plan, released September 14, focuses on four foundational areas: culture, leadership, and governance; patient and family engagement; workforce safety; and learning systems.
  2. Content Article
    Ask anyone with tattoos and they’ll tell you every bit of body art means something. But it’s fair to say Graeme Holdsworth’s short script of ink means more than most. The single word, Anicca - Sanskrit for ‘impermanence’ - hides beneath the watchband on his left wrist. “I look at it whenever I need reminding that what’s happening now won’t be happening in a minute’s time.” For the retired architect and project manager who spent most of his life planning the future of multi-million dollar developments, a one-word reminder to live in the moment seems an odd choice. But to someone who was a habitual high achiever, it’s an important reality check. In this blog for Movember, Graeme talks about living with depression.
  3. Event
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    Are you a patient who has been waiting to receive a diagnosis or test results during the last six months? This includes, but is not limited to, CT scans, MRI scans, and endoscopy and dermatology procedures. Has the COVID-19 pandemic affected your service? Would you like to help to improve the patient experience of waiting for a diagnosis? The Patients Association is holding an online Zoom patient group discussion on this topic on Tuesday 27th October, 2.00-4.00pm, and we are seeking patients to take part. An £80 incentive payment will be offered in Amazon vouchers and places are limited. Participants will be chosen on the basis of suitability to ensure the group is representative of a wide variety of backgrounds and experiences. Please fill in the registration form https://www.surveymonkey.co.uk/r/CRNMC2T if you are interested.
  4. Event
    Dr Donna Prosser, Chief Clinical Officer at the Patient Safety Movement Foundation, will be joined by a multidisciplinary group of patient advocacy experts and clinicians to understand the various meanings of the term 'patient advocacy' and to evaluate how an empowered patient can improve healthcare delivery, experience, and outcomes for all involved. The group will discuss the history and current state of patient advocacy, and will propose recommendations regarding the extent to which various healthcare disciplines and patients and their families can improve patient advocacy. Register
  5. Content Article
    Patient Safety Movement's Dr Donna Prosser is joined by Dr Steven Deeks, Professor of Medicine, University of California, San Francisco, and Dr Jake Suett, Staff Grade Anaesthetist and Intensive Care Doctor, UUK, to discuss the long term implications of COVID-19 from clinical and personal perspectives. Dr Deeks shares the research around long COVID-19 symptoms and Dr Suett provides a personal anecdote of his experience with symptoms that have lasted months. Dr. Suett shares information about the COVID symptom study, which consists of an international mobile app to track COVID-19 symptoms over time.
  6. Content Article
    The purpose of this Royal College of Nursing (RCN) document is to provide standards and sample assessment tools for training in genital examination in women for registered nurses working in sexual and reproductive health settings, and related health and social care settings. It is envisaged that this document could be used by registered health care professionals who would require training in genital examination in order, for example, to undertake the following procedures: cervical sampling including liquid based cytology and colposcopy taking swabs as part of a sexual health examination inserting, checking or removing intrauterine devices and IUS vaginal ultrasound hysteroscopy nurses working within early pregnancy and acute gynaecology settings and as part of any extended role in history taking and examination for the assessment of symptomatic women.
  7. Content Article
    Providers deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. Here is a case study from the University Hospitals of North Midlands NHS Trust. It shows: Deployed thermal imaging cameras to identify people with high temperature. Developed effective guidance for staff. Boosted public confidence in safety of hospital.
  8. News Article
    A pharmacist-led, new digital intervention that improves patient safety when prescribing medication in general practice reduced rates of hazardous prescribing by more than 40%, 12 months after it had been introduced to 43 GP practices in Salford, finds a new study. Due to its success, plans are underway to roll it out across Greater Manchester. Prescribing and medication are one of the biggest causes of patient safety incidents and the third WHO Global Patient Safety Challenge is focussed on Medication without Harm. The SMASH intervention addresses this. It was developed by researchers at the National Institute for Health Research Greater Manchester Patient Safety Translational Research Centre (NIHR GM PSTRC), which is a partnership between The University of Manchester and Salford Royal hospital in collaboration with The University of Nottingham. Pharmacists working in general practice use the SMASH dashboard to identify patients who are exposed to potentially hazardous prescribing. For example, patients with a history of internal bleeding may be prescribed medications such as aspirin which could increase the risk of further internal bleeds without prescribing other treatments to protect them. SMASH identifies this and warns healthcare professionals about it, who can then decide on a possible course of action. The intervention is unique due to its ability to provide near real time feedback to prescribers as it updates every evening. Professor Darren Ashcroft, Research Lead for the Medication Safety theme at the GM PSTRC, said: "We worked with the Safety Informatics theme at the GM PSTRC to develop then test SMASH. It is designed to improve patient safety in general practice by reducing potential problems made when prescribing medication and inadequate blood-test monitoring. It brings together people and data to reduce these common medication safety problems that all too often can cause serious harm." Read full story Source: EurekAlert, 14 October 2020
  9. Content Article
    Dr Kathryn Leask outlines steps GPs can take to try and avoid patients coming to harm as a result of delayed referrals and provides advice on dealing with patient complaints on this issue. There are some steps GPs can take to try to avoid patients coming to harm while putting themselves in the best position to address the potential medico-legal ramifications. In their guidance on Delegation and referral the GMC says that you are not accountable for the actions or omissions of colleagues to whom you make referrals. However, you are accountable for your decisions to transfer care and the steps you have taken to make sure that patient safety is not compromised. If you are aware that there are delays for a particular service and your patient is likely to be affected by this, you should make this clear to them and manage their expectations from the outset. In this GP Online article, Kathryn gives practical tips for GPs and shares a case example.
  10. Content Article
    Peek et al. evaluated the impact of the pharmacist-led Safety Medication dASHboard (SMASH) intervention on medication safety in primary care. SMASH was developed by researchers at the National Institute for Health Research Greater Manchester Patient Safety Translational Research Centre (NIHR GM PSTRC), which is a partnership between The University of Manchester and Salford Royal hospital in collaboration with The University of Nottingham. Pharmacists working in general practice use the SMASH dashboard to identify patients who are exposed to potentially hazardous prescribing. The study found that the SMASH intervention was associated with reduced rates of potentially hazardous prescribing and inadequate blood-test monitoring in general practices. This reduction was sustained over 12 months after the start of the intervention for prescribing but not for monitoring of medication. There was a marked reduction in the variation in rates of hazardous prescribing between practices.
  11. News Article
    A mother of a young boy with Down's syndrome is helping to teach people about appropriate language, after being hurt by words people often used. Becca, from Cornwall, uses flashcards to make sure people are aware to say things like saying someone "has Down's syndrome", rather than "suffers with Down's syndrome". The campaign is being rolled out in hospitals for midwives and other healthcare workers to use, with many in the profession talking about it on social media. A children's clothing company has offered to run it, with her son Arthur as the model, and she has been asked to translate it into other languages. Source: BBC News, 15 October 2020
  12. Content Article Comment
    Hi @Jen L I've just privately messaged you through the hub with the documents attached. Let me know if you still have problems opening them.
  13. Content Article
    As a second wave of COVID-19 infections is underway in the UK, Sarah Scobie answers some key questions on how mortality figures are collected and measured during the pandemic. How do the numbers relate to the daily figures reported, and are all the extra deaths due to the coronavirus?
  14. Content Article
    World Patient Safety Day is observed on 17 September each year with the objectives of increasing public awareness and engagement, enhancing global understanding, and spurring global solidarity and action to promote patient safety. Each year a campaign is launched on a selected patient safety-related theme. The overall goal of World Patient Safety Day is to improve patient safety at the point of care. To support this endeavour, World Patient Safety Day goals will be proposed from this year onwards. The goals aim to achieve tangible and measurable improvements at the point of health service delivery. Each year a set of annual goals will be proposed related to the theme of World Patient Safety Day for that year.
  15. Content Article
    Creating a foundation for safe and reliable care requires more than just a small team in an organisation. This short video captures what the Patient Safety Movement Foundation has to offer healthcare organisations hoping to make their care better and safer from the ground up.
  16. News Article
    The offices of the World Health Organisation (WHO) for the Quality of Health Care and Patient Safety will be located in Athens, Health Minister Vassilis Kikilias and the WHO Regional Director for Europe, Hans Kluge, announced on Friday after their meeting in Copenhagen. "The choice of Greece is a recognition of the work by Prime Minister Kyriakos Mitsotakis, the Greek Ministry of Health and the Greek government in managing the pandemic and implementing public health policies, such as the successful implementation of the anti-smoking law, and promoting important reforms, such as passing the law for the establishment of the National Organisation for Quality Assurance in Health," the health ministry said in a statement. "Greece has recently led important developments in the field of health, such as legislation banning smoking in public places, the launch of the National Anti-Smoking Action Plan and reforms in the field of primary health care." "All the above, in combination with the excellence of the Greek health institutions and the leading researchers in the field of health and wellness, indicate a strong leadership within the European Region and beyond. In addition, they create an ideal framework for the creation of a much-needed centre of excellence in the field of quality healthcare and patient safety." Read full story Source: The National Herald, 16 October 2020
  17. Content Article
    The Doctor is the BMA’s award-winning magazine for members. Read the latest articles, interviews and comment from the magazine.
  18. News Article
    As hospitalisations and intensive care admissions surge around the country, new figures indicate coronavirus patients in critical care have a better survival rate now than when the pandemic first began. The latest report from The Intensive Care National Audit and Research Centre (ICNARC) into critical care for England, Wales and Northern Ireland looks at patients admitted to intensive care up until 31 August and those admitted from 1 September. The data shows that on average, 39% of critical care coronavirus patients died up until the end of August while less than 12% have died since September. The proportion of patients who died after being admitted to critical care fell by almost a quarter from the peak and as much as half in hospitals overall. However, the Dean of the Faculty of Intensive Care Medicine, Dr Alison Pittard, told the BBC that the difference may be attributed to an insufficient amount of time having passed which impedes an accurate and longterm patient assessment, as some remain in hospital. Meanwhile, scientific advisors continue to warn that the next few weeks are critical for regulating hospital admissions. Read full story Source: The Independent, 18 October 2020
  19. Event
    Join clinical experts, thought leaders, and advocates for a collaborative discussion on the issues of health disparities, structural racism, and medicine as they examine specific dermatologic diseases in a series of four free and open educational webinars from the Harvard Medical School. Structural racism and racial bias in medicine: Wednesday, October 28, 1:00-2:15 PM ET Hair disorders in people of colour: Thursday, November 12, 1:00-2:15 PM ET Pigmentary disorders and keloids: Wednesday, November 18, 1:00-2:15 PM ET COVID-19 Comorbidities and cutaneous manifestations of systemic diseases in adults and children: Wednesday, December 2, 1:00-2:15 PM ET Implicit bias and structural racism play a central role in the development of healthcare disparities. One of the critically important areas in medicine is the misdiagnosis of disease in people with darker skin types due to implicit bias and the lack of awareness among physicians in recogniszing the disease pattern. Clinicians in primary care, emergency medicine, hospital medicine, surgery, pediatrics, and other medical specialties can deliver improved care if they can recognize and diagnose medical conditions based on skin findings in patients of color. This four-part series aims to improve diagnosis in people of color, describe pathogenesis and treatment of diseases, develop cultural competency, and impact change in health care policy so more is done to reduce racial bias in medical practice and medical research. Providing this education, in turn, will ultimately help reduce health disparities and improve the lives of underrepresented minority populations. Register for one event or all four.
  20. Content Article
    "Healthcare systems need to act in equal measures to both enable the recovery of patients and families it has harmed, and to protect future patients.... Yet providing what is set out in the Duty of Candour to harmed patients has not been framed as providing care to make sick or injured people better and/or to minimise their pain and suffering." In this blog, Jo Hughes explains why we need to reframe the Duty of Candour and explores what needs to change.
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    This conference focuses on the delivery of ambitions in the newly published NHS People Plan, and wider priorities for the health workforce. It also takes place with: intensification of the recruitment drive for health and social care staff unprecedented personal and professional challenges for those working across the NHS in the face of the COVID-19 pandemic. Assessing what will be needed for ambitions in the newly published NHS People Plan to be achieved, including: improving health and wellbeing support for all staff tackling discrimination and fostering a sense of belonging adopting innovation in care and ways of working making the most of staff skills and experience recruitment, retention and encouraging previous staff to re-join the NHS plans for an additional people plan focussed on pay, based on workforce numbers and funding. Registration
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    Health inequalities are deep, persistent and hard to change. Solutions call for systemic changes at an organisation level, whole-system partnerships and investment. What can we do to address health inequality as individuals working in healthcare? This webinar brings together a multidisciplinary faculty of speakers to highlight the ways individual healthcare professionals can help to reduce health inequality, despite their prevalence. Register
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    Healthcare provision and practice have changed significantly as a result of the NHS response to COVID-19, some for better and some for worse. Join the Royal Society of Medicine to reflect on recent changes and look at how they have impacted different groups, from healthcare professionals across disciplines to patients and carers. Register
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    #CoProLive is a festival of co-production taking place 19 – 21 October 2020. It is brought to you by UCL Centre for Co-production as part of the run up to their official launch on 22 October. These sessions are a celebration of co-production from friends of the Centre and the Centre itself, showcasing a variety of different approaches to authentic co-production. The sessions running are: Creative co-production with Gill Phillips, creator of Whose Shoes? - Monday 19 October 14:00-16:00 UK time Gill Phillips is the Director of Nutshell Communications Ltd and creator of Whose Shoes?®. This session is a ‘behind the scenes’ look at their well-known, research-based strategies to bring people together for positive change! Book here Co-pro Cuppa - Tuesday 20 October 10:00-11:30 UK time This informal session is a chance to connect with friends, meet new people and chat about whatever you fancy over a cuppa! Book here Co-production – Lessons from the Golden Age of Piracy - Wednesday 21 October 14:00-16:00 UK time Cat (from Curators of Change) and Co-Pirate and Curator Naomi (from Nesta) are inviting you to find out about how Golden Age Pirates understood the need to co-create the right conditions to challenge the established ways of the time. This has been translated by the growing movement of modern day health and care pirates who are pushing boundaries, and re-writing the rules along the way! Book here
  25. Content Article
    Providers deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. Here is a case study from the Countess of Chester Hospital NHS Foundation Trust. It shows: Development of a trust wide roster for medical staff. Staff engagement – making the case for patient safety. Cultural shift – shared understanding across staff groups.
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