Patient-Safety-Learning
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Content ArticleAn estimated 237 million medication errors occur in the NHS in England every year. In March 2017, the World Health Organisation launched its third global patient safety challenge, ‘Medications without harm’, with the aim of reducing severe avoidable medication-related harm by 50% in five years. Medicines safety is a key focus of the CQC's regulatory work with trusts, aligning with its ‘Safety through learning’ strategy and commitment to help reduce avoidable harm. Between May and July 2021, the CQC carried out a review of medication safety in 95% of England’s NHS trusts. They spoke w
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Virtual Patient programme online training (2021)
Patient-Safety-Learning posted an article in Patient engagement
Virtual patient cases available include: Shared decision making Evidence-informed decision making Medicines use review Making every contact count -
Content ArticleThe Royal College of Physicians calls for the NHS to take the opportunity to address the consultant shortage as the UK begins to recover from the Covid-19 pandemic. Key findings of the census Only 52% of posts advertised were filled. For the past eight years, barely half of advertised consultant posts were filled, mostly due to a lack of suitable applicants. 36% of consultants described being in control of their workload only ‘sometimes’ or ‘almost never’. 38% said that they worked excessive hours or had an excessive workload ‘almost always’ or ‘most of the time’. 35% o
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EventThis webinar will feature two presentations on: Lancet article - Adverse pregnancy outcomes attributable to socioeconomic and ethnic inequalities in England: a national cohort study NMPA report - Ethnic and socio-economic inequalities in NHS maternity and perinatal care for women and their babies There will be a Q&A guest panel featuring: Professor Eddie Morris Clo and Tinuke, Five X more Bell Ribeiro-Addy MP Professor Jacqui Dunkley-Bent Professor Marian Knight Professor Asma Khalil Join the webinar on Microsoft Teams
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Content ArticleOn 22 September 2021 the Health and Social Care Select Committee launched a new inquiry examining the case for reform of NHS litigation, identifying concerns regarding a significant increase in clinical negligence costs and missed opportunities for learning to improve patient safety. The Committee stated that the existing system was “failing to meet its objectives for both families and the healthcare system”.[1] Here we will provide an overview of our response to this Inquiry, which focused on four key areas: Learning from avoidable harm in healthcare Improving redress for p
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Content ArticleThe authors argue that Long Covid has a strong claim to be the first illness created through patients finding one another on Twitter. In the space of a few months, the condition moved into to formal clinical and policy channels through different forms of media. The article focuses on how patients in the USA and UK claimed epistemic authority, and argues that patient knowledge needs to be included in defining, researching and treating Covid-19.
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Birthrights video: Speak Up, Speak Out (16 November 2021)
Patient-Safety-Learning posted an article in Maternity
In the video, three women tell their stories of poor care experiences in labour and after birth. They talk about racial discrimination, procedures that were done to them without their consent, and not being listened to when they knew they needed help. They highlight the importance of complaints in helping services improve. Suggested reading Birthrights Factsheet -
EventuntilInfection is a leading cause of childhood deaths, but many of these deaths are avoidable with timely treatment. The national Before Arrival at Hospital Project (BeArH), funded by the National Institute for Health Research (NIHR), explored what happens to children under five years of age with serious infections before they are admitted to hospital. The aim of this research was to explore what helps children get help quickly and what might slow this process down, so that lessons could be learned for the care of this group of children in the future. This forum will be led by Professor
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Mind the Gap 2021 - Baby Lifeline report (23 November 2021)
Patient-Safety-Learning posted an article in Maternity
Training gaps which already existed due to chronic underfunding and staff shortages have become worse due to the Covid-19 pandemic, and this report makes recommendations to improve local and national training at a critical time for maternity. Mind the Gap 2021 identifies and makes recommendations for workforce training in five priority areas: There needs to be a significant increase in funding to allow professionals to develop and maintain skills and to retain staff within maternity. This funding needs to properly support the expansion of the maternity workforce, attendance and ba -
Content ArticleNational Voices make a range of recommendations to rebuild timely access to health and care for: Governments and system leaders people planning and delivering services voluntary, community and social enterprise organisations
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EventuntilThis webinar from the Royal College of Physicians aims to introduce participants to the key concepts of patient safety and what they can do in practice. Delegates will receive 2 CPD credits for attending this webinar. 6.30pm Introduction Dr John Dean, clinical director for quality improvement and patient safety, RCP 6.35pm Patient safety 101 - fundamental concepts and considerations for patient safety Dr Kevin Stewart, medical director, Healthcare Safety Investigation Branch 6.55pm What to do when something goes wrong – the physician perspective Dr Andrew Gibson, deputy
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Content ArticleThe report makes the following recommendations: Putting in place more dedicated ‘High Intensity Use’ services across the country. Integrated Care Systems should develop strategies for addressing high intensity use across their areas, ensuring that there is adequate provision to meet need across acute settings, with a particular focus on areas of deprivation. Improving access to community-based support, to prevent people reaching crisis point. Investment is needed in VCSE provision linked to social prescribing and other key services, such as community mental health. Training and s
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Content ArticleThe course offers an overview of the principles which underpin a systems approach to investigative interviews. Students on this course will be part of a small group who undertake healthcare safety investigations. Students will be supported by HSIB Senior Investigation Science Educators through two hours of traditional lectures, interactive activities and discussions. They will be directed to specific activities designed to extend and consolidate knowledge. On completion of the course students gain a certificate in 'A Systems Approach to Investigative Interviewing'. Course dates
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Content ArticleResources and guides for healthcare professionals and policy-makers Refugee Council’s policy note on health barriers - outlines the main issues refugees and people seeking asylum experience when they access health services. Therapeutic IAHC Communication Card - a double-sided card with useful vocabulary and phrases with translations. It can be used to speed up and clarify communication about health problems with healthcare professionals, people who work in supporting organisations and members of the public. It has been translated into five languages: Albanian, Arabic, Dari, Farsi,
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