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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. News Article
    The NHS in Wales could move to a model in which most or all nursing care is outsourced to private companies, if its increasing reliance on agency staff continues, a union report has claimed. According to the Royal College of Nursing, the Welsh health service risks moving to a situation where it no longer directly employs staff to provide patient care. NHS Wales spent between £133m and £140m on agency nursing during 2021-22, based on different freedom of information (FOI) requests and official figures, the RCN’s report suggested. RCN Wales said, “If this trend continues, Wales will move to a situation where NHS Wales no longer directly employs staff to provide patient care and instead moves to a model in which most or all nursing care is outsourced to private companies.” Read more Source: Nursing Times, 4 December 2022
  2. News Article
    A new report by the World Health Organization shows evidence of a higher risk of premature death and illness among many persons with disabilities compared to others in the society. The Global report on health equity for persons with disabilities published today shows that because of the systemic and persistent health inequities, many persons with disabilities face the risk of dying much earlier—even up to 20 years earlier—than persons without disabilities. They have an increased risk of developing chronic conditions, with up to double the risk of asthma, depression, diabetes, obesity, oral diseases, and stroke. Many of the differences in health outcomes cannot be explained by the underlying health condition or impairment, but by avoidable, unfair and unjust factors. Read more Source: WHO, 2 December 2022
  3. Content Article
    An estimated 1.3 billion people—16% of the global population—experience a significant disability today. People with disabilities have the right to the highest standard of health, however, this report by the World Health Organization (WHO) demonstrates that while some progress has been made in recent years, many people with disabilities continue to die earlier and have poorer health than others. The report demonstrates how these poor health outcomes are due to unfair conditions faced by people with disabilities in all areas of life, including in the health system itself.
  4. News Article
    Whistleblowers at one of England's worst performing hospital trusts have said a climate of fear among staff is putting patients at risk. Former and current clinicians at University Hospitals Birmingham (UHB) NHS Trust allege they were punished by management for raising safety concerns, a BBC Newsnight investigation found. One insider said the trust was "a bit like the mafia." The trust said it took "patient safety very seriously." It said it had a "high reporting culture of incidents" to ensure accountability and learning. Staff concerns included a dangerous shortage of nurses and a lack of communication leading to some haematology patients dying without receiving treatment, an investigation by BBC Newsnight and BBC West Midlands found. Read more Source: BBC News, 2 December 2022
  5. News Article
    In September, Shine Lawyers won a $300 million settlement in two class actions over the failed mesh products by Johnson & Johnson Medical and Ethicon. However, the law firm is proposing to take up to $99.5 million from the payout in costs, just under a third of the total sum. Of 11,000 women involved in the class action, Janelle Gale is one of 200 who is not happy with Shine Lawyers' compensation proposal. Representatives of the group said there was mass confusion over what compensation they might be eligible for and how many hoops they would have to jump through to receive a payment. Despite having barely any leakage before her 2014 surgery, afterwards Janelle became heavily incontinent. She was a drag-racing champion, but that came to a halt. She said it destroyed her marriage, she couldn't have sex and she still can't work. Read more Source: ABC News, 3 December 2022
  6. Content Article
    There is a huge challenge to improve technology adoption and readiness across the NHS. This article in HSJ looks at a partnership between tech services company Agyle and Dorset County Hospital (DCH) which aimed to develop a digital patient record strategy which places user experience at the heart of its approach. DCH's objective was for its staff to access a decreasing number of systems, designed around clinical processes, with data flowing seamlessly between those systems. The article looks at how Agyle and DCH worked together to achieve improved clinical safety, interoperability, cost-effectiveness and future-proofing through their strategy.
  7. Content Article
    In this HSJ article, Gemma Dakin and George Croft from the Health Innovation Network share their reflections on the HSJ Patient Safety Congress. They highlight key themes that emerged including the need to listen to patients, service users, and carers stories, and encourage their involvement to bring about a cultural change. They argue that humanity will be central to making progress in quality improvement and patient safety.
  8. Content Article
    On 31 January 2023, the clinical trial information system (CTIS) will become the single entry point for sponsors and regulators of clinical trials in the European Union (EU). The CTIS includes a public searchable database for healthcare professionals, patients and the public. This webpage contains information on how clinical trials are regulated in the EU, and what changes the CTIS will make to how clinical trials are registered, performed and regulated.
  9. Content Article
    This report by the Beryl Institute and Ipsos explores the core trends impacting healthcare and patient experience overall in the United States. It highlights key issues expressed by consumers in an online survey relating to quality of care and experience of care, taking into account the impact of the Covid-19 pandemic and how it has altered the delivery of healthcare.
  10. Content Article
    In this blog for The Patients Association, Patient Safety Commissioner Henrietta Hughes looks at the importance of patient involvement in improving patient safety. She argues that patient voices should be embedded in the design and delivery of healthcare, and highlights that services and organisations need to seek feedback from patients from a wide variety of backgrounds. She also outlines why shared decision making and consent are vital to ensure patients are safe and have more control over their care and treatment.
  11. Content Article
    The Secretary of State for Health and Social Care, Rt Hon Steve Barclay MP has announced that Dr Ted Baker has been formally appointed as the new chair of the Health Services Safety Investigations Body (HSSIB). This blog describes Dr Baker's experience and outlines what his new role will involve, including setting up the new board for HSSIB. He said, “My focus will be to build on the strong legacy of the HSIB and make sure, as the HSSIB, that we take even greater strides along our journey to improving patient safety.”
  12. Content Article
    In this interview for the Betsy Lehman Center in Massachusetts, Lee Kim Erickson, Senior Vice President and Chief Quality Officer at Wellforce, talks about maintaining a focus on patient safety during times of crisis, the impact of the Covid-19 pandemic on training for healthcare workers and the importance of maintaining a focus on care from the patient's point of view.
  13. Event
    until
    This session hosted by the Advancing Quality Alliance (Aqua) aims to help Senior Leaders in the NHS understand the what, why and how of the Patient Safety Incident Response Framework (PSIRF) and what it means in terms of responsibilities, assurance, and review of investigation outcomes (moving from blame towards learning and improvement). This event is aimed at Executive and Non-Executive Directors. Register
  14. Event
    until
    This session hosted by the Advancing Quality Alliance (Aqua) aims to help Senior Leaders in the NHS understand the what, why and how of the Patient Safety Incident Response Framework (PSIRF) and what it means in terms of responsibilities, assurance, and review of investigation outcomes (moving from blame towards learning and improvement). This event is aimed at Executive and Non-Executive Directors. Register (Please note, this event will be repeated on 5 December 2022)
  15. Content Article
    In this opinion piece for the Daily Mail, journalist Tom Utley recounts his recent experience of a seven hour wait at A&E after receiving abnormal blood test results from his GP. He argues that fear of litigation is causing GPs to refer patients on to A&E unecessarily, contributing to the overcrowding happening at emergency departments. He also highlights inefficiencies in the system and states that lack of staff capacity to tell him he didn't require any treatment meant he stayed an additional hour and a half in the waiting room.
  16. Content Article
    This editorial by Barbara Fain, Chief Executive of the Betsy Lehman Center in Massachusetts, highlights the need to focus on system safety and moving away from a culture of individual blame, in order to improve patient safety. Referring to the case of nurse RaDonda Vaught who was convicted of negligent homicide for a medication error at a Tennessee hospital, Barbara looks at research that demonstrates that people generally believe the best way to reduce the likelihood of medical errors is by choosing the right doctor, and argues that this cultural belief played into Vaught's conviction. She highlights the need to use evidence-based strategies to communicate with healthcare professionals and the public about the wider picture of patient safety and systems thinking.
  17. Content Article
    This video by the NHS England National Patient Safety Team provides tips for patients on keeping safe during a hospital stay. It highlights simple things you can do as a patient to help keep yourself safe during a hospital stay, such as asking for help when needed, protecting yourself from slips and falls and helping to prevent blood clots. A British Sign Language (BSL) version of the video is also available, as well as a leaflet translated into these languages: English Arabic Cantonese French Gujarati Mandarin Polish Portuguese Punjabi Romanian Spanish Urdu
  18. Content Article
    In this podcast, the Learn from Patient Safety Events (LFPSE) team talks to the National Director for Patient Safety about the new LFPSE service, why it’s important, and the benefits he thinks it will bring for patient safety.
  19. Content Article
    This article by Rebecca Rosen and Trisha Greenhalgh in the BMJ looks at the safety of remote GP consultations. It begins by looking at the case of student David Nash, who tragically died in 2020 after four telephone consultations with his GP; he was denied an in-person appointment for a painful ear infection that led to a fatal brain abscess. One coroner has raised concerns that this is not a one-off incident, noting that in five inquest reports they wrote during the pandemic, they question whether deaths could have been prevented by in-person consultations. The authors look at the recommendations of the ongoing 'Remote by Default 2' study, which is exploring how best to embed remote consulting in future GP services. They highlight better triage of appointment requests, active listening, checking back, increasing the use of video consulting and better training for clinicians as factors that could improve the safety of remote consultation.
  20. Content Article
    In this interview for Healthcare IT News, Lisa Hedges, associate principal analyst at Software Advice, discusses the findings of a survey of 1,000 patients on telemedicine usage after the worst of the pandemic. She also talks about the future of telemedicine. The survey found that: more than half of patients are concerned about the quality of care they're receiving through telemedicine. the majority of people prefer virtual appointments for common illnesses. 86% of patients rate their telemedicine experience as positive. 91% are more likely to choose a provider that offers telemedicine. 49% prefer telemedicine visits for mental health treatment, despite it being one of the more remote-ready specialties.
  21. Content Article
    This report by NHS Digital presents findings from the third in a series of follow up reports to the 2017 Mental Health of Children and Young People (MHCYP) survey, conducted in 2022. The sample includes 2,866 of the children and young people who took part in the MHCYP 2017 survey. It looks at the mental health of children and young people aged 7 to 24 years living in England in 2022, as well as examining their household circumstances, and their experiences of education, employment and services and of life in their families and communities.
  22. Content Article
    This study in the journal Dove Press aimed to explore the experience of patient safety culture among South Korean advanced practice nurses in hospital-based home healthcare. 20 nurses involved in home healthcare were recruited from twelve hospitals located in three different cities throughout South Korea. The authors concluded that there were significant aspects of patient safety culture in hospital-based home healthcare, allowing for good continuity of care for patients. These aspects include communicating with caregivers, building community partnerships, understanding unexpected home environments and enhancing the safety of nurses.
  23. Content Article
    A survey conducted by the Commonwealth Fund has found that a majority of primary care doctors in the US and other high-income countries say they are burned out and stressed, and many feel the pandemic has negatively impacted the quality of care they provide. This article presents the survey results in the form of graphs with a commentary, and you can also download data from the survey.
  24. Content Article
    The Patient Safety Education Project (PSEP) uses a high impact, conference-based education program grounded in adult learning principles to teach systems-based patient safety methodology to healthcare professionals. This PSEP participants handbook covers: Gaps in patient safety: A call to action External influences: Law and other factors What is patient safety?: A conceptual framework  Advancing patient safety: How to teach and implement Systems thinking: Moving beyond blame to safety  Human Factors design: Application for healthcare Communication: Building understanding Teamwork: Being an effective team member Organization and culture: Essential to patient safety Technology: Impact on patient safety Patients as partners: Engaging patients and families Leadership: Everybody’s job
  25. Content Article
    The workforce crisis engulfing the health and care system is well documented. In the NHS, increases in staff numbers are not keeping pace with demand for staff and services; in 2021/22, for the first time, the number of people working in adult social care in England fell, and there are now 165,000 vacancies.  In this long read, Sally Warren, Director of Policy at The King's Fund, looks at a report by Bill Morgan, commissioned by The King's Fund and Engage Britain, to consider why politicians have failed to act, where only they can, to deliver the workforce that the health and care system needs. The article covers the following areas: Transparency in workforce planning assumptions   Training and international recruitment Retention: it’s not just about pay More than a numbers game, getting the culture and leadership right Productivity and skill mix Action at all levels Service improvement ambitions matched to the available workforce
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