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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. Content Article
    In this Health Foundation blog, senior data analyst Anne Alarilla looks at what the organisation has learned from involving patients and the public in its analytical projects. Patient and public involvement and engagement (PPIE) in research allows patients and the public to be involved in decisions about what an organisation does and how it interprets and communicates analysis. It means that research is carried out in line with the ethical principle of ‘nothing about us, without us’. In the blog, Anne outlines four key lessons: If you’re new to this, work with experienced PPIE practitioners Incorporate lived experiences when developing and refining analysis plans Ensure the people you engage with understand what you’ll do with the findings Make the findings relevant to patients and the public
  2. Content Article
    This short video talks about the importance of recognising the signs and symptoms of head and neck cancer at the earliest opportunity, and describes actions which can be taken to support earlier diagnosis. Although aimed at pharmacists, it provides useful information for all patients and healthcare professionals on symptoms that might indicate head and neck cancer.
  3. Content Article
    Patients with head and neck cancer may be required to travel significant distances for treatment, follow up and rehabilitation. This article in thr journal Cancer Nursing Practice presents findings from an evaluation of a pilot head and neck cancer service redesign in Thames Valley Cancer Alliance to enable patients from Swindon and Wiltshire to receive follow up and rehabilitation closer to home. The evaluation identified a decrease in overall outpatient visit time for these patients, resulting in reduced travel costs and improved quality of life.
  4. News Article
    Doctors recruited from some of the world's poorest countries to work in UK hospitals say they're being exploited - and believe they're so overworked they fear putting patients' health at risk. A BBC investigation has found evidence that doctors from Nigeria are being recruited by a British healthcare company and expected to work in private hospitals under conditions not allowed in the National Health Service. The British Medical Association (BMA) has described the situation as "shocking" and says the sector needs to be brought in line with NHS working practices. Dr Jenny Vaughan of the Doctors Association UK said, "This is a slave-type work with… excess hours, the like of which we thought had been gone 30 years ago. It is not acceptable for patients for patient-safety reasons. It is not acceptable for doctors. " Read full story Source: BBC News, 11 October 2022
  5. Event
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    Join ImproveWell and representatives from Royal Cornwall Hospital NHS Trust and Shrewsbury and Telford Hospital NHS Trust, to discover: how the current landscape in maternity services looks as regards quality, safety, and workforce sentiment; how engaging the workforce to improve is the key to positive transformation; and lessons and best practice in engaging the workforce in improvement within the maternity services at Shrewsbury and Telford Hospital NHS Trust and Royal Cornwall Hospital NHS Trust. Register for this event
  6. Content Article
    Our Health Our Knowledge (OHOK) is a short web-based course developed by patients and GPs to help people make healthcare choices. OHOK is available in English and Welsh, is free to use and is backed by the Royal College of General Practitioners, the Welsh Value in Health Centre/Canolfan Gwerth mewn lechyd Cymru, Realistic Medicine and the Academy of Medical Royal Colleges.
  7. Content Article
    Health inequalities are differences in health across the population, and between different groups in society, that are systematic, unfair and avoidable. This webpage from the National Institute for Health and Care Excellence (NICE) outlines a definition of health inequalities. highlights factors that cause them, explores their effects and talks about how NICE can help health services tackle health inequalities.
  8. Content Article
    This resource from the Mental Health Foundation provides tips to help you protect your mental health, each one backed up by evidence from research. The leaflet gives further information on the following tips: Get closer to nature Learn to understand and manage your feelings To to someone you trust for support Be aware of using drugs and/or alcohol to cope with difficult feelings Try to make the most of your money and get help with problem debts Get more from your sleep Be kind and help create a better world Keep moving Eat healthy food Be curious and open-minded to new experiences Plan things to look forward to
  9. Event
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    Following our Patient Safety Incident Response Framework (PSIRF) introduction webinar on 5 September 2022, this is the first in a series of more practical webinars to support organisations to transition to the new framework. This webinar coincides with the start of the 'discovery' phase, and will cover: Update from the national patient safety team (10 mins). Speakers: Tracey Herlihey, Head of Patient Safety Incident Response Policy and Lauren Mosley, Head of Patient Safety Implementation Look back at the 'orientation phase' with examples of challenges and successes. Speakers: Provider organisation TBC (15 mins) Look forward to the 'discovery phase' with examples of challenges and successes. Speakers: Provider organisation TBC (15 mins) Questions and answers (20 mins) We will continue this series of webinars every two months. About PSIRF The Patient Safety Incident Response Framework (PSIRF) was published in August 2022, setting out the NHS’s approach to developing and maintaining effective systems and processes for responding to patient safety incidents for the purpose of learning and improving patient safety. Organisations are expected to transition to PSIRF within 12 months of its publication, and transition should be completed by Autumn 2023. PSIRF preparation is broken down into six phases to ease transition and provide detail around discrete activities that will set strong foundations for implementing the framework. Register for the event
  10. Event
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    Join us and discover first-hand how the equitable implementation of NICE recommendations ensures that care provided is effective, makes efficient use of resources and reduces inequalities and unwarranted variation. Discover how we are aligning what we do with Integrated Care Systems (ICS) and wider system priorities and how our evidence-based recommendations are aligned to recognised health inequalities frameworks such as Labonte and Marmot. Register for the event
  11. Content Article
    The CVDPREVENT audit contributes to a strategic objective outlined in the NHS Long Term Plan to prevent 150,000 strokes, heart attacks and cases of dementia over the next ten years. The audit works with system partners to drive cardiovascular disease (CVD) quality improvement. Mary Wills is a patient representative for the CVDPREVENT audit, and in this blog she describes her family's experience of CVD and why she was keen to get involve in CVDPREVENT. She talks about the value of hearing from other patients and carers in the first Patient Panel meeting and being invited to contribute to CVDPREVENT Steering Group meetings.
  12. Content Article
    Web-based personal health records (PHRs) have the potential to improve the quality, accuracy and timeliness of health care. However, the international uptake of web-based PHRs has been slow. Populations experiencing disadvantages are less likely to use web-based PHRs, potentially widening health inequities within and among countries. This study in the Journal of Medical Internet Research aimed to identify the predictors of awareness, engagement and use of the Australian national web-based PHR, My Health Record (MyHR). The study found a strong and consistent association between digital health literacy and the use of a web-based PHR. The authors suggest that improving digital technology and skill experiences may improve digital health literacy and willingness to engage in web-based PHR. They also suggest that uptake could be improved through more responsive digital services, strengthened healthcare and better social support.
  13. Content Article
    World Physiotherapy is the international voice for physiotherapy, representing more than 685,000 physiotherapists worldwide, through 125 member organisations. Recognising the lack of good quality evidence relating to Long Covid and physical activity, this briefing paper aims to support healthcare professionals to provide safe and effective Long Covid rehabilitation practice, research and policy. It recommends screening for post-exertional symptom exacerbation (PACS), cardiac impairment, exertional oxygen desaturation and autonomic dysfunction before exercise is recommended to people with symptoms of Long Covid.
  14. Content Article
    This article published by the Royal College of Nursing (RCN) aims to explain how health services in the UK protect patient safety during industrial action by nurses. It describes the principle of derogations, an exemption from taking part in strike action given to particular RCN members or services. Any RCN industrial action must follow the life-preserving care model. This exempts:  emergency intervention for the preservation of life or the prevention of permanent disability. care required for therapeutic services without which life would be jeopardised or permanent disability would occur. urgent diagnostic procedures and assessment required to obtain information on potentially life-threatening conditions or conditions that could potentially lead to permanent disability. The article goes on to explain the process by which derogations are granted, and talks about balancing the need to maximise the impact of the strike while keeping patients safe.
  15. Content Article
    It is important that patients understand both verbal and written health information, including clinical explanations, recommendations, instructions and educational materials. However, health information and services often are unfamiliar and confusing, and many people struggle with health literacy and numeracy. Taking steps to help patients understand health information is therefore important to patient engagement and patient-centred care. This checklist is designed to help healthcare providers evaluate their current approaches to ensuring patient understanding and identify potential gaps and opportunities for improvement.
  16. Content Article
    With 1.4 million people providing 50 or more carer hours a week for a partner, friend or family member, carers make a significant contribution to society and the NHS. NHS England has developed 37 commitments to carers spread across eight key priorities, that have been developed in partnership with carers, patients, partner organisations and care professionals. Some of the areas covered include: raising the profile of carers education and training person-centred coordinated care primary care This webpage contains information on: Supporting carers in general practice: a framework of quality markers How to identify and support unpaid carers Supporting commissioners End of year progress summary
  17. Content Article
    Policymakers are increasingly emphasising the role of health services in addressing social and economic factors that shape health, but guidance on how this should be done in practice is limited. This long read from The Health Foundation outlines a framework to understand potential approaches for NHS organisations to address social factors that shape health, focusing on local and regional action. It describes four categories of potential approaches, from more narrow interventions focused on improving care for individual patients, to broader partnerships to improve health of populations.
  18. Content Article
    This article tells the story of two-year-old Chloe, who died after hospital staff failed to recognise that she had meningitis, sending her home after her parents first took her to A&E. The NHS Trust carried out an internal investigation which identified many areas where care should have been better and set out a range of recommendations for improving care of children in A&E in the future. The Trust only apologised to the family after an out-of-court settlement was made.
  19. Content Article
    Realistic Medicine is Scotland's approach to a sustainable health and social care system. The Realistic Medicine Podcast shares the stories, experiences and projects of teams and communities across Scotland. In this episode, Dr Graham Kramer, National Clinical Lead for Self Management and Health Literacy, talks about health literacy and the importance of people being able to understand and engage in their own health and healthcare.
  20. Content Article
    A broken hip or ‘hip fracture’ is a serious injury, which each year in the UK leads to around 75,000 people needing hospital admission, surgery and anaesthesia, followed by weeks of rehabilitation in hospital and the community. The National Hip Fracture Database (NHFD) is an online platform that uses real-time data to drive Quality Improvement (QI) across all 163 hospitals that look after patients with hip fractures in England and Wales. This report highlights key research carried out using data from the NHFD in 2021, and makes a number of recommendations to improve treatment and outcomes for patients with hip fractures.
  21. Content Article
    In this blog, Saffron Cordery, Interim Chief Executive at NHS Providers, examines progress on the Government's manifesto pledge to build 40 new hospitals in England by 2030. Known as the New Hospital Programme (NHP), many of these projects are facing serious delays, with seven of the 40 not yet having a completion date. In a recent survey by NHS Providers, nearly two in three leaders said delays to the programme affected their ability to deliver safe and effective patient care, with all those facing delays reporting cost implications. Saffron highlights the opportunity the NHP presents to boost healthcare and renew services, and argues that the impact on communities will be huge if the new hospital plans are scrapped.
  22. Content Article
    During the Covid-19 pandemic there was a large-scale shift to remote consulting in UK general practice. In 2021, we saw a partial return to in-person consultations, which occurred in the context of extreme workload pressures due to backlogs, staff shortages and task shifting. This study in the British Journal of General Practice looked at media depictions of remote consultations in UK general practice at a time when general practice was under stress. The authors did a thematic analysis of national newspaper articles about remote GP consultations during two time periods: 13–26 May 2021, following an NHS England letter, and 14–27 October 2021, following a government-backed directive, both stipulating a return to in-person consulting. They found that newspaper coverage of remote consulting was strikingly negative and conclude that remote consultations have become associated in the media with poor practice. They recommend proactive dialogue between practitioners and the media to help minimise polarisation and improve perceptions around general practice.
  23. Content Article
    In this blog, Ted Baker, Former Chief Inspector of Hospitals at the Care Quality Commission, suggests that a false view that health services are intrinsically safe leads to defensive responses to safety concerns and perpetuates a culture of blame. He argues that the mismatch between safety as described and the reality of safety in practice prevents healthcare professionals being able to speak up about safety concerns. By taking an alternative approach that accepts the risk inherent in healthcare and the fallibility of individuals, he believes we can build organisations and systems that really learn from safety events. In order to do this, we need staff to feel able and supported to speak up, something that can be achieved through widespread understanding of safety society and building a supportive culture. Ted argues that this open culture is still lacking within many services.
  24. Content Article
    The last 10 years have seen substantial growth in medical devices that can help people with diabetes to manage their condition, including the development of automated insulin delivery (AID) systems. Regulatory approval has been granted for the first AID systems, and a community of people living with type 1 diabetes has created its own systems using a do-it-yourself approach. This consensus report from the Joint Diabetes Technology Working Group of the European Association for the Study of Diabetes and the American Diabetes Association offers a review of the current landscape of AID systems and recommends targeted actions.
  25. Event
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    It is essential that NHS teams are encouraged to educate the workforce about the digital services and products available across the vital area of wound care. Digital Health enables a speedier application, results in improved patient safety, and alleviates staff pressures. The foundational core of these emerging innovations is the essential need for the NHS workforce to understand how “Digital Transformation” works. Especially regarding wound care, as it is such an easily adopted and accessible route. This webinar featuring senior stakeholders across NHS England/Academic Health Science Network and industry will suggest a straightforward solution for the NHS to apply in combatting the wound care crisis, and how incredibly assistive and helpful it is. Register for this webinar
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