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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. Content Article
    Following the UK's exit from the European Union, the government aims to improve how medical devices and diagnostic devices are regulated through a new framework. The MHRA held a consultation on the future regulation of medical devices in the UK in autumn 2021 and this report outlines the government's response to the consultation. The consultation received 891 responses and aimed to collect views on developing a future legislation for medical devices which delivers: improved patient and public safety greater transparency of regulatory decision making and medical device information close alignment with international best practice, and more flexible, responsive and proportionate regulation of medical devices.
  2. Content Article
    Shared decision making involves ensuring patients are able to contribute meaningfully to decisions about their care. Healthcare professionals ensure patients are informed of the options available to them and fully involve patients in making treatment decisions. This report by the Patients Association sets out the views of 1,416 healthcare professionals on shared decision making, expressed in an online survey in Spring 2022. Respondents included GPs, consultants, specialist nurses and practice nurses. The survey found that most healthcare professionals are positive about shared decision making, but feel their ability to practice it regularly is limited by the current situation in the NHS. Many said that lack of time, gaps in the workforce and large caseloads prevented them partnering with patients to make decisions about treatment and care together.
  3. Content Article
    People with eating disorders often find it difficult to get help and treatment from the health system because of pervasive stigma, misinformation and stereotypes around eating disorders. In this blog, Hope Virgo, an eating disorder survivor and mental health campaigner, looks at the barriers people face when they try to access support, and talks about her own experience of being told she was ‘not thin enough for support’. She calls for long-overdue action on funding, training and awareness of eating disorders within the NHS.
  4. Content Article
    Finding out a patient's perspective about their care and treatment is a key part of shared decision making, but healthcare professionals do not always proactively do this in practice. This scoping review in the journal Patient Education and Counselling explored the extent to which the personal perspectives of patients are drawn out by clinicians during a consultation, as part of a shared decision making process. It reviewed studies in five databases about shared decision making. The authors found that studies reported low levels of healthcare professionals eliciting patient perspectives, The majority of content healthcare professionals and patients discussed related to physical health, with social and psychological topics mostly unaddressed.
  5. Content Article
    This survey conducted by the Care Quality Commission (CQC) explored the experiences of people who used community mental health services between September and November 2020. The results show that people are consistently reporting poor experiences of NHS community mental health services, with few positive results. Many people reported that their mental health had deteriorated as a result of changes made to their care and treatment due to the pandemic. Analysis also showed disparities in the experiences of people with different mental health diagnoses, and in the experience of people using different methods to access care, such as telephone consultations. On this webpage you can also access a benchmark report for each NHS trust, which provides detail of the survey methodology, headline results, the trust score for each evaluative question and banding for how a trust score compares with all other trusts.
  6. Content Article
    This study in BMC Health Services Research aimed to evaluate the impact of an Internet of Things intervention in a hospital unit. The Internet of Things refers to a network of physical objects that are connected by sensors, software and other technologies in order to transfer data and interact with one another. This study demonstrates the effects of smart technologies on patient falls, hand hygiene compliance rate and staff experiences. The authors reported some positive changes that were also reflected in interviews with staff. They identified behavioural and environmental issues as being particularly important to ensure the success of Internet of Things innovations in a hospital setting.
  7. Content Article
    Understanding health information (health literacy) is essential for taking medications correctly, knowing which health services to use and managing long-term conditions. Around half the population struggles to understand health information, and the most disadvantaged groups in society are most likely to have limited health literacy. Improving health literacy is therefore key to tackling health inequalities and improving health outcomes for everyone. This resource collection from the National Institute for Health and Care Research (NIHR) brings together messages from research highlighted in NIHR Alert summaries. It includes research on the impact of unclear health messages, how we can help people understand health information and which groups of the population may need extra support.
  8. Content Article
    Growing numbers of people are reporting being unable to make an appointment with an NHS dentist. This article by HealthWatch offers advice on how to find an NHS dentist and what to do if you can't find a dentist accepting new patients. It provides information on what to do in a dental emergency and about the cost of NHS dentistry.
  9. Content Article
    This editorial in BMJ Quality & Safety looks at the risks to patient safety posed by negative interpersonal interactions between healthcare professionals. The authors review a recent study on the subject by Linda Guo et al that revealed how and when these negative behaviours from staff may have an impact on patient outcomes and clinical performance. They highlight the huge scale of the impact of unacceptable behaviours, arguing that it is even greater than evidenced in Guo et al's research. They also highlight that there are other, largely unexplored impacts on healthcare workers, patients and their families when they are exposed to unacceptable interactions.
  10. Content Article
    In this video, Michal Seres, who lives with Crohn's disease, talks about his experience of living with an ostomy bag and how he came to develop his own tools to help manage his treatment. Michael established 11 Health, a company which aims to create a collaborative community of patients, healthcare professionals and researchers to develop digital health solutions for patients with chronic illness. Michael talks about the importance of including patients in developing devices and treatments, and how positive, supportive relationships foster collaboration.
  11. Content Article
    This Healthcare Safety Investigation Branch (HSIB) investigation explores medicines omission among patients with learning disabilities who are cared for in medium and low secure wards in mental health hospitals. A medicine omission is when a patient doesn't receive medicines that have been prescribed to them, and the investigation focused on a number of factors that could contribute to omission: the environment in which medicines administration takes place the availability and use of learning disability nurses in these environments the skills required for nurses to help patients with learning disabilities be involved in choices about their medicines. For it's reference event, the investigation looked at the case of Luke, who was detained in a medium secure ward of a mental health hospital. He spent 21 months on the ward before moving into a low secure ward at the same hospital, where he stayed for a further 11 months. Both wards were specifically designated for patients with learning disabilities. While at the hospital, there were a number of periods when Luke was not given the physical health medication he had been prescribed for his diabetes and high cholesterol. Although Luke’s medication record regularly noted that Luke refused the medication, Luke and his Mother disagreed with this version of events, stating that other factors led to Luke’s medicine omissions.
  12. Content Article
    This study in the journal Medical Devices: Evidence and Research aimed to assess health system experiences of implementing Unique Device Identifier (UDI) systems for medical devices. Although the US Food and Drug Administration (FDA formalised the Unique Device Identification System Rule in 2013, parallel regulatory requirement for US health systems to use UDIs is lacking. Through semi-structured interviews, the authors identified barriers to implementing UDI systems and strategies to overcome them.
  13. Community Post
    The comments below were all shared by members of Sling the Mesh in response to a call for the worst things that have been said to patients on their mesh journey. If you have had mesh surgery, please add your accounts of interactions with doctors and other healthcare professionals in this thread. Transvaginal mesh Hubby said "It’s really painful for her when we have sex." Dr replied, "Have you tried anal?" and then winked at my hubby. I thought my husband was going to punch the surgeon. My surgeon emailed me to attend mental well being therapy classes, as in ‘it was mind over matter’, for my pain and agony that I was suffering 12 weeks after insertion! You can only imagine my reply to her 😡 …10 weeks later she discovered under another general anaesthetic that the Mesh had cut right through my bladder! "You will have to learn to live with the pain… Drs are not miracle workers." Mine said, "l don't know why women over 50 want to have sex anyway!" Top urogynaecologist: "don’t worry you don’t have cancer" patting my knee. Surgeon said no way is it the mesh you are reading to much crap on the internet, it’s working that’s all you need to know. For a whole year, I was told by my implanting surgeon that the razor blade/ hot knife feeling cutting into me was all in my head… his registrar discovered that the mesh was cutting into my vaginal wall. When I questioned about the "tape " I was told it was not mesh & don't believe everything you read in Newspapers . Also my pain was in my head! It’s your menopause not the mesh 😡 “I just don’t understand why you have all this pain, Anatomically you look beautiful” followed by a laugh!! Mine told me I probably need hip replacements. Surgeon punctured my intestine during mesh surgery and said “well it’s probably good that happened because it caused you to rest in a bed for a month.” Uh… a hospital bed in which I almost died because he refused to admit he did anything wrong. My family had to demand an independent team come in and evaluate me… I would have been dead within hours if they hadn’t. I was SO relieved to find Sling The Mesh support group after hearing about it on the news (after the Cumberlege review) I wouldn't wish this sh*t on my worst enemy but I was SO glad to discover I wasn't going mad, its not all in my head, I wasn't the only person with complications. That evening I cried hard! Such a relief and source of support 🥰 What am I moaning about, your husband should be very pleased! I’m the only one to ever have anything wrong, it must be my body not the mesh! Your like a 21 year old down there now! Where would I start 🤔so many gems to choose from! .. one of my faves is.. "DO YOU HAVE ANY OTHER MENTAL ILLNESSES??" My surgeon told me that it definitely won't be the mesh that's causing my problems. I have learned since that he has received 6 figure sums from the mesh manufacturers for promoting it! I had a “specialist” that actually said to me “ look shit happens ..and it happened to you.” Don't be silly mesh doesn't cause leg pain. I have had 2 partial removals, drag my leg around daily, hip wear and tear, urine infections, have had E/coli infections in mesh with 7 times daily antibiotics. "It's all in your mind, maybe you need to speak to someone. " Yes a lawyer you fool. My surgeon said my mesh would last about ten years I asked what do we do then , he said we will worry about that when the time comes ! My urologist told me to stop looking at Sling the Mesh on Facebook 😂😂😂😂 and to believe the professionals!!! I stood up and walked out before I did him damage!!!😂 My surgeon said Chin up and have a glass of Prosecco. I was told "Surely it's a good thing when sex hurts a bit" After telling him for five years my new urinary issues were due to the mesh, I eventually got it removed due to erosion, but at my follow up being angry at not being listened to, he suggested I had PTSD and got referred to the psychiatric team! That is an insult to the poor people who do have it , I don’t I just had anger and vented it! One of the doctors at my surgery said “your to complicated, I cannot help you. Book another appointment to see somebody else” I was told that my GP practice could not help me as my problems are too complex. Looking at me, he said "I just don't understand how you could be in pain, I will refer you to a Psychiatrist". To my partner, he said "I've made her nice and tight for you". It’s your weight try exercise, when u can’t even walk. I asked my surgeon, is there a good mesh and bad mesh! He said there is NO bad mesh! Mine told me it was all in my head! That maybe I had a low pain threshold. My gynaecologist said stop 🛑 listening to the hype !!!!! 😡 Mine said, "You’re too fat for your hips." Has this all been brought on by the Mesh nonsense in the media!!! The first doctor suggested my problems were I needed more foreplay or a lubricant during sex after I said my husband feels something sharp when inside me!!! My original TVT had 'slipped'. My gynae surgeon said he would do a TVTO, a pelvic floor repair and a posterior pro-lift. At no point was the word mesh used and in my ignorance I thought he knew best, how gullible was I? It is in your head by so many over the years that you feel you are going mad 😡 as you know the pain your in. All in my head and then your too complex you must be imagining things you can’t be in that much pain. Your back has nothing to do with your vagina so how can your back pain be linked (female consultant). I have TOT mesh implant. Suffer with groin infection and fistula. After I had infection drained (unsuccessfully) I was seen by the gynaecologist, I mentioned that the infections were the mesh incisions in my groin ... he told me not to be silly .. that mesh is in the vagina not in the groin area .. he obviously only knew about tvt mesh not TOT.. I told him to go away and do some research... I didn't see him again!!!! I got told it’s not the mesh it’s were it should be and doing it’s job 😡. Also got told to stop looking and reading stuff in mesh groups as everything isn’t true 🤬 My surgeon said "Oh, so you are jumping on the Mesh bandwagon?" When I mentioned mesh because of my endless infections to yet another doctor at my previous surgery he said ‘as long as you’re nice, we look after people who are nice’. I was so taken aback I just couldn’t even answer- I’ve never been anything but nice through many surgeries and issues. I was told -“Nothing more we can do for you so will discharge you” Worst one was sent for testing STDs When we told my surgeon I could no longer have sex because it was too painful he said I had a duty to my husband so I should just put up with it. My husband was furious he said do you really think I could enjoy sex knowing my wife is in pain. My surgeon told me he had only one women with mesh had problems and she was "neurotic"... Surgeon Quote “you can’t be in that much pain its a standard operation ?” Surgeon Quote “ It must be sciatic pain, I’ll get an orthopaedic doctor to look at you and send you home!” Another mesh specialist “it’s blue and it’s eroded but majority of women are fine I don’t understand why you can’t walk anymore your infections and blood in urine must be due to a bladder infection!” Diagnosis in 2018 Mesh cut through obturator nerve, put in to lateral too tight, too much pressure on urethra and permanent pain and damage. I was treated in a very misogynistic way even though I have my husband present. Just ignored every time I mention it, no matter who it is. “You are an awkward patient…” "‘You're to old to have pain there." "It can't be the mesh causing you pain, I've inserted lots of these and your the only one who has complained!!" (2017) mesh inserted 2014. “You can’t believe what you hear in the news about other people having mesh problems, after all, I am the trained consultant…” 😥🤦‍♀️ It’s just the menopause, you will get used to it. “Your mesh is the gold standard, it is the old mesh that causes problems.“ “Your mesh just needs time to seed itself in.” “ I don’t know why you can’t have a sex life, there is enough room for a penis.” My implanting surgeon's response to my second visit following tvt implant was to take a cursory look in my vagina and pronounce all was fine. I have learned this response is common amongst patients who've had mesh complications. By this time I was peeing to the left and pooing to the right like some sort of sick trick. I likened it to turning up at A and E with a broken arm and the doctor not ordering an X ray. I later learned the mesh and resultant scar tissue had pulled my organs this way and that. I've just undergone my fifth and hopefully final operation to remove excessive scar tissue, small fragments of mesh after two full removals and perineum reconstruction. Surgeon suggested I see a shrink because he thought it was all in my head. “Go home and try to relax more” 😲 Neurologist -if you go see enough doctors you will eventually hear what you want to hear. There are so many shockers, but the worst has to be, "Prescription pads are expensive and patients like you are not worth the cost of a prescription" "It's all in your head nothing has snapped or eroded, you have to be patient with the incontinence settling down." GP listened to me telling her the unbearable vaginal pain I was going through feeling like glass cutting into me. She looked at me and said, "But why are you here today?" The cost of your catheters is too expensive for the NHS, we would like you to change to washable catheters 😲 It's all in your mind, you need anti depressants, and motivate yourself. A urologist that I had sought help from privately having walked out/discharged myself from care of implanting surgeon, "I sit on a board looking at mesh but I personally don’t believe any of this stuff you read on the internet . Mesh cannot cause such problems.“ “You must just have been coincidentally prone to interstitial cystitis and retention” Eye rolled as she said, “You shouldnt believe everything you read on the internet. Mesh is perfectly safe…” "This is a gold standard operation, it will be life changing." Well yeah, it was life changing but not in a good way. When I told the specialist how painful it was when my husband tried to put his penis in to have sex, he said , "Is he putting it in right?" We'd been married 36 years. I was told to massage it better My implanting surgeon said she "fixes up other surgeons mistakes" after putting mine in too tight and having to loosen it a year later. Mine told me I had a "good quality of life. Just to go home and get on with it." Surgeon said my operation was Tape is like a FREE TUMMY TUCK…” My favourite, "it’s your body that’s at fault!!!" “It can’t possibly hurt every time you urinate, that's an exaggeration surely.” Mine said, “Off the record, if you complain about this no-one will want to work on you in the future” Surgeon said, "If the mesh is still in place its doing its job" 🤬 I only brought it up to my surgeon once. He told me “not to believe I’m everything in the papers. Some women are just after a payout.” Surgeon said, “In 12 years I have never had anyone else complain so it cant be the mesh.” Blatant lie in 2016 as another patient at end of communication tether was busy putting warning flyers in his waiting room. Said in an abrupt tone, ”I doubt the pain is from the mesh it all stories from media and internet.” “You have been reading too much on the internet.” Well yes I have because from 3 days after the operation when I said something was horribly wrong you were telling me to go away and heal or that it could not possibly be the tape… thank goodness I googled TVT pain or I would never have found this group and thousands experiencing similar pain and disgusting treatment like me. Implanting surgeon “you’ll learn to live with it!” Consultant: "I've been to a conference and told some of colleagues about some of your problems and they said poor you, we're glad she's not our patient." "There's nothing there, it's not mesh!" Saw somebody else who could feel the mesh hanging out straight away. 😥 "It’s not mesh it can’t do this you’re wrong it’s your hip, go away and lose weight and exercise." Female GP after I’d read medical documents saying it can 😡 I was told I was having surgery with a dissolving hammock and medical records show no mention of MESH. "Oh it's you again!! I told you before it's not the TVT. You must be lonely or looking for attention." 😡 Surgeon said to stop listening to group (Scottish Mesh Survivors) as he was the expert with experience not a group of people who knew nothing!!! I asked why I was in so much pain and was told it was because I wasn't in a sexual relationship! "This has only ever happened to you. .... your body is to blame." Before I had my surgery (vaginal hysterectomy with anterior & posterior repair), the surgeon said he would sew me up "nice & tight" and actually winked at my husband!! Well, we haven't been able to have intercourse for 10 years since my op, despite physio, hormonal lubrication etc and I'm now on a waiting list (5 yrs so far) to see a sexual psychologist, cos it's all in my head of course. I ask him if the mesh he used was the same one they talked about on the tv program. He said no so I got him to write it down. When I got home I checked and it was the same polypropylene.. It’s got nothing to do with the mesh the pain is in your head 😡 My surgeons exact words to me, thankfully my husband was present... "I’m sick of all these women jumping on the mesh bandwagon. My surgery was a success. Your bowel is perfect. But if you think the mesh is to tight, I’ll open you up, detach the mesh from your spine, let it drop & put another piece of mesh over the top & reattach to your spine. You’ll be my first but I’ll give it a go!" Just to add, since removal of mesh I’m 80+% improved & my quality of life is really good. I was told I was one of the unlucky ones. He told me I needed to stop running all over the country trying to find a Dr who could help me even though He had not help me in five years. There is no cause for your pelvic pain! A pessary will fix you! Maybe stop going on social media! I’ve had a lot of problems since my removal of a TVT last August with extremely limited after care and no follow up appointments what so ever. When I did eventually get a telephone appointment I got upset because of the amount of issues I’ve had with no one to turn to for any help. Her reply was, "well you were warned that you could end up worse than before if YOU chose to go ahead with having it removed." My reply, "Yes I knew there was a risk of even more issues, as if I wasn’t having enough already… but what however was not explained was that there would be absolutely zero help with those issues if they did occur, no one to contact or answers to emails and voice mail messages…" She went very quiet after that. I was trying to find out if mesh had been used in my op & the surgeon said, "People see one Victoria Derbyshire program and panic." My female implanting surgeon told me she’d never had any problems with any other patients. She then told me it was a skin problem and gave me some cream then discharged me. She’d already discharged me and I asked my GP to go back and see her. My female GP kept telling me it was the healing process and to give it time. After months and months of me going back with pain and UTIs she started to get really sharp with me so I stopped going. Rectopexy mesh My surgeon said when I said my vagina was very tight and painful for intercourse that his wife would love an excuse like that not to bother. I got no referral elsewhere to investigate. Had no physical relationship for 11 years. Mine laughed in my face saying, "Don't be stupid I've done over 280 rectopexy surgeries and never once had a problem. This isn't mesh related." "If I take some of this out, you will HAVE to have a colostomy bag for life." No choice given. My implanting surgeon referred me to his colleague who was a pain specialist... the pain specialist said, "Its your periods you need to go into medical menopause." I was around 36 at the time. I was told it wasn't the mesh that was causing problems and to take ownership of situation. Mesh all removed now left with permanent stoma 😫😡 When I called my bowel specialist in agony and in desperate need of help. "Aww hun I wish i could just give you a hug." My GP said, "Some pain is unexplainable, you just have to live with it." 😡 Bowel specialist said you need rectopexy repair and don’t believe the hype about mesh. They said smoking was good for you in WW2... WHEN I QUESTIONED THE CHOICE OF MESH Hernia mesh On the day of my operation, the general surgeon didn’t want to do the removal, he denied my Physiomesh had been recalled in May 2016. I had to show the link on the government site, so my plastic surgeon believed my symptoms could be related to the mesh and agreed the operation was necessary. Mine told me these groups were filling our heads with rubbish. They are full of hysterical men and women. Was told I was the only one with these issues, never had issues like this before. Told me it was all in my head. Told mesh can't cause all of these symptoms. The groups have been the biggest support to me. I finally felt normal as in I wasn't alone. This wasn't in my head. It was a sigh of relief to find the groups. A hospital consultant said, "Hernia mesh can't cause these problems." (inflammation, autoimmune, joint pain, muscle pain, allergies, Lichen Sclerosis, etc.) "You're getting confused with vaginal mesh". "If hernia mesh were a problem, I would've heard about it and I've not seen one single case in my entire career... don't you think I would've heard if there were problems?" After I persisted in telling him the scale of the problem he then raised his voice and said, "You'll never prove it." And that spoke volumes! I guess he is still staying he has never heard of a single case. He also told me to stop believing what I read on the internet. “It’s not THIS mesh that’s on the news. THIS is a great product.” (The very next year THIS mesh was recalled).
  14. Content Article
    Mental and physical health are closely related, and people who live with long-term physical conditions are twice as likely to have poor mental health as those who do not. The Covid-19 pandemic is likely to have increased this trend. This report looks at the lived experience of people living with long-term conditions, their family members and the healthcare professionals who work with them, to understand the relationships between having a long-term illness and people’s emotional and mental wellbeing. It aims to identify ways of improving people’s experiences and outcomes. The report covers: the impact long-term conditions can have on people, their relationships and jobs. what helps people deal with this impact. what support is already available and works. what needs to change to better emotionally support people living with long-term physical ill-health. This report was coproduced by National Voices and Centre for Mental Health, with support from a range of long-term conditions charities.
  15. Content Article
    In a 2021 survey conducted by the Federal Aviation Administration (FAA), 35% of engineers working for the aviation company Boeing said they couldn’t raise safety concerns without interference. As a result, US aviation regulators are opening a new review of Boeing. This article in the Irish Times outlines the issues faced by Boeing staff and the reasons for the FAA's concerns.
  16. Content Article
    Cheshire and Merseyside Health and Care Partnership has published this consensus document on the interface between primary and secondary care. It aims to ensure healthcare providers ensure access to the right care to give patients the best outcomes. It contains a set of clinically-led principles to ensure pathways have a common structure of good quality, patient-centred communication. It includes a number of guiding principles that encourage staff to ensure: the patient is at the centre of decision making actions taken are completed in a timely way actions are undertaken by the most appropriate individual or team decisions and actions are understood by all.
  17. Content Article
    Collectively, allied health professionals (AHPs) are the third largest clinical workforce in the NHS: there are 185,000 AHPs working in 14 professions across the spectrum of health and care, education, academia, research, the criminal justice system and the voluntary and private sectors. This NHS England strategy is for the whole AHP community, including support workers, assistant practitioners, registered professionals, pre-registration apprentices and students. It aims to reflect how AHPs work in multidisciplinary teams, so that the AHP community working in a variety of health and care sectors can use it to continually improve and redesign services.
  18. Content Article
    Many people with Long Covid experience varying levels of long-term cognitive impairment, but the causes of this are not well understood. This preprint longitudinal observational study aimed to identify links between cognitive impairment and different biomarkers in people with Long Covid. The authors reported the findings of 128 prospectively studied patients who had tested positive for Covid. They looked at: lung function, physical and mental health at two months post diagnosis. blood cytokines, neuro-biomarkers and kynurenine pathway (KP) metabolites at 2-, 4-, 8- and 12-months post diagnosis. The study identified that KP metabolites were significantly associated with cognitive decline and could therefore offer a potential therapeutic target for treating cognitive impairment related to Long Covid.
  19. Event
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    Unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in health care systems across the world. WHO Patient Safety Flagship has initiated a series of monthly webinars on the topic of “WHO Global Patient Safety Challenge: Medication Without Harm”,. The main objective of the webinar series is support implementation of this WHO Global Patient Safety Challenge: Medication Without Harm at the country level. Considering the huge burden of medication-related harm, Medication Safety has also been selected as the theme for World Patient Safety Day 2022. Ensuring medication safety in polypharmacy is one of the critical challenges in medication safety. Inappropriate polypharmacy has been described as a significant public health challenge, as it increases the likelihood of adverse effects, considerably impacting health outcomes and expenditure on health care resources. Countries need to prioritize raising awareness of the problems associated with inappropriate polypharmacy and the need to address this issue. All stakeholders have a vital role in driving change for the management of polypharmacy. At this webinar, we will introduce the WHO technical report on “Medication Safety in Polypharmacy”, and experiences from different countries and organizations will be shared on the proper management of polypharmacy and the factors that influence appropriate polypharmacy. The session will be available in English, French and Spanish. Register for the webinar
  20. Content Article
    Since the Covid-19 pandemic, staff shortages have worsened in health systems around the world, with an increasing number of healthcare workers leaving the workforce coinciding with increased patient demand. In this blog, Jens Hooiveld, International Marketing Manager at the Patient Safety Company, examines the patient safety issues caused by staffing shortages. He highlights tools that can help nurses manage patient safety in this pressured climate by decreasing the burden of admin associated with reporting adverse incidents.
  21. Event
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    The Faculty of Clinical Radiology has developed guidance on the duty of candour with the aim of providing radiologists with guidance and real-world examples on the implementation of the duty of candour. The document recognises the unique circumstances faced by radiologists and all who work in imaging. It is not possible to provide guidance for every situation, but the aim is to provide an approach which will help colleagues navigate an unfamiliar process in the best possible way for our patients and the professionals who care for them. The Royal College of Radiologists is hosting a webinar to discuss this new guidance and answer any queries. Please submit any questions in advance to guidance@rcr.ac.uk by Friday 24th June to ensure we are able to answer as many as possible. Register for the webinar
  22. Content Article
    This guidance from The Royal College of Radiologists aims to provide radiologists with guidance on how to implement the duty of candour, recognising the unique circumstances they face. It includes real-world examples and provides an approach which will help radiologists navigate an unfamiliar process in the best possible way. The guidance covers: The principles of candour Why this can be difficult in a radiological context Candour in different situations (reactive and proactive candour) and departmental disclosure policies Candour processes in practice The difference between discrepancy assessment and education/Radiology Events and Learning Meetings (REALM) Specific considerations (interventional radiology and remote reporting within an imaging network).
  23. Content Article
    Staying in hospital can be a frightening experience for people with diabetes. In 2017, an estimated 9,600 people required rescue treatment after falling into a coma following a severe hypoglycaemic attack in hospital and 2,200 people suffered from Diabetic Ketoacidosis (DKA) due to under treatment with insulin. This report by Diabetes UK outlines the patient safety issues and suggests the following measures are needed to make hospitals safer for people with diabetes: multidisciplinary diabetes inpatient teams in all hospitals better support in hospitals for people to take ownership of their diabetes better access to systems and technology more support to help hospitals learn from mistakes strong clinical leadership from diabetes inpatient teams knowledgeable healthcare professionals who understand diabetes.
  24. Content Article
    This report by NHS Confederation looks at the lived experience of senior black and minority ethnic leaders in the NHS. It is based on the findings of a survey and series of roundtables conducted by the BME Leadership Network in spring 2022, which focused on the challenges BME leaders face in relation to racism and discrimination as they move through their careers. The report highlights that: More than half of surveyed BME NHS leaders considered leaving the health service in the last three years because of their experience of racist treatment while performing their role as an NHS leader. Colleagues, leaders and managers seemed to be a particular source of racist treatment, more so than members of the public. This is concerning, given that the NHS has been prioritising equality, diversity and inclusion activities in recent years. This suggests that more focused efforts are required at every level to reduce the incidence of racist behaviour and to improve awareness among all staff of the impact of this type of discrimination. Only 10 per cent of leaders surveyed were confident that the NHS is delivering its commitment to combat institutional racism and reduce health inequalities. Senior BME staff reported low levels of confidence in their own organisations’ abilities to manage and support a pipeline of diverse talent and in the ability of the system to achieve this at a national level. Only a minority were confident they could rely on the support of colleagues to challenge racial discrimination, and a smaller minority believed they would be supported by NHS England and NHS Improvement if challenging prejudice or discrimination locally. Leaders described how structural and cultural issues within the NHS led to a situation where BME leaders were not present in sufficient numbers to generate a climate of inclusivity and were sometimes siloed in particular types of role. This helped to create a situation where career progression was felt to be unduly challenging and where neither succession planning nor talent development were occurring at sufficient scale to support the next generation of diverse leaders. Some leaders reported policing their own behaviour in the workplace and compromising their values in order to fit in. Being able to represent their own cultures and be themselves at work was a critically important goal for many. The report outlines that it is essential that BME leaders are able to see effective development programmes to support diverse talent, and that they are provided with the right support to feel secure in calling out unacceptable behaviour. It highlights that the NHS needs to do more to tackle cultures of discriminatory behaviour, provide personal support to current and aspiring leaders, and develop succession planning and talent development schemes.
  25. Content Article
    With waiting lists for gynaecology having grown by 60% since before the pandemic, many women are being left to cope with conditions like endometriosis, fibroids and prolapse on their own while waiting for NHS care. In this article, four women describe how NHS waiting lists and attitudes to gynaecological symptoms have left them living with severe pain and feeling like their health is not being taken seriously.
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