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Mark Hughes

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Everything posted by Mark Hughes

  1. Content Article
    Improving patient safety during anesthesia and surgery is a major public health issue, with safety standards varying from country to country. Anesthesia safety is often hampered by complex problems in low income countries. This survey assesses the unmet anesthesia needs in Ethiopia. The author concludes that anesthesia safety in Ethiopia appears challenged by substandard continuous medical education and continuous professional development practice, and limited availability of some essential equipment and medications. The study states that while patient monitoring and anesthesia conduct are relatively good, World Health Organization surgical safety checklist application and postoperative pain management are very low, affecting the delivery of safe anesthesia conduct.
  2. Content Article
    Produced by the ME Action Network, this is a form that patients with Myalgic Encephalomyelitis (ME)/Chronic Fatigue Syndrome (CFS) can complete for subsequent use by hospital staff. It aims to provide a better understanding of their symptoms and any medications they may be taking when admitted either for planned treatment, such as an operation, or in an emergency.
  3. Content Article
    This systematic review, published in the International Journal of Environmental Research and Public Health, looks at different support resources in healthcare organisation that are available to healthcare professionals who have been involved in a patient safety incident. The authors identify a range of challenges to the implementation of these, including persistent blame culture, limited awareness of program availability, and lack of financial resources.
  4. Content Article
    The Covid-19 pandemic has resulted in dental treatments having to be planned and carried out with extreme caution, with dental facilities and staff adapting to put in place appropriate infection control measures and safety precautions. This article, published in Patient safety in surgery, provides a summary of precautionary and prophylactic measures in preventing the cross-infection and the nosocomial spread of the infection in a dental setting.
  5. Content Article
    In this webinar recording Tim McDonald, Chief Patient Safety and Risk Officer at RLDatix, and Phil Taylor, Chief Product Officer at RLDatix, describe a paradigm shift in the approach to preventing and responding to patient harm that includes establishment of a psychologically safe culture and management of harm that includes the benefits of providing effective empathic peer support for health care workers involved in harm events. They also emphasise the importance of the need to integrate the concepts of high reliability and human factors safety science into these compassionate patient safety efforts.
  6. Content Article
    Never Events are defined by the NHS as patient safety incidents that are wholly preventable where guidance or safety recommendations that provide strong systemic protective barriers are available at a national level and have been implemented by healthcare providers. This study considers how effective using of the absolute number of Never Events that take place at English hospital trusts, without accounting for hospital workload, is for judging their underlying safety performance and safety culture. In its conclusions the authors suggest that there are flaws in the current approach regulators take to using Never Events data to judge hospital performance.
  7. Content Article
    In this video, Tim McDonald, Chief Patient Safety and Risk Officer at RLDatix, Paul Bowie, Programme Director (Safety & Improvement) at NHS Education for Scotland, and Helen Hughes, Chief Executive of Patient Safety Learning, talk about the relationship between human factors, high reliability in healthcare and patient safety.
  8. Content Article
    Psychological safety (speaking up about ideas and concerns, free from interpersonal risk) is essential in high-risk environments, such as healthcare settings. This study, Enhancing psychological safety in mental health services, considers this issue within the context of mental health services. It provides an overview of the types of strategies and interventions for increasing the ethos of psychological safety and setting the foundations for delivering an organisation-wide programme on this topic. It also lists of key targeted areas in mental health that would maximally benefit from increasing psychological safety, both in clinical and non-clinical settings. Psychological safety as a cornerstone of improvement: blog by Joe Rafferty, Mersey Care Psychological safety and the critical role of leadership development (McKinsey and Company) The role of psychological safety in diversity and inclusion (Amy Edmondson) Three ways to create psychological safety in healthcare (Institute for Healthcare Improvement)
  9. Content Article
    Continence is an important component in a person’s health and well-being at any stage of life. This guidance from NHS England and NHS Improvement is intended to assist commissioning discussions for those developing high quality community continence services while also providing practice guidance for providers and health and social care staff to help ensure people receive excellent continence care consideration.
  10. Content Article
    UK-based charity Versus Arthritis are campaigning to ensure that the needs of people with arthritis are prioritised by policymakers as plans for the COVID-19 recovery are developed. As part of this work, in this report they set out a six-part support package to help to meet the needs of people with arthritis who are on surgery waiting lists.
  11. Content Article
    This webinar is part of Global Patient Safety Webinar Series 2021 and focuses on the third WHO Global Patient Safety Challenge: Medication Without Harm. The webinar presents on overview of the Challenge, technical tools and resources to support its implementation and different approaches to implement the challenge at national, subnational, facility and community levels. A recording of the webinar is available below.
  12. Content Article
    This is an analysis of medication errors from January 2018 to December 2019 reported at a university teaching hospital in Riyadh, Saudi Arabia, aimed at identifying whether medication errors are significantly different between day shifts, night shifts, during weekdays and weekends. It found that there was a statistically significant difference between medication errors and day of the week, with a higher number of medication errors happening at the weekend. It also found that during weekends, medication errors were more likely to occur at the night shift compared to the day shift. The authors suggest that timing of medication errors incidence is an important factor to be considered for improving the medication use process and improving patient safety.
  13. Community Post
    Today NHS England and NHS Improvement have published their new Long Covid Plan 2021/22 which outlines 10 key next steps to be taken by the NHS to support people living with Long Covid. This includes some new proposals such, including: Expanding the services available on the Your Covid Recovery platform "to allow anyone with symptoms to access a range of symptom management advice without needing a referral from a clinician". Establish 15 Long Covid assessment children and young people’s hubs across. What are your thoughts on the proposals in this new plan?
  14. Content Article
    The Long Covid Plan 2021/22 builds on the previous five-point plan announced in October 2020 and outlines 10 key next steps to be taken by the NHS to support people living with Long Covid. The plan highlights the need for equity of access, outcomes and experience in Long Covid support, as well as committing to extending the Your COVID Recovery website, collecting and publishing data.
  15. Content Article
    This blog looks at how positive reporting of good practice and success can help support health systems and organisations in their journey to become highly reliable and improve patient safety. This is part of a joint series of blogs and video conversations exploring how we can improve patient safety through the application of principles of high reliability in healthcare, made collaboratively by Patient Safety Learning and RLDatix. 
  16. Community Post
    Patient Safety Learning have published today a new blog which sets out the key points included in our response to the consultation: https://www.pslhub.org/learn/patient-safety-learning/patient-safety-commissioner-for-scotland-consultation-response-patient-safety-learning-r4739/
  17. Content Article
    The Global Patient Safety Action Plan aims to provide a strategic direction for concrete actions to be taken by countries, partner organisations, care facilities and World Health Organization (WHO). It sets out a vision of a “world in which no patient is harmed in healthcare, and everyone receives safe and respectful care, every time, everywhere” and a goal of achieving the maximum possible reduction in avoidable harm as a result of unsafe care.
  18. Content Article
    In this report, Exploring Freedom to Speak Up: Supporting the introduction of the Freedom to Speak Up Guardian role in Primary Care and Integrated Settings, the National Guardian's Office illustrates the challenges and benefits of implementing Freedom to Speak Up in different primary care settings. In 2019, the National Guardian’s Office began a two-year project working with primary care providers to understand how the Freedom to Speak Up Guardian role could be introduced in primary care and integrated settings. This report describes some of the variety of organisations, and the different Freedom to Speak Up models they have adopted.
  19. Content Article
    On Wednesday 10 March the Health, Social Care and Sport Committee of the Senedd Cymru - Welsh Parliament held an evidence session on Long COVID. They heard from the patient group Long COVID Wales, academics and professional bodies.
  20. Content Article
    This is a video recording of a oral evidence session of the All-Party Parliamentary Group (APPG) on Coronavirus into the effects of Long COVID in children. This session took place during Long COVID week (11-15 January 2021), which aimed to highlight the experiences of the hundreds of thousands of people living with Long COVID in the UK.
  21. Content Article
    Antipsychotic drugs are most commonly prescribed for behavioural and psychological symptoms, such as aggression or hallucinations, in people with dementia. This webpage from the Alzheimer's Society provides information on the prescription of these medications for people living with dementia, their potential side effects, and tips for carers when discussing these treatments with healthcare professionals.
  22. Content Article
    This was a debate in the House of Lords on the 2 March 2021 concerning the UK Government's plans regarding a redress scheme for those harmed by sodium valproate, stemming from recommendations in the First Do No Harm Report by the Independent Medicines and Medical Devices Safety Review chaired by Baroness Cumberlege (also known as the Cumberlege Review).
  23. Content Article
    This good practice guide was been developed in consultation with an advisory group of leading clinicians specialising in dementia. It aims to provide evidence-based support, advice and resources to a wide range of health and social care professionals caring for people with dementia who have behavioural and psychological symptoms. It has been designed to be a practical, informative tool, with an emphasis on alternatives to drug treatment.
  24. Content Article
    This population-based study of all Ontario nursing home residents found increased prescribing of psychotropic drugs at the onset of the COVID-19 pandemic that persisted through September 2020. Increases in prescribing were out of proportion to expected secular trends, and distinct from observed prescribing changes in other drugs during the pandemic. The authors suggest that the findings underscore the urgency of balancing infection prevention and control measures in nursing homes with the mental wellbeing of residents.
  25. Content Article
    Antipsychotic drugs are used to treat agitation, aggression, and psychosis in dementia when alternative strategies have failed. Their use has been reduced because of concerns about safety and limited efficacy. Drawing on data that the NHS publishes on a monthly basis on patients registered with a dementia diagnosis in England, this article considers evidence of an increase in antipsychotic prescribing to people with dementia during the COVID-19 pandemic.
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