HelenH
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Everything posted by HelenH
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Community PostThat sounds fascinating and valuable. Might you write a blog for us on your work? Maybe reflections on the impact of your work at Leeds, Birmingham and Glasgow ? Helen Do contact me on [email protected] if you'd like to follow up.
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Community PostHi Susie, I'm so sorry to hear of your ghastly experience. How absolutely terrifying for you. It seems clear to me that you weren't given the information you needed to give informed consent or the options for pain relief which should have been available to you. We've been reflecting the same as you, this does seem to be a gender issue. The recent Cumberlege report 'First Do No Harm' reflects on the patient safety issues that affected women over decades. It's not good enough. Thanks for sharing your story; further resolve for us to continue supporting patient groups and the campaign to end such barbaric practice. @Stephanie O'Donohue
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Content Article CommentHi Derek, You describe a frustrating and lonely path for innovation. @Clive Flashman any suggestions of where Derek could promote this approach? Helen
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Content Article CommentHi @Derek Malyon Thank you got this, really interesting. Do you know of any work being taken forward in this area? This approach would not only provide a feedback loop that would highlight activity omissions but would place the consenting patient at the heart of decision making.
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Community PostThank you so much for sharing your overall positive experience. So pleased it went well - the advice and support you received seemed spot on. I too am fascinated with seeing bits of me on screen! Fingers crossed for confirmation of a positive result. I don’t know if you’ve heard of Care Opinion? They’re a great charity and they enable and encourage patient feedback to inform staff - to commend good practice and help identify the need for improvements in services, where needed. In case you’d like to follow up. thank you again. Let’s make sure everyone has your experience. Helen
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Content Article
2020 has been a strange year, and a very difficult one for many around the world. Along with organisations everywhere, we at Patient Safety Learning have had to adapt how we work due to the COVID-19 pandemic. Though our working environments and areas of focus have changed, our goals as a charity have not. We continue to be an independent voice, committed to working in partnership to improve patient safety. -
Content Article CommentHi Sally Hope you're well. Thanks again for another great blog. Very useful! My husband and I do go on very long walks - rather muddy now we're into autumn. Praise to criticism ratio of 5 to 1. Gulp, not sure whether I achieve that. Especially with my young adult kids!, Helen
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Community PostHi @Natalie Sullivan Thanks for the question. There’s progress. Simon Stevens replied and following his announcement that outlined his 5 point action plan. NHSEI have since issued guidance to CCGs and NICE have issued their scope for guidance they’re developing. It’s progress but the clinics aren’t up and running - they’ve set a deadline of end November. These should be developed in light of the national guidelines. We’ve included all these resources on the hub (see links below). I’ve been asked to join the longcovid task force so will be able to update on the hub. Hope that helps. Do come back with comments/questions. Helen National guidance for post-COVID syndrome assessment clinics (6 November 2020) Your COVID Recovery guidance (6 November 2020)
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Community PostThanks @Emmyloow It's good to hear of your experience. We're very keen that all patients have access to advice that can help them make an informed decision. As you say, some women are fine with it and it's important that people aren't unnecessarily concerned. You make a good point about managing the risks and especially in times of covid. Thanks again ' '
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Content Article CommentThanks for posting Steve. Truly shocking. I’ll read the full report and try and answer your questions!
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- After action review
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Tagged with:
- After action review
- Care home
- Clinical governance
- Criminal behaviour
- Investigation
- Leadership
- Older People (over 65)
- Organisation / service factors
- Organisational culture
- Organisational Performance
- Patient harmed
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Community PostA fascinating post, thanks @Keith Bates I’d love to find out more. Maybe we could do an interview with you and share on the hub? Would also be interesting to connect with AI people, how these issues are considered in systematising of decision making. @Richard Jones @Clive Flashman Might you be interested too?
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Community PostSafety is always a systems issue! Need to design safety into the development of new ways of working and be clear how to assess variance - to learn about refinement of the product/process, how to ensure effective and safe implementation and with transparent reporting and learning - if things go wrong and from good practice. Are their patient safety design standards for software development?
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Community PostReally good questions! Looking forward to sharing insights. Very excited about our collaboration @Richard Jones @Clive Flashman I'm really keen to explore how do we know that AI is safe? And also, how AI can make us safer. We know that diagnostic errors is a huge issue and frankly not one that is getting enough attention in the patient safety community. Too big and scary an issue? This is a useful intro and refers to the monumentally good and scary IOM report in 2015 on Diagnostic Errors. https://psnet.ahrq.gov/primer/diagnostic-errors Definitely something to find out what's going on in this area and what more is needed. Brilliant to have you on board. Let's get the LinkedIn groups engaged too Helen
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Content Article CommentHi Lorri Thank you so much for your latest (and now, last) blog. I've learned a lot and they always have given us an interesting perspective. Who'd have thought we'd have been reflecting on the impact of Covid 19 on the physician/patient relationship and safety issues? That was a 'stand out' article for me from this month. Best wishes from us all at Patient Safety Learning and thanks again for your fascinating insights. @lzipperer
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Content Article Comment@Jon Holt Spot on ‘This is because investigations often stop at the point of identifying what went wrong and how rather than focusing on the working conditions, environment, team dynamics, culture and other human factors / systems factors which need to be explored to identify why things went wrong and generate meaningful solutions. ‘ How can we make the changes needed @Katrina and @Jerome P? @Claire Cox suggested on Twitter this weekend a network of PS Managers. That would help amplify the voices for change and to share good practice and ideas.
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Content Article CommentVery well made points. I think the new SI framework is indeed intended to address the 'hamster wheel' approach. It would be good to hear from the pilot sites how they've approached the challenges you outline and the approach to taking appropriate action - evaluating and sharing the impact of quality improvements. Would be great to get these on the hub. Will be of interest to you, I'm sure @Jon Holt
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Community PostThanks @Jon Holt I was really taken by your comment 'I think the idea is that trusts do too many investigations of poor quality with a RCA conveyor belt approach and their should be fewer high quality investigations undertaken by staff with specialist skills. ' Think that resonates with @Claire Cox too. And the opportunity to use insights from near misses/patient feedback/low harm events to lead to improvement. Will be fascinating to hear the outcome of the pilots and how the framework can be implemented so that we maximise the value for learning and action. And of course we'd love to be able to share the (suitably anonymised) learning and action on the hub.
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Community PostHi Kelly, sorry to hear that the ‘you must have been hospitalised’ restrictions are in place
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Community PostThanks Andrea. Very helpful. We’ll follow up with COVID-19 Multidisciplinary Rehabilitation Workforce Not come across them before
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Community Post@Sally A and others on longcovid support groups are highlighting that they are paying privately to access services as they are not getting referred from the NHS for the support they need. Are there others who have chosen to do this? Surely access to much needed services shouldn’t be dependent on the ability to pay for them?
