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Clive Flashman


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5 Novice


About Clive Flashman

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  • Last name
  • Country
    United Kingdom

About me

  • About me
    I'm leading on the development of the hub for Patient Safety Learning. I have a background in patient safety, having worked at the National Patient Safety Agency from 2002 to 2007, designing and leading the development of the NRLS. So looking forward to sharing this bold expriment with you all!!
  • Organisation
    Patient Safety Learning
  • Role
    Chief Digital Officer

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192 profile views
  1. Content Article Comment
    A really great article and so important that we are reminded to use language that everyone can understand, it's so easy to lapse into those TLAs (three letter acronyms!!!)
  2. Community Post
    Thanks for sharing this @Keith Bates Do you think that along with some commentary this ought to go on the Learn section too?
  3. Community Post
    Hi all, do you think you could help with this. You all have investigation of some form or another as part of your job. @Gethin, @Bryony Cairnes, @Keith Bates, @Gill T, @Helen Jones, @ZMunson, @mattmansbridge, @Amanda, @Helen W All contributions most gratefully received!! Thanks, Clive
  4. Content Article Comment
    This is really useful! Thanks so much for sharing it
  5. Community Post
    Interested to hear from people that actually do this as part of their role and what their views are.... @Gethin, what do you think?
  6. Community Post
    Thanks for drawing my attention to this @HelenH. It's interesting that among the aims of the new AI Lab, are two that are loosely linked to safety of some kind, albeit not Patient safety as we would normally view it. It is mentioned in the Exec Summary as being of relevance to the section on Governance (Chapter 3). In Chapter 2, the limitations of the current governance framework based on a survey are said to be "perhaps limiting innovation and potentially risking patient safety". I'm not clear where the evidence comes from to make that latter point, or if it is being loosely associated with the perceived issues related to collection, management and use of patient data. This is just one aspect of patient safety - there is a lot more that is not being considered here. In Chapter 3, (from the beginning) one of the reasons given for the need for ethics & regulation is patient safety. The algorithmic considerations also mention safety, which in my view is much more fundamental to the whole discussion around patient safety and AI. There should be an awful lot more written about this in Chapter 3, the ommission is significant. Perhaps one of the most telling statements is in the appendixed case study on Genomics England: "...safety is crucial and it is vital that the system is able to guarantee the integrity in the diagnoses and treatment plans which are delivered to patients, whether these are facilitated by AI, or more traditional methods."
  7. Content Article Comment
    can you post the link please @HelenH ?
  8. Content Article Comment
    wow! I remember this being an issue that we discovered in the data being reported to the NRLS soon after we launched it in 2003. I had thought that we had issued a patient safety alert on it soon afterwards. It is sad to see that 15 years later, these incidents are still happening
  9. Community Post
    As I was, in the late 90s..... seems a different world really
  10. Community Post
    I know it doesn't answer your question @Haydn Williams, but I quite like this article: http://www.chriscollison.com/blog/2013/10/09/whats-wrong-with-lessons-learned-part-1 and then http://www.chriscollison.com/blog/2013/10/10/whats-wrong-with-lessons-learned-part-2 you might also find these helpful: https://cognitive-edge.com/blog/learning-lessons-or-lessons-learnt/ http://www.kmworld.com/Articles/Editorial/Features/Project-teams-and-KM-Part-3--The-benefits-of-identifying-and-sharing-lessons-learned-across-projects-122653.aspx Kind regards, Clive
  11. Event
    Do you have a CSO within your Organisation? Is there a team responsible for implementing your Clinical Risk Management process? Clinical risk management training is designed to provide health and social care organisations and manufacturers of health IT products with training in the principles of safety, risk management and risk mitigation, all within the context of health IT by implementing the safety standards, DCB0129 1 and DCB0160. Suitable for clinical and non-clinical staff. ÂŁ475 for NHS staff. Link to book: https://digital-nhs.bookinglive.com/book/add/p/1
  12. Content Article Comment
    Hi Luke, this sounds like a great initiative - well done. Thought it was worth alerting you to the app libraries produced by ORCHA (who also power the national NHS Apps Library). Have a look at their unfiltered Apps library to get a feel for what I am talking about (if you don't already know about this): www.appfinder.orcha.co.uk Kind regards, Clive
  13. Event
    An event from the Royal Society of Medicine Thought leaders, champions, professionals and patients who are on the front line dealing with adult mental health issues will discuss the mental effects caused by the use of digital technology as well as the benefits generated from doing so. Expert speakers will consider the overall digital technology market in relation to mental health, and personal perspectives from young adults dealing with their mental fitness that can be adversely affected by the use of digital technologies such as social media platforms. This event is split into 3 parallel streams in the afternoon, the first covering digital tools that clinicians can use with their patients; the second explaining digital tools that adults and older people can use on their own to manage or improve their mental health; and the third looking at the academic evidence being generated on this topic. The afternoon sessions will also include interactive workshops, enabling delegates to try out the digital tools for themselves, understand the thinking behind them, and discuss the pros and cons of their use with the entrepreneurs who have created them, you may even get the chance to influence further development of these tools and develop ideas to create products of your own. Topics include: Explain current key mental health issues being faced by adults and older people Explain the current types of NHS service provision in this domain with specific focus on the use of digital tools and techniques Explore how the NHS is using digital tools to improve the mental wellbeing of adults and older people, the lessons learned from their implementation, and how others can implement them Understand the range of digital tools and techniques available to manage and improve the mental health of adults and older people Provide an overview of the latest evidence that explores: How the use of digital technology may be adversely affecting the mental health of adults and older people How the use of digital tools may be used to improve the mental health of adults and older people Showcase digital tools that clinicians can prescribe to their patients to help them manage their mental wellbeing Join in the conversation on social media using #RSMDigiHealth Book here: https://www.rsm.ac.uk/events/digital-health/2018-19/tem05/
  14. Content Article Comment
    They should now work @Danielle Haupt Thanks for spotting 🙂
  15. News Article
    PRESS RELEASE - 1 July 2019 Patient Safety Learning identifies that reduced performance in two aspects of patient experience may increase the safety risks patients face as in-patients. The Care Quality Commission’s (CQC) recently published 2018 annual in-patient survey shows that improvement in two areas of patient experience has stalled while a range of issues that matter to patients have worsened. The charity, Patient Safety Learning, has identified that deteriorating performance in two of these issues is likely to make patient safety risks worse. Fewer patients informed properly when discharged home The CQC’s sixteenth annual survey of people who stayed as an in-patient in hospital was published on 20 June 2019. It shows that most people had confidence in the doctors and nurses treating them, and felt that staff answered their questions clearly. However, the survey reports that 40% of patients were discharged from hospital without written information about how to look after themselves following treatment. This is up 2% from 2017. Of patients who had been given medication to take home, 44% were not told of possible side effects for which they should watch. Fewer patients report being involved in their own care Only 54% of patients report that they are involved as much as they want to be in decisions about their care and treatment, down from 56% in 2017. The number of patients reporting that their views had been sought on the quality of care they received was down by a quarter compared with 2017, from 20% to 15%. An increasing challenge to safety Giving patients written information about how to look after themselves on discharge is clearly a patient safety issue. If this practice is reducing, then the inherent risk to patients must be increasing. Patient Safety Learning’s recent report, A Blueprint for Action, cited a wide range of evidence that communication with patients – listening to them and acting on what is heard – has a demonstrable effect on improving patient safety. The evidence from the CQC survey indicates, however, that such practice is reducing, not increasing, with corresponding implications for patient safety. Patient Safety Learning Chief Executive, Helen Hughes, said, “Effective communication and engagement with patients is essential for safe care. The CQC’s survey is a valuable tool for assessing this. It is concerning that their report evidences that communication with patients is reducing in ways that have the potential to increase the risk to patient safety. Patient safety is a core part of the purpose of healthcare and action is needed to share good practice across the wider health system.” /ENDS Note to editors Patient Safety Learning is a charity. We help transform safety in health and social care, creating a world where patients are free from harm. We identify the critical factors that affect patient safety and analyse the systemic reasons they fail. We use what we learn to envision safer care. We recommend how to get there. Then we act to help make it happen. Patient Safety Learning’s latest report, A Blueprint for Action, can be downloaded here: www.patientsafetylearning.org/resources/blueprint. For more information, contact Margot Knight, Marketing and Communications Manager, Patient Safety Learning E: margot@patientsafetylearning.org Or Helen Hughes, Chief Executive, Patient Safety Learning T: +44 (0) 7793 550855 E: helen@patientsafetylearning.org Patient Safety Learning SB 220
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