Clive Flashman
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Everything posted by Clive Flashman
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Community PostBelow is an interesting blog from the mum of a cancer patient detailing the horrendous time they had, having to deal with the fragmented information held by various clinicians about their child's health. The 'Cancer mum' makes a very good case for needing a single longitudinal record, and how this would contribute to patient safety. https://cancermumblog.wordpress.com/2019/04/19/cancer-mum-so-why-do-patients-and-carers-want-health-records/ We often hear about the safety issues with the use of electronic health records, so this is an interesting opposing perspective. What do you think?
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Community PostI’ve just been listening to the 10 o’clock news tonight and it has been covering the report into Paterson, the breast surgeon who may have needlessly operated on thousands on women. One of the recommendations is that patient safety should be a ‘top priority’ across the NHS (again!!). Another interesting recommendation is that the NHS (and private healthcare providers) need to be better at sharing information about medical staff. Currently, medical staff seem to be able to be investigated in one hospital, and then move to another without any of their history following them. Maybe we need some sort of central system, like Doctify for employers? What do you think?
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Content Article CommentI think that realistically, patient safety alerts can only be actively monitored for a finite period of time, say 2 years post-publication. However, one of the things that we had already identified as a future enhancement to the NRLS 16 years ago, was the desire to track incidents that resulted due to issues related to an existing patient safety alert. There was a never a clear and straightforward way to accurately track these and determine the impact (positive or negative) of a patient safety alert. Data quality (as ever) in the NHS is also an issue. In these days of AI and ML, it seems logical that these types of incidents should be more easily identifiable, trackable and remedial actions then taken if necessary,
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Content Article CommentA 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!!!)
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Community PostThanks for sharing this @Keith Bates Do you think that along with some commentary this ought to go on the Learn section too?
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Community PostHi 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
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Content Article CommentThis is really useful! Thanks so much for sharing it
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Community PostInterested to hear from people that actually do this as part of their role and what their views are.... @Gethin, what do you think?
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Community PostThanks 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."
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Content Article Commentwow! 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
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Community PostClive Flashman replied to Haydn Williams's topic in Methodology and guidance: How to do an investigationAs I was, in the late 90s..... seems a different world really
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Community PostClive Flashman replied to Haydn Williams's topic in Methodology and guidance: How to do an investigationI 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
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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. £475 for NHS staff. Link to book: https://digital-nhs.bookinglive.com/book/add/p/1 -
Content Article CommentHi 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
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EventAn 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/
