Sam
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EventHe's making a list, he's checking it twice... Santa Claus definitely understands the importance of human factors - how else could he be so efficient in just 24 hours..? Join the Association of Surgeons in Training on 22nd December for a festive human factors webinar, featuring Prof Peter Brennan and Critical Factors. (Read Peter's recent blog for the BMJ's Christmas feature.) Free to attend, and open to the whole healthcare team. Register
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Content ArticleDespite it being 20 years since the Institute of Medicine reported poor quality and high variability in healthcare delivery, there are still significant opportunities for clinical quality improvement (QI). As frontline clinicians and future healthcare leaders tasked with driving these changes, resident physicians are an important cohort to equip with knowledge, skills, and experience in QI and patient safety. In this article, Mitchel and Li review the barriers to resident engagement, leadership and success with QI initiatives and propose potential solutions. Several barriers are unique to psychiatric training. The barriers described are broadly categorised as either structural or process-related, a distinction derived from Donabedian who described a framework for understanding the causal relationship between structures, processes, and outcomes in QI. In addition, the authors provide an example of a resident-led QI initiative to illustrate the proposed solutions.
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How looking after staff health and well-being contributes to patient safety. "It’s about a work place that’s more respectful, inclusive and open as a means of creating safety”. Martin Bromiley OBE To deliver high-quality care, the NHS needs staff that are healthy, well and at work. A challenge highlighted further by the pandemic. Join the Clinical Human Factors Group (CHFG) for short and lively presentations, questions and panels with: Rt Hon Jeremy Hunt MP Chair of the Commons Health and Social Care Select Committee Suzette Woodward - culture, conditions and values Scott Morrish - the legacy of avoidable harm Dr Henrietta Hughes OBE – speaking up, culture change and well-being Prof. Jill Maben - staff well-being and patient experience Aliya Rehman – NHS Employers - the well-being framework Mark Young – Learning from the rail industry - team dynamics Ed Corbett – Health & Safety Executive – Sustainable health and safety improvement Alice Hartley – Royal College of Surgeons Edinburgh – undermining and bullying – the team, individual and the patient Register -
EventJoin Dr Tanya Uritsky, clinical pharmacy specialist in pain stewardship at the Hospital of the University of Pennsylvania, where she will identify risk factors for opioid-induced respiratory depression in hospitalised surgical patients, define opioid tolerance, recognise other CNS depressants that can potentiate opioid-induced sedation and respiratory depression, and recommend an appropriate opioid starting dose for an opioid naïve perioperative patient. Opioid stewardship is the appropriate use of opioids and is an important part of patient safety. The highest risk for the development of opioid-induced respiratory depression is during the first 24 hours post-operatively. Knowing the best practices for pain management in the perioperative period, including how to identify a patient at increased risk for opioid-related adverse events, can help to improve patient safety. This session will provide insights into patient-related risk factors and considerations for pain management in the perioperative period. Register
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EventAs we continue to adjust to a new way of conducting business and with your safety in mind, the Patient Safety Authority are continuing their series of roundtable discussions to facilitate engagement between PA healthcare facilities. Instead of regional in-person events, the Engagement Roundtable series will be conducted virtually, with participation open statewide via Microsoft Teams. The Patient Safety Authority believes that in the age of social distancing, finding ways to stay connected with other patient safety professionals is more important than ever. The primary goal of these events is to facilitate the sharing and discussion of information in a collaborative environment for a range of patient safety topics. This session is intended to give hospitals and ambulatory surgery facilities an opportunity to discuss current topics of interest and issues of concern submitted by facilities. This session will lead off with a discussion of how facilities prepare for potential disasters in the OR and lessons learned from actual events, followed by a general discussion. Register
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Coping with complexity: how a human factors systems approach can support competency development for pharmacists. Support in clinical decision making is recognised as an educational development need for pharmacists. The health policy landscape puts the pharmacist in a central role for clinical management of long-term complex morbidities, making clinical decision making and taking responsibility for patient outcomes increasingly important. This is compounded by the COVID-19 pandemic, where healthcare environments have become more complex and challenging to navigate. In this environment, foundation pharmacists were unable to sit the GPhC registration assessment during the summer of 2020 but provisionally the registration assessment is due to take place online during the first quarter of 2021. In response to this, a suite of resources has been developed with collaboration between Chartered Institute of Ergonomics and Human Factors (CIEHF) and Health Education England (HEE). These resources are aimed in particular at early career pharmacists and their supervisors, especially those in foundation pharmacist positions managing the transition from education to the workplace environment. This session will act as the launch event for these resources and can support early career pharmacists and supervisors to navigate the CIEHF learning resources developed so far. Register -
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In this regular roundup episode, the Royal Society of Medicine once again bring together an expert panel to answer the most popular questions viewers sent in but didn't have time to cover. The panel this month will include Professor Trish Greenhalgh, Professor of Primary Care Health Sciences at the University of Oxford, Professor Peter Openshaw, Professor of Experimental Medicine at Imperial College London, and Professor Walter Ricciardi, past President of the Italian National Institute of Health. Professor Sir Simon Wessely will chair the 45-minute session, posing the most popular unanswered audience questions from October and November to the expert panel. Register -
Content ArticleFailure to attend scheduled hospital appointments disrupts clinical management and consumes resource estimated at £1 billion annually in the UK NHS alone. Accurate stratification of absence risk can maximise the yield of preventative interventions. The wide multiplicity of potential causes, and the poor performance of systems based on simple, linear, low-dimensional models, suggests complex predictive models of attendance are needed. In this paper, Nelson et al. quantify the effect of using complex, non-linear, high-dimensional models enabled by machine learning.
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The Patient Information Forum's sell-out writing training course has been redeveloped for online delivery, maintaining the element of classroom style teaching with direct interaction with tutors and group work with practical exercises. The course features practical exercises, group work and feedback from tutors. The course is ideal for anyone starting out in health information and for those wishing to improve and refresh their skills. It is also ideal for staff planning to return from furlough who may have lost confidence while away from work. The course will be delivered via Zoom and will be held over three consecutive mornings with a maximum of 30 delegates. Register -
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A webinar to mark the launch of the Patient Information Forum's updated 'Producing Health Information for Children and Young People' guide. The guide has been reviewed and updated for 2020 by an expert panel and will be published in November. The guide retains much of its core content but reflects new priorities including using digital tools, mental health, violence reduction and working with CYP from seldom heard groups, including looked after children and young carers. Registration -
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It is impossible in the year 2020 to ignore the glaring inequalities in our healthcare system. The disproportionate impact of COVID-19 on Black, Asian and minority ethnic communities, coupled with local Black Lives Matter activity following the killing of George Floyd, underscore the threat systemic racism poses to lives in the UK as well as the US. Though these events have prompted much discussion in the medical community, this injustice is not new: data has long demonstrated a link between ethnicity and health outcomes. What can we, as doctors and medical managers, do to close this health gap and ensure all patients can expect the same quality of care, treatment and outcomes in the future? Seeking to answer this question, the BMA committee for medical managers (CMM) are hosting a free, online panel discussion to explore how increasing diversity in medical leadership can lead to better outcomes for all. Register -
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Connect Health “Change” has developed a series of webinars to make and embed transformation in healthcare. Aimed at system leaders and clinicians across the NHS, the webinars provide practical solutions to the challenging issues we are all grappling with. As the lasting effects of COVID-19 emerge from the near overwhelming demands on the acute services, the need for long term support and rehabilitation for survivors is becoming increasingly clear. But the how is still very much a matter up for debate. This webinar is a must for anyone involved in the design, delivery and commissioning of post COVID rehabilitation/ community services as well as those involved in public and population-health . The webinar will explore: Are traditional community services set up to provide COVID rehab? Or, is there a need for specialist services to focus on supporting COVID recovery? Who are the best clinicians to provide rehab to COVID patients? How we approach COVID rehab from a commissioning perspective? Registration -
EventIn today’s world of multidisciplinary care, good communication between professionals and with patients makes all the difference. The digital transformation the sector was already undergoing pre-pandemic to replace postal and fax systems with email has been dramatically accelerated by COVID-19. 94% of organisations are now sending more emails due to remote working and distanced service delivery. But more email means more risk to patient data. In fact, email data breaches happen every 12 working hours. With busy clinical and administrative staff focused on delivering high-quality care, it’s time for security solutions stepped up to eradicate the everyday mistakes they make, such as attaching the wrong file to an email or adding an incorrect recipient. Join this webinar to discuss the importance of human layer security within digital transformation to ensures patient data is kept secure, while also facilitating the email communications that are fundamental to multidisciplinary care. Presenters: Clive Flashman, Chief Digital Office, Patient Safety Learning; Dr Saif F Abed, Founding Partner & Director, Cybersecurity Advisory Services, The AbedGraham Group; Sudeep Venkatesh, Chief Product Officer, Egress Register
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EventThis webinar will review the key factors in workplace well-being, and examine these through the lens of COVID-19 and new ways for working. It will discuss the emerging needs of workforces, both psychosocial and practical, before addressing strategies and approaches to support staff during these challenging times. The session will also include an overview of the Access to Work Mental Health Support Service delivered by Able Futures. It will looks at the service’s aims, eligibility criteria and referral process, plus what support and workplace adjustments are available at home, in an office, or other place of work.
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EventDuring a crisis there is limited time to think and analyse before deciding what to do. There may also be incomplete or incorrect information, inadequate resources, sudden changes in goals due to external events or internal decisions, and conflicting priorities between different stakeholders. This leads to situations where the outcome of an action means that one quality or aspect of something is lost in return for another quality or aspect being gained, i.e., where trade-offs become necessary. Trade-offs are, however, not unique to crises but actually an indispensable part of everyday activities. The lecture will introduce and explain the so-called Efficiency-Thoroughness Trade-Off (ETTO) principle and show how it can be seen on all levels and in all kinds of activity. The irony of the ETTO principle is that people are expected to be both efficient and thorough at the same time – or rather to be thorough, when with hindsight it was wrong to be efficient. Registration
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Content ArticleApproximately 10% of patients with COVID-19 experience symptoms beyond 3–4 weeks. Patients call this 'long covid'. Greenhalgh et al. sought to document the lived experience of such patients, their accounts of accessing and receiving healthcare, and their ideas for improving services. They held 55 individual interviews and 8 focus groups with people recruited from UK-based long Covid patient support groups, social media and snowballing. Participants were invited to tell their personal stories and comment on other stories.
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Content ArticleThe King's Fund has collected some examples of resources to support the mental health and wellbeing of both individuals and teams working across health and care.
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The COVID-19 pandemic has underlined the deep inequalities and stark differences in health that exist between different population groups and areas of England. There are many factors that affect people’s health and wellbeing, and traditional health and care services is only one of these. Addressing all these factors is key to tackling health inequalities. With NHS England and NHS Improvement, The King's Fund brings you this free one-day virtual event. Sign up now to hear from national and international examples of best practice and explore how: local organisations working in partnership and collaborating with one another can help deliver population health locally data and insight can be used to analyse and develop population health strategies and new integrated care models addressing the wider determinants of health as part of a population health approach can help reduce health inequalities. Registration -
Content ArticleEverybody has a right to good care. Much attention is rightly focused on the occasions when people experience poor quality care, but it is also important to recognise where care is good and to celebrate the services that are getting it right. Some care providers do things well through innovative new ways of working, or by doing the basics well. Others can learn from them and solutions should be shared across the system. This publication from the Care Quality Commission (CQC) is purposely focused on celebrating good and outstanding care that CQC's inspectors have seen.
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Mini-Huddle Series: This mini-huddle series is a spin-off from the NHSEI analytical huddles, providing a platform to discuss COVID-19 data and analytics activity at national and local levels. In these mini-huddles there are deep dive sessions detailing a single analytical piece, be it data, intelligence, modelling, evidence, etc. Wider impacts of Covid-19 on Health (WICH) monitoring tool: As part of the COVID-19 response, PHE has presented the Wider Impacts of COVID-19 on Health (WICH) monitoring tool. The WICH tool is designed to allow users to explore the indirect effects of the COVID-19 pandemic on the population's health and wellbeing. This tool includes a range of health and wellbeing metrics displayed in interactive plots that can be broken down in by different inequality groups such sex, age, ethnicity, etc. The tool is released are weekly, which accommodates updates to existing data and the inclusion of new metrics as data becomes available. This presentation will cover: background of the tool methodology and technical development how to use the tool content and data sources. Registration -
EventVirimask is a full face mask designed to offer the ultimate protection and maximum comfort against 99.99% of micron-sized particles. Commonly used masks, such as the N95 are limited in continuous use and are not particularly comfortable, or hygienic in longer-term wear. Virimask is designed to last each user a lifetime and uses replaceable HEPA14 filters which block out viral transmission. Unique advantages include the exceptional ventilation and speech clarity, integrated eye protection and varied size range. In this live webinar, the inventor of Virimask, Professor Noam Gavriely, will give a background on Virimask and the challenges faced during the initial phase along with plans for future development. We will highlight the problems with the lack of PPE available during the COVID-19 outbreak and discuss how Virimask can assist our front line workers during the COVID-19 outbreak and any possible future pandemics. The webinar will include customer testimonials and insight to how the world has reacted to the PPE crisis. We will have live discussion and an opportunity for the audience to ask questions in our live Q&A. Registration
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The story of Alison Bell, and her family's uncovering of the truth about what happened to her in the care of an NHS Trust will be told by her brother Tom. He will describe the nature of the various investigations that were held into Alison's death and the role of the prevailing cultures within the public sector organisations they have dealt with; the NHS, Police, CPS and Regulatory Bodies. This true and ongoing story shines a light on the personal, emotional and financially costly impact that public sector service cultures can have on the lives of their service-users and their own bottom-line. Tom’s lived and current experience will help us to explore the implications for our own practice and the organisations we might seek to influence, manage and lead. Registration -
EventThere is growing concern that a significant number of COVID-19 patients continue to experience persistent physical and mental symptoms weeks and months after first contracting the virus. Chaired by RSM President Professor Roger Kirby, this webinar will tackle the topic of ‘Long COVID’, hearing insights from Dr Alastair Miller, Deputy Medical Director at the JRCPTB, Dr Nisreen Alwan, Associate Professor in Public Health at the University of Southampton and Long COVID sufferer, and Dr Carolyn Chew-Graham, GP Principal in Central Manchester and Professor of General Practice Research at Keele University. The panel will look at the symptoms and diagnosis of Long COVID, discuss current research and evidence, hear experiences of living with Long COVID, and ask what needs to be done to manage this significant healthcare concern. The webinar will include plenty of opportunities for questions. All views expressed in this webinar are of the speakers themselves and not of The RSM. Please note this webinar will be recorded and stored by The RSM and may be used in the future on various internet channels. Registration
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EventJoin Save the Children to mark the World Patient Safety Day to reaffirm their commitment to enhance the quality of medical services and the safety of frontline medical staff globally. They will be joined by a distinguished panel of three global experts who will share their perspectives on patient safety and quality of care, followed by a Q&A session. Registration
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Human rights are central to proper mental health care and treatment. Legally, people working in public service, “public officials” (such as NHS staff, local authority staff and the police), have to protect, respect and fulfil your human rights in all of their decisions and actions. This duty to uphold human rights has not changed during the COVID-19 pandemic. This duty to protect human rights is as important as ever, as services are facing increased stress due to the pandemic. COVID-19 has meant that many of the support networks that we all used to use no longer exist in the same way. Added to this some of the changes to mental health law affect the safeguards put in place for people who are receiving mental health care and treatment. For example, changes to the way mental health tribunals are being held in Wales and England. However, any changes that are made to existing laws, even if temporary still need to be compatible with our human rights law. The emergency laws for the COVID-19 period to not provide and opt-out of human rights laws. This means that it is more important than ever that both staff and people accessing mental health services know about human rights and the legal duties of public officials to protect, respect and fulfil them. It is important for all of use to know that our human rights must still be respected, protected and fulfilled during all of our interactions with public services. This webinar, led by Professor Tim Kendall is designed to provide policy makers and the wider health community with the latest evidence on the impact of COVID-19 on mental health and how to address it. Registration
