Sam
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Everything posted by Sam
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Content ArticleDisagreements are an inevitable, normal, and healthy part of relating to other people. There is no such thing as a conflict-free work environment. Amy Gallo explains why disagreements — when managed well — have lots of positive outcomes.
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Content ArticleThis national learning report from the Healthcare Safety Investigation Branch (HSIB) will highlight the themes emerging from their contact with families during their patient safety investigations. It is due to be published in spring 2020. HSIB's national learning reports describe common themes and findings that come out of their national investigation programme and their maternity investigation programme. The information in these reports is used to inform future HSIB investigations or programmes of work.
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Content ArticleThe four chief nursing officers of the UK asked all nurses who have retired from nursing in the last three years to consider re-joining the register held by the Nursing and Midwifery Council and come back into practice to help health and care services to support patients with COVID-19. In this article in the Independent, Elaine Maxwell explains why she is stepping up having left the Nursing and Midwifery Council register twelve months ago and not having worked clinically for 10 years.
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Content ArticleThe way we treat cancer over the next few months will change enormously. Oncologists, will have to find a tenuous balance between under-treating people with cancer, resulting in more deaths from the disease in the medium to long term, and increasing deaths from Covid-19 in a vulnerable patient population. Lucy Gossage, an oncologist, discusses in the Guardian the difficult decisions that will need to be made.
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Content ArticleDr Gordon Caldwell, a consultant physician, questions whether he should be ventilated if gets the coronavirus. Gordon is a 64 year old in good health. But in his blog he asks us to consider whether this would be a wise action and whether more harm than good would come from ventilating him. The process of ventilation may be the most important and dangerous fomite for the current generation of healthcare staff, but by jumping to “do it all” and “have a go” we may be shooting the human race in the foot; however well intentioned the motivation. Read Gordon's full blog in the attachment below.
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Community Posthub member Phil has added a blog on the implications of retired staff rejoining their registers and returning to frontline care, and how short shifts may benefit us all. What do you think?
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Content ArticleBjonda Haliti shares her experience on Thread reader on her experience to help bring awareness to her age group and to relieve any stress/anxiety some may have due to the pandemic.
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Content ArticleChronically Awesome is a brand new charity supporting people of working age who live with chronic illness. As coronavirus has shown, all too little awareness and support exists for people who suffer with incurable illnesses that are often invisible. Chronically Awesome are building programmes to support people through things like exercise videos, mental health support, employment advice and more, all online to make it as accessible as possible to everyone. Chronically Awesome have created posters for people to use to show they are self-isolating and are sharing them with us via the link below. They are free to download, although they ask you to consider making a donation to their work via Paypal using the email address [email protected]. Instagram @chronically.awesome Facebook at chronicallyawesometribe
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NHS have organised a series of regional events for our membership to allow us to introduce our membership charter and for our members to with the claims management team and meet other functions of NHS Resolution. These forums are aimed at legal services representatives at trusts, CCGs, ambulance trusts and private hospitals involved in managing cases falling under our clinical and non-clinical indemnity schemes. These sessions are an opportunity for us to: Respond to feedback provided through our customer survey for greater interaction with our teams. Share with you our refreshed direction of travel in claims management through our membership charter. Share with you our strategic focus as an organisation. Provide you with a regional overview of claims. They will also allow you to question our panel of claims experts and meet representatives from our Safety and Learning, Practitioner Performance Advice, Finance, Policy and Strategy, Technical Claims and Early Notification teams. Further information and registration -
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Clinically focused conference aimed at professionals working in patient safety, medical educators, HEE safety leads and nursing and midwifes. A complimentary event for NHS Resolution members. Key objectives: Review the key options for leadership in patient safety. Hear what makes consent effective for safe patient care. Hear the latest activities from the Getting it Right First Time team. Review the first national report on NHS Resolution’s maternity Early Notification scheme and key findings. Hear research on what makes a safe maternity unit. Examine clinical findings and new risks identified by the maternity Early Notification scheme. Hear the latest report by NHS Resolution on themes emerging from claims in the Emergency Department. Hear the Chief Nurse for the South of England discuss progress and priorities from the NHS Patient Safety Strategy. Network with senior clinical colleagues from across the region. Further information and registration -
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This event is being organised by one of NHS Resolution's firms, Clyde & Co. The guest speakers will be John Whitting QC and Charlotte Gilmartin from 1 Crown Office Row who will be presenting on the following topics: A practical guide to going to trial. Witness preparation (from clinicians keeping accurate case notes to maintaining calm). Cross-examination tips, tricks and traps. Further information and registration -
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Clinically focused conference aimed at professionals working in patient safety, Medical Educators, HEE Safety Leads, and Nursing and Midwife. Key objectives: Review the key options for leadership in patient safety. Hear what makes consent effective for safe patient care. Review the first national report on NHS Resolution’s maternity Early Notification scheme and key findings. Hear the latest activities from the Getting it Right First Time team. Hear research on what makes a safe maternity unit. Share best practice in supporting staff involved in clinical incidents fairly and embedding a just learning culture. Explore best practice in supporting staff attending inquest. Network with senior clinical colleagues from across the region. Further information and registration -
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This event is being organised by NHS Resolution's legal panel firms, Weightmans. Weightmans are pleased to announce the first event in our Spring 2020 healthcare seminar programme, ‘clinical negligence update: recent developments and case law’. Mr Paul Reynolds of 1 Crown Office Row to our London office who will be providing us with a general clinical negligence update including all recent developments and case law. Paul, who was called to the Bar in 2010, has vast experience acting for both claimants and defendants in clinical negligence cases. His clinical negligence work frequently includes advising on complex points of law that may arise out of a clinical negligence claim. The seminar will include discussion of the recent developments including case law in respect of the following: consent non-delegable duties vicarious liability. Further information and registration -
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This course is being organised by Capsticks, one of NHS Resolution's legal panel firms. Capsticks invite you to join us at our forthcoming inquests seminar series specifically designed for the health and social care sector. The role of the Medical Examiner is now being implemented and we are delighted to have at each of our seminars the relevant Regional Medical Examiner, which presents an invaluable opportunity to hear exactly how the new Examiners are going to integrate and work within the system, and the implications for your organisations and clinicians alike. Further information and registration -
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This workshop from NHS Resolution has been designed for anyone who undertakes the case investigator role in investigations about practitioners. The skills and knowledge shared are based on practitioner performance best practice and is therefore transferable if you are commissioned to review any part of a practitioner’s performance. Further information and registration -
Content ArticleThe Parliamentary Under-Secretary of State for Health and Social Care, Ms Nadine Dorries, responds to the Paterson Inquiry in the House of Commons. It is followed by questions from MPs in the chamber and Ms Dorries' responses.
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Content ArticleThis Healthcare and Safety Investigation Branch (HSIB) report explores the under recognised toxicity of propranolol in overdose. Propranolol is used to treat a number of medical conditions, including migraine, cardiovascular problems and the physical effects of anxiety. The case that prompted the investigation was Emma, a 24-year old woman, took an overdose of both propranolol and citalopram (an antidepressant). She called an ambulance, but her condition quickly worsened. Despite resuscitation efforts from both paramedics and medical staff in the hospital she was transferred to, Emma sadly died. There has been a steady rise in the number of propranolol prescriptions issued to NHS patients. Between 2012 and 2017 there was a 33% increase in the number of deaths reported as being linked to propranolol overdose, with 52 deaths recorded as having been linked to propranolol overdose in 2017.
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Content ArticleJones et al. hypothesised that antimicrobial stewardship (AMS) could be enhanced through positive feedback for the behaviors of healthcare professionals. This project aimed to reduce antimicrobial consumption in a Pediatric Intensive Care Unit (PICU) by >5%, with secondary aims to reduce broad-spectrum antimicrobial consumption, and processes related to AMS.
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Content ArticleThe National Institute for Health and Care Excellence (NICE) have over 800 examples of shared learning, showing how NICE guidance and standards have been put into practice by a range of health, local government and social care organisations.
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Content ArticlePatient safety incidents are any unintended or unexpected incident which could have, or did, lead to harm for one or more patients receiving healthcare. Reporting them supports the NHS to learn from mistakes and to take action to keep patients safe. Both healthcare staff and the general public are encouraged to report any incidents, whether they result in harm or not, to the National Reporting and Learning System (NRLS). You can find out how to do this from the link below.
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Content ArticleThe successful implementation of clinical practice guidelines should improve quality of care by decreasing inappropriate variation and expediting the application of effective advances to practice. However, despite wide promulgation, practice guidelines have had limited effect on changing physician behavior. Cabana et al. conducted a systematic review of the barriers to physician adherence to clinical practice guidelines, practice parameters, clinical policies or national consensus statements. They found that physician adherence is dependent on physician awareness (31 examples), agreement (68 examples), self-efficacy (13 examples), outcome expectancy (12 examples), motivation (3 examples), and the absence of external barriers to perform guideline recommendations (62 examples). The findings suggest that studies describing interventions to improve physician adherence may not be generalisable, since barriers in one setting may not be present in another. Using this analysis, the authors propose a framework which describes the barriers that must be overcome to improve physician adherence. This framework can be used (1) as a method to profile barriers or sources of poor adherence and thus (2) as a diagnostic tool to standardise and select appropriate interventions to improve adherence. The selection of interventions to change physician behaviour has been haphazard in the past. This analysis offers a more rational approach towards improving physician adherence to pract
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Content ArticleThere have been major healthcare failings in the UK NHS over many years. The persistent dysfunctional organisational culture, an inability to learn and the need for change has been identified within literature. The concept of organisational silence forms one aspect of the proposed model of organisational dysfunction in the NHS. Forty-three interviews and six focus groups have been conducted to test the model. From generalised evidence, it is suggested that the NHS is systemically and institutionally deaf, bullying, defensive and dishonest. There appears to be a culture of fear, lack of voice and silence. The cost of suppression of voice, reluctance to voice and the resulting ‘sea of silence’ is immense. There is a resistance to ‘knowing’ and the NHS appears to be hiding and retreating from reality. There is an urgent need for action to be taken to address this dysfunctional culture. The NHS needs to embrace the identity of being a listening, learning and honest organisation, with a culture of respect. It needs to choose to hear, see and speak for the benefit of patients and staff. There are implications for the wider UK society due to the apparent inability to learn and improve.
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Content ArticleThis education and training guide is a resource for every Guardian’s self-development, whatever their experience in the role. Commissioned by the National Guardian’s Office and Health Education England in August 2017, the Guide was compiled by Louisa Hardman from the NHS Leadership Academy with invaluable contributions and guidance from an Advisory Group comprising Freedom to Speak Up Guardians and members of the National Guardian’s Office.
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Content ArticleEvidence highlights the intrinsic link between nurse staffing and expertise, and outcomes for service users of healthcare, and that workforce retention is linked to the clinical and organisational experiences of employees. However, this understanding is less well established in mental health. This study from Cook et al. comprises a retrospective observational study carried out on routinely collected data from a large mental healthcare provider. Two databases comprising nurse staffing levels and adverse events were modelled using latent variable methods to account for the presence of multiple underlying behaviours. The analysis reveals a strong dependence of the rate of adverse events on the location and perceived clinical demand of the wards, and a reduction in adverse events where registered nurses exceed ‘clinically required levels’. In the first study of its kind, these findings present significant implications for nursing workforce policy and present an opportunity to not only improve safety but potentially impact nurse retention.
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EventBehaviour change can be difficult to achieve. This workshop from the Improvement Academy we will help you to achieve behaviour change by applying tried and tested theories from psychology. This unique one-day workshop developed by the Yorkshire Quality and Safety Research Group provides an opportunity to learn from leading researchers in behaviour change. Interactive learning and discussion will lead to improved understanding and enhanced practice in improving patient safety through behaviour change. Further details and registration
