Sam
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In a recent blog for the hub, #ThereForME explored the barriers that impact access to NHS care for people with ME (myalgic encephalomyelitis) and Long Covid and encouraged the patient community to share their experiences with the hub. In this blog, Samantha Warne, the hub Lead Editor, highlights the main themes that came out of those experiences, and the actions patients with ME and Long Covid feel could make a big difference to their care. Key themes: Lack of energy to make and attend appointments. Reasonable adjustments not being made. Insufficient infection control measures. A need for greater knowledge and empathy from healthcare professionals. -
EventJudy Walker Associates are hosting a training day in London on 2 October for individuals, rather than groups to attend. We’ve been receiving requests from people in primary care, independent providers and previous clients for individuals to access our professional development for AAR Conductors, so are happy to accommodate. Participants will get live AAR practice and feedback, learn about the Five Switches of advanced facilitation and understand how to involve patients and families successfully in AARs. Please get in touch and we can send you a flyer [email protected]
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This session is aimed at individuals who want to improve safety with time critical medicines, working in any sector and role. The speakers share their experiences and innovative practices addressing safe use of time critical medicines, to inspire and equip the audience ready for translation and replication across systems. The Specialist Pharmacy Service will also present the progress of their safer use of time critical medicines programme, part of NHS England’s Medication Safety Improvement Programme. Why it’s important: There are known risks associated with time critical medicines. Harms continue to be reported across the system. Implementation of safety strategies to support the safe use of time critical medicines requires a collaborative and system wide approach to ensure safe and sustainable safety improvements. What will be covered: Understand the challenges surrounding time critical medicines. A carer’s perspective on time critical medicines. Update on the safer use of time critical medicines national programme, including work done so far and next steps. Increased awareness of potential improvement interventions for the safer use of time critical medicines. Register -
EventJoin this webinar on “Safe Birth and Neonatal Care – Strengthening Healthcare Systems for Every Newborn” on 13 June 2025, from 3:00 to 4:00 IST. This webinar aims to address system-level gaps in maternal and newborn care in India. The session will bring together healthcare professionals, policymakers, and patient advocates to discuss referral mechanisms, care standards, and strategies to improve outcomes for mothers and newborns. Focus Area: Safe care practices for newborns and children. Strengthening referral systems and delivery care. Reducing preventable maternal and neonatal deaths. System-level recommendations for safer healthcare. Join us to be part of this critical dialogue on advancing patient safety for every newborn and child. Register
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Content ArticleProfessor Frank Smith's presentation to the Royal College of Surgeons of Edinburgh on confidential reporting and surgical safety.
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EventDon't miss this insightful conversation with C-level executives Leah Binder, President and CEO of the Leapfrog Group and Devin Jopp, President and CEO of APIC. In this leadership conversation, they'll share their perspectives on how the new presidential administration presents both opportunities and challenges to advancing patient safety and infection prevention. Register
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EventThis webinar will have an emphasis on the role of local Healthwatch organisations and it will provide practical guidance on how Healthwatch can safeguard patient data, adhere to regulations, and ensure trust in healthcare services. It will be looking at: Importance of cybersecurity and data protection Role of local Healthwatch in data and cyber protection Cybersecurity threats in healthcare Best practices for data security Legal framework for data protection Collaboration with healthcare providers Who can attend? This joint event with Healthwatch England is designed for adult health and social care providers in England and are aimed at people who make decisions about the use of technology in care services. For Healthwatch staff who support this sector. This might also include: Owners Registered Managers Nurses Senior Care Staff Domiciliary Care Administrators IT Professionals Quality & Compliance Leads Register
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Content ArticleThe Hand Hygiene Self-Assessment Framework is a systematic tool with which to obtain a situation analysis of hand hygiene promotion and practices within an individual healthcare facility. While providing an opportunity to reflect on existing resources and achievements, the Hand Hygiene Self-Assessment Framework also helps to focus on future plans and challenges. In particular, it acts as a diagnostic tool, identifying key issues requiring attention and improvement. The results can be used to facilitate development of an action plan for the facility’s hand hygiene promotion programme. Repeated use of the Hand Hygiene Self-Assessment Framework will also allow documentation of progress with time. Overall, this tool should be a catalyst for implementing and sustaining a comprehensive hand hygiene programme within a healthcare facility.
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Join the Patients Association for a candid conversation with Sir Julian Hartley, Chief Executive of the Care Quality Commission (CQC), as he shares his vision for rebuilding a trusted approach to regulation. Sir Julian will reflect on the challenges ahead and the opportunity for change and to restore confidence. Hosted by Rachel Power, Chief Executive of the Patients Association, this webinar offers a unique chance to hear directly from Sir Julian about his approach to leadership, transparency, and driving improvement. It takes place ahead of our Patient Partnership Week (30th June - 4th July 2025), a week dedicated to highlighting the importance of shared decision-making and championing patient power and agency. Whether you're a healthcare provider, patient advocate, policymaker or someone who uses care services, book your free place. Register -
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Join HSSIB to discuss their series of patient safety investigations looking at mental health inpatient care, directed by the Secretary of State for Health. You'll find out what HSSIB's mental health investigations and recommendations mean to different people, including patients, health and care staff, commissioners and charities. Register -
EventTo create impactful innovation in healthcare, effective collaboration between clinicians, solutions providers and other key stakeholders is essential. Many promising innovations fail to address real clinical needs because they are developed without clinician input or lack co-design from the start. This webinar will explore how clinician-led collaboration can shape better innovation projects, ensuring new solutions align with clinical priorities and are successfully adopted in practice. Drawing from real-world examples of successful partnerships between NHS organisations, industry and service users, the BMJ Future Health webinar will provide attendees with advice on problem identification and leading co-design approaches to ensure effective collaboration and better healthcare outcomes. Key themes: Involving clinicians early to define priorities and uncover pain points, and align with actual challenges faced in clinical settings. Strategies and practical tips for effective collaboration between clinicians, other stakeholders and solution providers. How to engage wider clinical teams to champion solutions and drive adoption, and overcoming resistance to change and embedding solutions into everyday workflows. How clinicians, service users and solution providers can work together to evaluate and refine solutions over time. Register
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Content ArticleThe Learning Healthcare System is a summary of the Institute of Medicine (US) two-day workshop held in July 2006, convened to consider the broad range of issues important to reengineering clinical research and healthcare delivery so that evidence is available when it is needed, and applied in health care that is both more effective and more efficient than we have today. Embedded in these pages can be found discussions of the myriad issues that must be engaged if we are to transform the way evidence is generated and used to improve health and health care—issues such as the potential for new research methods to enhance the speed and reliability with which evidence is developed, the standards of evidence to be used in making clinical recommendations and decisions, overcoming the technical and regulatory barriers to broader use of clinical data for research insights, and effective communication to providers and the public about the dynamic nature of evidence and how it can be used.
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Content ArticleOn 16 February 2024, Pamela Anne Marking – who was unable to give a complete history due to cognitive issues – was admitted to the Emergency Department at East Surrey Hospital from her home address after unknowingly vomiting blood-stained fluid, with right sided and suprapubic abdominal tenderness. She was diagnosed as having had an epistaxis (nosebleed) by a Physician Associate and discharged home later that afternoon without a medical review or direct medical supervision of the Physician Associate who had a lack of understanding of the significance of abdominal pain and vomiting and had undertaken an incomplete abdominal examination which would have been likely to have found a right femoral hernia. Mrs Marking re-presented to the Emergency Department two days later with grossly dilated small bowel obstruction due to an incarcerated right femoral hernia containing ischaemic bowel requiring emergency surgery later that evening. Despite maximal support Mrs Marking died at East Surrey hospital on 20th February 2024. The clinical management Mrs Marking had on her first admission and thereafter during the Rapid Sequence Induction materially contributed to her death. The medical cause of death given was: 1a Respiratory failure and Sepsis 1b Aspiration of feculent gastric contents at induction of anaesthesia 1c. Strangulated femoral hernia.
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Session Objectives • Advocate for the establishment of a culture to enhance patient safety and system reliability. • Encourage the adoption of leadership training models • Foster an environment that emphasizes learning from mistakes and redesigning healthcare systems. Register -
Content ArticleHealthcare has, in many ways, always been a form of ‘learning system’. Driven by a diverse community of stakeholders, including health care professionals, patients and the public, a learning health system (LHS) uses internal and external knowledge to continually learn about and improve patient care. However, while LHSs have huge potential to support service transformation and population health, there is a lack of consensus about what an LHS actually is, and how to get started. This research report from The Health Foundation helps people understand LHSs and how they can be developed.
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HEPS, the triennial conference on Healthcare Systems Ergonomics and Patient Safety, provides an international platform for the exchange and dissemination of knowledge and experiences between the disciplines of Human Factors/Ergonomics and of Medicine and Health. HEPS conferences are endorsed by the International Ergonomics Association and governed by its Technical Committee Healthcare Ergonomics. The HEPS 2025 conference "Safer Better Healthcare By All For All", will take place in Trinity College Dublin, Ireland and will bring together Patient and Public Involvement, Human Factor Ergonomics expertise and healthcare practitioners to address healthcare safety. Register -
Content ArticleHealthcare policies and initiatives are designed to save lives and enhance well-being, but they can also entrain unintended negative effects, writes Gary Humphreys for the Bulletin World Health Organization.
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Content ArticleArtificial intelligence (AI) and machine learning (ML) are being used and tested in numerous ways. This review highlights how they are being used to detect and mitigate human error in safety-critical industries, the limitations and challenges of AI/ML, and insights from the recent literature. Examples from health care include using AI to detect diagnostic errors and combining AI with clinician expertise, with the ultimate decision to follow AI’s suggestion resting with the clinician.
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EventHealthcare worker wellbeing was a challenge before the pandemic; it’s more imperative than ever to find solutions. This talk will demonstrate the mechanisms at work that cause burnout and look at how evidence-based interventions counteract those mechanisms to result in improved well-being for all who care for patients. Objectives: Demonstrate the patterns of well-being overall and by health care worker role over the past several years. Review and evaluate resources and interventions that improve well-being. Understand how bite-sized interventions use positive emotions to improve well-being. Register
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Content ArticleLaura Abbott and colleagues highlight gaps in clinical care for pregnant women in prison and consider how best to meet their needs.
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Content ArticleThe MacLeod McLaren Medal in Patient Safety is prestigious new medal strives to celebrate the efforts of multidisciplinary teams who focus on improving patient safety in either clinical settings or through research. This medal has been made possible by Professor Stephen MacLeod (FRCSEd) who hopes that this medal will celebrate the contributions of the larger surgical workforce in improvements of patient safety, and personally will also commemorate those who inspired him, including his Aunts, after whom this medal is named. Applications close on Saturday 1 February 2025.
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Content ArticleParkinson’s UK created the Tech Guide so that people with Parkinson’s, and their families, friends and carers, can make the right decisions for themselves about all the devices and apps that claim to be able to help improve their quality of life. To do this, they provide trusted reviews based on the lived experience of people with Parkinson’s, and maintain a catalogue of the various products that are on the market. This is backed up with information about Parkinson’s and evidence-based articles that will help you decide what’s right for you, in your unique circumstances.
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In this blog, Patient Safety Learning’s Chief Executive Helen Hughes reflects on the charity’s work and key patient safety developments in the past 12 months. She also looks ahead to the new year, considering the UK Government’s forthcoming 10-Year Health Plan and new Patient Safety Learning projects in 2025. -
Content ArticleThe National Medicines Symposium 2024 session recordings are now available. Whether you missed a session or want to revisit the insightful discussions, you can now explore the key highlights from the event. Panel highlights to explore: Managing Medicines for an Ageing Population – Hear from Professor Jennifer Martin, Professor Libby Roughead and Mr Steve Waller on challenges of medication safety in an ageing population such as polypharmacy and multimorbidity and opportunities for improvement. Deprescribing in Practice – Join Professor Sarah Hilmer AM, Dr Lisa Kouladjian O’Donnell and Professor Jenny May AM as they explore practical approaches to safely deprescribe medications when the risks outweigh the benefits, ensuring patient safety. Digital Tools for Safe Medication Use – Gain insights from Professor Melissa Baysari, Mr Michael Bakker, Ms Kate Oliver and Ms Alice Nugent on how innovative digital tools can be leveraged to enhance medication management.
