Patient_Safety_Learning
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Everything posted by Patient_Safety_Learning
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Community PostHi @HT78 Thank you for sharing your experiences and highlighting the aspects that really felt like they made a difference and helped you have a much more positive appointment this time. It is very good to hear that people who have had very painful experiences previously can access the same procedure again without enduring that level of pain again, given the right environment, pain relief and support. We published a blog last week that may be of interest to you as the anonymous patient also talks about their experience of going private, and touches on a previous IUD procedure. The link is below if you would like to read it.
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In this anonymous blog, a patient reflects on her recent appointment with a women's health expert. After decades of enduring both long-term debilitating symptoms and a history peppered with poorly recorded health incidences, she says that she finally felt 'seen'. She argues that investing in longer, women's health consultations like this would likely save the NHS money by reducing inefficiencies and improving outcomes. -
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Embedding the Patient Safety Partner role has been approached differently by different Trusts and organisations. In this presentation, Patient Safety Engagement Manager, Lea Tiernan talks about how they have worked hard to develop the role at Imperial College Healthcare NHS Trust in a meaningful and strategic way. Lea is joined by Armine Afrikian, a Patient Safety Partner to explain more about: their five Patient Safety Partners how they have developed the role workstreams highlights challenges the Patient Safety Engagement Manager role. -
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The Patient Safety Partner (PSP) role was introduced in 2022 by NHS England as part of its Framework for involving patients in patient safety and the National Patient Safety Strategy. In this blog, we explore some early examples of the impact the Patient Safety Partner role is having. Speaking to members of the Patient Safety Partners Network, as well as a manager of five Patient Safety Partners, we hear how their work is having a positive influence on patient safety. -
Content ArticleNew resources including support for victims and survivors of sexual misconduct by doctors have been published by the General Medical Council (GMC). It covers: What constitutes sexual misconduct and how to raise a concern. What to expect from an investigation, and organisations that can provide support. What to do if you think you have been subject to sexual misconduct by a doctor. It is intended for patients, those supporting them, and for doctors, medical students and other colleagues who may have been subject to unacceptable behaviour by doctors either within or outside of the workplace. The regulator has also today published information for employers and responsible officers – senior doctors responsible for clinical governance processes at their places of work – to support them in preventing, identifying and responding to cases of sexual misconduct. This information covers: How sexual misconduct can manifest in the workplace. How employers can create cultures where behaviours can be safely challenged.
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Content ArticleIan Powell was Executive Director of the Association of Salaried Medical Specialists, the professional union representing senior doctors and dentists in New Zealand, for over 30 years, until December 2019. He is now a health systems, labour market, and political commentator living in the small river estuary community of Otaihanga (the place by the tide). In this blog, Ian considers a negative role for the disingenuous in health systems to be scapegoating people or organisations for things that they have not done. Instead someone or something else has committed the wrong. When blended with a false narrative this scapegoating involves not only falsely blaming people for bad things; it can also mean alleging things that didn’t happen in the first place.
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Content ArticleThis initiative aims to improve the identification and treatment of perinatal mental health conditions (PMHC) for all patients throughout the entire perinatal period. For the purposes of the bundle, PMHC includes: mood, anxiety, and anxiety-related disorders that occur during pregnancy or within one year of delivery, including conditions that may have started prior to conception.
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Content ArticleIn this report, Carer's UK examine the benefits of moving to paid Carer’s Leave, including the positive impact it would have for women and lower paid workers. They also outline the anticipated costs and savings this would result in for HM Treasury.
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Content ArticleThis article, published in Patient Safety, includes the following sections: What is Transfusion-Associated Circulatory Overload (TACO)? Occurrence of TACO and Impact on Patients. Strategies to Mitigate the Risk of TACO.
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Content ArticleThe ‘Learning from Excellence’ (LfE) programme aims to provide a means to identify, appreciate, study and learn from episodes of excellence in frontline healthcare. The aim of this study, British Journal of Healthcare Management, was to explore the impact of LfE on organisational performance in NHS trusts in the United Kingdom (UK), how this impact is achieved and which contextual factors facilitate or hinder impact.
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Content ArticleHealth inequalities in maternity care, ectopic pregnancy, pre-eclampsia, and prescribing for chronic conditions in pregnancy are the topics covered in this episode of the Clinical Update podcast. The MIMS Learning editors also discuss the report into birth trauma, and highlight red flags to look out for in pregnant patients. 0.5 CPD hours Join the MIMS Learning editors for this episode of the Clinical Update podcast, in which they consider how the all-party parliamentary report on birth trauma may impact primary care, as well as discussing common challenges in pregnancy, including pre-eclampsia, hyperemesis and coexisting diabetes. Educational objectives After listening to this module, healthcare professionals should be more aware of: Red flags to look for in pregnant patients Symptoms of ectopic pregnancy Updated recommendations on management of hyperemesis gravidarum Management of pre-existing conditions in pregnancy, such as diabetes
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EventEIDO Healthcare’s upcoming in-person conference on 26th November will focus on how improving informed consent practices can directly enhance patient safety. The event is organised by Julie Smith, EIDO’s Content Director and a topic lead for Patient Safety Learning's hub. ‘The Consent Conundrum: Legal Insights and Practical Solutions’ will explore how medicolegal expertise and practical approaches to informed consent can prevent medical negligence and improve patient outcomes. Discussions will include case studies highlighting patient experiences, the latest updates on consent, and the crucial link between informed consent and patient safety. Speakers include: Simon Hammond, Director of Claims at NHS Resolution Mr Parv Sains, Medicolegal Lead for RCS England and ASGBI Jonathan Webb, Head of Safety & Learning, Welsh Risk Pool Professor Vivienne Harpwood, Emerita Professor of Medical Law and Ethics, Cardiff University Helena Durham, Lay Patient Safety Partner and member of the Ethics of Clinical Practice Committee at Nottingham University Hospitals NHS Trust Attendees will receive a CPD Certificate and complimentary access to EIDO’s foundation e-learning course, “The Legal Aspects of Informed Consent” following the event. Spaces are limited and free, so don’t miss this opportunity to join vital discussions on improving patient safety through better informed consent practices. Register here.
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The stress and anxiety felt by patients awaiting a potential cancer diagnosis can be made much worse if they are told their sample has been lost. Delays can impact treatment options and patient outcomes. Dil Rathore is a Biomedical Scientist and Pathology Innovation Lead at Leeds Teaching Hospitals NHS Trust. In this interview, he tells us about a new tracking system he’s developed to reduce the number of patient tissue samples going missing. -
Content ArticleDigital health (DH) brings considerable benefits, but it comes with potential risks. Human Factors (HF) play a critical role in providing high-quality and acceptable DH solutions. Consultation with designers is crucial for reflecting on and improving current DH design practices. Authors of this study published in Applied Ergonomics, investigated the general DH design processes, challenges, and corresponding strategies that can improve the digital patient experience (PEx). Highlights: Key design phases in the digital healthcare industry are preparation, problem thinking, problem solving, and implementation. At an abstract level, design processes are similar across domains, but the emphasis on specific design phases is different. Contextual, practical, managerial, and commercial challenges often due to differences between disciplines and stakeholders. Design challenges and strategies often co-exist and represent two sides of the same coin. Stakeholder groups common to the digital health design process are clients, designers, domain experts, and end users. Clients, as decision-makers, often value clinical outcomes and business achievements more than user experiences.
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Content ArticleThe fourth instalment of the Making Healthcare Safer (MHS) series of reviews from the Agency for Healthcare Research and Quality, marks nearly a quarter century’s progress in efforts to meet the challenge of reducing and, ultimately, eliminating preventable patient harm. Throughout this patient safety journey, the MHS series synthesises and disseminates evidence on the effectiveness of patient safety practices (PSPs).
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Content ArticleDiagnostic uncertainty is not reliably communicated to patients and caregivers. This study. published in Diagnosis, aims to identify barriers and facilitators to effective communication of diagnostic uncertainty, including development of potential tools and strategies for improvement, as perceived by healthcare professionals and caregivers.
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This webinar hosted by Hourglass is part of an exclusive launch of an eye-opening research project by Amanda Warburton-Wynn. This comes as a follow-up to Amanda's research from 2021, which lifted the lid on sexual violence against older people in hospitals across England, inspired by the tragic case of Valerie Kneale. Three years later, this updated research project reveals the current situation and how in just a few short years, the issue has changed considerably. In this webinar, Amanda will be speaking about how she conducted her research, what shocked her the most about her findings and what steps could be taken to prevent further abuse from occurring. Attendees can ask questions in a live Q&A with Amanda and members of the Hourglass team. Register here -
Content ArticleThe original research into sexual violence and assault against older people in NHS hospitals in England, was inspired by a lady called Valerie Kneale. Valerie passed away in Blackpool Victoria Hospital in November 2018, initially thought to be due to a stroke. However, a post-mortem examination found Valerie had in fact died from internal haemorrhaging due to severe vaginal injuries. A member of staff from Blackpool Victoria Hospital was arrested on suspicion of raping Valerie but ultimately was not charged. However, this employee was charged with sexual assault against fellow staff and received a custodial sentence. Despite appeals on BBC Crimewatch and a £20,000 reward for information being offered by CrimeStoppers, no further charges have been made in relation to Mrs Kneale’s death. Since publication of her first paper, the author has presented at several Safeguarding Boards, NHS Trusts, national conferences and university lectures about the issue of sexual violence against older people in the hope of reducing incidents and improving outcomes for victims. The aim of this new paper is to present data for the financial years from 2021-22 to 2023-24 to ascertain if there has been any significant increase or decrease in the number of recorded incidents.
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In this 'Top picks', we've selected a number of key blogs from the hub relating to diagnostic safety. These have been shared with us by patients, healthcare professionals, researchers, third sector organisations and more. The insights captured help show the complexity of diagnostic safety and offer up ways to make improvements to prevent diagnostic delay or error. -
Content ArticleResearch by NatCen for the Department for Transport, into the 3 factors linking transport, health and wellbeing: access to health services, particularly for vulnerable groups including older people how modes of transport affect physical and mental health transport as a facilitator for social interactions and social inclusion Transport can have both positive and negative impacts on health, and these impacts are experienced differently by different groups in society.
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In this interview, we talk to Lea Tiernan, Patient Safety Engagement Manager at Imperial College Healthcare NHS Trust, about how they have developed and embedded the Patient Safety Partner role. Lea explains what they have done practically to support those starting out in the role and to integrate them at a strategic level. She shares her personal learning along the way and ends by offering advice to anyone else seeking to embed the Patient Safety Partner role within their organisation. -
Content ArticleThe National Action Alliance for Patient and Workforce Safety is a collective effort of federal agencies and private partners to improve the safety of patients and the healthcare workforce. Working together, the National Action Alliance catalyses change by applying known harm reduction strategies and sharing best practices and lessons learned. Recognizing that healthcare is not safe until it is safe for all, the National Action Alliance works to address harm across all populations and settings to meet the wide-ranging needs of patients, caregivers, and the healthcare workforce.
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Content ArticleIn recognition of World Patient Safety Day, the Biden-Harris Administration is announcing actions to address patient and workforce safety in our health care system. Last year, President Biden tasked his Council of Advisors on Science and Technology (PCAST) to identify a path forward to tackle these systemic and pervasive challenges.
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Pavi Brar is Senior Policy Advisor at National Voices, a coalition of over 200 health and care charities. In this blog, Pavi explains why accessibility needs and adaptations must be taken into account and addressed to enable everyone to access diagnostic services. This blog has been published as part of a series for World Patient Safety Day 2024 and the theme of Improving diagnosis for patient safety. #WPSD24, World Patient Safety Day 2024, WPSD 2024. -
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In this blog, The Aortic Dissection Charitable Trust explains why timely and accurate diagnosis of aortic dissection is critical for saving lives. By sharing Martin’s recovery story, they illustrate the positive impact of prompt testing and treatment. The blog highlights the need to improve patient safety relating to aortic dissection, calling for: increased education and awareness among healthcare professionals improved clinical guidelines and protocols heightened vigilance in recognising and responding to the symptoms of aortic dissection. This blog has been published as part of a series for World Patient Safety Day 2024 and the theme of Improving diagnosis for patient safety. #WPSD24, World Patient Safety Day 2024, WPSD 2024.
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