Patient_Safety_Learning
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Everything posted by Patient_Safety_Learning
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Content ArticleData Saves Lives is a multi-stakeholder initiative with the aim of raising wider patient and public awareness about the importance of health data, improving understanding of how it is used and establishing a trusted environment for multi-stakeholder dialogue about responsible use and good practices across Europe. Read more on the Data Saves Lives website Read more on the European Patients forum website
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Content ArticleFollowing the release of the Australian National Safety and Quality Digital Mental Health (NSQDMH) Standards in November 2020, the objective of this study, published in Australas Psychiatry, was to ensure effective implementation of the Standards. This included the development of an accreditation scheme to allow digital mental health services to be formally assessed against the Standards and provide service users with an assurance of safe and high-quality services. Conclusion: The NSQDMH Standards accreditation scheme provides an assurance of safety and quality for digital mental health service users.
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Content ArticleIn this editorial for BMJ Quality and Safety, Richard Lilford looks at a A paper from Ferguson and colleagues. Lilford concludes by saying that the paper provides useful findings regarding locums and their impact on patient safety. "The paper should not be simply curated among the voluminous safety literature. It should be considered as a call to action by senior policy makers."
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Content ArticleOne of the enduring lessons of the pandemic has been the pivotal role that nursing plays in health care--vital work that isn't widely understood or, sadly, appreciated. Sara Fung and Amie Archibald-Varley started the wildly popular The Gritty Nurse podcast to give voice to nurses all over the world, including more than 400,000 nurses in Canada. The authors have quickly become sought-after speakers and advocates for nurses and are called on regularly by the media to talk about a wide range of issues around the profession. In their first book, they take you to the front line of nursing to show the compassion, selflessness and dedication of professionals who not only give it all for their patients, but get up and do it over and over again.
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Content ArticleThe Gritty Nurse Nursing Podcast examines hot topics related to health and healthcare. We shy away from nothing, discussing topics such as mental health, social justice, women's health and women's rights. Hosts Amie Archibald-Varley and Sara Fung are story-tellers and love hearing how healthcare has impacted individuals' lives. They want to discuss the good, bad and ugly . They also provide a platform for empowerment and shared experiences, where they represent voices that have been silenced, underrepresented and marginalized --so they can share their stories of hope, change and inspiration.
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Content ArticleIn this article for Healthcare Quarterly, Leslee Thompson argues that Health Quality 5.0 moves people-centred, integrated health and social care systems to the forefront of our post-COVID-19 agenda – and that cannot happen without addressing our global workforce crisis. Building back a stronger, healthier workforce is the first of the five big challenges we address in our special series. Starting with the global health workforce crisis is fitting, given it is the most fundamental and formidable barrier to health and quality today. As we put the pieces of the Health Quality 5.0 puzzle together, a picture of a more resilient health system will emerge and a new leadership agenda to get there will take shape.
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About this webinar In many pharmaceutical companies, human error is still addressed reactively through compliance by Deviation Management. While people are involved, they are NOT the root cause in the majority of deviations. There's an opportunity to set people up for success proactively in regards to risk prevention in a complex work environment through, for example: Recognition of risk and techniques for prevention of error. A roadmap for investigating repeated, human-related deviations. A means of integrating human performance into operational excellence, such as Gemba and leader standard work. Techniques for interviewing, coaching and improved communication. Recommendations for addressing system-related problems. Who would this be of interest to? Leaders and supporters of those that perform complex work in any regulated Good Manufacturing Practice (GMP) environment and anyone interested in human and organisational performance. About the speakers Bill Farmer has a BS in Microbiology and is an Associate Director for Deviation Management at Merck in North Carolina, USA. He's an experienced pharmaceutical scientist and has had many roles in technical and quality organisations. His philosophy to 'Help others, make it easier to do the 'right' thing, harder to do the 'wrong' thing, drives Bill to continuously improve the Merck Deviation Management Process. Julie Avery (chair) is former Global Lead for human factors at GSK, with over 20 years in Quality and Operational Excellence. As an independent practitioner, Julie now integrates human performance into existing systems strategically and tactically supporting business goals and KPIs. Julie leads the CIEHF Human Factors Pharmaceutical Manufacturing COP and is a Trustee of the CIEHF representing Associate Members. Register here -
Content Article6B is a technology and engineering consultancy. It has produced a list of all 214 NHS Trusts in England and the Electronic Patient Record (EPR) they have implemented (as of May 2024).
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Content ArticleIn this paper, published by Healthcare, authors proceed in two steps. First, they expand the existing base of literature on the interpersonal aspect of a safety climate by presenting a conceptual model of psychological safety and joint problem-solving orientation and proposing how, individually and together, they promote safety improvement and worker retention in healthcare. Second, they conduct an exploratory test of these relationships using empirical data from a large healthcare organization in the US.
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Content ArticleThis seminal study by Cabral et al delves into the transformative potential of artificial intelligence (AI) in oncology, highlighting its pivotal role in enhancing healthcare quality and safety. The study aligns with the broader discourse on AI’s capacity to revolutionise healthcare outcomes, drawing from insights previously proposed on the synergy between human expertise and AI across various medical disciplines.
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Content ArticleIn this editorial for BMJ Quality and Safety, Kate Kirk explains why staff well-being is the foundation to improving patient safety.
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Content ArticleIn this issue of BMJ Quality & Safety, Payne et al report patient safety issues arising during remote encounters, primarily telephone-based, in the primary care setting. Through qualitative interviews and observations, they examined why safety incidents occur and what can prevent safety incidents in developing a culture of safety.
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Content ArticleThe Australian Living Evidence Collaboration (ALEC) was established in 2018 to support and develop ‘Living’ evidence and guidelines – an approach that enables almost real time updating of the latest research and guidance without compromising the rigorous, gold standard methods needed to provide trustworthy recommendations. The initial focus areas were stroke, diabetes, arthritis and kidney disease. They support evidence-based clinical decision-making in priority areas for Australian health care settings. To do this they: convene the sector (clinicians, consumers, policymakers, organisations, researchers) to promote and build multidisciplinary collaboration provide living evidence syntheses develop living guidelines conduct research to improve their impact.
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Content ArticleIn this blog Chris Dzikiti, Director of Mental Health at CQC, and Dr Jacqui Dyer, Mental Health Equalities Advisor at NHS England, talk about the work our two organisations are doing to implement the Patient and Carer Race Equality Framework (PCREF).
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Content ArticleIn this article, published on LinkedIn, Charlotte John explains why digital transformation can be met with resistance and why those leading such projects need to understand why staff may not welcome the change.
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EventWednesday 26 June at 12.00pm – 13.00 (online) Where we are and where we are going? Delivered by Dr Tracey Herlihey, Deputy Director of Patient Safety (Digital), NHS England. This seminar focuses on the Patient Safety Incident Response Framework (PSIRF). Click here to reserve your place
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This blog is part of a series written by Dr Charlie*, taking a closer look at some of the patient safety issues affecting people's lives today. In this blog Dr Charlie tells us how their elderly mother was met with multiple digital barriers when trying to access her medications. Describing the situation as a frustrating goose-chase, Dr Charlie summarises the blog by questioning what measures are put in place to safeguard patients during digital transformations. *not the authors real name -
Content ArticleThis NHS England document sets out the roles and responsibilities of non-executive director roles.
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Content ArticleDeborah Filipek, author of this article for the Healthcare Financial Managment Assication (US), looks at research linking staff burnout to patient safety. Key points: Authors of two published studies reviewing clinician burnout found increased burnout affecting clinician mental and physical health and posing concerns for patient care and safety. One of the studies also looked at which interventions clinicians preferredImprovement in care delivery was rated by both physicians and nurses as more important to their mental health and well-being than interventions directed at improving clinicians’ mental health. On average, under single coverage, female employees have approximately $266 more in out-of-pocket spending per year than male employees, excluding pregnancy-related services. Only 227 American Indian/Alaska Native students entered U.S. medical schools during the 2021-22 academic year. Click on the link below to see the full article.
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Content ArticleThe objective of this paper, published in the BMJ, was to determine the effect of labour epidural on severe maternal morbidity (SMM) and to explore whether this effect might be greater in women with a medical indication for epidural analgesia during labour, or with preterm labour. Findings: Epidural analgesia during labour was associated with a 35% reduction in SMM, and showed a more pronounced effect in women with medical indications for epidural analgesia and with preterm births. Expanding access to epidural analgesia for all women during labour, and particularly for those at greatest risk, could improve maternal health.
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Content ArticleIn this thought paper, Adrienne Fresko and Sue Rubenstein look at patient safety advice for boards from recently published guidance and research.
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Content ArticleIn this blog, pushed by BMJ Opinion, David Gilbert, patient director, Sussex MSK Partnership (Central) looks at patient leadership.
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How can you mitigate surgical errors in your operating theatre? What human factors would you consider in your planning? How does culture play a role in risk? Join Professor Peter Brennan, consultant surgeon at Queen Alexandra Hospital in Portsmouth, as he leads our upcoming webinar on human factors. Join the discussion on changing culture, minimising surgical errors and improving patient safety. Royal College of Surgeons (RCS) England members attend for free. Register here -
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Recognising the profound impact of aortic dissection on loved ones and healthcare professionals, the team at Hull Royal Infirmary identified a critical need for improvement. As a result, the team has enhanced the diagnostic detection of aortic dissection by integrating Human Factors insights and leveraging the experiences of patients, earning them the 2023 Health Services Journal Patient Safety Award. Hull Royal Infirmary's innovative approach has significantly improved aortic dissection diagnosis, reducing missed cases and enhancing patient outcomes. -
Content ArticleThe intended audience for these guidelines from the World Health Organization, is clinicians (doctors, nurses, Infection Prevention Control professionals, etc.) involved in the management of patients who require intravascular catheters. However, to ensure an appropriate, practical, clinical adherence to the guidelines, hospital administrators and other professionals involved in health care need to understand their importance and the focus of the recommendations to ensure appropriate support for clinicians. Patients are also part of the audience of these guidelines as they need to be generally informed about practices performed for their care and, in some cases, understand the choice of the intervention(s).
