Patient_Safety_Learning
PSL Moderators
-
Joined
-
Last visited
Everything posted by Patient_Safety_Learning
-
Content Article
Hugh Pym and Chloe Hayward speak about the Infected Blood Inquiry in this 30 minute piece from the BBC, one of the worst treatment disasters in NHS history. -
Content ArticleThis study, published in Human Factors in Healthcare, applied a human factors approach through the Systems Engineering Initiative for Patient Safety (SEIPS) model to inform the design of community cardiac diagnostic services, focusing on workforce design and the potential role of cardiac physiologists. The study setting was a cardiology department at a community hospital. Data were collected through observations, interviews and focus groups. Data were analysed using SEIPS and Thematic Analysis. The analysis revealed three overarching design considerations: (1) Promoting professional growth and autonomy for the cardiac workforce in the community. (2) Focusing on the needs of patients in the community, including accessibility and communication. (3) Facilitating communication across organisational boundaries, particularly between CDCs and General Practitioners (GPs).
-
Community PostContent Article
In an increasingly global healthcare environment, with patients and professionals from many different cultural and linguistic backgrounds, precision in medical document translation is key. Medical documents can range from patient records, patient information leaflets, consent forms, prescriptions, treatment plans to research papers. The translator must have a thorough understanding of the source text and subject matter in order to produce a high-quality target document and ensure patients receive accurate information. But this can come with patient risk, if not done properly. In this blog, Melanie Cole, Translations Coordinator at EIDO Systems International, talks about the challenges, risks and opportunities for using AI in healthcare translation.Eventuntil
The First Do No Harm All Part Parliamentary Group meeting is on 21 May 10-11am via Teams (capacity is up to 1000 people). There will Update on financial redress and Q&A. Speakers: Jason Farrell - Sky journalist behind the documentary Primodos: The secret drug scandal Patient Safety Commissioner - Henrietta Hughes Henrietta will be talking about the report she has written titled "Options for redress for those harmed by valporate and pelvic mesh", following it's publication in February this year. To join the meeting: Meeting ID: 357 367 879 202 Passcode: R8Yos4 Dial in by phone: +44 20 3321 5213 Phone conference ID: 14499851#Content ArticleIn this blog, Dr Henrietta Hughes, Patient Safety Commissioner, talks about the 6th Global Ministerial Health Summit in Santiago, Chile. She reflects on how it was a great opportunity to hear from global partners about progress in patient safety and innovations to embed patient voice.Content ArticleThis insightful session was inspired by Louise Roe's blog "Why it made sense at the time: Local rationality questions for healthcare investigations". In this webinar from Maternity and Newborn Safety Investigations (MNSI), participants explored the importance of how questions are asked, the local rationality principle, how the local rationality question tool was developed, putting the tool into practice, and had a Q&A session.Content ArticlePatient (Lived Experience) Leadership is about those affected by life-changing illness, injury or disability who want to influence change through being equal partners in decision-making. In this monthly expert briefing for Health Service Journal, patient leadership champion David Gilbert picks out the most significant developments in a field of increasing relevance to the NHS.Content ArticlePharmacies in the UK dispense millions of prescription items each year. Since 2021 there have been reports of increasing supply problems affecting medicines. Recent media coverage has highlighted shortages of medicines used to treat diabetes, attention deficit hyperactivity disorder (ADHD) and epilepsy, as well as hormone replacement therapy (HRT) and others. This briefing provides information on the causes and consequences of medicines shortages in the UK and internationally, and the UK Government’s approach to address supply problems.Content Article
On 9 January 2024, the All-Party Parliamentary Group (APPG) on Birth Trauma established the first national inquiry in the UK Parliament to investigate the reasons for birth trauma and to develop policy recommendations to reduce the rate of birth trauma. Seven oral evidence sessions took place on consecutive Mondays between 5 February and 18 March 2024 in the House of Commons. The Inquiry was also informed by written submissions which were received following a public call for evidence. The inquiry received more than 1,300 submissions from people who had experienced traumatic birth, as well as nearly 100 submissions from maternity professionals. It also held seven evidence sessions, in which it heard testimony from both parents and experts, including maternity professionals and academics.Eventuntil
This is a follow-up Q/A session to Deloitte's successful "Safer Electronic Patient Record Implementation" webinar which took place on 18th April. Join us on May 23rd as our expert panellists, with first-hand experience in large-scale EPR implementations, answer some insightful questions. Don't miss this opportunity to deepen your understanding for a successful EPR Go-Live. Please join on Thursday 23 May 4.30pm - 5.30pm as expert panellists who have extensive real-world experience in large-scale EPR implementations, answer your thought-provoking questions. Just register on this link: https://deloi.tt/3UdjH8v Webinar Host: Dr Karen Kirkham, Chief Medical Officer, Deloitte UK The Speakers: Dr Cormac Breen, Chief Clinical Information Officer, Guy's and St Thomas' NHS Foundation Trust Jacqui Cooper, RN Chief Nursing Information Officer, Health Innovation Manchester Professor Henry Morriss, Chief Clinical Information Officer, Manchester Royal Infirmary, Consultant Emergency and Intensive Care Medicine Dr Afzal Chaudhry, Executive Chief Clinical Information Officer, Epic Frances Cousins, Digital Health Lead, Deloitte UKContent ArticleConflicts of interest inherent in industry funding can bias medical research methods, outcomes, reporting and clinical applications. This study, published in Europe PMC, explored the extent of funding provided to American physician researchers studying surgical mesh used to treat uterine prolapse or stress urinary incontinence, and whether that funding was declared by researchers or influenced the ethical integrity of resulting publications in peer reviewed journals. Authors conclude that journal editors' guidelines re declaring conflicts of interest are not being followed. Financial involvement of industry in mesh research is extensive, often undeclared, and may shape the quality of, and conclusions drawn, resulting in overstated benefit and overuse of pelvic mesh in clinical practice.Content Article
Joy Mason is the Director of Operations, Services and Engagement at Mast Cell Action. In this blog, Joy tells us more about Mast Cell Activation Syndrome and how medication supply issues are impacting people’s lives and causing avoidable harm.Content ArticlePatient_Safety_Learning posted an article in Human factors (improving human performance in care delivery)To understand and improve the way that organisations work, we must think in systems. This means considering the interactions between the parts of the system (human, social, technical, information, political, economic and organisational) in light of system goals. There are concepts, theories and methods to help do this, but they are often not used in practice. We therefore continue to rely on outdated ways of thinking in our attempts to understand and influence how sociotechnical systems work. This White Paper distils some useful concepts as principles to encourage a ‘systems thinking’ approach to help make sense of – and improve – system performance. It is hoped that these will give new ways of thinking about systems, work and safety, and help to translate theory into practiceContent ArticleThe MAPLE project led by the Bristol Biomedical Research Centre, aims to co-produce an accessible patient information leaflet (PIL) that will aim to improve diversity in those who choose to take part in clinical research. The first stage of this work is to understand the barriers preventing people taking part in clinical research and gain views on how existing, accessible PILs may address these barriers. National Voices was commissioned to work with relevant charities and the people they advocate for to understand barriers to participation in clinical research, including, but not limited to literacy.Content ArticleThe following account and poem has been kindly shared with Patient Safety Learning by Tom Bell.Content ArticlePatient_Safety_Learning posted an article in Human factors (improving human performance in care delivery)
A subjective, biased, and an open ended inquiry into one of the most famous accidents in the maritime history – the capsizing of the Costa Concordia. Nippin Anand's first-hand interviews with the captain followed by a series of workshops around the world gradually became a source of learning and inner change. Read a foreword by Steven Shorrock Buy the book hereContent ArticleDavid Stockwell, M.D., M.B.A., is Chief Medical Officer at Johns Hopkins Children’s Center and Associate Professor of Pediatrics and Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine. He is also Chief Clinical Officer at Pascal Metrics, a federally listed Patient Safety Organization working with the Betsy Lehman Center on a pilot to test the impact of automated safety event monitoring in a diverse set of six-to-eight acute care hospitals in Massachusetts. In this Q&A session, Stockwell talked with Patient Safety Beat about Pascal’s approach to using electronic data to transform safety.Content ArticleThis is the 15th annual Royal College of Radiology clinical radiology census report - presenting a comprehensive picture of the clinical radiology workforce as it stood in October 2022. Once again, the Royal College secured a 100% response rate.Content ArticleIn this article for Health Service Journal, Lord Hunt updates readers on progress in revolutionising NHS procurement by focusing on value-based healthcare, patient outcomes and cost-effectiveness.Eventuntil
Professor Steven Yule, and the Surgical Sabermetrics Lab Group, invite you to a research seminar from Professor Denny Yu on: Innovative Approaches for Assessment of Non-Technical Skills in Surgery - Objective Metrics and Sensing. The seminar will take place on Friday, 10th of May at the Usher Institute (and virtual), from 2-3pm Edinburgh time (9-10am EST). This promises to be a fascinating talk. Please see the attached poster for further detail, and Professor Yu's bio. For those joining virtually, please find the meeting link below: https://ed-ac-uk.zoom.us/j/83539499634 Meeting ID: 835 3949 9634 Passcode: s7hs8fSq Surgical Sabermetrics Research Seminar Invite - Prof Denny Yu.pdfContent Article
Abbie experienced a high-risk pregnancy with her twin girls. They were born at 27 weeks gestation and weighed in at just 677g and 500g. After 150 nights in Neonatal Intensive Care Unit (NICU), both of Abbie’s daughters came safely home. In this blog, Abbie highlights the importance of building a trauma-informed, clinical network around women whose babies have spent time in NICU. Drawing on her own experience and insights, she offers suggestions for how midwives, GPs and health visitors can support their mental health postnatally.Content ArticleIn this blog Dr Henrietta Hughes, Patient Safety Commissioner for England, outlines the activities included in the Patient Safety Commissioner Business Plan 2024-25.Community PostIn 2010, it emerged that implants manufactured by the French company Poly Implant Prothese (PIP) had been made with cheap silicone that had not been approved for cosmetic surgery, and had a high splitting rate. The French authorities closed PIP and the company's founder was convicted of aggravated fraud and imprisoned. Patient groups say there has been little support, recognition or information for those affected in the UK, and that thousands of women continue to experience health problems.[1] Have you had a PIP implant? What has your experience been? What could be done now to make sure those affected are supported? Please comment below (sign up here first, for free) or get in touch with the team at [email protected] [1] Woman pays £11,000 to fix ruptured breast implantContent Article
Sands is the UK's leading charity working to save babies' lives and support bereaved families. In this blog, Julia Clark and Mehali Patel from the Sands Saving Babies’ Lives research team, draw on their recent Listening Project to illustrate the value of working with bereaved parents. Julia and Mehali argue that hearing and amplifying these unique insights is vital to developing safer, more equitable neonatal and maternity care.
Important Information
We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.