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Patient_Safety_Learning

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Everything posted by Patient_Safety_Learning

  1. News Article
    Thousands of people who are unknowingly living with hepatitis C in England could be identified and treated due to an expanded NHS testing initiative. The initiative includes new liver scanning and portable testing units to be rolled out in communities where people may be at a higher risk of contracting the infection. Also included in the initiative are testing events happening at GP surgeries and community outreach at drug and alcohol support services. Read full story Source: Guardian 8 April 2024
  2. News Article
    More than 150,000 patients had to wait a day in A&E before getting a hospital bed last year, according to new data. Freedom of information data compiled by the Liberal Democrats from 73 hospital trusts – about half the total – found that the number of patients forced to wait more than 24 hours in A&E before a bed could be found for them has increased by tenfold since 2019. The majority of those forced to wait were elderly or frail, with two-thirds of the patients over the age of 65. Read full story Source: Guardian 8 April 2024
  3. News Article
    Black women are up to six times more likely to experience some of the most serious birth complications during hospital delivery across England than their white counterparts, with the figures being described as “stark” and disheartening”, according to analysis. Black women made up 26% of women who experienced the birth complication pre-eclampsia superimposed on chronic hypertension during delivery, despite making up just 5% of all deliveries across England, according to a Guardian analysis of NHS figures for 2022-23. They were six times more likely to experience this pregnancy complication than their white counterparts, who made up 47.2% of these cases despite making up 70% of all deliveries. Read full story Source: Guardian, 8 April 2024
  4. News Article
    Pre-eclampsia affects between 1% and 5% of pregnant women, but more can be done to inform people about its dangers. While pregnant with her son in 2015, Chipiliro Kalebe-Nyamongo’s pregnancy was generally smooth – until she reached about 33 weeks. She started to develop high blood pressure, and was admitted to hospital to be monitored. It was during this period that Kalebe-Nyamongo became concerned when she didn’t feel her baby’s movements as usual. Read full story Source: Guardian, 8 April 2024
  5. News Article
    A woman died when a major private healthcare provider failed to transfer her to NHS intensive care quickly enough after she became critically ill. Sabrina Khan said Spire Healthcare staff "should have known something was wrong" with her mother, Nafisa. The BBC also obtained testimony from doctors - contracted by the company to work up to 168 hours a week - who say long hours could put patients at risk. Spire Healthcare has apologised for failings in Nafisa Khan's care. The death of Mrs Khan from east London is one of several deaths following surgery at Spire Healthcare, looked at by BBC Panorama. Read full story Source: BBC News, 8 April 2024
  6. Content Article
    You may have heard about substandard or falsified syrup harming children and even causing deaths. There have been reports of falsified diabetes and weight loss treatments. How can you protect yourself? How does WHO keep you safe from substandard or falsified medical products? WHO’s Pernette Bourdillon Esteve explains in Science in 5.
  7. Content Article
    This report sets out Care Quality Commission's activity and findings during 2022/23 from our engagement with people who are subject to the Mental Health Act 1983 (MHA) as well as a review of services registered to assess, treat and care for people detained using the MHA.
  8. Content Article
    This is an official NHS letter sent to:all general practicesall primary care network clinical directorsintegrated care board CEOsNHS England regional directors.The letter highlights guidance and actions to support the practices that employ physician associates on the implementation of roles as part of the delivery of the NHS Long Term Workforce Plan.
  9. Content Article
    The purpose of this paper, published in the Annals of Internal Medicine, was to conduct a systematic review on definitions and valid measurements of respectful maternity care (RMC), its effectiveness for improving maternal and infant health outcomes for those who are pregnant and postpartum, and strategies for implementation.
  10. Content Article
    With a record number of patients stuck in A&E, Healthwatch England’s CEO Louise Ansari wants to see a longer-term plan to improve conditions in which people wait for life-saving care. This should include real-life monitoring and reporting on patient experience.
  11. Content Article
    The State of the State blends two forms of research to provide a view of the state from the people who depend on it and the people who run it. To understand public attitudes, Deloitte and Reform commissioned Ipsos UK to conduct an online survey of 5,815 UK adults aged 16-75 between 27 October and 1 November 2023. Quotas were set to reflect the known profile of the UK adult offline population and a boost sample was achieved in each of the UK nations. In total 821 responses were achieved in Scotland, 713 in Wales and 420 in Northern Ireland. For the UK figures, results have been weighted back to the correct proportion for each nation. Where responses do not sum to 100 this is due to computer rounding or questions which require multiple answers to be chosen. To bring a strategic perspective, our qualitative research comprises interviews with more than 100 leaders in government and public services, which is double the number from last year. They include permanent secretaries and other senior civil servants, police chief constables, council chief executives, NHS leaders and elected representatives. The interviews took place between September and December 2023
  12. Content Article
    Aqua is an NHS health and care quality improvement organisation working across the NHS, care providers and local authorities to identify, refine and embed sustainable strategies for high-quality care and regulatory excellence. Aqua’s Strategy for 2024 to 2027 outlines their aims and priorities for this period. Through their discussions with partners and colleagues they have identified 5 key areas: Safe care Culture and Leadership excellence Listening and acting on users’ experience Continuous improvement Governance and regulatory support.  
  13. Content Article
    Sharon shares her experience of using an external female catheter. This is an example of where person centred care has a positive impact on the physical and mental wellbeing of a patient.
  14. Content Article
    In this 6 minute video, Laurence describes his experiences of post-ICU delirium.
  15. Content Article
    Person-centred interactions should be marked by listening, dignity, compassion and respect. One practical approach to providing person-centred care can be in the use of the five "Must Do With Me" elements of care to design the interactions between people receiving services and those delivering them: What matters to you? Your personal goals and the things that are important to you are discussed and form the basis of your care or treatment. Who matters to you? You are asked about the people that matter most in your life and have opportunity to involve them in the way that you choose. What information do you need? You get understandable full information and are supported to make decisions that take account of your personal goals and the things that are important to you. Nothing about me without me. You are always given the opportunity to be involved in discussions. All information exchanges and communication between professionals or between different services are transparent and always provide you with the opportunity either to be present or to contribute to the process. Personalised contact. As much as possible, the timing and methods by which you contact and use services or supports are flexible and can be adapted to your personal needs. Find out more via the link below to the Healthcare Improvement Scotland website.
  16. Content Article
    In this Guardian article, Theopi Skarlatos explains how she was making a documentary about the UK’s midwife crisis when she lost her baby. By then she had heard time and again about understaffing, depression, burnout …
  17. Content Article
    This guidance, from the Government Finance Function and HM Treasury, establishes the concept of risk management.
  18. Content Article
    The Health Action Process Approach (HAPA) suggests that the adoption, initiation, and maintenance of health behaviours must be explicitly conceived as a process that consists of at least a motivation phase and a volition phase.  Follow the link below to be directed to more information and resources on the HAPA approach.
  19. Content Article
    In this blog, Jo Jerrome, CEO of Thrombosis UK, explains the dangers of deep vein thrombosis (DVT) and why it is important for patients and staff to be aware of the risk factors. Jo offers advice on how we can all manage our risk of DVT, and introduces their award-winning, free patient app – “Let’s talk clots”.  
  20. News Article
    The Royal Pharmaceutical Society (RPS) is leading a new project to examine the causes of the growing challenge of medicines shortages and help tackle their impact on patients and pharmacy practice. A new advisory group, convened by RPS and chaired by RPS Fellow Dr Bruce Warner, will meet later this month and bring together experts from primary and secondary care, patients, the pharmaceutical industry, suppliers, regulators, government and the NHS. Read full press release Source: The Royal Pharmaceutical Society, 13 March 2024
  21. Community Post
    An interview published today on the hub that may be of interest:
  22. Content Article
    In this interview, we talk to Darren Powell, Clinical Lead for NHS England and Community Pharmacist, about medication supply issues. Darren shares his experiences of how medication shortages and tariffs are affecting patients and staff and offers insights into the complexity of the situation.  He tells us his thoughts on potential causes and barriers, as well as suggesting three actions for wider system safety. 
  23. Content Article
    Over the years, we have worked with many amazing women who share our aim of reducing avoidable harm in health and social care. In this blog, to mark International Women’s Day 2024, we are celebrating women who campaign for patient safety. 
  24. Content Article
    Are you a surgical doctor working in the NHS? Could you spare 1 hour of your time to share your insights and help researchers explore psychological safety? Shinal Patel-Thakkar, a trainee Clinical Psychologist, is seeking participants for a qualitative research study into psychological safety in surgical environments. In this interview she tells us more about the study, how people can register their interest, and provides reassurance that confidentiality will be maintained.
  25. Content Article
    Online healthcare services and apps can help people take more control of their health, by getting access to care easily and when it suits them. You need to make sure any medicine, treatment or health advice you get is safe and right for you. These six top tips from UK health organisations will help you keep safe if you decide to go online.
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