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Patient_Safety_Learning

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Everything posted by Patient_Safety_Learning

  1. Community Post
    Physician associates are healthcare professionals who work as part of a multidisciplinary team with supervision from a named senior doctor, providing care to patients in primary, secondary and community care environments. First introduced in 2003, PAs have become increasingly talked about in healthcare and in the media, with many discussions focused on the safety of the current approach. We want to hear from patients and carers. Have you, or someone you care for, got an experience of being seen by a PA that you would like to share? Do you feel more information about the PA role would be useful for patients? Do you have any other comments, concerns or perspectives you would like to add? Please comment below (you'll need to sign up first, for free) or contact the team at [email protected]
  2. Content Article
    Antimicrobial Resistance (AMR) is well recognized as a silent pandemic posing a threat to human health, terrestrial and aquatic animal health, plant health, food production, food safety, environmental safety and global developmental goals. After adoption of the Global Action Plan on Antimicrobial Resistance (GAP-AMR) with five key strategic objectives and in 2015, many countries of the world developed and implemented National Action Plans for combating AMR with a One Health approach. Sri Lanka has developed and implemented the country’s first National Strategic Plan for combating AMR in 2017 (NSP 2017-2022) aligned with the strategic objectives of the GAP-AMR. Country AMR response has been organized and implemented by the national AMR focal point with focal points from human health, terrestrial and aquatic animal health and production, plant health and production, food safety and environment sectors. A  National Advisory Committee (NAC-AMR) and a National Action Plan Implementation Strengthening Team (NAPIST) have been appointed with representatives from the above sectors. The end-term evaluation of the progress in implementation of NSP 2017-2022 was conducted by a team of Sri Lankan consultant microbiologists with the support of coordinators representing One Health sectors (human health, terrestrial and aquatic animal health and production, plant health and production, food safety and environment). This activity was conducted from April-June 2023 with the supp
  3. Content Article Comment
    @Joy Ford thank you for taking the time to recount your experience. The impact of poor communication can be, as you have illustrated, immeasurable. You have highlighted the value in clinicians really taking the time to listen to family, patients and carers, in order to provide the best care. I am sorry you did not experience this and that his care and life was impacted as you have described. The report Miriam talks about in the blog, looks at how these barriers to good, safe care can affect people's relationships and trust with the healthcare system. I am sure it has for you. If you would like to share your experience with others to highlight areas for improvement, you can contact us at [email protected]
  4. Content Article
    Following consultation, the Care Quality Commission have now published final guidance to help providers understand and meet the new fundamental standard on visiting and accompanying in care homes, hospitals, and hospices. The guidance (on Regulation 9A: visiting in care homes, hospitals, and hospices) also sets out what people using health and social care services and their families, friends or advocates can expect.
  5. 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.
  6. 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.
  7. Content Article
    This is an official NHS letter sent to: all general practices all primary care network clinical directors integrated care board CEOs NHS 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.
  8. 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.
  9. 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.
  10. 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
  11. 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.  
  12. 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.
  13. Content Article
    In this 6 minute video, Laurence describes his experiences of post-ICU delirium.
  14. 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.
  15. 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 …
  16. Content Article
    This guidance, from the Government Finance Function and HM Treasury, establishes the concept of risk management.
  17. 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.
  18. 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”.  
  19. Community Post
    An interview published today on the hub that may be of interest:
  20. 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. 
  21. 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.
  22. Content Article
    Dr Georgia Richards provides oral evidence to the UK Parliamentary Justice Select Committee's follow-up inquiry to the Coroner Service on 20 February 2024. Watch all of the evidence given by Georgia including: Part 1: Inconsistencies in coroner reports Part 2: Could sanctions improve the Coroner Service? Part 3: Improving the status and ability of coroner reports Part 4: Barriers to making changes Part 5: The potential future utility of the Tracker In part 1, shown in the below video, Dr Richards is asked what the evidence is for variation in writing coroner reports in England and Wales.
  23. Content Article
    Safety leader Helen Macfie describes why she appreciates that Safer Together: A National Action Plan to Advance Patient Safety includes workforce safety as one of its foundational areas.
  24. Content Article Comment
    Hi @Sue Deakin, thank you for sharing these experiences. They reinforce the need for electronic systems to be safe and for changes to services, like the ceasing of funding, to be communicated to key stakeholders. These communication failures can contribute to a loss of faith in the NHS, as Miriam says in her blog. In your experience, what do you think would make a difference to patient safety when it comes to improving communications?
  25. Content Article
    Demos is Britain's leading cross-party think tank, working on different policy areas, from improving public services to building a more collaborative democracy. In this blog, Miriam Levin, Director of Participatory Programmes at Demos, tells us about their recent report, “I love the NHS but…”: Preventing needless harms caused by poor communication in the NHS. She argues there is an urgent need to improve NHS communications for patients and staff if we are to prevent people falling through the gaps and suffering worse health outcomes. Miriam highlights key issues with NHS referrals, disjointed computer systems and gaps in patient information, and offers some potential solutions. 
Registered address: Patient Safety Learning, China Works SB203, 100 Black Prince Road Vauxhall, London, SE1 7SJ

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