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Patient_Safety_Learning

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Everything posted by Patient_Safety_Learning

  1. Content Article
    This report was published by the Royal Society for Public Health (RSPH). Key points • Antibiotic resistance is described bythe WHO as a ‘major threat’ • Drug-resistant infections kill 25,000people each year in the EuropeanUnion • Without a global and multi-faceted response, an increasing number of previously treatable infectious diseases will become life-threatening conditions Call to action • Investment in initiatives to promote hand hygiene • Campaigns to increase understanding of the appropriate use of antibiotics • Greater utilisation of the wider public health workforce to support patient compliance with medicines
  2. Content Article
    Lions Clubs Message in a Bottle is a simple but effective way for people to keep their basic personal and medical details where they can be found in an emergency on a standard form and in a common location – the fridge. Message in a Bottle (known within Lions as MIAB) helps emergency services personnel to save valuable time in identifying an individual very quickly and knowing if they have any allergies or take special medication. Find out more about the initiative and how to order a bottle via the link below.
  3. Content Article
    The Professional Standards Regulatory Body are holding a series of webinars in January 2024 designed for professionals working in or with maternity services where they will review the updated Digital Maternity Record Standard. Each session will focus on different aspects of maternity care.  Having access to the right information at the right time helps professionals make decisions for safer, more personalised care and supports people using services to manage their own information. Health and care professionals, organisations that support people during and after pregnancy, IT system suppliers and people who use maternity services are welcome at these sessions. Find out more about the sessions and how to sign up via the link below.
  4. Event
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    The Professional Records Standards Body are holding a dedicated webinar on 25 January 2024 for IT system suppliers to explore the updated Digital Maternity Record Standard in more detail. If you are a system supplier, you can find out more about the event and how to register here.
  5. Content Article
    If you’ve recently used maternity services, or if you’re pregnant at the moment, the Professional Records Standards Body (PRSB) would like to invite you to join one of their online workshops in January 2024. Each session will last no longer than 1 hour 30 minutes and you’ll receive a £25 shopping voucher to thank you for your time if you attend. The PRSB are working with the NHS to improve how information about your health is recorded and shared during your pregnancy and after your baby has been born. This could include information about treatment or advice you’ve received, tests and scans you’ve had or decisions you’ve made about your maternity care.   Find out more about the project, and how to book onto a workshop via the link below.
  6. Event
    This event is designed for people working in mental health to come together to reflect on how we can improve the safety of our patients. There will be talks from experts, sharing of good practice and time for discussion with the opportunity to build networks. After attending this course you will: 1. Be aware of some main areas in which patient safety can be improved 2. Understand the importance of safety systems and how they can be used to develop better care 3. Be able to build networks with others who champion patient safety The day will be chaired by Dr Wendy Burn, Consultant Psychiatrist at Leeds and York Partnership NHS Foundation Trust and Past President of the Royal College of Psychiatrists. Keynote speaker is Professor Nav Kapur, Centre for Suicide Prevention at University of Manchester. The event is for clinical staff and is eligible for 6 CPD points subject to peer group approval. Book here
  7. Content Article
    This website is the home for ‘conversation for kindness’, which is a monthly meeting that was set up in the summer of 2020 by a group of colleagues and friends working in healthcare across Sweden, the UK and the USA. The initial purpose of getting together was to have some time together to continue some initial conversations around kindness, and to explore its role at the ‘business end’ of healthcare.
  8. Content Article
    As representatives of the European Patient Safety Foundation, the authors share with the wider patient safety community some current perspectives from across Europe. As the title suggests, in their view, the healthcare systems are dominated by the reality of having to deal with what are seen as multiple crises at the same time, and somehow keep patient safety on the agenda and come up with strategies and initiatives to make improvements. The situation is made even more complex by the fact that these crises take an additional toll on those responsible for delivering safe care, healthcare staff themselves, who already have to cope with difficult working conditions in normal times. This article was published by the Journal of Patient Safety and Risk Management.
  9. Content Article
    This is a guide, published by Shaping Our Lives, to help you get involved with organisations and researchers and share your views to help shape services, research and policy.
  10. Content Article
    Professor Joe McDonald, Principal Associate for health system collaboration for Ethical Healthcare Consulting, explains how the recent trial of Lucy Letby triggered both personal and professional rage – and the desire to do more to keep patients safe across the NHS.
  11. Content Article
    Authors of this report conclude that: "...patient-reported experience measures (PREMs) offer great insights into what is happening on the ground. The chances of any intentional/ unintentional bias are minimal as it comes directly from the patients. If appropriately implemented, PREMs can be a great proactive tool to ensure good quality of service rather than depending on near misses or incidents to happen and be reported. PREMs offer a unique opportunity to directly involve the patients in their care as they are essential stakeholders in the quality of care."
  12. Content Article
    Problems in intrapartum electronic fetal monitoring with cardiotocography (CTG) remain a major area of preventable harm. Poor understanding of the range of influences on safety may have hindered improvement. Taking an interdisciplinary perspective, authors of this study, published in BMJ Quality and Safety, sought to characterise the everyday practice of CTG monitoring and the work systems within which it takes place, with the goal of identifying potential sources of risk.
  13. Content Article
    In this blog, Lucy Wilkinson, CQC’s Interim Head of equality, health inequalities and human rights, talks about the fundamental link between human rights and delivering safe, good quality care.
  14. Content Article
    Joanna Lloyd and Hannah Taylor from law form Bevan Brittan, are joined in conversation by Graeme Irvine, Senior Coroner for East London. In this session, Graeme considered how PSIRF may work with the coronial process. Access the video via the link below. 
  15. Content Article
    As part of the Care Quality Commission's (CQC's) commitment to person-centric care, they have worked with the University of Bedfordshire to produce guidance for care home managers and members of the public on the availability and management of alcohol in care homes.   This guidance focuses on both the benefits of having alcohol available to care home residents who want it, as well as how to mitigate potential risks.   The University of Bedfordshire spoke to residents, their family members, care home managers and CQC inspectors, and captured their expectations and requirements on how alcohol is managed in care settings.  
  16. Content Article
    Record numbers of people are waiting for NHS treatments. The numbers have soared in recent years from 4.4 million before the pandemic to 7.8 million today. As winter approaches they look set to increase further still. With a pandemic and industrial action its been a very challenging time for the NHS. Monthly treatments are growing at a faster rate than pre-pandemic levels. But the waiting list is still rising as people come forward having postponed seeking treatment. On this episode of Call You and Yours, the host asks- "how are NHS waiting lists are affecting you and your family?"
  17. Content Article
    The evidence presented in this report makes the undeniable case that people living with a mental health condition and taking medicines need better access to the expertise of pharmacists across the whole spectrum of care.
  18. Content Article
    This guide from NHS England outlines the processes involved in developing safety actions. This includes sections on: agreeing areas for improvement defining safety actions prioritising safety actions defining safety measures writing safety actions monitoring and reviewing.
  19. Content Article
    This living guideline from the World Health Organization (WHO) and published by the BMJ, incorporates new evidence to dynamically update recommendations for covid-19 therapeutics.
  20. Content Article
    Improving Healthcare Safety by Enhancing Healthcare Facility Design is the third in a series of AHRQ publications that summarise the Agency for Healthcare Quality and Research's (AHRQ's) investments in patient safety research as a pathway toward safer care. This research has shown that optimising the physical, functional, and aesthetic details of healthcare facilities (e.g., units, rooms, equipment, logistics and technologies) can improve patient outcomes, reduce injuries and hospital-associated infections, and increase provider satisfaction.
  21. Content Article
    This document provides examples of how the justice system is failing mesh victims and why a Redress Agency is imperative.
  22. Content Article
    In this article, sponsored by DHL Supply Chain, the author argues that to tackle challenges and enable a safety-focused culture, a two-pronged approach is needed – introducing safe processes and promoting accountability.
  23. Content Article
    In this blog by Sling The Mesh, the author reflects on the recent case of a mother left in debilitating pain and faecally incontinent from vaginal mesh being awarded a record settlement of at least £1 million. She highlights that in reality many cases are thrown out before they get to court, some never get off the ground owing to being out of the legal time frame and many more women don’t even attempt a medical negligence claim as the process feels too stressful, triggering PTSD and anxiety.
  24. Content Article
    On 8 November 2023, NHS England wrote to health leaders and staff with a focus on addressing the significant financial challenges created by industrial action in 2023/24, and immediate actions to take. Follow the link below for full details.
  25. Content Article
    In this article, published by Med Page Today, clinical trials are the cornerstone of evidence-based medicine authors argue that: "All trial results - positive, negative, and neutral - must be made publicly available to allow for transparent decision-making by patients, physicians, and regulators. Without complete data, the evidence gets distorted: harms are downplayed, and benefits are overstated."
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