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Patient_Safety_Learning

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Everything posted by Patient_Safety_Learning

  1. Content Article
    Data-driven health systems is the term we use to refer to technologies that collect, process, and analyse data about people to present health information in new ways, make predictions, or reach a particular outcome.  Over three years, the Ada Lovelace Institute, in partnership with the Health Foundation, explored how the accelerated adoption of data-driven systems and digital health services interact with health inequalities in the UK.
  2. Content Article
    Whilst menopause affects roughly half the population, there is still much to be understood about the impact on individuals, in particular on their mental health. Amber Sargent and Helen Jones, Senior Safety Investigators at the Health Services Safety Investigations Body (HSSIB), blog about the patient safety issues that arise when the impact of menopause on mental health is not considered during clinical assessments. In this blog, they explore: why serious mental health disorders develop around menopause the impact of limited research into this important area the role of raising awareness. Read the blog on the HSSIB website Related reading Raising awareness of surgical menopause Top picks: Women's health inequity
  3. News Article
    Soaring use of private healthcare for tests and treatments is piling pressure on overstretched GP surgeries, with family doctors warning that standard NHS care is being squeezed as a result. Record numbers of people are paying for private healthcare, with some having procedures such as cataract surgery and hip replacements, amid mounting frustration at NHS hospital waiting lists. Others are opting for private health checks, genetic testing or cosmetic surgery such as liposuction. But the surge in private healthcare use is increasing the workload of GPs, many of whom say they are increasingly having to interpret questionable health checks done privately, organise blood tests or scans and manage additional administration related to private care. Some say more of their hours are being taking up providing follow-up appointments after patients paid for treatment or surgery abroad. Read full story Source: Guardian, 29 October 2023
  4. News Article
    Dr Martyn Pitman claimed retaliatory victimisation after raising morale concerns but tribunal says it was his manner that cost him his job. A doctor has said raising whistleblowing concerns about maternity care at his hospital “cost me very dearly” after he lost his employment tribunal. Consultant obstetrician and gynaecologist Dr Martyn Pitman was dismissed earlier this year from his job at the Royal Hampshire county hospital (RHCH) in Winchester, where he had worked for 20 years. He told the Southampton tribunal, which concluded earlier this month, that he had been “subjected to brutal retaliatory victimisation” after exercising his rights under the Public Interest Disclosure Act. A tribunal judgment released on Friday said there had been “unanimous” agreement that the arguments behind the whistleblowing claim “fail and are dismissed”. Read full story Source: Guardian, 29 October 2023
  5. News Article
    Babylon Healthcare won NHS contracts after being championed by Matt Hancock but the company’s AI tech was oversold and it has now collapsed. The NHS spent millions of pounds on a flawed AI chatbot whose creator used aggressive sales techniques and overpromised what it could do, former staff have claimed. Babylon Health, a tech start-up championed by Matt Hancock and advised by Dominic Cummings, promised that its AI chatbot could keep patients who didn’t need to be seen by a health professional out of the overstretched NHS. But the technology was not as sophisticated as the company claimed, with former staff now claiming that what began as a crude tool based on “decision trees written by doctors, put into an Excel spreadsheet” never realised its promised potential. Concerns — including the fact the app missed clear signs of a heart attack or dangerous blood clots — were raised. Read full story (paywalled) Source: The Times, 28 October 2023
  6. Content Article
    Good practice guidance for integrated care boards (commissioners and providers) produced by NHS England. This community rehabilitation and reablement model, published alongside the intermediate care framework, aims to ensure that the individual (and their families) is at the centre of discussions and that any transition points will be as seamless as possible.
  7. Content Article
    "With every patient safety inquiry the lessons are the same. We owe the families affected by these repeated failures meaningful organisational change." Says Juliet Dobson, in this Editorial for the BMJ.
  8. Content Article
    In this short video from the Personalised Care Institute, we hear from Rachel Grimaldi, Co-Founder and CEO of CardMedic. Rachel talks about the importance of effective communication, co-designing digital solutions with patients and families and how CardMedic are working to break down barriers.
  9. Content Article
    Professor Bola Owolabi, Director of the National Healthcare Inequalities Improvement Programme at NHS England, kicked off Patient Partnership Week 2023 with an inspiring talk about her work in tackling health inequalities. Hear how tackling health inequalities is a win-win for patients and the NHS. 
  10. News Article
    Trusts may be spared financial penalties if they fail to meet care quality standards under new proposals from NHS England. NHSE is looking at “pausing” the financial element of the Commissioning for Quality and Innovation scheme from next year according to information seen by HSJ. This states “a wider review of incentives for quality” is also under way. Read full story (paywalled) Source: HSJ, 30 October 2023
  11. Content Article
    The importance of big health data is recognised worldwide. Most UK National Health Service (NHS) care interactions are recorded in electronic health records, resulting in an unmatched potential for population-level datasets. However, policy reviews have highlighted challenges from a complex data-sharing landscape relating to transparency, privacy, and analysis capabilities. In response, authors of this study, published in The Lancet Digital Health, used public information sources to map all electronic patient data flows across England, from providers to more than 460 subsequent academic, commercial, and public data consumers. Although NHS data support a global research ecosystem, they found that multistage data flow chains limit transparency and risk public trust, most data interactions do not fulfil recommended best practices for safe data access, and existing infrastructure produces aggregation of duplicate data assets, thus limiting diversity of data and added value to end users. They provide recommendations to support data infrastructure transformation and have produced a website to promote transparency and showcase NHS data assets.
  12. Content Article
    “Breaking the Rules for Better Care” was developed and initiated by the US-based Institute for Healthcare Improvement (IHI) Leadership Alliance in 2016 as a way to identify health care “rules” that get in the way of the care experience. They recognised that as healthcare leaders they aim to provide positive experiences for patients, families, and staff. However, sometimes they may inadvertently create processes or policies that have an unintended impact on the people they work to serve and support. In 2017, 10 members of the IHI Health Improvement Alliance Europe (HIAE) conducted their own “Breaking the Rules for Better Care” week, amassing 500 proposed rules by means of feedback boxes in cafeterias, postcards, stickers, comment boards, and staff brainstorming sessions. One organisation even ran an underground “guerrilla campaign,” covering its hallways and doorways with red masking tape to illustrate “breaking the rules” in action. To view the existing system with a new lens, organisations from these two IHI networks have been asking: If you could break or change one rule in service of a better care experience for patients or staff, what would it be and why? This is a resource pack to help others undertake a similar "breaking the rules for better care" campaign. 
  13. Content Article Comment
    Thanks @richard vA. You should still be able to view the content without an account. It isn't paywalled. If you are able to, please send a screenshot of what you see you see when you click through the link to content@pslhub.org
  14. Content Article Comment
    Hi @richard vA, are you unable to view the article via the link or is it something else within the article you cannot access? https://www.linkedin.com/pulse/making-positive-difference-patient-safety-preparing-psirf-ihpn-/
  15. Content Article
    NHS England is introducing a new approach to investigating patient safety incidents, called the Patient Safety Incident Response Framework (PSIRF). To help organisations develop their plans and transition to this new way of working, Patient Safety Learning has published a template PSIRF Risk Register and Risk Management Plan.
  16. News Article
    A trust pressured into commissioning an external review of dozens of suicides faces fresh criticism and questions about the probe’s credibility after it emerged the investigation will not investigate each case but instead look to ‘identify themes’. Cambridgeshire and Peterborough Foundation Trust originally said it would carry out the review of more than 60 patient suicides internally. But following criticism, it U-turned on this decision and last month agreed to an externally-led process. Read full story (paywalled) Source: HSJ
  17. News Article
    The Centers for Disease Control and Prevention alerted doctors nationwide Monday about a limited availability of certain doses of a newly approved antibody drug given to infants to prevent RSV infection. Cases of RSV, or respiratory syncytial virus, have started to rise as cold and flu season begins. "RSV season is here," said Dr. Buddy Creech, a pediatric infectious disease doctor at Vanderbilt University Medical Center in Nashville, Tennessee. "We are seeing a substantial increase in the amount of RSV such that in many areas, it has become the most commonly identified respiratory virus causing disease in children. "This is one of the reasons why there's probably a lot of scrambling going on," he said, "to identify those babies at highest risk and to try to prioritize them, since it's such a limited resource right now." Read full story Source: NBC News, 23 October 2023
  18. News Article
    An ambulance spent 28 hours outside a hospital after an "extraordinary incident" was declared due to delays. The Welsh Ambulance Service said 16 ambulances had waited outside the emergency department at Morriston Hospital, Swansea, at one time. It said multiple sites across Wales were affected. The extraordinary incident, which asked people to only call 990 if their emergency was "life or limb threatening", is now over. Read full story Source: BBC News, 23 October 2023
  19. News Article
    Thousands of patients in England and Northern Ireland are missing out on a life-extending prostate cancer drug that is more widely available on the NHS in Scotland and Wales, say experts. Charity Prostate Cancer UK said it was "unacceptable" that men in parts of the UK were facing a postcode lottery. Although not a cure, abiraterone can help stop prostate cancer spreading to other parts of the body. NHS England said it would review the drug's use for more men next year. Read full story Source: BBC News, 23 October 2023
  20. Content Article
    In this episode of OVIDcast, Rachael Stewart, Deputy Head of Patient Partnerships at OVID Health continues the conversation with Rachel Power, Chief Executive of the Patients Association as they explore the role of patients in partnerships with both healthcare professionals and life science companies as well as how two award-winning projects focused on working directly with patients to improve shared decision-making.
  21. Content Article
    NHS England is introducing a new approach to investigating patient safety incidents, called the Patient Safety Incident Response Framework (PSIRF). Members of our online patient safety platform, the hub, have been sharing their insights, opinions and reflections around PSIRF to support one another at this time of transition.   In this ‘Top picks’, we’ve selected ten to share with you.* 
  22. Content Article
    NHS England is introducing a new approach to investigating patient safety incidents, called the Patient Safety Incident Response Framework (PSIRF). Members of our online patient safety platform, the hub, have been sharing PSIRF resources, tools and templates to support one another as the approach is implemented. In this ‘Top picks’, we’ve selected some to share with you.* 
  23. Content Article
    This study, published by BMC Pregnancy and Childbirth, explored minority ethnic women's experiences of access to and engagement with perinatal mental health care.
  24. Content Article
    This study aims to explore minority ethnic women’s experiences of perinatal mental health services during COVID-19 in London. Methods: Eighteen women from ethnic minority backgrounds were interviewed, and data were subject to a thematic analysis. Results: Three main themes were identified, each with two sub-themes: ‘Difficulties and Disruptions to Access’ (Access to Appointments; Pandemic Restrictions and Disruption), ‘Experiences of Remote Delivery’ (Preference for Face-to-Face Contact; Advantages of Remote Support); ‘Psychosocial Experiences’ linked to COVID-19 (Heightened Anxiety; Social Isolation). Conclusions: Women from ethnic minority backgrounds experienced disrupted perinatal mental health care and COVID-19 restrictions compounding their mental health difficulties. Services should take women’s circumstances into account and provide flexibility regarding remote delivery of care.
  25. Content Article
    Through personalised care, people have the opportunity to be actively involved in the decision-making process around their treatment options and care by speaking up on things that feel most important to them. There is increasing evidence to show that involving people in decisions about their healthcare leads to improvements in the quality of care, higher patient satisfaction and improved health outcomes, all of which lead to the more effective use of healthcare services. Find out more about the evidence for personalised care, including links to related research, on the Personalised Care Institute website via the link below.
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