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Patient_Safety_Learning

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Everything posted by Patient_Safety_Learning

  1. 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.
  2. 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
  3. 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.  
  4. 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.
  5. Content Article
    In this 6 minute video, Laurence describes his experiences of post-ICU delirium.
  6. 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.
  7. 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 …
  8. Content Article
    This guidance, from the Government Finance Function and HM Treasury, establishes the concept of risk management.
  9. 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.
  10. 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”.  
  11. 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
  12. 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. 
  13. 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. 
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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?
  19. 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. 
  20. Content Article
    Despite its reported benefits, breastfeeding rates are low globally, and support systems such as the Baby Friendly Initiative (BFI) have been established to support healthy infant feeding practices and infant bonding. Increasingly reviews are being undertaken to assess the overall impact of BFI accreditation. A systematic synthesis of current reviews has therefore been carried out to examine the state of literature on the effects of BFI accreditation. 
  21. Content Article
    Although several studies have tried to quantify the cost of ‘adverse events’ in healthcare, the true costs remain unknown. To understand the ‘true cost’ of serious incidents, Jane Carthey argues we need to consider:The cost of additional treatment for the affected patient.The opportunity costs that accrue from reporting and managing incidents, claims and complaintsBusiness costs that accrue when, for example, healthcare staff are suspended.Costs resulting from implementing the duty of candour process, andPenalties and sanctions imposedIn other industries, the HSE’s Incident Cost Calculator is used to quantify the true costs of incidents. Inspired by this tool, Jane developed the Healthcare Serious Incident Cost Calculator. Available via the link below.
  22. Content Article
    This video, was produced by Long Covid Support to show why effective Long Covid research is urgently needed.
  23. Content Article
    North Central London Integrated Care System has piloted new guidelines and a local dashboard to ensure there is a safety net in place for females taking sodium valproate.This is a paywalled article published by the Pharmaceutical Journal.
  24. Event
    until
    NHS Resolution’s Safety and Learning team, are hosting a virtual forum on the recently published research conducted by Dr Rebecca Payne and Professor Greenhalgh into the safety of remote consultations. The purpose is to raise awareness of the research evidence from incidents, claims and complaints which inform the findings and recommendations on patient safety in remote consultations. This will be of interest to all involved in telephone consultations across primary and urgent care but also of relevance to telephone consultations taking place in secondary care. The format is interactive, with presentations followed by questions and panel discussion Event programme: Patient safety in remote encounters in primary care Q&A panel discussion Contributors: • Dr Rebecca Payne - NIHR in-practice fellow, General practictioner | University of Oxford and Chair | NICE Quality Standards Committee • Prof Trisha Greenhalgh - Professor of Primary Health Care | University of Oxford • Dr Anwar Khan - Senior Clinical Advisor for General Practice | NHS Resolution Book your place
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