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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    Key findings: Midwifery students perceive that being bullied in front of women or implicating them in the act adversely impacts their childbearing experiences. Some types of poor behaviour placed the safety of mothers and babies at risk. Students feel that the involvement of women, particularly COCE women, in the ‘drama’ of birth suite bullying fractures existing clinical relationships. Students believe that women lose confidence in both the midwifes’ and their ability to provide safe effective midwifery care and are left feeling awkward and uncomfortable, detracting
  2. Content Article
    1 Neonatal herpes: Why healthcare staff with cold sores should not be working with new babies In this blog, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, draws on her own devastating experience of her son dying to illustrate why healthcare staff with cold sores must stay away from new babies. Sarah highlights the lack of awareness of the dangers and calls for a widespread review of policy in order to prevent future deaths. 2 Midwifery Continuity of Care: What does good look like? In this video presentation, Trixie McAree, National Midwifery Lead f
  3. Content Article
    I’ve been a hospital doctor for 10 years, but in February 2020 I switched to GP training. As part of that I’ve spent the last 18 months in hospital rotating around different specialities. In December 2020 I rotated onto a Department of Medicine for the Elderly (DME) ward, populated with very vulnerable patients. The ward has five single side rooms, and six bays. There are mainly DME patients in the bays, but the side rooms are used by patients who need isolating for a variety of reasons. Originally built in 2005 as an ‘isolation ward’, it still retains that name. Throughout December and J
  4. Content Article
    Related content: PPE guidance continues to put staff and patients at risk, by Dr David Tomlinson Raising concerns about PPE and ventilation as a Junior Doctor, a blog by Lindsay Fraser-Moodie How will NHS staff with Long Covid be supported? New FFP3 respirators may cut infection risk Hospital-acquired infection caused one-in-five covid deaths at several trusts
  5. Content Article
    The following points have been taken from the letter. Please read the letter in its entirety for the full detail around each point. Measures taken to alleviate pressure on maternity services that the RCM is supporting: 1. Ensuring all newly qualified midwives are employed. 2. Facilitating the introduction of newly qualified midwives into the workplace. 3. Supporting effective preceptorship. 4. Flexible working. 5. Utilising MSWs to the full extent of their capabilities. 6. Postponement or temporary suspension of Midwifery Continuity of Care schemes. 7. Moratorium on recruitment of senio
  6. Community Post
    In this blog, retired Occupational Health Doctor, Clare Rayner draws on personal experience to illustrate the impact delayed surgery can have on a patient. "The young girl is now unable to walk and there is a very real possibility that lengthy delays to her surgery will continue to lead to progressive disability." A child left waiting for ‘urgent’ surgery, a blog by Clare Rayner
  7. Content Article
    I have a young relative who contracted a bone infection in early childhood, leaving her with a badly damaged ankle. Now 15 years old, she has been through several operations to manage the effects and requires regular reviews. When the Covid-19 pandemic hit, her mum was unable to get an appointment for her review, despite a worsening in mobility and pain. She was struggling to physically get around her school and, despite her admirable stoicism at such a young age, was clearly in a great deal of constant pain. She was finally seen in May 2021 by a surgeon she had not met before. By th
  8. Content Article
    We are now just under three weeks away from the third annual World Patient Safety Day, organised by the World Health Organization (WHO), set to take place on Friday 17 September 2021. The theme of this year’s World Patient Safety Day is ‘Safe maternal and newborn care’. Patient safety concerns relating to maternity services have been particularly prominent in the UK in recent years, with serious failings highlighted by the Cumberlege Review, Dixon Inquiry and the ongoing Ockenden Maternity Safety Review. In the run up to the 17 September, WHO has been highlighting some key global statisti
  9. Community Post
    Friday 17 September 2021 will mark the third annual World Patient Safety Day. The theme of this year’s event is ‘Safe maternal and newborn care’. Its objectives are to raise awareness of maternity safety issues, engage stakeholders to take action to improve maternal and newborn safety and advocate for the adoption of good practice to prevent avoidable risks and harm Do you have an experience to share around maternity safety, as a pregnant woman or birthing person? Or perhaps you are a healthcare professional looking to share your frontline insights to help improve patient safety?
  10. Community Post
    Earlier this month we published a blog looking at some of the key patient safety issues faced by the healthcare system in tackling the care and treatment backlog created by the Covid-19 pandemic. We provided some examples of how this is impacting on the treatment of people with various health conditions, such as cancer, cardiovascular disease, and chronic health conditions. We’re now asking for patients, carers, family members and friends to share their stories and experiences of this with us by commenting in the conversation below.* We’re looking for people to share with us: Expe
  11. Content Article
    “I was not able to walk for weeks until it had healed up. The impact was quite dramatic.” (Patient account) About the project This project, sponsored by Mölnlycke*, invites patients who have experienced an infection following surgery to share their experiences by being interviewed. These patient insights will be used to create a ‘Digital Storybook’, alongside interviews with healthcare workers. Key aims: To raise awareness of how infections following surgery can affect a patient and/or their families and carers. This might include physical, emotional or professional imp
  12. Content Article
    The article concludes with the following key findings: There were 278,548 acute care events reported in PA-PSRS during 2020, representing a 5.3% decrease from 2019. Prior to 2020, reports of Incidents and Serious Events had increased each year since 2016. The number of reported high harm events has decreased from 726 in 2005 to 417 in 2020. The top four event types, accounting for more than three quarters of the acute event reports in 2020, are: Error Related to Procedure/Treatment/Test Medication Error Complication of Procedure/Treatment/Test
  13. Content Article
    Toolkits include: Data collection, validation, stratification and application of patient information to address disparate outcomes Cultural competency and implicit bias training and education Diversity and inclusion in leadership and governance roles Sustainable community partnerships focused on improving equity
  14. Content Article
    Factsheets include: Birth partnersChoice of place of birthConsent: the key factsDisability and long-term health conditions and maternity careHuman rights in maternity care: the key factsMaking a complaintMental capacity and maternity careRight to NHS servicesSocial services and maternity careUnassisted birthYour right to a caesarean birthYour right to see your maternity recordsYour right to choose your midwife or doctor.Follow the link below to access the factsheets.
  15. Content Article
    The survey results suggest that people accessing treatment for mental health problems in England are continuing to experience the five service failings identified in the report: Failure to diagnose and/or treat the patient Poor risk assessment and safety practices Not treating patients with dignity and/or infringing human rights Poor communication with the patient and/or their family or carers Inappropriate hospital discharge and aftercare of the patient.
  16. Content Article
    The report draws out the barriers patients may face, which broadly fit into the following five themes: Socio-economic barriers Complex health systems, health literacy and education Cultural barriers Race, ethnicity and discrimination Geographical barriers. Nine recommendations are made within the report, which are categorised under the following five themes: Personalising care Supporting patients emotionally and financially Better demographic data capture Improving outcomes through research Investment in the stem ce