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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    This 2023 updated guidance, produced by the Patient Information Forum, aims to help anyone who creates health information for children and young people improve what they do.  It focuses on the practical aspects of creating good health information, including involving children, choosing the right format, writing for children, and tackling sensitive issues. It places health inequality and the need to engage children and young people of all backgrounds people at its centre.  Case studies provide both practical tips and inspiration.  The guide covers the use of stories and play, social media and apps and how and when to give information.  It provides guidance on digital, mental health needs and working with children who are traumatised or at risk of violence. Experts from child psychiatry, leading children’s health charities, Barts Health NHS Trust and NHS England contributed to the guide.  This guide was part funded by NHS England.
  2. Content Article
    This 1-page infographic makes the case for the development of health literate information. It sets out the average UK skills for literacy and numeracy, the impact this has on health and what information producers can do to develop information that works for everyone. The principles for development echo the PIF TICK criteria. They can be applied to all health information, in all formats whatever the topic – from vaccines to verruca. The infographic has been designed in response to member demand. It makes the case that health literate information is not 'dumbed down', rather it helps level up. 
  3. Content Article
    The Patient Safety Incident Response Framework (PSIRF) sets out the NHS's approach to developing and maintaining effective systems and processes for responding to patient safety incidents for the purpose of learning and improving patient safety It is intended to support one of the key aims of the NHS Patient Safety Strategy, to help the NHS improve its understanding of safety by drawing insight from patient safety incidents. This will replace the Serious Incident Framework with organisations expected to transition to PSIRF within 12 months of its publication, by Autumn 2023.
  4. Content Article
    Digital transformations are well underway in all areas of life. These have brought about substantial and wide-reaching changes, in many areas, including health. But large gaps remain in our understanding of the interface between digital technologies and health, particularly for young people. The Lancet and Financial Times Commission on governing health futures 2030: growing up in a digital world argues digital transformations should be considered as a key determinant of health. But the Commission also presses for a radical rethink on digital technologies, highlighting that without a precautionary, mission-oriented, and value-based approach to its governance, digital transformations will fail to bring about improvements in health for all.
  5. Content Article
    Getting It Right First Time (GIRFT) is an NHS improvement programme delivered in partnership with the Royal National Orthopaedic Hospital NHS Trust.
  6. Content Article
    Did you know unsafe care is one of the ten leading causes of death and disability worldwide?[1] Or that it is estimated this leads to 11,000 avoidable deaths per year in the UK?[2]   At Patient Safety Learning our vision is for a world where patients are free from avoidable harm. We want to bring people together, to harness the knowledge, enthusiasm and commitment of healthcare organisations, professionals and patients, for system-wide change. That's why we created our patient safety platform - the hub.  Find out more about the benefits and how you can join…
  7. Content Article
    The aim of this qualitative study, published in Midwifery, was to examine how (UK and Australian based) midwifery students, who self-identify as having been bullied, perceive the repercussions on women and their families.
  8. Content Article
    At Patient Safety Learning we believe that sharing insights and learning is vital to improving outcomes and reducing harm. That’s why we created the hub; providing a space for people to come together and share their experiences, resources and good practice examples. This month, to mark World Patient Safety Day 2021 on the 17 September, we’ve selected seven resources related to this year’s theme, ‘Safe maternal and newborn care’. Shared with us by hub members, charities and patient safety advocates, they provide valuable insights and practical guidance on a broad range of maternity safety topics. 
  9. Content Article
    "My voice didn't matter. I felt like I was being gas lit, and that I wasn't important." Black women report being dismissed and neglected by healthcare professionals throughout pregnancy, childbirth and beyond - and are four times more likely to die in childbirth than women of other ethnicities. Prominent medical committee, NICE, has proposed that inducing pregnant Black women, bringing their birth forward early, could go some way to addressing the problem. The host of this podcast from The Fourcast speaks to a doctor who says it’ll make birth safer for mums and babies, and campaigner Sandra Igwe who says that early induction is not the solution to a deep and complex issue, rooted in racism and inadequate healthcare for Black mothers-to-be.  *Content warning: This episode includes discussion about maternal death and stillbirth.
  10. Content Article
    In this webinar discussion, an expert panel discusses the airborne nature of Covid-19, the lack of adequate personal protective equipment (PPE) during the pandemic and continued concerns around unsafe PPE guidance and the impact on both staff and patient safety. The panel includes: Helen Hughes: Chief Executive of Patient Safety Learning Dr David Tomlinson: Consultant Cardiologist, NHS Rachael Moses OBE: Consultant Physiotherapist, NHS Hosted by Dr Asad Khan and produced by Gez Medinger.
  11. Content Article
    Scientists around the world have warned of the airborne nature of Covid-19 since the start of the pandemic, but how does this impact on patient safety and what can be done to reduce risk? In this long read blog, GP trainee Lindsay Fraser-Moodie, describes how she witnessed the impact of poor ventilation and inadequate PPE on staff and patient safety while working on a hospital ward during the second UK Covid-19 wave. Lindsay describes how her CEO welcomed her concerns, and the changes that were put in place to reduce the risk of hospital acquired transmission. This article includes a comment from her CEO David Carter, who highlights the challenges of the situation and praises Lindsay for her approach to patient safety. 
  12. Content Article
    The Covid-19 pandemic has both laid bare and exacerbated the strain the cancer workforce has been under for many years. When the pandemic hit, some services were forced to pause, whilst others had to quickly adapt and many have still not ‘returned to normal’. Some cancer nurses were also deployed to care around the clock for the half a million people admitted to hospital with coronavirus. The practical and emotional impact of this disruption on people living with cancer has been profound. Macmillan’s new research establishes that cancer nurses are being stretched too thinly, trying to be there at our time of greatest need, and coping with the physical and emotional toll of the pandemic. Cancer and the devastating impact it has on lives should not be forgotten, and neither should our nurses and NHS. In this report, Cancer nursing on the line: why we need urgent investment across the UK, Macmillan is calling for Governments across the UK to invest a total of around £170 million to fund the training costs of creating nearly 4,000 additional cancer nurses required by 2030 to provide the care people need.
  13. Content Article
    In this blog Barbara Melville-Jóhannesson, Long Covid campaigner, highlights the importance of including lived-experience in research and service-design. She lays out six actions for organisations to help ensure that involvement is not just a tick-box exercise.
  14. Content Article
    The Royal College of Midwives (RCM) has warned that measures to reduce pressure on maternity services are putting safety at risk. In a letter to Jacqueline Dunkley-Bent, Chief Midwifery Officer at NHS England, the RCM acknowledges the effectiveness of some measures to relieve pressure on staff and services, but expresses concern at others.
  15. Content Article
    In this short film, Susanna Stanford and Sarah Seddon share a positive message about managing adverse events in healthcare. Drawing together the patient and clinician perspectives, they discuss how clinicians and other healthcare professionals can prepare for the inevitability of things going wrong, and how both patients and clinicians need the same things in the aftermath of adverse events.
  16. Content Article
    In this short film, Susanna Stanford and Sarah Seddon share a positive message about managing adverse events in healthcare. Drawing together the patient and clinician perspectives, they discuss how clinicians and other healthcare professionals can prepare for the inevitability of things going wrong, and how both patients and clinicians need the same things in the aftermath of adverse events.
  17. 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
  18. Content Article
    In this blog, retired Occupational Health Doctor, Clare Rayner draws on personal experience to illustrate the impact delayed surgery can have on a patient. Clare’s insights as a physician, patient and relative lead several questions around risk management for patients as the NHS deals with the pressures of the surgical backlog.
  19. Content Article
    In this blog Patient Safety Learning looks ahead to World Patient Safety Day 2021 and considers its theme, ‘Safe maternal and newborn care’.
  20. 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? Please share your stories and experiences with us by commenting in the conversation below.* *You’ll need to be a hub member to comment, it’s quick and easy to do. You can sign up here.
  21. 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: Experiences of care and treatment being impacted by the backlog and the consequences of this. Advice/guidance that has been given to manage any health concerns relating to delays in treatment. Advice/guidance that has been given on how to escalate concerns and how to keep healthcare professionals informed of changing health conditions. What more you think could be done to improve the experience for patients affected by the backlog. Your insight will help inform our work in this area. *You’ll need to be a hub member to comment, it’s quick and easy to do. You can sign up here.
  22. Content Article
    One in 20 patients who undergo a surgical procedure contract an infection afterwards, in the part of the body where the surgery took place. 60% of these are preventable. We’re looking for patients to help raise awareness of the damaging impact these infections can have on people, and guide improvements. Have you ever contracted an infection after surgery? How did it affect you? Would you be happy to share your experience?
  23. Content Article
    Pennsylvania is the only state that requires healthcare facilities to report all events that cause harm or have the potential to cause harm to a patient. These patient safety events are reported to the Pennsylvania Patient Safety Reporting System (PA-PSRS), which is the largest repository of patient safety data in the United States and one of the largest in the world, with over 3.9 million acute care records. This article, published in Patient Safety, shows details of the PA-PSRS acute care data along with longitudinal and categorical insights that can be used to improve patient safety.
  24. Content Article
    People from Black and minority ethnic groups experience inequalities in health outcomes as well as inequalities in access to and experience of health services compared to White groups.  This report, published by the NHS Race and Health Observatory, argues that the NHS has not made significant progress in reducing ethnic health inequalities in recent years because it has not acted on this issue as a clear priority. There has also been a lack of progress made in ensuring equality of experience and opportunity for the NHS workforce. Authors go on to argue that there is now an opportunity to address this by taking urgent action to address critical gaps in the NHS’s capabilities to tackle ethnic health inequalities, and by building a broad health inequalities focus into new healthcare structures as a key priority, while supporting NHS staff to drive change. Read the report in full Suggested further reading: Health inequalities and safety resources
  25. Content Article
    To support hospitals and health systems starting from different points on their journey to strengthen health equity, the American Health Association's Institute for Diversity and Health Equity (IFDHE) is preparing four new guidance and resource toolkits to share evidence-based practices to inform organisational next steps.
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