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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    This study, published by the Proceedings of the National Academy of Sciences (PNAS), found that Black Americans are systematically undertreated for pain relative to white Americans. 
  2. Content Article
    This article, published by the Medical Journal of Australia, reviews the current evidence for models of maternity care that provide midwifery continuity of care, in terms of their impact on clinical outcomes, the views of midwives and childbearing women, and health service costs.
  3. Content Article
    In this article, published by BMJ Opinion, authors argue that Long COVID stigma will have long lasting detrimental outcomes for patients, services, and society as a whole.
  4. Content Article
    In this interview for Patient Safety Learning, Josie Gilday, qualified nurse and Global Medical Advisor for Save the Children, tells us more about working in the humanitarian and developmental field, and why she feels so passionately about patient safety.
  5. Content Article
    Findings from this study, published in BMC Infectious Diseases, suggests that patients who recovered from COVID-19 disease may still experience COVID-19 like symptoms, particularly fatigue and headaches. Therefore, careful monitoring should be in place after discharge to help mitigate the effects of these symptoms and improve the quality of life of COVID-19 survivors.
  6. Content Article
    NHS England and Public Health England have developed these pages to make it easier for organisations and the public to find information, resources and action being taken to reduce health inequalities in England. Resources include: Key legislation Partners Practice examples Tools Evidence Summary of data and analytical resources.
  7. Content Article
    S. Dorothy Smith instinctively knew that something was wrong with her daughter Katiana, but was dismissed as a hysterical first-time mum who just couldn't cope with normal newborn crying. She wrote a guest post for the Hysterical Women website, which can be accessed via the link below.
  8. Content Article
    This webinar, organised by the Palliative Care for People with Learning Disabilities (PCPLD) Network, looks at lessons learnt from avoidable deaths of people with learning disabilities or autism. Drawing on the harrowing stories, of Oliver McGowan and Richard Handley, they discuss what can be done to prevent future deaths.
  9. Community Post
    Hi @nickbouere, there are many people who, like you, were unable to access a test at the time when they would have tested positive. Helen's reply above references the NICE guidelines and also a leaflet we joint produced to help patients evidence how GPs should be supporting. The Royal College of GPs also states: "You do not need a positive SARS-CoV-2 test, or have been admitted to hospital to be diagnosed with post COVID-19 syndrome. Anyone with an acute infection of COVID-19, however mild, can go on to develop post COVID-19 syndrome" Taken from this document: Management of the long term effects of COVID-19. The RCGP response and top tips for caring for our patients
  10. Content Article
    In 2020, the Scottish Government announced a National Review of Eating Disorder Services. This report has now been published and highlights inconsistent access to eating disorder services in Scotland and the need for greater support. All 15 detailed recommendations laid out in the review will be taken forward by an implementation group of relevant stakeholders, guided by a lived experience panel, including patients, their families and loved ones, and third sector representatives. Recommendations are categorised as follows: Recommendation 1: Covid-19 response Recommendation 2: Implementation planning Recommendation 3: Coordination of national activity and data collection Recommendation 4: Lived Experienced Panel Recommendation 5: Public health Recommendation 6: Self-help resources available to all Recommendation 7: Early Intervention Recommendation 8: Primary care Recommendation 9: Safe medical care Recommendation 10: Investment in specialist eating disorder services Recommendation 11: Workforce Recommendation 12: Education and Training Recommendation 13: Families and carers Recommendation 14: Inpatient eating disorder services Recommendation 15: Eating disorders research in Scotland. To read the full review, follow the link below.
  11. Content Article
    In this presentation, Trixie McAree, National Midwifery Lead for Continuity of Carer, gives a comprehensive overview of the continuity of carer model and how it impacts on patient safety. Trixie also provides advice and practical tips for teams setting up the continuity of carer model and explains why this transformation is key to improving outcomes. This video provides valuable insight and can be used as a training tool for maternity teams considering this way of working.
  12. Content Article
    In April 2017, Ian Paterson, a surgeon in the West Midlands, was convicted of wounding with intent, and imprisoned. He had harmed patients in his care. The scale of his malpractice shocked the country. There was outrage too that the healthcare system had not prevented this and kept patients safe. At the time of his trial, Paterson was described as having breached his patients’ trust and abused his power. In December 2017, the Government commissioned an independent Inquiry to investigate Paterson’s malpractice and to make recommendations to improve patient safety. The report, outlining a series of recommendations to avoid future harm, was published in February 2020. On 23 March 2021 Nadine Dorries, Minister for Patient Safety, Suicide Prevention and Mental Health, provided an update on the Government’s response to the Independent Inquiry into the Issues raised by Paterson, accessible through the link below.
  13. Content Article
    Addressing health inequalities and improving patient safety were the two central health themes of the UK’s Presidency of the Council of the European Union. Chief Medical Officer for England, Sir Liam Donaldson, writing here on progress achieved on these themes is quick to emphasise the importance of good intelligence and the need for sharing of information across Europe. 
  14. Content Article
    In this video from The Guardian, we hear from University College London hospital's Long COVID clinic where patients are treated for a multitude of different chronic symptoms ranging from ongoing fatigue to issues with taste and smell. Some patients have been suffering for months, and the toll on their mental and physical health has been significant.
  15. Content Article
    On International Women’s Day 2021, feminist journalist Sarah Graham presented to the St Mary’s Women’s Network about the gender pain gap and how it harms women's health. The link below will take you to the slides and notes shared at the event.
  16. Content Article
    In this guest post for Hysterical Women, Nicola Chegwin writes about the needless stress, humiliation and anxiety of having to fight for a caesarean birth, as a disabled woman with a spinal injury.
  17. Content Article
    Patient Safety Learning reflects on the results of the NHS Staff Survey 2020, in relation to its ‘Safety Culture’ theme. The survey indicates that a significant number of staff continue have concerns about whether their organisation takes action to address patient safety issues, and that nearly a third of respondents said that they do not feel they would be treated fairly when raising a concern. This blog considers the patient safety implications of the persistence of blame culture in the NHS and considers the action that can be taken to address this.
  18. Content Article
    The primary objective of this study, published in Intensive Care Medicine, was to investigate the risk of ICU bloodstream infection (BSI) in critically ill COVID-19 patients compared to non-COVID-19 patients. Authors conclude: "The ICU-BSI risk was higher for COVID-19 than non-COVID-19 critically ill patients after seven days of ICU stay. Clinicians should be particularly careful on late ICU-BSIs in COVID-19 patients. Tocilizumab or anakinra may increase the ICU-BSI risk."
  19. Content Article
    It affects an estimated 176 million women worldwide, yet endometriosis can take years to be diagnosed. In this blog, published on the Boots website, Terri White, author, journalist and Editor in Chief of Empire magazine, shares her story of the pain, frustration and delays in diagnosis she has faced. She also offers advice on how to get listened to.
  20. Content Article
    This blog, written by Rageshri Dhairyawan and Darren Chetty for the Cost of Living website, argues that we must reframe conversations on racialised health inequalities. Drawing on COVID-19 as an example, they state: "How we choose to frame conversations about racialised health inequalities is crucial to ensure that historically underserved communities are not further disadvantaged."
  21. Content Article
    The undermining toolkit is an RCOG/Royal College of Midwives (RCM) initiative to address the challenge of undermining and bullying behaviour in maternity and gynaecology services. The toolkit is divided into four sections that can be used independently: Strategic interventions - Recommendations for over-arching institutions such as the wider NHS, GMC, RCOG, RCM and others Unit, trust and local education provider interventions- Recommendations for trusts and hospitals Departmental and team interventions - Recommendations for departments, particularly around team working between obstetricians and midwives Individual interventions - Recommendations for individual victims and perpetrators of undermining. Follow the link below for more information. 
  22. Content Article
    Dr S. Vincent Rajkumar is a Professor of Medicine at the Mayo Clinic in Rochester, Minnesota. In this account, originally published via a Twitter thread, Dr Rajkumar remembers how the insight of Mike Katz, a patient with myeloma, left an incredible legacy for patient safety.
  23. Content Article
    This preprint study (not yet peer reviewed) provides further evidence on Long COVID in children. An anonymous, online survey was developed by an organisation of parents of children suffering from persisting symptoms since initial infection. Parents were asked to report signs and symptoms, physical activity and mental health issues. Only children with symptoms persisting for more than four weeks were included.  Symptoms like fatigue, headache, muscle and joint pain, rashes and heart palpitations, and mental health issues like lack of concentration and short memory problems, were particularly frequent and confirm previous observations, suggesting that they may characterise this condition. Authors conclude that a better comprehension of Long COVID is urgently needed.  
  24. Content Article
    This report from the Tony Blair Institute looks at progress made in they released a report in October 2020 which set out a series of recommendations on how the government should respond to Long COVID. These recommendations covered: addressing the need for further research on Long COVID launching an awareness campaign improving diagnosis of Long COVID putting in place specialist support for sufferers using the COVID Symptom Study data to screen for those likely to develop Long COVID. This latest report, A long-term plan for Long Covid, includes: more detail on the recommendations made an update on what has happened in each area where appropriate, what more could be done.
  25. Community Post
    Are you an NHS Manager who oversees intentional rounding or double-checking medications administration? Daisy Halligan, a researcher at the University of Leeds, is looking to interview matrons, heads of nursing, risk leads, clinical governance leads and and other managers who oversee intentional rounding or double-checking medications administration. For more information, see the poster below or contact Daisy via email at psdh@leeds.ac.uk
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