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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    Learning how to self-advocate for your own health increases the chances of the best outcomes. This article, published by Good Housekeeping, provides useful tips for how to get the best care.
  2. Content Article
    This toolkit provides information and resources that will help maternity and neonatal safety champions to develop strong partnerships, promote positive professional cultures, and support the delivery of the safest care possible through best practice. Content includes: National maternity safety ambition Role of the Safety Champion  How to support safer maternity care National support offer Further resources.
  3. Content Article
    This report represents the findings of the fourth perinatal confidential enquiry carried out as part of the MBRRACE-UK programme of work and focuses on stillbirths and neonatal deaths in twin pregnancies. It contains illustrative vignettes which are taken from real life events. The vignettes are used to illustrate single aspects of care and are not intended to describe all the care provided to individual mothers and their babies. The vignettes are often a combination of events from the care of more than one mother and her babies and are described such that it is not possible to identify the individuals involved. The report sets out many key findings and recommendations based on different stages and aspects of care. 
  4. Content Article
    The telehealth revolution in response to COVID-19 has increased essential health care access during an unprecedented public health crisis. However, virtual patient care can also limit the patient-provider relationship, quality of examination, efficiency of health care delivery, and overall quality of care. Authors of this article, published in the Journal of Medical Internet Research, offer some simple guidelines that could assist healthcare providers and clinic schedulers in determining the appropriateness of a telehealth visit by considering visit types, patient characteristics, and chief complaint or disease states.
  5. Content Article
    This blog, published on the Maternity Experience website, is written by Gill Phillips Director of Nutshell Communications Ltd and creator of the Whose Shoes?® concept and principles. Through her facilitation work, Gill helps people get to the heart of what is important in communication and co-production. Instead of wrapping things up in jargon and complicated language, messages are honest, direct and simple, sourced from what real people are saying. In this blog, Gill talks about the networks that have come together over the past year to explore baby loss and how this work is enabling diverse conversations, rich discussions and a shared commitment to continue improving services for families who experience bereavement.
  6. Content Article
    This blog, published in the Journal of Orthopaedic and Sports Physiotherapy, is written by a group of rehabilitation professionals with personal experience of Long COVID. Professionally, they would often advocate for exercise as a first-line intervention. However, in their personal lives they have found themselves contradicting their professional recommendations. In this blog blog post, they share their: battle adapting to an altered lifereluctant acceptance of reduced function (even temporary) to balance rest and usual activities fear of permanent reductions in physical and cognitive abilities.
  7. Content Article
    On this site you will find information about the Transvaginal Mesh Case Record Review. This Review has been commissioned by the Scottish Government to address concerns raised by women about whether their case records accurately reflect the treatment they have received, specifically in relation to full and partial removal of mesh.
  8. Content Article
    In this blog Patient Safety Learning reflects on responses received from Robin Swann MLA, Minister of Health (Northern Ireland), Jeane Freeman MSP, Cabinet Secretary for Health and Sport (Scotland) and Vaughan Gething MS, Minister for Health and Social Services (Wales), regarding concerns about painful hysteroscopy procedures in the NHS.
  9. Content Article
    'Continuity of carer' in midwifery is when a woman has consistency in who they see during their pregnancy, labour and postnatal period. In this video, three midwives share their experiences of working in this way and talk about the benefits they've seen for women, babies and their own practice. They provide examples of how this model can improve the safety of services and offer advice for teams and individuals embarking on the continuity of carer journey. 
  10. Content Article
    This article, published by the Journal of Clinical Nursing, argues there can be no healthy patient safety culture where Datix or other electronic incident reporting systems (EIRS) are trivialised and weaponised. Nurses at every level can support and enable the blame free culture where nurses use Datix to genuinely promote patient safety.  Follow the link below to download the full article. Other blogs you may also be interested in: “I’m going to Datix you” – a blog from Datix’s former chief executive and now chairman of Patient Safety Learning, Jonathan Hazan Silent witness: My experience when filing an incident report – newly qualified nurse describes what happened when she reported her first Datix for a serious incident. Marking your own homework – an anonymous blog
  11. Content Article
    This study, published in BMJ Quality and Safety, aimed to quantify the prevalence and nature of adverse events in acute Irish hospitals in 2015 and to assess the impact of the National Clinical Programmes and the National Clinical Guidelines on the prevalence of adverse events by comparing these results with the previously published data from 2009.Key findings:an estimated 54,000 patient safety or adverse incidents occurred in Irish public hospitals in 2015 this cost the health service an estimated €190m in additional costs for extended hospital stays and treatmentthe volume of adverse incidents in hospitals "remained stable" between 2009 and 201514% of all hospital admissions in 2015 involved an adverse incident compared to 12.2% in 2009.
  12. Content Article
    In this article, published by BMJ Opinion, James Titcombe and Joanne Hughes provide an overview of the Patient Safety Commissioner role and suggest it's remit should go beyond medicines and medical devices to wider patient safety issues.
  13. Content Article
    In this paper, published by the Tony Blair Institute, authors combine data from the Covid Symptom Study with emerging evidence from the broader scientific community to understand what we do and don’t know about those suffering with long-term symptoms of COVID-19. Properly understanding the scope and scale of the issue of Long COVID is critical in both communicating and balancing the overall risk of the virus.
  14. Content Article
    In this article, Valerie Iles, argues that we should hesitate before deciding to implement the recommendations of the Francis Inquiry. Instead, she states that we should consider whether Francis and his Inquiry are part of the system, part of the mindset, that is the problem.
  15. Content Article
    This webpage from Epilepsy Action, provides information about the possible risks in and outside the home if you have epilepsy. It describes how to do a safety check. It covers how you approach risk and how to help yourself feel more confident about going out. Finally it offers some practical tips on staying safe wherever you are.
  16. Content Article
    Many people with pain say they feel trapped or stuck in a persistent pain cycle. On good days they do more and on bad days less. The Pain Toolkit is for people who live with persistent pain and Healthcare teams who support them. This website hosts a range of resources including:Online workshopsPain ToolkitsResearchWebinarsPodcastsUnderstanding painHow to get the most out of your appointments.
  17. Content Article
    Ahead of a Parliamentary debate on long covid, over 1600 people shared their experiences of the condition, describing how it had affected their health and everyday lives.There were several common themes which emerged from the contributions:Many described how symptoms limited their ability to take care of themselves and complete basic tasks.Many described suffering mental health issues resulting from the condition, including anxieties about the future and prospects of recovery.Many reported issues with diagnosis and treatment due to a lack of medical understanding about the condition.Many feared how the condition had affected their children and family life.Follow the link below to find out more about the debate and the Government's response.
  18. Content Article
    As yet, no commonly agreed clinical definition of long term covid-19 exists, nor a clear definition of treatment pathway. To assist clinicians, the National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN), and the Royal College of General Practitioners (RCGP) have developed the COVID-19 rapid guideline: managing the long term effects of COVID-19. It covers care for people with signs and symptoms that continue for more than four weeks, and which developed during or after an infection consistent with covid-19, and which are not explained by alternative diagnoses. This guide, published by the BMJ, provides a summary of the NICE, SIGN, and RCGP rapid guideline.
  19. Content Article
    While improving over time, the outcomes for lung cancer patients were already dramatically below those with other cancers before the pandemic. This report from the World Economic Forum, is designed to help governments, health systems, healthcare professionals and others to come together to: understand the effect of the pandemic on lung cancer care address the immediate impact of the pandemic on lung cancer services ensure their resilience in the longer term so that we can go further than ever before to improve patients’ outcomes.
  20. Content Article
    Authors of this Lancet correspondence write following an international, multi-stakeholder forum, in which peoples' voices were central, to expand the call to action and to identify how we can prevent long COVID from becoming the long-lasting legacy of COVID-19.
  21. Content Article
    A few weeks into the rollout of the Covid-19 vaccination programme, many health care workers across the US are less than eager to roll up their sleeves for this new shot, with roughly three in ten health care workers express hesitancy about getting the vaccine. To address these concerns, the Institute for Healthcare Improvement have worked with partners to develop a guide for conversations with nursing home staff about vaccine hesitancy. The suggestions can be easily modified for discussions with any health care workers.
  22. Content Article
    Official statistics indicate there are currently hundreds of thousands of people living with Long Covid in the UK. Many of those who contracted Covid-19 at the start of the pandemic are still experiencing significant symptoms almost a year on from their initial infection; some have already passed that grim milestone. Meanwhile, we can expect case numbers of Long Covid to rise significantly as people continue to become infected; recent data shows that at least 1 in 10 people still experience symptoms 12 weeks after initial infection.[1] The implications of Long Covid for individual patients, our health service and wider society are multifaceted, complex and likely to be long-term. There has been some progress to put in place support for people with Long Covid, but many are yet to receive help. Call to action Patient Safety Learning and patient group Long Covid Support are calling for an urgent and significant increase in the scale and pace of the response, and a coordinated, multi-stakeholder approach. We are calling for this to be set up and led by a dedicated Minister for Long Covid, responsible for: Assessment of the issues affecting people with Long Covid, whether or not they were hospitalised (physical and mental health, employment, welfare, education). Delivery plans for meeting the needs of people living with Long Covid. Cross-government coordination and communication. Public information and awareness raising around Long Covid. Data collection, measurement and reporting on the number of adults and children with Long Covid to inform service planning and funding. Identifying research needs, commissioning research and ensuring this informs service delivery. Delivery of a communication and engagement strategy to all key stakeholders.
  23. Content Article
    OxSTaR (Oxford Simulation, Teaching and Research) is based at the John Radcliffe Hospital. The centre provides a state of the art environment where medical students and multidisciplinary healthcare professionals can use adult and paediatric high fidelity patient simulators to rehearse a wide variety of medical scenarios. The information in the link below is designed for healthcare professionals caring for patients with COVID-19 and has been developed in collaboration with Oxford University Hospitals Foundation Trust (OUH FT). Contents of the OxSTaR website such as text, graphics, images, videos and other material contained in the webinars and online lectures are for educational purposes and information only. The content is not intended to be a substitute for face-to-face training. Whilst great care has been taken to ensure the accuracy of the information provided on this website, please be advised that the contributors to the OxSTaR website are not responsible for the continued currency of the information, or any errors or omissions on the website that result from this rapidly evolving field.
  24. Content Article
    This guide, published by the Faculty of Occupational Medicine, aims to help healthcare workers understand how to approach the return to work process for patients with Long COVID.
  25. Content Article
    People are given this Guide when someone close to them has died and their death has been reported to the coroner or if they have been called as a witness at an inquest. The coroner is involved in the death because the coroner needs to make enquiries to find out what happened and how the person died. For most people, the inquest process is new. Preparing for an inquest can be difficult, and some find it hard to find their way through the legal processes on top of the distress caused by the death. This guide, from the Ministry of Justice, is designed to help bereaved families understand the coroner process.
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