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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    Action Against Medical Accidents (AvMA) have created a set of guides to help patients raise concerns about a healthcare worker. Health professionals fitness to practise Raising concerns about doctors Raising concerns about nurses, midwives and nursing associates Raising concerns about dental professionals. Follow the link below to find out more.
  2. Content Article
    Germ Defence is a website that has been developed by health experts in UK universities to help you find out how to reduce this risk of catching coronavirus or passing it on to others. After a bit of practice the ideas and advice in Germ Defence will become habits and they will help protect you from coronavirus - and other germs in the future.A research study with 20,000 people found:People who read the advice in Germ Defence are less likely to catch virusesIf they do become ill, the illness is likely to be less severe.
  3. Content Article
    Independent SAGE is a group of scientists who are working together to provide independent scientific advice to the UK government and public on how to minimise deaths and support Britain’s recovery from the COVID-19 crisis.This report seeks to answer some of the more common questions that they are asked about Long COVID and sets out key recommendations.
  4. Content Article
    Mothers and families whose baby was born at an NHS hospital after 1st April 2017 and who may be concerned that their baby sustained a brain injury at birth may be going through an investigation process. This guide, from Action Against Medical Accidents (AvMA), provides mothers and families with information about the process.
  5. Content Article
    This self-help guide contains useful information for parents or guardians who are acting on behalf of babies or children who have been affected by avoidable harm in healthcare. If you have any further questions, please visit the Action Against Medical Accidents (AvMA) website where you will find more advice and a range of specialised self-help guides. Or you can call their helpline on 0845 123 2352.
  6. Content Article
    AvMA’s self-help guides have been written by experts to help guide you through the process of taking action following a medical injury. In clear and straightforward language, they set out the procedures you will need to follow, and legal rights and obligations, and contain useful contact details for regulatory bodies, advice services and other organisations that may be of help.
  7. Content Article
    If you are not happy with the treatment that you or a loved one has received from the NHS you are legally entitled to an investigation and full response by the NHS body that provided the treatment. This is known as the NHS complaints procedure. This self-help guide from Action Against Medical Accidents (AvMA) contains all the information you should need to make a complaint. If you have any further questions, please visit AvMA's website where you will find more advice and a range of specialised self-help guides, or call their helpline on 0845 123 2352.
  8. Content Article
    This US-based article, published on Endocrine Web, includes testimonials from people who have experienced prolonged and debilitating symptoms of COVID-19. They are often referred to as people with 'long-COVID' or as 'long-haulers'.
  9. Content Article
    This report summarises how National Voices engaged with people who have ongoing health and care needs during the first phase of the pandemic and how this engagement led to a set of statements that describe what people who use health and care services now expect these services to look and feel like.These statements express people’s reasonable expectations of healthcare. Most would see the demand to be listened to and have one’s decisions respected as basic tenets of normal healthcare. The power of these statements lies in the fact that they are truly reflective of what people with significant health and care needs said they needed and wanted. National Voices believe that their simplicity, their self-evident realism and the pragmatism they therefore inspire demand an equally practical and grounded response from system leaders, and everyone tasked with designing and delivering health and care.
  10. Content Article
    This is a video recording of the All Party Parliamentary Group (APPG) for First Do No Harm meeting with Nadine Dorries MP, the Minister for Patient Safety, Suicide Prevention and Mental Health. The meeting took place on 26 January 2021 and is chaired by Baroness Cumberlege who is the Co-Chair of the APPG. The APPG was set up to raise awareness of and build support for the recommendations in 'First Do No Harm', the report of the Independent Medicines and Medical Devices Safety Review, and to ensure the implementation of the recommendations by the UK government and others.
  11. Content Article
    The Faculty of Occupational Medicine (FOM) has published guidance for healthcare professionals to assist them in facilitating the return to work of people who are unable to work due to Long-COVID. Follow the link below or download the guidance as a pdf.
  12. Content Article
    This BMJ editorial is written by Marian Knight, professor of maternal and child population health and Charlotte Bevan, a bereaved parent. They argue that systems and thinking need to change, and that our healthcare structures are biased against complexity and are not set up to deliver seamless multidisciplinary care. 
  13. Content Article
    In this article, published in Guidelines in Practice, Dr Ashish Chaudhry and Dr Harsha Master offer nine top tips for recognising and managing Long COVID-19 symptoms in primary care. This article aims to help clinical colleagues learn about: lingering or new symptoms after an acute case of COVID-19, known as ‘Long COVID’ identifying patients with Long COVID managing or referring patients who need active intervention and investigation.
  14. Content Article
    The author of this review argues that, while many of us benefit from advances and new technologies used in medical drug development, there is one group that has barely made any gains at all: pregnant women. This review presents an overview of the current situation for this group, the issues and the available evidence; as well as exploring the barriers and options in better addressing pregnancy and maternal health. This document was written on behalf of the Birmingham Health Partners Centre for Regulatory Science and Innovation.
  15. Content Article
    In this short guide, Kent Community Health explain why patient engagement in quality improvement is vital. They provide tips for how to get started and how to involve patients, clients and service users and carers/family members.
  16. Content Article
    UK legislation and government policy favour women’s rights to bodily autonomy and active involvement in childbirth decision-making including the right to decline recommendations of care/treatment. However, evidence suggests that both women and maternity professionals can face challenges enacting decisions outside of sociocultural norms. This study, published in PLOS ONE, explored how NHS midwives facilitated women’s alternative physiological birthing choices, defined in this study as ‘birth choices that go outside of local/national maternity guidelines or when women decline recommended treatment of care, in the pursuit of a physiological birth.' Due to the wide range of women’s choices this study reported, the knowledge generated has applications as heuristic knowledge which can be used by midwives more broadly within their clinical care delivery. The benefits being that the findings can be applied to most ‘out of guidelines’ clinical situations by any maternity professional. Delivering such care can be achieved by meaningful engagement with women’; through mechanisms of trust and information sharing, care plans and safety measures can be implemented to support women’s autonomous decision-making. 
  17. Community Post
    A recent study (not yet peer reviewed) indicates that 30% of COVID patients were readmitted after discharge from hospital. What implications does this have for service planning? Is enough being done to recognise and respond to the longer term symptoms and damage caused by COVID-19?
  18. Content Article
    Good patient communication is key, particularly when a patient is waiting for planned care or treatment. From referral by a primary care clinician through to discharge from secondary care – clear, accessible communication is vital throughout. The Elective Recovery Delivery Plan commits to providing better information and support to patients. As we begin to implement new, innovative ways of delivering healthcare, it is more important than ever that patients feel confident they are supported throughout their journey. Prolonged periods of industrial action and continuing pressures have inevitably had an impact on planned care. In this context, it is important that integrated care boards (ICBs) and providers do all they can to offer support to those affected by delays, including with patient communications. This guide sets out key communication principles to help providers deliver personalised, patient-centred communications. It includes considerations for communicating to patients about new models of care as well as helpful information and resources.
  19. Content Article
    ‘Never events’ are patient safety incidents that are defined as being wholly preventable. They are considered wholly preventable because guidance or safety recommendations are in place at a national level and should have been implemented by all providers in the healthcare system. This should act as a strong systemic barrier to prevent the serious incident from happening. The latest national report from the Healthcare Safety Investigation Branch (HSIB) says that 'Never Events' should not be defined as such if they don’t have strong enough barriers in place to stop them happening.It recommends that seven Never Events on a list of 15 should be removed until better barriers are in place. They are using the Safety Engineering Initiative for Patient Safety (SEIPS) model to carry out the analysis. SEIPS provides a framework for understanding structures, processes and outcomes in healthcare, and their relationships.
  20. Content Article
    This letter to the UK Prime Minister and published in the BMJ, was written on behalf of the Long COVID SOS Group. In it, the group call for Boris Johnson to make Long COVID a primary consideration in policy decision making for lifting restrictions. 
  21. Content Article
    In this blog, Patient Safety Learning reflects on a recent response from Nadine Dorries MP, Minister of State for Mental Health, Suicide Prevention and Patient Safety, regarding concerns about painful hysteroscopy procedures in the NHS. Towards the end of last year, Patient Safety Learning published a blog outlining five calls to action that could be taken to improve the safety of hysteroscopy procedures in the NHS.[1] This has been an issue raised by patients, campaign groups and politicians in recent years, highlighting concerns that women having been suffering avoidable harm from hysteroscopies. We wrote to several key stakeholders in healthcare across England, Northern Ireland, Scotland and Wales, to raise awareness of this issue and call for urgent action to prevent future harm. While we welcome the Minister in her response supporting the general principles of informed consent and good practice guidance for hysteroscopy, we know that many women are still not being offered a choice of pain relief or given adequate information before consenting to the procedure. It remains unclear from her response whether the Government will take action to investigate the frequency of these experiences and respond to improve hysteroscopy safety.
  22. Content Article
    Dr Iram Sattar is a GP and Trustee for the Muslim Women's Network UK. In this short video, she answers questions surrounding the newly established COVID-19 vaccine. This video is available in English, Urdu and Bengali. Watch in English Watch in Bengali Watch in Urdu
  23. Content Article
    Prof Danny Altmann of Imperial College London is a clinical immunologist who is passionate about understanding the immune system and how it impacts on human health. Here he is interviewed by Margaret O'Hara and Claire Hastie of Long COVID Support, to answer questions about the COVID vaccines and the implications for people with Long COVID.
  24. Content Article
    In this opinion piece for the British Medical Journal, David Oliver, consultant in geriatrics and acute general medicine, highlights the high rates of COVID-19 infection that have been acquired in hospital. David looks at an example in the US where rigid infection control measures have been implemented with success, arguing that more needs to be done to challenge and address these worrying statistics here in the UK.
  25. Community Post
    Staff at the Royal London, Barts Health and beyond are working harder than ever to provide intensive care in vastly increased numbers to patients struggling with COVID in addition to caring for 'regular' patients. Staff are working extremely long hours without much time for a break. Together with Cantine, they are fundraising to get 100 meals daily to feed their doctors, nurses, logistical staff and all other frontline workers at the Royal London. Any donation will help boost morale and ensure that frontline staff have their basic needs met while caring for patients. https://www.gofundme.com/f/feed-the-nhs-frontline?utm_source=facebook&fbclid=IwAR3FhLFAxkMFSLqjgM3umG-0V0VYrQLH2qFENGUpy4RkimqjTsm1uATxb-8
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