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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    Moral injury occurs following a morally injurious event, this can lead to negative thoughts about oneself or others developing, alongside feelings of shame, guilt or disgust. This is one of a series of films to help healthcare workers think through some of the emotional and psychological challenges that may arise especially, but not limited, to a pandemic. Moral Injury chapters: 0:00 Start 0:52 What does Moral Injury actually mean? 4:03 What might it look like to me & my colleagues? 6:18 Will everyone eventually become injured? 8:09 What can I do to help myself & others?
  2. Content Article
    Based on the experiences of hospital trusts that performed well during the early phase of the pandemic, the guidance shares successful innovations and practices which others can utilise and adopt. Drawing on the Getting It Right First Time (GIRFT) programme’s data-driven methodology and the wealth of experience of its national clinical leads, the advice covers infection prevention and control, emergency medicine, critical care, anaesthesia, acute and general medicine, respiratory medicine, diabetes care, and geriatric medicine and community care, as well as looking at cross-cutting themes such as trust leadership and management, research and clinical coding. The guide, Clinical practice guide for improving the management of adult COVID-19 patients in secondary care, is reviewed and endorsed by 12 key professional societies.
  3. Content Article
    This report, the seventh MBRRACE-UK annual report of the Confidential Enquiry into Maternal Deaths and Morbidity, includes surveillance data on women who died during or up to one year after pregnancy between 2016 and 2018 in the UK. In addition, it also includes Confidential Enquiries into the care of women who died between 2016 and 2018 in the UK and Ireland from epilepsy and stroke, general medical and surgical disorders, anaesthetic causes, haemorrhage, amniotic fluid embolism and sepsis. The report also includes a Morbidity Confidential Enquiry into the care of women with pulmonary embolism.
  4. Content Article
    This learning resource has been designed for frontline clinical staff who are caring for critically ill patients during the COVID-19 pandemic. This includes a wide range of healthcare professionals in acute care, from many different clinical speciality backgrounds. You may have some previous critical care experience or none. The information in this resource will support those refreshing critical care knowledge and skills, newly qualified doctors, those who are upskilling, and those returning to acute clinical services during the COVID-19 pandemic.
  5. Content Article
    In this written statement to Parliament, the Minister for Patient Safety, Suicide Prevention and Mental Health, Nadine Dorries, gives an update on the government’s response to the recommendations of the Independent Medicines and Medical Devices Safety (IMMDS) Review, sometimes referred to as the Cumberlege Review. Nadine Dorries concludes: "The report of the IMMDS Review powerfully demonstrates the importance of hearing the patient voice in patient safety matters. The actions outlined here demonstrate the government’s commitment to learning from this report, and will support vital work already underway to hear the voice of the patient as part of the NHS Patient Safety Strategy. We currently plan to respond further to the report of the IMMDS Review during 2021."
  6. Content Article
    In this section of Kate Borsay's Time Radio programme (listen from 1:08), we hear from three patients who are suffering debilitating and long term symptoms of COVID-19, in some cases more than a year after first feeling unwell. They are joined by former Minister of State (Department of Health), Norman Lamb and Dr David Arnold as they discuss the widespread impact on people's lives, the growing number of people suffering and the need for greater support and resource for this growing crisis.
  7. Content Article
    It can be confusing to know what to do when your baby or child is unwell during the coronavirus pandemic. The Royal College of Paediatrics and Child Health has developed posters for families living in England, Scotland, Wales (in English and Welsh languages) and Northern Ireland about when and how to get medical help for your child, or for your young baby, or for yourself as a young person.
  8. Content Article
    In this joint open letter, the UK’s Chief Nursing Officers write about how they are supporting professionals during the pandemic. They encourage the profession to “speak up” if they feel unsafe at work amid the latest surge of COVID-19. The letter also includes information on: supporting to deliver care helping to strengthen the workforce capacity supporting the roll-out of vaccines support for health and wellbeing.
  9. Content Article
    The impact of COVID-19 has created an extremely challenging time for the social care workforce. Skills for Care have identified training that remains a priority during this period to ensure there is a skilled and competent workforce. The training is available as three individual packages of learning,  rapid induction programme (aimed at new staff), refresher training (aimed at existing staff) and a volunteer programme. Find out more on each area via the link below.
  10. Content Article
    Nursing and midwifery are unarguably stressful endeavours requiring high levels of psychological capital and coping strategies. The impact of the work environment on patient safety outcomes suggests that high nurse/midwife stress may be associated with more adverse patient events. The purpose of this study, published in Nursing and Health Sciences, was to explore the psychological capital of clinical nurses and midwives and identify explanatory factors (including psychological capital, well‐being and health related behaviours) contributing to attitudes to patient safety.The findings suggest that nurse and midwife wellbeing is an important consideration when striving to improve patient safety.
  11. Content Article
    Despite the extensive attention and public commitments towards patient safety over the last two decades, levels of avoidable harm in healthcare around the world remain unacceptably high.  This book is free to download.
  12. Content Article
    Hip-fracture patients are vulnerable to the outcomes of COVID-19. Authors of this study, published in The Journal of Hospital Infection, performed a cross-sectional survey to determine measures employed to limit nosocomial spread of COVID-19 in 23 orthopaedic trauma departments in the North-West of England. Nineteen (87%) hospitals admitted patients to a ward prior to a negative swab, and only 9 (39%) patients were barrier nursed. Hip-fracture patients were operated in non-COVID-19-free theatres in 21 (91%) hospitals. Regular screening of doctors working in trauma and elective areas for COVID-19 was undertaken in three (13%) and five (22%) hospitals, respectively. Doctors moved freely between trauma and elective areas in 22 (96%) hospitals.
  13. Content Article
    Choosing Wisely UK is part of a global initiative aimed at improving conversations between patients and their doctors and nurses.By having discussions that are informed by the doctor, but take into account what’s important to the patient too, both sides can be supported to make better decisions about care. Often, this will help to avoid tests, treatments or procedures that are unlikely to be of benefit.
  14. Content Article
    This survey has been designed by the Long Covid Support Group to collate information on the patient experience of Long COVID clinics in England (also referred to as Assessment Centres), announced on December 18th, 2020. Data collected will be anonymised and analysed to produce a report to inform medical professionals, health organisations and interested stakeholder groups such as NHSE, Royal Colleges and research bodies. This survey is initially open for a 4 week period, with results expected to be published in Spring 2021. 
  15. Content Article
    A significant number of patients with COVID-19 experience prolonged symptoms, known as Long COVID. Few systematic studies have investigated this population, particularly in outpatient settings. Hence, relatively little is known about symptom makeup and severity, expected clinical course, impact on daily functioning, and return to baseline health.  Davis et al. conducted an online survey of people with suspected and confirmed COVID-19, distributed via COVID-19 support groups and social media. Patients with Long COVID reported prolonged, multisystem involvement and significant disability. By seven months, many patients have not yet recovered (mainly from systemic and neurological/cognitive symptoms), have not returned to previous levels of work, and continue to experience significant symptom burden.
  16. Content Article
    Recent work has emphasised the benefits of patient-physician concordance on clinical care outcomes for underrepresented minorities, arguing it can boost communication and increase trust. Authors of this study explored concordance in a setting where racial disparities are particularly severe: childbirth. In the United States, Black newborns die at three times the rate of White newborns. Results examining 1.8 million hospital births in the state of Florida between 1992 and 2015 suggest that newborn-physician racial concordance is associated with a significant improvement in mortality for Black infants. Results further suggest that these benefits manifest during more challenging births and in hospitals that deliver more Black babies. They found no significant improvement in maternal mortality when birthing mothers share race with their physician. You can also read the news coverage in the Washington Post here.  To access the research, follow the link below. 
  17. Content Article
    Save The Children are further strengthening their policy and regulatory frameworks to assure medical safety, while promoting a culture of learning to minimise medical incidents and maximise patient safety across their programmes. This article discusses why reduction of avoidable harm within healthcare is so important, and why more can be done within the international development sector.
  18. Content Article
    Safety systems are socio-cultural in nature, characterised by people, their relationships to one another and to the whole. This study, publishe in the International Journal for Quality in Health Care, aimed to (i) map the social networks of New Zealand’s quality improvement and safety leaders, (ii) illuminate influential characteristics and behaviours of key network players and (iii) make recommendations regarding how networks might be optimised.
  19. Content Article
    Towards the end of December 2020 the Minister for Mental Health, Suicide Prevention and Patient Safety, Nadine Dorries MP, indicated that the Government would be accepting one of the key recommendations made in the First Do No Harm report, published earlier this year by the Independent Medicines and Medical Devices Safety Review, by creating a Patient Safety Commissioner for England. In this blog, Patient Safety Learning Chief Executive, Helen Hughes, sets out some early thoughts on this proposal and considers what impact it may have on patient safety.
  20. Content Article
    This webpage from the Canadian Patient Safety Institute, contains a number of hygiene resources for healthcare providers, patients and families. Cleaning your hands, either with soap and water or with alcohol-based hand rub, is one of the most effective ways to contain the spread of infections. Follow the link below to download, and share these resources to help yourself and others stay safe.
  21. Content Article
    Neonatal herpes simplex virus (HSV) disease is a rare, and potentially fatal, disease which usually occurs in the first four weeks of a baby's life. Early recognition and treatment of the virus has been shown to significantly improve babies' chances of making a full recovery. Kit Tarka Foundation works to prevent newborn baby deaths; primarily through raising awareness of neonatal herpes, funding research and providing advice for healthcare professionals and the general public.
  22. Community Post
    Hi @SusieL I really am very sorry to hear of your traumatic experience. The principles of informed consent are that you should be made aware of the Benefits, Risks, Alternatives and what happens if you choose to do Nothing (also known as BRAN). It doesn't sound like you were made aware of the risk of severe pain or given any alternative pain relief options. Have you submitted any feedback to the NHS on your experience? You may be interested in our recent blog and video explaining what we have been doing over this past year to work with others and raise our concerns around painful hysteroscopies, and particularly the absence of informed consent. We will continue to call for safer hysteroscopies. Link below to the recent blog and video: 2020: Raising awareness about painful hysteroscopies
  23. Content Article
    The British Society for Immunology (BSI) has created two video question and answer sessions about vaccines for COVID-19. They took vaccine questions and concerns from the public on their Instagram channel and put them to expert immunology scientists, Dr Megan MacLeod and Prof Sheena Cruickshank. In the videos, Megan and Sheena answer these questions and explore the details of when vaccines may become available, who will receive the vaccines, how long immunity might last to a vaccine, how herd immunity can protect us and lots more. It’s important to understand and address vaccine concerns that are prominent in public discussion and may lead to hesitancy to vaccination. By answering your vaccine questions, the BSI hopes to provide expert information to help everyone make informed decisions about vaccines and their health. Follow the link below to watch the videos. 
  24. Content Article
    Ben Watson is a Strategy Implementation and Quality Improvement (SIQI) Manager in the Scottish Ambulance Service. He is currently responsible for supporting operational services in the West of Scotland, to see how they can improve patient care, existing processes and develop new ways of working that benefit both staff and patients. In this interview, Ben explains why they’ve started collecting positive feedback through a peer-to-peer system called GREATix. 
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