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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    The latest figures from NHS Digital show the number of hospital episodes in England with a primary diagnosis of anaphylaxis increased from 5,497 in 2018-19 to 5,517 in 2019-20. Previous figures have shown the number of cases of children hospitalised with severe allergic reactions in England has increased by 72 per cent over the last six years. Overall, including adults, there has been a 34 per cent rise in admissions over the same period. Figures from 2019 reveal wide regional differences among children admitted to hospital with anaphylaxis. The health region with the highest increase is London where the number of cases has risen by 167% from 180 in 2013-14 to 480 in 2018-19. Among those ten and under, the increase is a staggering 200 per cent.  Natasha Allergy Research Foundation (NARF) has renewed its call for the Government to appoint an ‘Allergy Tsar’ to co-ordinate and take steps to make sure people with allergies get the treatment and care they need.  NARF first called for the appointment of an ‘Allergy Tsar’ earlier this year following the inquest of Shante Turay-Thomas, 18, who died in 2018 from anaphylaxis after eating hazelnut.
  2. Content Article
    This is a rapid evidence check from New South Wales Government, Australia, seeking to answer the question: What are the medium and long-term health sequelae of COVID-19 infection among survivors?
  3. Content Article
    This is a public Facebook Group designed to be a Canadian hernia anti-mesh news page, for health updates and open discussion. It is a useful resource for anyone looking for positive answers to the many issues that hernia mesh patients are facing.
  4. Content Article
    With the possibility of a spike in COVID-19 cases this winter, doctors, nurses and medical staff may be coming in feeling already depleted from an uncontrolled pandemic. Guest host Dan Gorenstein of the Tradeoffs podcast talks with Dr Albert Wu, co-director of RISE (Resilience in Stressful Events) which provides emotional support to health system staff. Gorenstein and Wu talk about why health care workers may have low reserves right now, how COVID may be changing perceived stigma around mental health support for frontline workers and what institutions can do to ensure the well-being and resilience of all staff."Asking people to be heroic over and over again, to run back into the fire multiple times, gets harder each time" (Dr Wu).This is a podcast called Public Health on Call, produced by John Hopkins Bloomberg School of Public Health.
  5. Content Article
    This image highlights that no single intervention is perfect at preventing the spread of a respiratory virus. However, multiple layers of protective approaches will improve success. Based on the Swiss Cheese Model of Accident Causation by James Reason, this is an adapted version which has been developed by virologist Ian Mackay and colleagues from the University of Queensland. Join the Patient Safety Learning community and sign up to the hub for free. As a member, you’ll be able to join the conversation, get early access to events and receive regular news and updates about patient and staff safety.
  6. Content Article
    This report, from the Care Quality Commission, looks at the use of restraint, seclusion and segregation in care services for people with a mental health condition, a learning disability or autistic people.
  7. Content Article
    This statement has been developed and signed by several long COVID patient groups. It outlines a number of their concerns regarding approaches to treatment, in particular, the fear that psychological treatments will be favoured over clinical investigation.
  8. Content Article
    Tim Stephens is a researcher at Queen Mary University of London and Barts Health NHS Trust and a qualified intensive care nurse. He is currently working with a large team of clinicians, patients and scientists to investigate how older people make decisions about having major surgery.  In this blog, Tim talks about shared decision-making, individual impact and the need for better data to help clinicians quantify risk. 
  9. Content Article
    This report, from Deloitte, examines how the healthcare workforce is responding to the inexorable rise in demand for healthcare and the challenge of meeting this demand with the right numbers of appropriately skilled staff. It provides actionable insights and evidence-based case solutions to these challenges.
  10. Content Article
    Optimising patient safety is a goal of healthcare. Much has been spoken and written about it, and it is well established as a core activity for all those working in healthcare systems. This has not always been the case; historically, error and harm from healthcare was an accepted risk of treatment. However, as standards of treatment and care have improved this acceptability was questioned and refuted, and the patient safety movement born. This article, published in Anaesthesia, summarises the evolution of safety science, describing historical approaches, comparing them with recent concepts in safety, and describing how they affect staff working within the healthcare system.
  11. Content Article
    The ‘Learning from Excellence’ (LfE) programme aims to provide a means to identify, appreciate, study and learn from episodes of excellence in frontline healthcare. The aim of this study, published in the British Journal of Healthcare Management, was to explore the impact of LfE on organisational performance in NHS trusts in the United Kingdom (UK), how this impact is achieved and which contextual factors facilitate or hinder impact.
  12. Content Article
    Patient safety is an activity to mitigate preventable patient harm that may occur during the delivery of medical care. The European Board of Anaesthesiology (EBA)/European Union of Medical Specialists had previously published safety recommendations on minimal monitoring and postanaesthesia care, but with the growing public and professional interest it was decided to produce a much more encompassing document. The EBA and the European Society of Anaesthesiology (ESA) published a consensus on what needs to be done/achieved for improvement of peri-operative patient safety. During the Euroanaesthesia meeting in Helsinki/Finland in 2010, this vision was presented to anaesthesiologists, patients, industry and others involved in health care as the ‘Helsinki Declaration on Patient Safety in Anaesthesiology’. Authors of this article, published in the European Journal of Anaesthesiology, hope to further stimulate implementation of the Helsinki Declaration on Patient Safety in Anaesthesiology, as well as initiating relevant research in the future.
  13. Content Article
    in recent months we’ve seen increasing attention paid to people with ‘long COVID’, whose symptoms were not serious enough to land them in hospital yet have persisted for many weeks or months.  This long-term illness is frustrating and debilitating for those who are affected, with the potential to have a significant impact on wider society. But it hasn’t been clear how many people are suffering from long COVID or who is most at risk. The latest analysis of data from thousands of users of the COVID Symptom Study app from ZOE, published as a preprint, shows that one in 20 people are likely to suffer from COVID-19 symptoms lasting more than 8 weeks. 
  14. Content Article
    This short film, produced by the Department of Health and Social Care, highlights the persisting symptoms many are experiencing following a COVID-19 infection. It includes patients of varying ages talking about the health struggles they continue to face months after contracting the virus. They urge viewers to take precautions to keep everyone safe.
  15. Content Article
    Restorative practices involve inclusive democratic dialogue between all those affected by healthcare harm. They are guided by concern to address harms, meet needs, restore trust, and promote repair or healing for all involved. In this webinar recording from the Canadian Patient Safety Institute, participants explore New Zealand's approach to healing after healthcare harm from surgical mesh and ask: What was the impetus for a restorative approach?  What inspired the choice of a relationship-centric and reconciliatory model?  How did restorative practices support the co-design process between consumer advocates and Ministry of Health representatives? How do restorative approaches support New Zealand's commitment to Te Tiriti o Waitangi- The treaty that determines the partnership between the Crown and indigenous peoples?
  16. Content Article
    Whose Shoes?® is a popular approach to coproduction and engagement, bringing in diverse voices. It is typically used with support from New Possibilities, who provide live visual recording to capture the conversations in a truly authentic way. The approach is being used in 70 NHS trusts, universities and other organisations, with excellent outcomes.
  17. Content Article
    Primary care doctors traditionally provide a longitudinal and holistic view of their patients’ prescriptions, but there are barriers to general practitioners (GPs) carrying out effective reviews in complex patients with polypharmacy. These include unawareness of inappropriate prescribing; fear of the consequences of making changes to prescriptions; lack of self-efficacy (insufficient confidence to make changes); and lack of resources. GPs regularly carry out medication reviews for those taking multiple medicines, often with the support of pharmacists, but report a need for onward referral options to physicians specialising in multimorbidity and polypharmacy. In partnership with pharmacy colleagues, the authors of this study piloted an outpatient polypharmacy clinic, with the eventual hope of moving towards an integrated service. The pilot demonstrated the feasibility of establishing a specialist service in the secondary care or integrated care setting, dedicated to improving clinical outcomes for those experiencing problematic polypharmacy. This paper was published in Future Healthcare Journal.
  18. Content Article
    Undertreated, unrecognised, or poorly managed pain in young people can have long-lasting negative consequences in later life, including continued chronic pain, disability and distress. This Lancet Child & Adolescent Health Commission presents four transformative goals – to make pain matter, understood, visible, and better. It sets out priorities for clinicians, researchers, funders, and policy makers, and calls for cross-sector collaboration to deliver the action needed to improve the lives of children and adolescents with pain.
  19. Content Article
    Ms Cath Rennie, ENT Consultant Surgeon, and Lizzie Bullock, Rhinology Clinical Nurse Specialist, discuss Post Viral Olfactory Loss, COVID-19 and the impact it has on smell and taste. Lizzie shares her personal experiences and talks with Cath about medical treatments, access to care and self-management tools. Fifth Sense are hosting a programme of online conversations and webinars on a range of topics to support people affected by smell and taste disorders.
  20. Content Article
    In this letter, Jeremy Hunt, Chair of the Health and Social Care Committee, welcomes recent announcements regarding future support for Long COVID patients but raises a number of continuing concerns. Hunt makes several calls for action, as the number of people suffering continues to increase.
  21. Content Article
    This blog by best-selling author Luce Brett, focuses largely on the impact of incontinence and depression, and the weird and wonderful, distressing and often hilarious worlds these stigmatised conditions can lead you into.
  22. Content Article
    This health seminar, from Wellbeing of Women, focuses on one of the most taboo issues in women’s health, incontinence. An estimated 7 million women suffer urinary incontinence which can affect all areas of life, yet it is rarely spoken about and regarded as an issue that only affects older women.  In this video, we hear from Luce Brett, author of PMSL: Or How I Literally Pissed Myself Laughing and Survived the Last Taboo to Tell the Tale and Elaine Miller a women’s health physiotherapist, for what is an open but also vital conversation about living with incontinence and what we can do.
  23. Content Article
    Pelvic Roar is run by three UK-based, chartered physiotherapists specialising in pelvic health conditions and uniting pelvic health campaigns.  #pelvicroar is a physiotherapy-led campaign that encompasses the enormous variety of health promotion and awareness activities in place around the world.
  24. Content Article
    Incontinence is often described as the last medical taboo. Everyone from medics and patient representative groups, researchers and charities, to social scientists, marketeers and psychologists agree that it is a condition cloaked in shame, silence and stigma.[1]   But how does that impact on patient safety? And are there any measures that could prevent potential harm? In this blog, best-selling author Luce Brett explains why it’s so important to shatter the stigma surrounding incontinence, a condition affecting 34% of women in the UK.[2] Drawing on research from her recent book, and her own insight as a patient, Luce highlights how we can improve health outcomes for patients by simply talking about it more. 
  25. Content Article
    Launched at the end of April 2020, the Access to COVID-19 Tools (ACT) Accelerator brings together governments, scientists, businesses, civil society, and philanthropists and global health organisations. These organisations have joined forces to speed up an end to the pandemic by supporting the development and equitable distribution of the tests, treatments and vaccines the world needs to reduce mortality and severe disease, restoring full societal and economic activity globally in the near term, and facilitating high-level control of COVID-19 disease in the medium term.
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