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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    The National Deaf Children's Society have produced resources to help others understand the impact that mask-wearing can have on the deaf community. Face masks with clear panels in them could help some deaf children who rely on lip-reading or sign language to get a better view of the face. This is not a solution that will suit all deaf people or be suitable in all situations but it will help prevent some people from feeling more isolated during the pandemic and enable them to understand what is happening with their their care if they are accessing healthcare services. Resources include:Infographic video with tips for communicating with deaf children when wearing a maskDIY tutorials for making masks with clear panelsBlog: The impact of face masks on deaf children.
  2. Content Article
    Between 30 June - 05 July 2020, the College conducted a survey to assess its members' views on the current preparedness to restart planned services. 
  3. Content Article
    NHS Reset is an NHS Confederation campaign to help shape what the health and care system should look like in the aftermath of the pandemic. In this blog, part of a series of comment pieces from NHS Confederation members and partners, Rachel Power reflects on how COVID-19 has brought health inequalities into sharp focus and how it will take a nationwide effort to reduce them. 
  4. Content Article
    This short creative film, produced by A.O Consultancy, explains what it means to give informed consent to medical treatment.
  5. Content Article
    The Workforce Race Equality Standard (WRES) is a set of metrics that would requires NHS organisations to demonstrate progress against a number of indicators of race equality, including a specific indicator to address the low representation of black and minority ethnic (BME) staff on Boards. NHS providers are expected to show progress against a number of indicators of workforce equality, including a specific indicator to address the low numbers of BME board members across the organisation. Follow the link below to find out more about WRES and to access the annual reports.
  6. Content Article
    The coronavirus (Covid-19) pandemic will leave a deep and lasting scar on the mental health of millions in this country. The devastating loss of life, the impact of lockdown and loneliness, and the inevitable recession that lies ahead will affect all of us. New mental health problems have developed as a result of the pandemic and existing mental health problems have gotten worse. To understand how they can best support people during this uncertain time, Mind carried out research to understand the experiences of people with pre-existing mental health problems, the challenges that they are facing, the coping strategies that they are using, and the support they would like to receive.
  7. Content Article
    It’s just as important to look after our mental health as it is our physical health. There are simple steps we can take to do this for ourselves and for other people. This short guide, from the Centre for Mental Health, provides practical tips about mental health at this time. Also attached is a PowerPoint presentation, looking at the impact of the pandemic on mental health, those most at risk of poor mental health and what would help to prevent or address difficulties.
  8. Content Article
    The objective of this study, published by Risk Management and Healthcare Policy, was to examine factors impacting the awareness of hospital policies and programs and their impact on the actual disclosure of medical errors.
  9. Content Article
    In this blog, Steve Turner provides a guide for patients to help them understand what they should come away with at the end of a consultation. He argues that if these areas have not been covered, the consultation is incomplete and a patient should not accept this.
  10. Content Article
    This film, produced by Hearts in Healthcare, shows Kathy talking about her experience of being in an Intensive Care Unit following a serious accident. Kathy talks about the importance of communicating to patients, even when they are unable to respond, and recalls one particular nurse who made a huge difference to her recovery. An incredibly powerful account that beautifully illustrates human-centred healthcare.
  11. Content Article
    This report details the experiences of the Scan4Safety demonstrator sites. Six trusts implemented scanning of people, products and places over the two-year initiative, which was funded by the Department of Health and made extensive use of unique identifiers from GS1, a not-for-profit organisation that develops and maintains global standards for business communication. At these organisations, all patients have a barcode on their wristband which is scanned before a procedure. All equipment used for that procedure is also scanned – including implantable medical devices – and recorded against the patient and the location. At some trusts, staff even have barcoded badges which are scanned before a procedure so making it possible to identify which teams were identified in which procedures. The result is complete traceability alongside a full understanding of costs, at patient and clinical team level.
  12. Content Article
    The NHS People Plan for England, devised with input from staff and employer organisations, provided a framework for solving fundamental workforce issues. Understandably its publication has been delayed due to the COVID-19 pandemic and may need to be reframed as well as ensuring it is directly relatable to the workforce. This joint statement* argues that we must now move forward, begin to implement a new approach to our workforce and address the following urgent issues: Ensuring the wellbeing of the workforce Flexible working arrangements and at work facilities Increasing the supply of workforce New ways of working and delivering care Leadership *The joint statement comes from the Academy of Medical Royal Colleges, the British Medical Association, NHS Confederation, NHS Providers, the Royal College of Nursing and UNISON
  13. Content Article
    One in three Canadians has had patient harm affect themselves or a loved one, yet the public is collectively unaware that the problem exists. If nothing changes, 1.2 million Canadians will die from preventable patient harm in the next 30 years. The Conquer Silence campaign,  from the Canadian Institute of Patient Safety (CPSI), argues that what we must battle in our collective efforts to reduce patient harm, is systemic silence. Silence between patients and providers, between colleagues in healthcare facilities, between administrators in different regions, and between the public and policymakers. If something looks wrong, feels wrong, or is wrong – people need to speak up, in the moment. It is only by bringing these issues to light that we can begin to work together to solve them. The campaign, gives people the opportunity to 'donate their voice' by recording their stories of healthcare harm and sharing advice or insight to help others avoid harm.
  14. Content Article
    In this podcast from TEN, Dr Shikta Das, Scientific Lead from C4X Discovery and lecturer at University College London, discusses the COVID-19 pandemic and the risks to the BAME community.
  15. Content Article
    This short film, produced by Homerton University Hospital, tells you how to manage a deteriorating patient on your ward. Dr Letty Dormandy, Chief Registrar, talks about the importance of early escalation and how to get help quickly.
  16. Content Article
    Racial discrimination still exists in NHS organisations but can be eradicated if the attitudes and processes used to improve patient safety are adopted, says Roger Kline.
  17. Content Article
    Patient safety is a quality indicator for primary care and it should be based on individual needs, and not differ among different social groups. Nevertheless, the attention on social disparities in patient safety has been mainly directed towards the hospital care, often overlooking the primary care setting. This paper, published in the International Journal for Equity in Health, aims to synthesise social disparities in patient safety in the primary care setting. The results of this systematic review suggest that vulnerable social groups are likely to experience adverse patient safety events in primary care. Enhancing family doctors’ awareness of these inequities is a necessary first step to tackle them and improve patient safety for all patients. Future research should focus on social disparities in patient safety using socioeconomic indicators, such as income and education.
  18. Content Article
    This survey looks at the experiences of adults that have been an inpatient at an NHS hospital. The survey has been running since 2002 and is published annually.
  19. Content Article
    The aim of the study, published in the Journal of Patient Safety, was to determine whether race differences exist in voluntarily reported harmful patient safety events in a large 10 hospital healthcare system on a high reliability organisation journey. Findings showed that race differences in harmful events exist in voluntary reporting systems by type and by hospital setting. Healthcare organisations, particularly healthcare high reliability organisations, can use these findings to help identify areas of further study and investigation. Further study and investigation should include efforts to understand the root cause of the differences found in this study, including the role of reporting bias.
  20. Content Article
    The goal of this US-based study, published in Psychiatric Services, was to characterise racial-ethnic differences in mental health care utilisation associated with postpartum depression in a multi-ethnic cohort of Medicaid recipients. Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Findings of the study presents evidence of low rates of postpartum depression treatment initiation and continuation, indicating barriers to care among low-income mothers; racial-ethnic disparities imply additional challenges for black women and Latinas. The presence of such disparities points to the need for clinical and institutional policies and programs to address the particular barriers to mental health care faced by black women and Latinas in the months after delivery.
  21. Content Article
    This methodological review of racial/ethnic disparities in patient safety in the United States was published in the Journal of Patient Safety. The paper concludes that although there is extensive evidence on disparities in the process and outcomes of health care, data on racial and ethnic disparities in patient safety remain inconclusive in the United States.
  22. Content Article
    More Inclusive Healthcare (MIH) works to positively impact disparities, providing customisable solutions to help teams measure and improve outcomes, enhance cultural responsiveness and strengthen the fault lines. MIH is based in the USA.
  23. Content Article
    Previous studies have revealed racial/ethnic and socioeconomic disparities in quality of care and patient safety. However, these disparities have not been examined in a paediatric inpatient environment by using a measure of clinically confirmed adverse events (AEs). In this study, the Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool was used. The GAPPS analysis revealed racial and/or ethnic and socioeconomic disparities in rates of AEs experienced by hospitalised children across a broad range of geographic and hospital settings. Further investigation may reveal underlying mechanisms of these disparities and could help hospitals reduce harm. This study was published by US-based journal, Hospital Pediatrics.
  24. Content Article
    This paper, from THIS Institute, aims to describe exactly what needs to happen for maternity care to be safe by examining how interventions and context work together to nurture and sustain safe practice.
  25. Content Article
    In this blog from the BMJ, Scarlett McNally, consultant orthopaedic surgeon at Eastbourne District General Hospital, argues that getting older and becoming frail are two different things; frailty can usually be prevented with exercise.   She goes on to say, "we cannot afford for 1 in 4 people across the UK population to do no exercise at all. We cannot afford a decade of social care for every person in the country. And we cannot afford the misery and costs of so many people getting illnesses that might never have happened. Resigning ourselves to these fates cannot remain 'normal'.” 
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