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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    This report, from The King's Fund, provides a summary of evidence and analysis to support leaders in health and care to engage in long-term thinking about the role of digital technology in their sector. It looks back at recent developments in digital technology in the health and care system, and looks forward, to a set of potential futures, to distil factors driving change and what this means for leaders now.
  2. Content Article
    In this article, published by the British Journal of Diabetes, authors argue: "For most, if not all, health economies it is possible to deliver care for all people with diabetes in a more effective and cost-effective way. To do this requires excellent clinical leadership, clear governance, respect for culture and relationships that already exist, service user and carer involvement at the centre, financial and contacting mechanisms that help rather than hinder innovation (even though there is unlikely to be any additional money), joined-up IT systems and a workforce that is committed to improvement and that understands its role. Consultant diabetologists have told us they are up for the challenge. The time has come to go and ruffle a few feathers, take some calculated risks and achieve something of which we can be proud."
  3. Content Article
    In this piece for the BMJ, Partha Kar argues that in these unprecedented times, we need to be honest and clear about what’s feasible within existing staffing and funding envelopes, and that to suggest that all will be OK isn’t fair to the staff or the people.
  4. Content Article
    Getting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
  5. Content Article
    In April 2021, The National Institute for Health and Care Excellence (NICE) released new guidance on the management of chronic pain. In The British Pain Society's (BPS) initial statement on the NICE guideline, they conclude: "In summary, the new NICE guideline NG193 acknowledges that individual and indeed specialised chronic pain assessment and management is required. However, The British Pain Society feels that the guidance as it stands could lead to the withdrawal of supervised short-term therapies which can work safely in carefully selected and monitored patients with forms of chronic primary pain." Follow the link below to access the statement in full.
  6. Content Article
    Patient complaints are associated with adverse events and malpractice claims but underused in patient safety improvement. The objective of this study, published in BMJ Quality and Safety, was to systematically evaluate the use of patient complaint data to identify safety concerns related to diagnosis as an initial step to using this information to facilitate learning and improvement. Authors conclude that health systems could systematically analyse available data on patient complaints to monitor diagnostic safety concerns and identify opportunities for learning and improvement.
  7. Content Article
    The need for social distancing midst the COVID-19 pandemic has forced ophthalmologists to innovate with telemedicine. The novel process of triaging emergency ophthalmology patients via video consultations should reduce hospital attendances. However, the safety profile of such services were unknown.  This study, published by EClinicalMedicine, demonstrates comparable patient safety of video consultations at one-month follow-up to in person review and found the service to be acceptable to patients and to reduce the risk of COVID-19 transmission. Authors propose that video consultations are effective and desirable as a tool for triage in ophthalmology.
  8. Content Article
    This guide, from the Social Care Institute for Excellence, aims to support day care managers, social workers, commissioners and providers, to restart or continue activities following the COVID-19 social distancing restrictions. It is focused on community-based day services, day centres (with and without personal care), including specialised day centre environments, and those with outdoor spaces.
  9. Content Article
    In this article, published in The Practising Midwife, Rachel Crowe argues that in the UK, pregnant women who are hearing impaired or D/deaf (sign language users) and deaf (who are hard of hearing but who have English as their first language and may lipread and/or use hearing aids) are often labelled as high risk and offered a care pathway that is unsuitable and detrimental to their care. Identifying the gaps in maternity that exist in current guidelines and practice can help midwives to ensure women get appropriate, high-quality woman-centred care. This article provides an overview to the needs of D/deaf birthing people with a number of recommendations and tools for use in clinical practice.
  10. Content Article
    This is the Herts and West Essex Local Maternity and Neonatal system multilingual maternity resource padlet. It includes resources in multiple languages including Sign Language an in audio form. The initial concept and content was developed by Charlotte Easton, Better Births Project Midwife at West Hertfordshire Hospitals NHS Trust.
  11. Community Post
    This month, NICE released new guidance on the assessment and management of chronic pain . We'd like to hear your thoughts on the new guidance and how you feel it may impact you, your loved ones or your patients. How do you think it will work in practice? What support will patients and doctors need when applying the guidance? Is there anything that might need more clarity? Please share your thoughts below. You'll need to be a hub member to comment, it's quick, free and easy to do. You can sign up here.
  12. Community Post
    @Michelle Chunger we'd love to hear how you get on and to share any learning or outcomes. Bets of luck, and keep us posted!
  13. Content Article
    Dr Ian Carroll discusses neuropathic pain, which involves damage to the nerve. The condition causes the nerves to fire incessantly, even if the initial source of the pain has been remedied. The brain responds by creating an ongoing message of pain.
  14. Content Article
    This study, published in Midwifery, concludes:   "An analysis of retrospective Albany Midwifery Practice statistics over 12.5 years has shown positive outcomes for women and babies in socially disadvantaged and BAME groups, including those with complex pregnancies and perceived risk factors. This study adds weight to a growing body of evidence linking relational midwifery continuity of carer with improved outcomes and policies identifying that all pregnant women should receive midwifery continuity of carer throughout the continuum of pregnancy, birth and new motherhood."
  15. Content Article
    Neonatal herpes is a rare, and potentially fatal, disease which usually occurs in the first four weeks of a baby's life. It is caused by the same virus that causes cold sores and genital infections – the herpes simplex virus (HSV). Early recognition and treatment has been shown to significantly improve babies' chances of making a full recovery. In the first of a series of blogs, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, explains why they are joint-funding new research into neonatal herpes, and how the findings could help save many lives. 
  16. Content Article
    This toolkit has been co-produced by the national Maternity Transformation Programme and a selection of service user representatives to help local maternity systems produce their own communications plans and activities. It provides helpful advice and suggestions about how to communicate with women of different backgrounds, about the extra care support that is available to them, as well as signposting to currently available publications, messaging, insights and templates. The aim is to raise awareness amongst pregnant women from Black, Asian and minority ethnic backgrounds that extra support and help is available to them during this uncertain coronavirus period.
  17. Content Article
    The theme for this year’s World Health Day (7 April) is building a fairer and healthier world for everyone. Making sure all patients can access and understand healthcare information is absolutely key to this. In this interview, anaesthetist Rachael Grimaldi tells us about CardMedic, the organisation she founded to empower staff and patients to communicate across any barrier. Rachael explains how their tools can be used to support vulnerable groups and reduce inequalities. 
  18. Content Article
    Dr Abdulelah Alhawsawi, is the ex-founding Director General of the Saudi Patient Safety Center, and Ministry of Health Advisor on Patient Safety. In this video, he interviews Rt Hon Jeremy Hunt, Chair of the Health and Social Care Select Committee and former Health Secretary. They discuss safety in healthcare, avoidable deaths and how we can realise the vision of zero harm.
  19. Content Article
    Gavin Portier is Head of Nursing Quality at Barnsley Hospital NHS Foundation Trust. In this interview, Gavin explains how his approach to auditing has moved beyond measuring negative outcomes, instead focusing on standards of care.
  20. Content Article
    This policy aims to set out for the first time for the NHS the core aims and values of the LeDeR programme and the expectations placed on different parts of the health and social care system in delivering the programme from June 2021.
  21. Content Article
    In this blog series, InHealth Associates write about their experience in patient leadership, share examples of best practice and cover recent news and events. They aim to share some of the wisdom they have developed through facing, and sometimes overcoming, the challenge of creating change in the health service. 
  22. Content Article
    Age UK's new report Digital inclusion and older people – how have things changed in a Covid-19 world? shows that while just under a quarter (24 per cent) of over-75s in England have increased their internet usage since the pandemic hit, this is mainly driven by existing users going online more often. Most older online users say their use has remained unchanged, with nearly one in 10 (9 per cent) actually using it less. The charity is calling for greater support for those who are offline and finding it increasingly difficult to access essential goods and services.
  23. Content Article
    The Engagement Cycle helps organisations undertake meaningful patient and public engagement for maximum impact. It is a tried and tested, practical resource, used by dozens of Clinical Commissioning Groups (and others) to plan, design and deliver great services for, and with, local people. This version of the Engagement Cycle has been developed by InHealth Associates. It can be used to help organisations work with patients, carers and the public to transform and improve services so that patients receive integrated services, high quality care and a better experience.
  24. Content Article
    Can patient and public engagement truly incorporate patient and carers in healthcare decision-making? This eBook, by David Gilbert, provides an account of the work done within the Sussex Musculoskeletal (MSK) Partnership (Central) to embed a different approach to patient and public engagement or co-production – one that supports people with MSK conditions to be true partners in decision-making at all levels: delivery, improvement, governance and leadership.
  25. Content Article
    This report from the NHS Race and Health Observatory, acknowledges the growing evidence suggesting there may be drawbacks when using pulse oximetry on darker skin.  Whilst the picture on racial bias in pulse oximetry is still mixed, as a worst-case scenario, the application of this intervention can potentially have negative outcomes for patients with more pigmentation in their skin. To help counter potential health inequalities in this area, the report outlines a number of recommendations for healthcare, regulatory and research bodies.
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