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Content ArticleAnaemia is associated with adverse outcomes of surgery. The blood loss of surgery or trauma can cause or worsen anaemia. People who have anaemia have a worse result from their operation including poorer wound healing, slower mobilisation and an increased risk of death. The Centre for Perioperative Care (CPOC) perioperative anaemia guideline has been developed using a whole pathway approach. It contains recommendations for patients of all ages undergoing surgery and for healthcare professionals in both emergency and elective surgical settings and across specialties. The aim of this guideline is to ensure that the patient is at the centre of the whole process, and that everyone involved in their care carries out their individual responsibilities to minimise the risk from anaemia.
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Content ArticlePaul McGinness, chief executive, Lenus Health, presents new evidence showing how a digital service model can reduce respiratory-related hospital admissions and enable care at home.
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Content ArticleThis qualitative study in BMC Medicine aimed to improve understanding of the reality of making and sustaining improvements in complex healthcare systems. It focused on understanding the implications of complexity theory, introducing a framework known as Successful Healthcare Improvement From Translating Evidence in complex systems (SHIFT-Evidence). This approach is accompanied by a series of ‘simple rules’ that aim to make complexity navigable (whilst recognising that it will never be simple), providing actionable guidance to both practice and research. The authors concluded that the SHIFT-Evidence framework provides a tool to guide practice and research. The ‘simple rules’ have potential to provide a common platform for academics, practitioners, patients and policymakers to collaborate when intervening to achieve improvements in healthcare.
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Content ArticleThis mixed methods study in the BMJ Open aimed to investigate possible barriers and facilitators for venous thromboembolism (VTE) risk assessment in medical patients and evaluate the impact of local and national initiatives. The authors identified the following barriers to risk assessment: involvement of multiple staff in individual admissions interruptions lack of policy awareness time pressure complexity of tools They concluded that national financial sanctions appear effective in implementing guidance, where other local measures have failed.
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Content Article
Three years since we launched the hub, our award-winning platform to share learning for patient safety, we have seen it grow in members, content and impact. To date, the hub has received over 565,000 visits and had over 1 million page views. It now has over 3,400 members from 80 countries working in over 1,000 different organisations, and offers 7,500 knowledge resources, viewed by people from 221 countries. We continue to highlight serious patient safety issues, celebrate patient safety achievements, provide ‘how to’ resources on good practice and offer a safe space for staff and patients to share their experiences and discuss challenges. In this blog, we would like to celebrate just some of the work we are especially proud of and highlight where we’ve been making the case for change and the many ways the hub is making an impact. -
Content Article“Can I use a teaspoon to measure my cough syrup?” “Is it ok to crush my pills?” “Are generic and brand name drugs really the same?” The Institute for Safe Medication Practices (ISMP) fellow and emergency room nurse, Michelle Bell, and medication safety officer for Children’s Hospital of Philadelphia, Sharon Camperchioli, answer patient questions about medication.
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Content ArticleSonia Sparkles is a senior manager in healthcare who is using her artistic skills to improve the way healthcare services communicate with patients. Her goal is to empower patients to feel at ease in healthcare settings and able to fully engage in their care. In this blog, Sonia describes how her own experience of being in hospital helped her see healthcare from a patient's perspective. While an inpatient, she felt disempowered, frightened and unable to ask the questions she wanted to. Having reviewed some NHS patient literature, Sonia realised that there was a need to find a way to communicate clearly with patients and invite them to share their concerns with healthcare staff. She produced a series of 23 posters as a starting point to get people thinking about how to communicate with patients in a simple, visual and empowering way.
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EventuntilWhen things go wrong - doctors in the dock series provides a unique opportunity to hear real patients discuss their experience of medical errors. Well-known witnesses of clinical errors will talk about their first-hand experiences, what happened, how they and their family had to deal with them, and how they have dealt with the aftermath in the most constructive way possible. Gain more experience and insight about the best way to deal with clinical errors as professionals, and from a patient perspective, and convert them into an opportunity for improvement for all involved, even leading to very successful careers. Register
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EventuntilAre you a patient who has been waiting to receive a diagnosis or test results during the last six months? This includes, but is not limited to, CT scans, MRI scans, and endoscopy and dermatology procedures. Has the COVID-19 pandemic affected your service? Would you like to help to improve the patient experience of waiting for a diagnosis? The Patients Association is holding an online Zoom patient group discussion on this topic on Tuesday 27th October, 2.00-4.00pm, and we are seeking patients to take part. An £80 incentive payment will be offered in Amazon vouchers and places are limited. Participants will be chosen on the basis of suitability to ensure the group is representative of a wide variety of backgrounds and experiences. Please fill in the registration form https://www.surveymonkey.co.uk/r/CRNMC2T if you are interested.
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EventDr Donna Prosser, Chief Clinical Officer at the Patient Safety Movement Foundation, will be joined by a multidisciplinary group of patient advocacy experts and clinicians to understand the various meanings of the term 'patient advocacy' and to evaluate how an empowered patient can improve healthcare delivery, experience, and outcomes for all involved. The group will discuss the history and current state of patient advocacy, and will propose recommendations regarding the extent to which various healthcare disciplines and patients and their families can improve patient advocacy. Register
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ICUsteps Zoom Q&A webinar
Clive Flashman posted an event in Community Calendar
untilOur ICUsteps trustees and invited guests answer questions about recovery from critical illness and what patients and relatives can do to help support their recovery. Book here -
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Deteriorating Patient Summit
Patient Safety Learning posted an event in Community Calendar
Recognising and responding to the deteriorating patient and ensuring best practice in the use of NEWS2. hub members can receive a 10% discount with code hcuk10psl. Further information and registration -
Content ArticleShrop Community Health have produced this video to help patients prevent pressure ulcers by learning about the 5 key messages: SSKIN: Surface Skin Keep moving Incontinence and increased moisture Nutrition and hydration
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Content Article
Pressure Ulcer Path: prevent and treat step by step
Patient Safety Learning posted an article in Pressure ulcers
Research has shown that frontline staff understand the dangers of pressure sores but experience significant challenges in their attempts to prevent them. The research, undertaken by NHS Midlands and East and downloadable below, showed that staff feel they do not have the time to treat patients and need improved communication between the patients, their carers and the homes from which they might have come. In response to this, NHS Midlands and East has created the Pressure Ulcer Path, a tool to support staff in preventing pressure ulcers and treating them, alongside a number of useful resources. -
Content ArticleIn this video, Barts Health NHS Trust explain what measures frontline medical staff can take to help avoid the risk of pressure ulcers.
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Content ArticleThe purpose of the US Joint Commission's National Patient Safety Goals is to improve patient safety. The goals focus on problems in healthcare safety in the USA and how to solve them. They include identifying patients correctly, improving staff communication, use medicine safely, use alarms safely, prevent infection, identify patient safety risks and prevent mistakes in surgery.
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Content ArticleOn 23 September, Improvement Cymru, the all-Wales Improvement service for NHS Wales, hosted an online session with colleagues from Holland to talk about patient flow in hospital.
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Content ArticleDave Noakes talks about his cancer journey, the feelings he went through and the impact it has had on his life in this blog for Movember.
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Content ArticleAsk anyone with tattoos and they’ll tell you every bit of body art means something. But it’s fair to say Graeme Holdsworth’s short script of ink means more than most. The single word, Anicca - Sanskrit for ‘impermanence’ - hides beneath the watchband on his left wrist. “I look at it whenever I need reminding that what’s happening now won’t be happening in a minute’s time.” For the retired architect and project manager who spent most of his life planning the future of multi-million dollar developments, a one-word reminder to live in the moment seems an odd choice. But to someone who was a habitual high achiever, it’s an important reality check. In this blog for Movember, Graeme talks about living with depression.
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Content ArticleActive surveillance (AS) is an option in the management of men with low-stage, low-risk prostate cancer. These patients, who often require prolonged follow-up, can put a strain on outpatient resources. Nurses are ideally placed to develop advanced roles to help meet this increased demand—a model Martin et al. have utilised since 2014. The authors set about to comprehensively evaluate their nurse-led AS (NLAS) programme. The study found that nurse-led active surveillance is safe and effective. Patients and stakeholders alike held positive views of the programme.
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Samaritans: Real people, real stories
Patient Safety Learning posted an article in Men's health
In a recent survey from the Samaritans, men gave the reasons why they were struggling to cope: 42% of men said that pandemic restrictions have had a negative impact on their mental health. 40% of men said that talking to others helped with concerns and worries they had during the pandemic. We understand the power of human connection and how talking can help when you’re finding life tough. The Samaritans have collated real stories from men who have been through tough times, encouraging other men to seek help. -
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Prostate Cancer UK: Best practice pathway
Patient Safety Learning posted an article in Men's health
Developed to support healthcare professionals at the front line of prostate cancer diagnosis and care, Prostate Cancer UK's Best Practice Pathway uses easy to follow flowcharts to guide healthcare professionals deliver best practice diagnosis, treatment and support. It sets out how to achieve an early diagnosis in men at higher than average risk of the disease. It also supports use of the most up-to-date, cutting-edge research-led innovations - so that healthcare professionals are equipped and supported to provide the very latest evidence-based best practice to their patients. -
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Prostate Cancer UK: risk checker
Patient Safety Learning posted an article in Men's health
Prostate cancer is the most common cancer in men, but most men with early prostate cancer don’t have symptoms. So what should you do? Click the link below and and answer three quick questions to find out. -
Content Article
WHO: What you need to know before and after surgery
Patient Safety Learning posted an article in Surgery
If you or your child is undergoing a surgical procedure, be sure to communicate the following to your healthcare provider. Your active participation in health care is important for your safety. This information from the World Health Organization (WHO) will help your discussion with your care-provider. Be a well-informed partner in your own care. -
Content ArticleEmpower yourself with information and tools to help you ask good questions, connect with the right people, and learn as much as you can to keep you or a family member safe while receiving healthcare. The Canadian Patient Safety Institute (CPSI) have created a 'Questions Are the Answer' toolkit to help you effectively prepare for making decisions about medical treatment options by asking the right questions of your healthcare team. It considers topics for before, during, and after appointments, using past, present, and future medicines, medical tests, and surgeries.
