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Showing results for tags 'Care record'.
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Content Article
The investigation found that misidentification of the patient, and limited access to critical information about the patient at the bedside delayed his treatment. The investigation identified factors that contributed to the event. These included: access to computer systems the display of information around the bed the sharing of information among staff to support familiarity with their patients. Findings Clinical staff are not always able to access accurate, critical patient information at bedsides to support decision making in emergencies. Patient identit- Posted
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- Investigation
- Information sharing
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Content Article
Key recommendations Positively engaging DSCR providers not currently on the assured provider list A standard to ensure the inclusion and consultation of end-users at every stage of the design, production, and implementation process of any new technology A new forum for social care providers, end users, and technology providers to discuss digital solutions for the sector A call for financial support for digital inclusion among people in receipt of adult social care services Mandatory digital training for staff- Posted
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Content Article
HealthIT.Gov: SAFER guides (USA)
Patient Safety Learning posted an article in Health records and plans
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- Electronic Health Record
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News Article
NHS doctors' paperwork piles up after cyber-attack
Patient Safety Learning posted a news article in News
Doctors say it could take months to process mounting piles of medical paperwork caused by a continuing cyber-attack on an NHS supplier. One out-of-hours GP says patient care is being badly affected as staff enter a fourth week of taking care notes with pen and paper. The ransomware attack against software and services provider Advanced was first spotted on 4 August. The company says it may take another 12 weeks to get some services back online. Dr Fay Wilson, who manages an urgent-care centre in the West Midlands, says the main choke point for her team is with patient recor- Posted
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News Article
Cyber attack: NHS staff unable to access patient notes for three weeks
Patient Safety Learning posted a news article in News
A cyber attack that has caused a major outage of NHS IT systems is expected to last for more than three weeks, leaving doctors unable to see patients’ notes, The Independent has learned. Mental health trusts across the country will be left unable to access patient notes for weeks, and possibly months. Oxford Health Foundation Trust has declared a critical incident over the outage, which is believed to affect dozens of trusts, and has told staff it is putting emergency plans in place. One NHS trust chief said the situation could possibly last for “months” with several mental heal- Posted
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News Article
‘Total IT failure’ at four hospitals sparks safety concerns
Patient Safety Learning posted a news article in News
Four hospitals in Greater Manchester are struggling with a near ‘total IT failure’ which has forced staff in all key services to use handwritten lists and notes. The problems have affected multiple IT systems across Royal Oldham, Fairfield General, Rochdale Infirmary and North Manchester General hospitals. Staff at the sites are running theatre and emergency departments using handwritten patient lists and notes, while bloods and scan results are also being written by hand. Patient histories are largely unavailable. HSJ spoke to staff who said there are major concerns over patien- Posted
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Brooke was admitted to Chadwick Lodge on 15 April 2019 and had been diagnosed with Emotionally Unstable Personality Disorder and Autism Spectrum Disorder; she initially failed to engage and was violent to staff and self-harming. By the middle of May 2019 she had made progress. On 5th June 2019 she was found with a ligature around her neck, which was suspended from the door of her room. Following this incident consideration should have been given to a formal risk assessment to include consideration of her level of observation. The details of the incident should have been fully disclosed to- Posted
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News Article
Pregnant women should be asked how much they drink
Patient Safety Learning posted a news article in News
Pregnant women should be asked how much alcohol they are drinking and the answer recorded in their medical notes, new "priority advice" for the NHS says. The advice, from the National Institute for Health and Care Excellence (NICE), is designed to help spot problem drinking that can harm babies. Infants with foetal alcohol spectrum disorder (FASD) can be left with lifelong problems. The safest approach during pregnancy is to abstain from alcohol completely. The more someone drinks while pregnant, the higher the chance of FASD - and there is no proven "safe" level of alcohol.- Posted
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News Article
Medical records contain a plethora of information, from a patient’s diagnoses and treatments to marital status to drinking and exercise habits. They also note whether a patient has followed medical advice. A health provider may add a line stating that the patient is “noncompliant” or “non-adherent,” signalling that the patient has been uncooperative and may exhibit problematic behaviours. Two large new studies in the US found that such terms, while not commonly used, are much more likely to appear in the medical records of Black patients than in those of other races. The first -
Content Article
The investigation identified the following learning points that could potentially offer benefits at a national level: The correct identification of patients relies on staff checking patient details and therefore will not always occur effectively. There may be opportunities for further engineered or technological barriers to help mitigate the risk of incorrect identification. The investigation recognises that a single hospital trust may receive patients from multiple ambulance trusts, and ambulances from a single ambulance trust may attend several hospital trusts. Pathways and pro- Posted
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Content Article
On her admission to hospital, the patient had been assigned the NHS number of another patient, who had the same date of birth and a similar name. During her stay she initially received medication prescribed to her based on her own supply, brought in by her family. However, following a pharmacy review on day 7 of admission, the medications were changed to those of the patient whose NHS number she had been incorrectly assigned. The patient declined to take the incorrect medication and the error was subsequently identified by a pharmacist the following day. Findings The investigation ide- Posted
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News Article
From next month, patients will be able to access all new entries in their online health records, if their GP practice use TPP or EMIS IT systems. According to NHS Digital, patients who use online accounts – such as the NHS App – and whose surgery uses TPP, will be able to view entries from December 2021 onwards. While, patients on an EMIS system should expect to see theirs from ‘early 2022’. Practices which use the Vision system are still currently in discussions over access. NHS Digital says that patients will not be able to see specific personal information, such as positive test r- Posted
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Structured judgement review blends opinion-based review methods with a standard format that involves staff: making safety and quality judgements over phases of care making explicit written comments about care scoring care in each phase. This provides a rich set of information about each case in a form that can also be aggregated to produce knowledge about clinical services and systems of care. The purpose of the review process is not to point to individuals, but to ask questions about the system in which people work, both when care goes well and when it is unsati- Posted
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Alzheimer's Society: 'This is me' leaflet
Patient-Safety-Learning posted an article in Dementia
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Content Article
NHSX information governance portal
Patient Safety Learning posted an article in NHS X