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Found 523 results
  1. Content Article
    Bariatrics is the branch of medicine that deals with the causes, prevention and treatment of obesity and its associated diseases. This pathway written by East Kent Hospitals University Foundation NHS Trust (EKHUFT) provides guidance for multidisciplinary teams to allow them to provide appropriate care for each bariatric patient according to their unique shape, size and body dynamics.
  2. Content Article
    Integrated care systems (ICSs) and provider collaboratives are ushering in a move towards more collaborative working across organisations in health, social care and the voluntary and community sector – and digital health technologies have an important role to play. Digital technologies can help information and communication to flow across organisations, people and places, bringing benefits for both patients and staff, eg, fewer tests, improved patient safety, reduced costs and saving both patients and staff time. However, using digital health technologies to overcome silos, often referred to as interoperability, has been a longstanding challenge. The King's Fund undertook research to understand how to progress interoperability in health and care.
  3. Content Article
    Sonia 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.
  4. Event
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    Integration and collaboration are central features of current health care policy. During the Covid-19 pandemic we have seen some great examples of NHS organisations coming together, as well as closer working between health and local government, and health and the voluntary sector. Greater collaboration across health and care organisations will continue to be important as the system begins to recover. This King's Fund programme is designed to equip senior leaders to develop the skills and behaviours associated with a more collaborative style of leadership. It uses current policy developments to inform and test out what will be most helpful in ‘the real world’ of ICS, STPs and place-based working. The programme takes place over six months and will be a combination of virtual and face to face modules. Module one: 20–21 January 2021 (online via Zoom) Module two: 24–25 March 2021 (online via Zoom) Module three: 24–25 May 2021 (London) Module four: 2–3 June 2021 (London) Further information and registration
  5. Event
    Dr 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
  6. Event
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    #CoProLive is a festival of co-production taking place 19 – 21 October 2020. It is brought to you by UCL Centre for Co-production as part of the run up to their official launch on 22 October. These sessions are a celebration of co-production from friends of the Centre and the Centre itself, showcasing a variety of different approaches to authentic co-production. The sessions running are: Creative co-production with Gill Phillips, creator of Whose Shoes? - Monday 19 October 14:00-16:00 UK time Gill Phillips is the Director of Nutshell Communications Ltd and creator of Whose Shoes?®. This session is a ‘behind the scenes’ look at their well-known, research-based strategies to bring people together for positive change! Book here Co-pro Cuppa - Tuesday 20 October 10:00-11:30 UK time This informal session is a chance to connect with friends, meet new people and chat about whatever you fancy over a cuppa! Book here Co-production – Lessons from the Golden Age of Piracy - Wednesday 21 October 14:00-16:00 UK time Cat (from Curators of Change) and Co-Pirate and Curator Naomi (from Nesta) are inviting you to find out about how Golden Age Pirates understood the need to co-create the right conditions to challenge the established ways of the time. This has been translated by the growing movement of modern day health and care pirates who are pushing boundaries, and re-writing the rules along the way! Book here
  7. Event
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    Over the last twenty years in particular, the NHS has been focusing on how to create better care pathways that improve patient outcomes. Improving care pathways has a positive impact on clinical outcomes, cost reduction, patient satisfaction, teamwork and process outcomes, but COVID-19 has created a significant disconnect in these pathways meaning patients are either not entering them or not flowing through them as smoothly as they need to. The administrative elements of managing patients through pathways are significant and, at a time when the NHS is experiencing workforce shortages, routinely take staff away from caring for and reassuring patients. At this King's Fund event, decision points within pathways will be explored and how digital technology can transform how pathways operate, enabling clinicians to better understand where each patient is on the pathway, what they are waiting for and what needs to happen next. Learn how to improve pathway ‘hand-offs’ and administration, to free up time for staff to care for patients in a more personalised way. The event will include examples of how industry and the NHS can come together to build smarter pathways, using technology to augment the expertise of caregivers. Register for free
  8. Event
    At THIS Space, we welcome researchers, patients, carers, NHS staff and anyone with an interest in the evidence base for improving the quality and safety of healthcare. THIS Space 2020 event will take place entirely online and create an opportunity for people interested in the study of healthcare improvement to gather, connect, and share ideas remotely. THIS Space aims to: provide a focus for knowledge sharing in healthcare improvement stimulate innovation and fresh thinking help researchers to develop the habits, knowledge, skills, and experiences to support their professional growth connect colleagues from across different disciplines who share a common goal be a means of accelerating the development of the field of the study of healthcare. Plenary sessions: Professor Bob Wachter will explore an international perspective on the legacy of COVID-19 in healthcare improvement and research. Professor Ramani Moonesinghe will discuss the impacts of rapid innovations in healthcare. Dr Victoria Brazil will examine the role of simulation in healthcare improvement studies. Registration
  9. Content Article
    Recording for the Session on Patient Safety held on 31 October as a part of the Global Indian Physician COVID-19 Collaborative.
  10. Content Article
    Using the data obtained from Fifth Sense’s ‘Quality of Life Impact of Olfactory Disorders’ survey amongst its members, a research paper was produced by Mr Carl Philpott and Duncan Boak to demonstrate the impact that olfactory disorders have on people’s lives. A summary of the findings can be read here. The study found it impacted on people's emotional wellbeing and their mental health, with many patients feeling their voice was unheard. There is a need for medical practitioners to take olfactory disorders more seriously.
  11. Content Article
    Social prescribing, also sometimes known as community referral, is a means of enabling health professionals to refer people to a range of local, non-clinical services. The referrals generally, but not exclusively, come from professionals working in primary care settings, for example, GPs or practice nurses.  Recognising that people’s health and wellbeing are determined mostly by a range of social, economic and environmental factors, social prescribing seeks to address people’s needs in a holistic way. It also aims to support individuals to take greater control of their own health.  Social prescribing enables GPs, nurses and other primary care professionals to refer people to a range of local, non-clinical services to support their health and wellbeing. But does it work? And how does it fit in with wider health and care policy?
  12. Content Article
    There has been an identified need for greater patient and family member involvement in healthcare. This is particularly relevant in an intensive care unit (ICU), as the family provides a key communicative and practical link between patient and clinician. Family members have been deemed a positive beneficial influence on ICU care and recovery processes, yet they themselves are often emotionally affected after discharge. There has been no standardised evidenced-based approach which explores research on family member involvement and the range and quality of contributions remain unclear. This study from Xyrichis et al. undertook a systematic review to assess the evidence base for interventions designed to promote patient and family member involvement in adult intensive care settings and develop a comprehensive typology of interventions for use by clinicians, patients and carers. The review provides valuable and rigorous insight into the range and quality of interventions available to promote patient and family member involvement in ICU. This is the first step towards addressing the absence of a synthesis of research for this context, and will, in addition, develop a typology of available interventions that will help service users and clinicians make informed decisions about the approaches to patient and family member involvement which they might want to adopt.
  13. Content Article
    Healthcare is in the midst of significant change, with substantial shifts in emphasis and priorities. Patient-centered care has become central to the core goals of better health, better quality, and lower costs while highlighting the necessity of incorporating patients’ efforts, needs, and perspectives into healthcare at all levels. Patient and family engagement (PFE) is critical to patient-centered care, and important theoretical and empirical work has identified key elements and implications of PFE, especially for management of chronic illnesses and preference-sensitive clinical decision making. Brown et al. believe that the ultimate goal of active, mutually respectful partnership among clinicians and patients/families is urgent and important. However, consistent terminology and definitions of PFE are still lacking. This deficit is particularly striking in intensive care units (ICUs), which pose special challenges to outpatient models of PFE: the emotional stakes are high, time is greatly compressed, surrogates play a central role, and the specter of death often dominates decision making.
  14. Content Article
    Learning about healthcare safety often focuses on understanding what has gone wrong, but it is just as important to examine what good looks for safety in maternity units. In this blog, Elisa Liberati describes how she worked with a team and several collaborators to develop a framework describing 7 key features of safety in maternity units. To ensure the study was as rigorous as possible, they combined several different methods and worked in a highly collaborative way across the system. Follow the link below to read the full blog, published by THIS.Institute.
  15. Content Article
    In this blog, Patient Safety Learning sets out its response to NHS England and NHS Improvement’s draft Framework for involving patients in patient safety. We commend the intention and share thoughts on our perspective on this important patient safety issue. We make proposals for how to strengthen patient engagement and co-production.
  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
    Healthcare practitioners, patient safety leaders, educators and researchers increasingly recognise the value of human factors/ergonomics and make use of the discipline's person-centred models of sociotechnical systems. This paper from Holden et al. first reviews one of the most widely used healthcare human factors systems models, the Systems Engineering Initiative for Patient Safety (SEIPS) model, and then introduces an extended model, ‘SEIPS 2.0’. SEIPS 2.0 incorporates three novel concepts into the original model: configuration, engagement and adaptation. The concept of configuration highlights the dynamic, hierarchical and interactive properties of sociotechnical systems, making it possible to depict how health-related performance is shaped at ‘a moment in time’.  Engagement conveys that various individuals and teams can perform health-related activities separately and collaboratively. Engaged individuals often include patients, family caregivers and other non-professionals. Adaptation is introduced as a feedback mechanism that explains how dynamic systems evolve in planned and unplanned ways. Key implications and future directions for human factors research in healthcare are discussed.
  18. Content Article
    Journey behind the front lines of the coronavirus pandemic with Northwell Health, New York’s largest health system. What was it like at the epicenter, inside the health system that cared for more COVID-19 patients than any other in the United States? Leading through a pandemic: The inside story of lhumanity, innovation and lessons during the COVID-19 crisis takes readers inside Northwell Health, New York’s largest health system. From the C-suite to the front lines, the book reports on groundwork that positioned Northwell as uniquely prepared for the pandemic.
  19. Content Article
    Michael Dowling is Northwell Health’s President and CEO and the Institute for Healthcare Improvement (IHI) Board Chair. In a new book, Leading through a pandemic: The inside story of humanity, innovation, and lessons learned during the COVID-19 crisis, Dowling describes how Northwell’s history of disaster preparedness was essential to their COVID-19 response. In the following interview with IHI, Dowling shares some sometimes surprising insights from an early epicenter of the pandemic.
  20. Content Article
    In September, Patient Safety Learning worked with Gill Phillips, Director of Nutshell Communications Ltd, to host an online workshop with staff and patients on the subject of staff safety, the theme of this year's World Patient Safety Day. Known as Whose Shoes?®, the workshop was an an intimate, highly participative event, giving participants the chance to talk openly about their personal experiences around key issues in staff safety and how they impact patient safety. 
  21. Content Article
    In this blog, Patient Safety Learning considers the need for global action to improve patient safety and sets out its response to the WHO’s consultation on the draft Global Patient Safety Action Plan 2021-2030.
  22. 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.
  23. Content Article
    Ensuring quality of care during pregnancy and childbirth is crucial to improving health outcomes and reducing preventable mortality and morbidity among women and their newborns. In recent years, Perinatal Quality Collaboratives (PQCs) have been driving improvements in perinatal care across the United States. PQCs are state or multistate networks of teams working to improve the quality of care for mothers and babies. PQCs do that by advancing evidence-informed clinical practices and processes using quality improvement principles to address gaps in care. PQCs work with clinical teams, experts and stakeholders, including patients and families, to spread best practices, reduce variation and optimise resources to improve perinatal care and outcomes. The goal of PQCs is to achieve improvements in population-level outcomes in maternal and infant health. In this article, LifeQI outlines the PQC approach, tools LifeQI can offer and some examples of PQCs being run. Life QI is the global web platform where tools, people and data come together to make improvement happen.
  24. Content Article
    When you are starting out on your Quality Improvement (QI) journey and setting up a healthcare collaborative, there are a range of preparations you can carry out to help ease the way. There are a lot of QI collaboratives out there already, so you could prepare for your journey by reading about and learning from other teams who have already been through the collaborative process. You are going to be instrumental in the success of your collaborative, and if you have a motivated team that is accountable, your collaborative is more likely to be successful. Here are some top tips from Life QI to consider before starting your healthcare collaborative. Life QI is the global web platform where tools, people and data come together to make improvement happen.
  25. Content Article
    Healthcare settings have been using collaboratives to improve quality in healthcare, enhance patient safety and drive organisational change since the mid-1990s, when they became popular via the Institute for Healthcare Improvement’s (IHI) Breakthrough Series model. QI Collaboratives are groups of people from different units or organisations who work together in a structured way and share learning and experience in order to create more efficient services. Collaboratives are generally set up to enhance patient safety, quality and efficiency of care. This Life QI article gives tips on how to run an Improvement Collaborative. Life QI is the global web platform where tools, people and data come together to make improvement happen.
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