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Found 522 results
  1. Content Article
    The Essentials of Safe Care is a practical package of evidence-based guidance and support that enables Scotland’s health and social care system to deliver safe care.
  2. Content Article
    Every year, avoidable harm leads to the deaths of hundreds of thousands of patients, each an unnecessary tragedy. Despite many people doing good work to improve patient safety, this remains a persistent problem. At the recent Future of Hospitals event from Health Plus Care Online, Helen Hughes, Patient Safety Learning's CEO, and Donna Prosser, Chief Clinical Officer of the Patient Safety Movement, consider the need for patient safety to be a core purpose of healthcare and how we can best achieve this. They also discuss whether patient safety can become a social movement - uniting clinicians, patients, leaders, policy-makers and communities.
  3. Content Article
    This report brings together an elected group of experts from across international organisations, G20 Governments, the global health community and civil society to address the challenges that patients and health workers have faced and are currently facing amidst the COVID-19 pandemic. It demonstrates how the safety of patients and health workers is inexorably linked to all global health challenges, including infectious and non-communicable diseases.
  4. Content Article
    The Global Tracheostomy Collaborative has created a community where a multidisciplinary team of healthcare professionals, patients and families are empowered to learn and continuously improve the outcomes of patients with tracheostomies.
  5. Content Article
    In my tweets and posts I have suggested that patients themselves need to take more responsibility for the medicines they are prescribed. But what about vulnerable groups who may depend on decisions being made for them, and in their best interests? Whilst there are circumstances where antipsychotic (psychotropic) medicines are an appropriate option for people with autism and learning disabilities, these occasions are limited. In all cases the patient matters most, and any decision to prescribe must be part of a team based, patient-led decision, which is regularly reviewed.
  6. Content Article
    In this blog, Patient Safety Learning outlines the key points included in its response to the Care Quality Commission’s (CQC) consultation on their new strategy from 2021, identifying the opportunities this presents for the health and social care regulator to help improve patient safety.
  7. Content Article
    We need a twin track approach in workforce planning – one for the medium-term and other for the long-term – writes Rob Smith, Director of Workforce Planning and Intelligence, Health Education England, in this HSJ article.
  8. Content Article
    A recent survey of over 1,700 patient groups around the world has revealed the true toll the COVID-19 pandemic has had on patient communities, with many individuals feeling more vulnerable, confused and uncertain about the consistency and continuity of their care. Now, more than ever, the life sciences industry has a responsibility to listen to the unique and changing needs of patients. They must continue to work with patient organisations on their vital work to safeguard continued access to treatment and to understand their need for holistic support ‘beyond the pill’. Dr Berkeley Phillips, Country Medical Director of Pfizer UK, explains in this article how Pfizer continues to partner with patient organisations across a broad spectrum of conditions from cancer to rare diseases, ensuring patients feel equipped, informed and empowered despite the uncertainty.
  9. Content Article
    While childbirth in the UK is generally a safe event, progress to improve safety seems to have stalled, and how safe mums and babies are depends on where you are and who you are, writes the Patients Association in this article for World Patient Safety Day. The Patients Association firmly believe that involving patients in their care improves outcomes and safety. Mums-to-be developing plans with the midwives and obstetricians seems a perfect example of this. However, research shows that clinicians meaningfully partnering with patients is not mainstream practice.  "It will take leadership, training and funding to make patient partnership in maternity care everyday practice", says the Patient Association. "This World Patient Safety Day we call on all those in a position to bring about change in how maternity care is delivered and to pledge to introduce true patient partnership."
  10. Content Article
    Did you know unsafe care is one of the ten leading causes of death and disability worldwide?[1] Or that it is estimated this leads to 11,000 avoidable deaths per year in the UK?[2]   At Patient Safety Learning our vision is for a world where patients are free from avoidable harm. We want to bring people together, to harness the knowledge, enthusiasm and commitment of healthcare organisations, professionals and patients, for system-wide change. That's why we created our patient safety platform - the hub.  Find out more about the benefits and how you can join…
  11. Content Article
    Healthcare organisations strive to improve patient care experiences. One way is to use one-on-one provider counselling (shadow coaching) to identify and target modifiable provider behaviours. Quigley et al. examined whether shadow coaching improves patient experience across 44 primary care practices in a large urban US health centre. They found that shadow coaching improved providers' overall performance and communication immediately after being coached. However, these gains disappeared after 2.5 years. Regularly planned shadow coaching "booster" sessions might maintain or even increase the improvement gained in patient experience scores, but research examining additional coaching and optimal implementation is needed.
  12. Content Article
    The surge in the need for invasive ventilation during the covid pandemic has required the provision of intensive care beds in London to be reallocated. NHS England have proposed the formation of a Pan‐London Emergency Cardiac surgery (PLECS) service to provide urgent and emergency cardiac surgery for the whole of London. In this initial report, the Department of Cardiac Surgery, St Bartholomew's Hospital, outline their experience of setting up and delivering a pan‐regional service for the delivery of urgent and emergency cardiac surgery with a focus on maintaining a COVID‐free in‐hospital environment. In doing so, they hope that other regions can use this as a starting point in developing their own region‐specific pathways if the spread of coronavirus necessitates similar measures be put in place across the United Kingdom
  13. Content Article
    Co-producing a research project is an approach in which researchers, practitioners and the public work together, sharing power and responsibility from the start to the end of the project, including the generation of knowledge. This guidance, from the National Institute for Health Research, is a first step in explaining what is meant by co-producing a research project. It sets out the key principles and features of co-producing a research project and suggests ways to realise them. It also outlines some of the key challenges that will need addressing, in further work, to aid those intending to take the co-producing research route. Read the guidance in full. Related reading: Patient engagement resources Listening to the patient saved many lives
  14. Content Article
    In this blog, Neil O'Halloran, Clinical Support Specialist for Medline, describes how and why he set up a group to bring together falls prevention leads. His vision was to create a network where people could share best practices and become a resource and support for each other. You can find out more about the network by following the link below.
  15. Content Article
    This evidence report aims to identify changes across health and social care in response to COVID-19 that could offer potentially sustainable benefits..Frontier Economics, Kaleidoscope Health and Care, and RAND Europe were commissioned to lead this independent rapid review, with three core aims: Understand the impact of the response to the COVID-19 pandemic in relation to innovation, research and collaboration across the health and care system Identify any methods/practices which would support the development and adoption of high impact changes identified in the existing Beneficial Changes Network (BCN) evidence, whilst considering the impact on health inequalities Propose recommendations to support current activities and inform future priorities of the Accelerated Access Collaborative and BCN, and the wider health and social care system.
  16. Content Article
    IMAGINE Citizens is an Alberta-based network of people and community-oriented partners that offers us, as health citizens, collaboration pathways to deliver person-centred healthcare. Their vision is a health system intentionally designed in partnership between citizens and other stakeholders to achieve the best possible experiences and outcomes for all Albertans in Canada.
  17. Content Article
    The CQC inspection framework now includes multidisciplinary teams (MDTs) for end of life care, tumours and weekly MDTs for people with complex needs. However lack of time and staff availability for this is a real problem. MDTs are under increasing pressure and are already seeing an erosion of their power to assure safe and appropriate care. Anecdotally, non-attendance by key MDT members is a significant quality issue for many hospitals. This is not a problem of engagement — all MDT members and are willing to provide input — but staffing pressures and the complexity of rostering makes holding these MDT meetings near-impossible. So how do we stop this degradation? How can hospitals better manage the burgeoning requirement for MDTs? One possible answer is to change the emphasis from a single meeting to a managed series of recorded opinions and decisions. If properly supported by the right workflow technology, we can move away from the ‘single-point’ MDT meeting (MDTM) to a ‘multi-point’ MDT process (MDTP) which could allow better and more auditable decisions to be made. Where significant differences of opinion exist, then a meeting can be called – but the MDT members could act independently and in parallel using a suitable recording and monitoring system. In this article, Dr D J Hamblin-Brown explains how this might work.
  18. Content Article
    In this interview Kathryn Marszalek, Senior Analytical Manager at the Health Foundation and Dr Jessica Butler from the Institute of Applied Health Sciences at the University of Aberdeen, discuss the Health Foundation's Networked Data Lab (NDL). They describe how linking data across the whole health and care system improves care and safety outcomes for patients, and how the programme has been used so far to identify clinically extremely vulnerable patients during the Covid-19 pandemic. They talk about what's next for the NDL and describe key success factors in achieving the the programme's fundamental goal of improving health inequalities in the population.
  19. Content Article
    This is the fourth of a short series of blogs in which we take a look back at our work in five areas of patient safety during 2021. In this blog we consider the need for greater patient engagement to support improvements to patient safety. Throughout our work, Patient Safety Learning seeks to harness the knowledge, insights, enthusiasm and commitment of health and social care organisations, professionals and patients for system-wide change and the reduction of avoidable harm. We believe patient safety is not just another priority; it is a core purpose of health and social care. Patient safety should not be negotiable.
  20. Content Article
    The James Lind Alliance (JLA) Guidebook is aimed at people interested in the JLA’s priority setting process: namely, patients and their carers, clinicians and the organisations that represent them. It is a step-by-step guide to establishing and managing a Priority Setting Partnership (PSP) and the principles behind it. PSPs bring patients, their carers and clinicians together to identify and prioritise unanswered questions (or as they can sometimes be referred to ‘evidence uncertainties’) in specific conditions or areas of healthcare, for research, using JLA methods, The Guidebook is intended to help PSPs work effectively using established methods to ensure credible and useful outcomes. 
  21. Content Article
    This briefing by NHS Supply Chain looks at shared learning on patient safety, and how collaborative working is enabling better assurance and safety for healthcare products and services. The briefing covers these topics: The role of NHS Supply Chain in patient safety Safety specifications for safer products System-level join up Human factors and just culture Case studies Overview of system partners Conclusion
  22. Content Article
    Last November, the UK, under its G7 Presidency, convened an event on patient safety entitled Patient Safety: from Vision to Reality, co-sponsored with the World Health Organization (WHO).  The event was designed to build upon recent prominent initiatives taken forward by the UK Government and partner Member States to demonstrate the importance of taking action and facilitating collaboration to advance patient safety as an urgent global priority. This includes: annual Global Ministerial Summits on Patient Safety (from 2016) a Resolution on Global Action on Patient Safety (adopted by the World Health Assembly in 2019); and, the Global Patient Safety Collaborative developed in 2018 by the UK Government in partnership with the WHO to support patient safety improvement in low- and middle-income countries. Coupled with WHO’s Global Patient Safety Action Plan 2021-2030 and an annual World Patient Safety Day on 17th September, such initiatives will ensure that momentum can be maintained in order to tackle the truly global issue of patient safety within the wider context of strengthening national health systems. The link below is a recording of the event.
  23. Content Article
    Dr Nick Woodier, HSIB National Investigator, reflects on the challenges associated with joint surgical care of patients and shares learning that can aid the NHS and the private sector as new national agreements come into force.
  24. Content Article
    The Covid-19 vaccination programme has been one of the few almost unqualified successes of the UK’s response to the pandemic. System-working, joining up the NHS, local government and the voluntary sector was a hallmark of the vaccine roll-out. Local knowledge and delivery were crucial. Volunteers also played a vital role, not just in acting as stewards at vaccination sites, but also in terms of community outreach, for example with faith communities and others offering sites for vaccination which in turn built trust in the vaccine and in the NHS. The NHS has never used so much data so quickly and so powerfully, supporting the delivery of vaccine doses, recording any adverse reactions and, most importantly, allowing NHS staff to map who had the vaccine. This data in turn supported outreach work to support gaps in service provision and overcome vaccine hesitancy. These factors which helped make the roll out a success should be ‘bottled and re-used’ for other NHS services, from childhood immunisations to screening for cancer, diabetes, high blood pressure and other conditions, improving the service’s ability to reach the harder to reach Based on interviews with a wide range of people involved in the programme, this King's Fund report sets out what the roll-out in England has achieved as well as its trials and tribulations.
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