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Found 1,204 results
  1. Content Article
    The 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.
  2. Content Article
    In this study, Avery et al. estimated the incidence of avoidable significant harm in primary care in England, and describe and classify the associated patient safety incidents and generate suggestions to mitigate risks of ameliorable factors contributing to the incidents. The study found there is likely to be a substantial burden of avoidable significant harm attributable to primary care in England with diagnostic error accounting for most harms. Based on the contributory factors we found, improvements could be made through more effective implementation of existing information technology, enhanced team coordination and communication, and greater personal and informational continuity of care.
  3. Content Article
    With increasing awareness of the importance of good mental health worldwide, attention has focused on the need to overcome the negative perceptions and stigma historically attached to mental health issues. One group that this difficulty has been particularly visible for is men; it is well-established that significantly fewer men are diagnosed with or treated for mental health disorders compared to women, with suicide rates being three times higher in some countries in men than women. Why this crisis in men’s mental health exists is a question with complex answers. It requires a better understanding of how men interact with those around them, why they do (or don’t) access support, as well as other social and cultural factors that influence their health seeking behaviours. Much research has focused on the concept of “masculinity” and the need to question its impact on capacity for emotional communication, service engagement and help-seeking behaviour. Watch the recording of the World Health Organization (WHO) seminar, which took place in Copenhagen, on this complex topic.
  4. Content Article
    When Giancarlo Gaglione’s brother, Lanfranco, died by suicide at the age of 26, it came like a lightning bolt out of the blue. None of his family or friends had noticed anything different about him leading up to the moment he took his own life, and he only confided briefly, a week before, in two people: his best friend and his girlfriend. In this article, the World Health Organization (WHO) focuses on how masculinity norms can discourage men from recognising and seeking help for mental health problems. A new Health Evidence Network (HEN) report on Mental health, men, and culture, launched by the WHO Regional Office for Europe, gives concrete recommendations on how policy-makers can address certain mental health issues arising from traditional patterns of masculinity.
  5. Content Article
    The objective of this US-based study, published in The Joint Commission Journal of Quality and Safety, was to present safety briefings as a method for discovering and addressing safety events in a paediatric emergency room, describe how professionals perceive them, and characterize the classification and evolution of the incidents identified.
  6. Content Article
    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.
  7. Content Article
    The goal of this virtual discussion is to explore practical solutions for keeping seniors safe. The ideas are drawn from real life experiences noting how COVID-19 impacted seniors, their loved ones as well as healthcare workers and leaders.  The focus of the discussion is on identifying safety risks together with practical solutions for seniors who live at home, in residences and long-term care facilities. Watch the webinar on demand and download the slides.
  8. Content Article
    Family members are a vital part of the healthcare team and are often best positioned to recognize the sometimes subtle, yet very important changes in their loved one's condition that may indicate deterioration. You may not know WHAT is wrong, but you know something just isn't right. Empower yourself and your loved ones with the following information and resources from the Canadian Patient Safety Institute (CPSI). They will both help you recognize the signs of deteriorating patient condition, and effectively discuss your concerns with the healthcare provider.
  9. Content Article
    Empower 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.
  10. Content Article
    For patients who require multiple medications or who are transitioning between treatments, safety can become a concern. You or your loved one may be at risk of fragmented care, adverse drug reactions, and medication errors. To be an active partner in your health, you need the right information to use your medications safely. The Canadian Patient Safety Institute (CPSI) has teamed up with the Institute for Safe Medication Practices Canada, Patients for Patient Safety Canada, the Canadian Pharmacists Association, and the Canadian Society for Hospital Pharmacists to create a list of top questions to help patients and their caregivers have a conversation about medications with their healthcare provider.
  11. Content Article
    Patients who are actively involved in their health and health care tend to have better outcomes and care experiences and, in some cases, lower costs. Implementing patient and family engagement strategies has led to fewer hospital-acquired infections, reduced medical errors, reduced serious safety events, and increased patient satisfaction scores. After reviewing best practices and evidence-based strategies for increasing patient and family engagement in direct care settings, hospitals, health systems, the community, and through policy, the Task Force on Patient and Family Engagement developed and refined a set of 16 recommendations that will catalyse patient and family engagement and improve health and health care systems in North Carolina.
  12. Content Article
    Studies comprehensively assessing interventions to improve team communication and to engage patients and care partners in intensive care units are lacking. This study from Dykes et al. examines the effectiveness of a patient-centered care and engagement program in the medical ICU. They found implementation of a structured team communication and patient engagement program in the ICU was associated with a reduction in adverse events and improved patient and care partner satisfaction.
  13. Content Article
    The US National Quality Forum (NQF) convened a multistakeholder committee to identify recommendations for the practical application of the Diagnostic Process and Outcomes domain of the 2017 Diagnostic Quality and Safety Measurement Framework, measuring and reducing diagnostic error, and measuring and improving patient safety. This report outlines the recommendations through a series of four Use Cases – missed subtle clinical findings (Use Case 1), communication failures (Use Case 2), information overload (Use Case 3), and dismissed patients (Use Case 4) – that depict resolutions to specific types of diagnostic errors, and broad-scope, comprehensive recommendations with applications to multiple populations and settings.
  14. Content Article
    Last week a letter signed by 435 GP practice staff on access to GP practices was published in The Times. The letter was drafted by a group of grass root GPs, in response to the recent misleading allegations that GPs have been “closed” during the pandemic. These headlines damage the reputation and morale of the workforce. Responsible media reporting is a patient safety issue, as those patients who believe this false rhetoric may not seek help for worrying symptoms. We have already seen reduced rates of cancer diagnosis during the pandemic by around 40%, along with reduced presentations of other major non-covid illnesses. Irresponsible media may also cause inappropriate use of emergency departments and the NHS 111 helpline, which adds further pressure on our secondary care colleagues at a critical time for the NHS. GPs Simon Hodes and Neena Jha discuss this further in this BMJ Opinion article.
  15. Content Article
    The NHS is full of dedicated staff who, at a one-to-one level with patients, offer deeply personal and compassionate care. But too often the system as a whole seems institutionally deaf to the patient voice. This report from the Patient Experience Library explores the reasons for that. It shows how the NHS – at an institutional and cultural level – fails to take patient experience evidence seriously enough. It calls for a few simple and entirely feasible steps that would strengthen evidence-based practice and ensure that the patient voice is better heard.
  16. Content Article
    In September 2018, we held our first Patient Safety conference at the King’s Fund in London. Over 100 healthcare leaders, clinicians, patient safety experts, politicians and patients and families attended from across the UK to listen to a packed and varied programme of leading experts in patient safety.
  17. Content Article
    In this Patient Safety Movement Foundation webinar, Dr Donna Prosser, Chief Clinical Officer at the Patient Safety Movement Foundation, is 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 discuss the history and current state of patient advocacy, and propose recommendations regarding the extent to which various healthcare disciplines and patients and their families can improve patient advocacy.
  18. Content Article
    This is a book written to celebrate the humanity of people, and to share experiences of what brilliant care and support can look like for families with learning disabled or autistic children and adults. Sara Ryan steers clear of jargon and 'doublespeak' to conjure authentic experiences of families. Speaking with families and professionals, she conveys the love, laughter and joy which binds families and the harsh realities many face; of separation from loved ones, substandard care and frustration and helplessness in the face of inflexible services. From their experiences, Sara looks to capture those pockets of brilliance that families have encountered, and which outstanding practitioners have pioneered, for us all to learn from. We know so much about what support and services should look like in order to enable flourishing lives - this book aims to help families and professionals to achieve it, together.
  19. Content Article
    In his latest blog, Steven Shorrock explores what humanistic values and human decency means in management and organisational behaviour. Steven Shorrock is an interdisciplinary humanistic, systems and design practitioner interested in human work from multiple perspectives.
  20. 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.
  21. Content Article
    COVID-19 brings an enormous set of challenges to hospitals around the world. One challenge in particular, the current mental state of healthcare workers, is now taking centre stage as clinicians face delivering difficult news to patients and their families about what is happening, what to expect, and how to prepare. ECRI and RLDatix came together to deliver a special webcast led by Dr Tim McDonald, an expert on Communication and Optimal Resolution (CANDOR). A recording of the webinar can be viewed below.
  22. Content Article
    Quality improvement measures can help health care organisations make health information easy to understand and health systems easy to navigate. The Agency for Healthcare Research and Quality (AHRQ) obtained consensus from experts on the usefulness, meaningfulness, feasibility, and face validity of 22 measures that can help organisations seeking to become more health literate.
  23. Content Article
    This site provides pharmacists with recently released health literacy tools and other resources from the Agency for Healthcare Research and Quality (AHRQ). Pharmacy health literacy is the degree to which individuals are able to obtain, process, and understand basic health and medication information and pharmacy services needed to make appropriate health decisions. Only 12% of adults have proficient health literacy (e.g., can interpret the prescription label correctly). Medication errors are likely higher with patients with limited health literacy, as they are more likely to misinterpret the prescription label information and auxiliary labels. Studies document an association between low literacy and poor health outcomes.
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