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Showing results for tags 'Data'.
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Content ArticleToo often in healthcare, when effective solutions to prevent avoidable harm are found, there is a lack of means to share these more widely. This gap between learning and implementation means that while we may we know what improves patient safety, this information can often remain siloed in specific organisations and health care systems. This results in patients continuing to experience harm from problems that have already been addressed by others. This article published in the Journal of Patient Safety and Risk Management describes how the charity Patient Safety Learning created the hub, a platform to encourage and support shared learning for patient safety. Designed by and for patient safety professionals, clinicians and patients, the hub offers a powerful combination of tools, resources, stories, ideas, case studies and good practice to anyone who wants to make care safer for patients.
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Content ArticleMBRRACE-UK is commissioned by the Healthcare Quality Improvement Partnership (HQIP) to undertake the Maternal, Newborn and Infant Clinical Outcome Review Programme (MNI-CORP). The aims of the MNI-CORP are to collect, analyse and report national surveillance data and conduct national confidential enquiries in order to stimulate and evaluate improvements in health care for mothers and babies. This report focuses on the surveillance of perinatal deaths from 22+0 weeks gestational age (including late fetal losses, stillbirths, and neonatal deaths) of babies born between 1st January and 31st December 2019.
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Content ArticleLegal expert David Reissner runs through new guidance recommending the appointment of Caldicott Guardians, who are responsible for advising organisations on the ways they hold and process confidential patient information.
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Content ArticleThis report by Charles River Laboratories looks at the results of a survey of more than 1,500 Americans conducted in May 2021 by The Harris Poll. The survey showed that 64% respondents believed that closer collaboration between industry organisations would lead to higher quality healthcare. The report contains data on: patient views about the state of the US healthcare system how much patients know about drug and vaccine development processes patient attitudes towards the US Food & Drugs Administration (FDA) how the COVID-19 pandemic has increased collaboration in healthcare.
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Content Article
What is clinical audit? (2009)
Patient-Safety-Learning posted an article in Clinical governance and audits
This guide by the University Hospitals Bristol clinical audit team provides a brief summary of what clinical audit is, and what it isn't. It outlines the main stages of clinical audit and describes how it can be used, how to engage patients in the process and which staff members should be involved. -
Content Article
NHS England Clinical Audit webpage
Patient-Safety-Learning posted an article in Clinical governance and audits
This webpage contains information about local and national clinical audits including: The National Clinical Audit and Patient Outcomes Programme (NCAPOP) National Quality Improvement and Clinical Audit Network (NQICAN). -
Content Article
Patient safety is fundamental to the delivery and outcomes of effective health care. But what happens when things go wrong? What can we learn from the data and how does nursing ensure effective incident reporting takes place to protect patients and staff? Chair of Patient Safety Learning and Datix expert Jonathan Hazan joins us to discuss how data is key to patient safety and the importance of a just culture in health care. Nursing Matters is presented by PNC Chair Rachel Hollis and PNC member Alison Leary. -
Content ArticleThe Children and young people with Long COVID (CLoCk) study is the largest study to date of children and young people in the world. It aims to describe how children and young people are affected by post-COVID physical symptoms and mental health problems and to identify those most at risk. The CLoCk study is led by UCL and Public Health England and involves collaboration with researchers at the universities of Edinburgh, Bristol, Oxford, Cambridge, Liverpool, Leicester, Manchester as well as King’s College London, Imperial College London, Public Health England, Great Ormond Street Hospital and University College London Hospitals (UCLH).
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Content ArticleThe recording of harm and adverse events in psychological trials is essential, yet the types of harm being captured in trials for talking treatments involving children and young people have not been systematically investigated. The aim of this review from Daniel Hayes and Nur Za’bawas was to determine how often harm and adverse events are recorded in talking treatments for children and young people, as well as the metrics that are being collected.
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Content ArticleMedication reconciliation broadly defined includes both formal and informal processes that involve the comprehensive evaluation of a patient’s medications during each transition of care and change in therapy. The medication reconciliation process is complex, and studies have shown that up to 91% of medication reconciliation errors are clinically significant and 1–2% are serious or potentially life-threatening. The Pennsylvania Patient Safety Reporting System (PA-PSRS) was queried and identified 93 serious events related to the medication reconciliation process reported between January 2015 and August 2020.
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Content ArticleWe need less research, better research, and research done for the right reasons says D G Altman in this BMJ editorial.
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Content Article
Less research is needed (25 June 2012)
Patient Safety Learning posted an article in Research, data and insight
Guest blogger for PLOS Blogs 'Speaking of Medicine', Trish Greenhalgh, suggests its time for less research and more thinking. -
Content ArticleThe authors of this paper describe here the content and structure of their patient registry along the Standards for Quality Improvement Reporting Excellence (SQUIRE) with the aim of transparent in-house quality monitoring, communication with patients, and also to facilitate benchmarking with other neurosurgery health care providers.
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Content ArticleThe U.S. Military Health System cares for over 9 million patients and encompasses 63 hospitals and 413 clinics worldwide. Military medicine balances the simultaneous tasks of caring for those patients wounded in military engagements, treating large numbers of families of service men and women, and training the next generation of health care providers and ancillary staff. Similar to civilian health care delivery in the United States, military medicine has also seen increased scrutiny in the areas of cost and quality. To determine the scope of complication rates, data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) were analysed. The goal of this article from Maturo et al. was to describe the NSQIP surgical outcome data for the U.S. Military's largest medical center from 2009 to 2014 and compare national averages in the areas of mortality, morbidity, cardiac occurrences, pneumonia, unplanned intubation, ventilator use greater than 48 hours, infections, readmissions, and return to operating room.
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Content ArticlePennsylvania is the only state that requires acute healthcare facilities to report all events of harm or potential for harm. With over 3.6 million acute care event reports, the Pennsylvania Patient Safety Reporting System (PA-PSRS) is the largest repository of patient safety data in the United States and one of the largest in the world. This report analyses the serious events and incidents from the database.
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Content ArticleTraditionally, clinicians present complications at surgical morbidity and mortality (M&M) conferences, and the AHRQ Patient Safety Indicators (PSIs) use inpatient administrative data to identify certain adverse outcomes. Although both methods are used to identify adverse events and inform quality improvement efforts, these two methods might not overlap. This is a retrospective observational study from Anderson et al. of all hospitalisations at a single academic department of surgery (including subspecialties) in 2016 involving a PSI-defined event identified by surgery faculty and residents for review by departmental M&M conference or administrative data. The authors analysed the degree to which these two processes captured PSI-defined events and reasons for exclusion by each process. The study found that surgical M&M and the PSIs are complementary approaches to identifying complications. Both case-finding processes should be used to inform quality improvement efforts.
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Content ArticlePreventable adverse events are an ongoing challenge in healthcare. International studies demonstrate that 3%–17% of admissions are associated with an adverse event (defined as an injury caused by healthcare management resulting in prolonged hospitalisation, disability on discharge or death). Approximately half of the adverse events are preventable. Little is known about adverse events in the Irish healthcare system.Therefore, recommendations on improving patient safety at a national level are being made on limited information. The aim of the Irish National Adverse Events Study (INAES) from Rafter et al. was to quantify the frequency and nature of adverse events in acute hospitals in the Republic of Ireland for the first time using an internationally recognised retrospective patient chart review methodology.
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Content ArticleRichard Armstrong, head of health registries for Northgate Public Services, explains why collecting more data is not a cure-all in a health crisis.
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Content ArticleAdministrative data systems are used to identify hospital-based patient safety events; few studies evaluate their accuracy. McIsaac assessed the accuracy of a new set of patient safety indicators (designed to identify in hospital complications).
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Content Article
CIEHF's Design for Everybody
Patient Safety Learning posted an article in Data and insight
Help to build an understanding of the diversity of body sizes by taking 10 of your own measurements and recording them online. By providing this data it will enable the Chartered Institute of Ergonomics and Human Factors (CIEHF) to build up a picture of the diversity of measurements within the population. -
Content ArticleThe Coroners and Justice Act allows coroners in England or Wales to issue reports after inquest, if they believe that action should be taken to prevent a future death. Coroners are under a statutory duty to issue a Prevention of Future Death (PFD) report to persons or organisations that they believe have the power to act. Cumulatively, these reports may contain useful intelligence for patient safety.
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Content Article
NHSX information governance portal
Patient Safety Learning posted an article in NHS X
NHSX has launched a brand new information governance portal providing a 'one-stop shop' for NHS policies and guidance. -
Content ArticleNHSX recently launched a brand new information governance portal providing a 'one-stop shop' for NHS policies and guidance. The new portal covers everything from GDPR in research to record management. But even with the new portal, navigating NHS guidance on data isn't easy. This article in Global Compliance News picks out six essential items to have on your radar if your organisation accesses or uses NHS data.
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Content ArticleIn this study, published in the Journal of Patient Safety and Risk Management, the authors explore and compare types and longitudinal trends of hospital adverse events in Norway and Sweden in the years 2013-2018 with special reference to the adverse events that contributed to death. They found that 13.2% of hospital admissions in Norway and 13.1% in Sweden were associated with an adverse event, with 0.23% of admissions in Norway and 0.26% in Sweden associated with an adverse event that contributed to death. In addition to the similar rates in adverse events between the two countries, the authors also found that there was no significant change in the level adverse events or fatal adverse events in either country over the six-year time period.
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Content ArticleScientific and policy bodies’ failure to acknowledge and act on the evidence base for airborne transmission of SARS-CoV-2 in a timely way is both a mystery and a scandal. In this study, Greenhalgh et al. applied theories from Bourdieu to address the question, “How was a partial and partisan scientific account of SARS-CoV-2 transmission constructed and maintained, leading to widespread imposition of infection control policies which de-emphasised airborne transmission?”.
