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Content Article
NHS performance summaries (Nuffield Trust)
PatientSafetyLearning Team posted an article in Data and insight
These webpages, published by Nuffield Trust, look at the latest NHS England data on key activity and performance measures. They highlight some of the statistics and how they compare to previous trends. These might include for example, data on waiting times and urgent care. Each summary links to 'indicators' detailing the statistics in greater depth, for example around A&E or diagnostic test waiting times or emergency readmissions. -
News Article
NHS Digital gives patients easier access to who uses their data
Patient-Safety-Learning posted a news article in News
A new tool by NHS Digital has recently been launched that will allow patients to see which organisations can access their data. The Data Uses Register has revealed which organisations can access the data, such as public sector bodies and charities. Each organisation wanting to use the data must have a legitimate and legal reason such as health and care planning and research purposes. Simon Bolton, NHS Digital’s interim CEO, said: “The new Data Uses Register is an important improvement to make our data sharing agreements more transparent and user-friendly. We take our responsibility as the guardians of NHS data very seriously and we are committed to being transparent so that people can see exactly who their data has been shared with and why. It is important that the public can see openly and clearly how NHS data is shared to build confidence and trust and this new tool will help to ensure that.” Simon Bolton, NHS Digital’s interim CEO, has said. Read full story. Source: Digital Health, 27 July 2021 -
Content ArticleThis document describes and sets out the NHS Delivery Framework 2018-2019, Reporting Guidance, NHS Delivery Measures, Summary of Revisions to Measures, Reporting Templates and Measures from 2017-18 that have not been carried forward into the 2018-19 NHS Delivery Framework.
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Content ArticleThe study aims to describe patients' experiences of acquiring a deep SSI and it's negative impact. The authors propose that as many safety measures should be taken as possible to avoid and prevent infection.
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Content ArticleThis document describes how the Surveillance of Surgical Site Infection: Surgical Site Infection Surveillance Service aims to better patient care by asking hospitals to use data obtained from surveillance and compare rates of surgical site infections over time and against a benchmark rate. The aim is also to encourage the use of this information to help guide clinical practice.
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News Article
Ministers to legislate for more power over patient data
Patient-Safety-Learning posted a news article in News
Ministers are to legislate more powers over how data on patients is collected and are imposing a 'duty' on the NHS to share patient information when doing so would benefit the system. The Health and Social Care Act 2021 already allows for sharing of data on an individual basis but staff have reported finding it hard to share it when it comes to primary and secondary care and administrative purposes. The new draft strategy produced by NHSX, has suggested it may want to use cloud storage to create a set of “structured data records” with the idea that it would make it easier for patients to access their own data. Read full story. (paywalled) Source: HSJ, 22 June 2021 -
Content ArticleThis report presents findings from the Out of Area Placements in Mental Health Services March 2021 collection.
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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?”.
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News ArticleThe NHS has been advised to change the way they identify patients who are sick from coronavirus and those who test positive. Up until now, hospitals have recorded patients sick from the virus and those who tested positive together, whether they presented with symptoms or not. The new advice has been given with the hope that it will reduce the numbers of patients in hospital for the virus. Read full story. Source: The Independent, 9 June 2021
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Content ArticleThe Patient Safety Authority are inviting PharmD students and faculty to submit their manuscripts by 30 June. A panel of guest editors—pharmacy experts from across the United States—will select their favourites.
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News ArticleA group of patient activists has set up a new website using official NHS data to allow patients to check the waiting times for treatments at their local hospital. The new waiting times tool is thought to be the first automated and regularly updated website that shows hospital performance against key waiting time targets, by medical specialty such as cardiology or orthopaedics. The service, developed by volunteers from the not-for-profit Patient Experience Library, not only shows patients how many people are waiting to be treated overall but also shows data on the median waiting time as well as how well the hospital is performing against targets over time. Patients can also compare different hospitals and look at the performance of the NHS in England overall. Wait times for mental health services are treated separately and not included. Miles Sibley, co-founder of the Patient Experience Library, said the website was an attempt to bring transparency to NHS England’s “impenetrable spreadsheets” which not only affected patients but also other NHS staff who told Sibley they spend hours downloading data and working out their organisations performance. Read full story Source: The Independent, 7 June 2021
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News Article
Labour asks NHS andMatt Hancock to pause plans for sharing patient data
Patient Safety Learning posted a news article in News
Labour has urged the NHS and Matt Hancock to pause their plan to share medical records from GPs to allow time for greater consultation on how the idea would work, saying that maintaining patients’ trust must be paramount. In a letter to the head of NHS Digital and the health secretary, the shadow public health minister, Alex Norris, said Labour backed the principle of improved data collaboration but shared the concerns of some doctors’ groups. The Royal College of General Practitioners warned NHS Digital a week ago that plans to pool medical pseudonymised records on to a database and share them with academic and commercial third parties risked affecting the doctor-patient relationship. NHS Digital needed to explain the plans better to the public, the group said, as well as outlining how people could opt out. The British Medical Association (BMA) has also called for a pause to the General Practice Data for Planning and Research scheme. Another group, the Doctors’ Association, said it was worried it would “erode the doctor/patient relationship, leaving patients reluctant to share their problems due to fears of where their data will be shared”. Read full story Source: The Guardian, 6 June 2021 -
Content Article
We are delighted to announce that Patient Safety Learning's Chief Executive Helen Hughes has been recognised by HIMSS as a global Patient Leader in digital healthcare, alongside Birgit Bauer, Tiffany McKever and Christine Von Raesfeld. -
News Article‘Disparity ratios’ highlighting how staff with minority ethnic backgrounds are represented at different levels in each trust have been created by the national workforce race equality standard programme to help tackle ‘racist practice’ in the NHS. NHS England head of WRES Professor Anton Emmanuel said the data had been created to indicate the differences in progression between white people and those from an ethnic minority background through the ranks of each organisation. Detail of the methodology used to calculate the ratios has not been published, but it appears they have been determined by comparing the share of staff by ethnicity in different bands. Speaking at the Ambulance Leadership Forum last week, professor Emmanuel, said: “We have gone through each of the seven regions of the country and presented to them the local disparity ratios for each trust and put that into a heatmap…The whole point is to make that data digestible and actable on.” The data can be adapted to look at different points in a trust’s progression routes and can also be used with other groups, such as disabled staff. Read full story (paywalled) Source: HSJ, 24 May 2021
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Content ArticleResilient Healthcare is an emerging theoretical field that has developed with influence from engineering, safety science, psychology, ergonomics, human factors, and aeronautics. Resilient Healthcare research has centred on understanding and improving the quality and safety of healthcare delivery. Theory is increasingly well-developed, but so far has only been applied in limited ways with select settings and activities. In order to improve the quality and safety of healthcare, it is essential to first understand the sources of complexity in clinical work. This ethnographic study from Sanford et al. of five hospital teams in a large, teaching hospital in central London aims to contribute to this growing evidence base by presenting data on specific challenges faced by healthcare workers and the adaptations they use to overcome them in everyday clinical work. This paper will present a new framework for recognising misalignments between demand and capacity and corresponding mechanisms for adaptation, which can be used to understand work-as-done in complex settings and to manage risk.
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Content Article
MedicAlert
Patient Safety Learning posted an article in Suggest a useful website
The MedicAlert Foundation first launched in Turlock, California, in 1956, before coming to the UK over 55 years ago. As the pioneers of medical IDs, they remain the only charity provider of life-saving medical ID services worldwide. MedicAlert UK is based in Buckinghamshire, with a production unit creating bespoke medical ID jewellery and a member services team including in-house Registered Nurses to support our 42,000 members. -
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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News Article
Publish figures on long Covid to show ‘untold suffering’, MPs urge
Patient Safety Learning posted a news article in News
The number of people suffering with long Covid should be published routinely, as happens with those infected with or hospitalised with coronavirus, MPs and peers are urging Boris Johnson. The cross-party group of parliamentarians want the prime minister to ensure that the “untold human suffering” that the condition involves helps shape future government policy towards the pandemic. Thirty-two MPs and 33 peers have signed a letter urging Johnson to give greater priority to the potential harm posed by long Covid following the Office for National Statistics’ finding last week that an estimated 1.1m people are suffering its effects – far more than previously thought. The signatories come from eight parties and include the Tory MP Dr Dan Poulter, a former health minister; Lord Darzi, the surgeon and ex-health minister; and the SNP MP Dr Philippa Whitford, who is an NHS breast surgeon. In the letter, coordinated by the all-party parliamentary group on coronavirus, they say: “Cases, hospitalisations and deaths are not the only measure of this pandemic. We urge the government to also count the number of people left with long Covid, many of them whose lives have been devastated by this pandemic. Read full story Source: The Guardian, 9 April 2021 -
Content ArticleRansomware attacks against healthcare providers are increasing and puts patient safety at risk. Ransomware attacks can severely affect a healthcare provider's ability to provide care to patients (e.g., diversion of emergency vehicles, cancellation of appointments) delay or prevent a facility's ability
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News Article
Miscarriage associated with higher risk of women’s early death
Patient Safety Learning posted a news article in News
Miscarriage may be associated with an increased risk of early death, researchers have said. The BMJ published a study suggesting that this risk is particularly acute for those who have experienced repeated miscarriages, especially ones that occurred early on in a woman’s life. US-based researchers said that women who had experienced a miscarriage were 19% more likely to die prematurely. They pointed out that a miscarriage “could be an early marker of future health risk in women.” The authors of the paper hoped to see if there was any link between miscarriage and a risk of death before the age of 70. Data used was taken from 101,681 women as part of the Nurses’ Health Study in the US. This was made up of female nurses aged between 25 and 42 years. The researchers followed the women for 24 years and said that 2,936 premature deaths were recorded, this included 1,346 from cancer and 269 from cardiovascular disease. It appeared that death rates from all causes were comparable both for women with and without a history of miscarriage. However, rates were higher for women who had experienced three or more miscarriages as well as for women who had their first miscarriage under the age of 24. The study found that the association between miscarriage, or “spontaneous abortion,” and premature death was strongest for deaths from cardiovascular disease. Read full story Source: The Independent, 25 March 2021 -
News ArticleFor the first time, a new linked health data resource covering 54.4 million people – over 96% of the English population – is now available for researchers from across the UK to collaborate in NHS Digital’s secure research environment. This resource will enable vital research to take place into COVID-19 and cardiovascular disease, with the aim of improving treatments and care for patients. This work has been led by the CVD-COVID-UK consortium in partnership with NHS Digital. The new resource links health data from GP records, hospital data, death records, COVID-19 laboratory test data and data on medications dispensed from pharmacies, and is accessible to CVD-COVID-UK consortium researchers in NHS Digital’s Trusted Research Environment (TRE) Service for England. The CVD-COVID-UK consortium is a collaborative group of more than 130 members across 40 institutions working to understand the relationship between COVID-19 and cardiovascular diseases. The consortium is managed by the British Heart Foundation (BHF) Data Science Centre, led by Health Data Research UK. The ability to link different types of health data from almost the entire population of England provides a more complete and accurate picture of the impact of COVID-19 on patients with diseases of the heart and circulation than has been possible before now. It will also provide the data to understand whether patients with COVID-19 are more likely to go on to develop diseases of the heart and circulation, such as heart attack and stroke. Read full story Source: HDRUK, 24 February 2021
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EventuntilAHIMA has helped chart the future of healthcare in the Middle East since 2016. Health information is at the core of every patient interaction and paves the way forward for healthcare transformation. The 2021 AHIMA Middle East conference (formerly AHIMA World Conference) will present solutions to challenges facing HIM Professionals, C-Suite decision makers, innovators and influencers responsible for improving patient outcomes. Attend this event to uncover new ideas, learn from peers and trusted experts, acquire new practices and lead your team to the next level. If you haven't registered yet (since last day for free registration was 17 March) you can still receive a 25% discount. Email info@pslhub.org for discount code. Register
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Content ArticleThe cornerstone of good general practice has long been recognised as lying in the quality of the relationship between doctor and patient. This focus on the interaction between GP and patient has been further reinforced in recent years by increasing attention on the patient’s experience of healthcare encounters. However, pleasing the patient is not always consistent with providing good-quality care. GPs are well aware that patients may demand an antibiotic when it is not judged clinically appropriate. The aim of this study from Ashworth et al. was to determine the relationship between antibiotic prescribing in general practice and reported patient satisfaction. The results found that patients were less satisfied in practices with frugal antibiotic prescribing. A cautious approach to antibiotic prescribing may require a trade-off in terms of patient satisfaction.
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Content ArticleTraditional efforts to detect adverse events have focused on voluntary reporting and tracking of errors. However, public health researchers have established that only 10-20% of errors are ever reported and, of those, 90-95% cause no harm to patients. Hospitals need a more effective way to identify events that do cause harm to patients in order to quantify the degree and severity of harm, and to select and test changes to reduce harm. The IHI Global Trigger Tool for Measuring Adverse Events provides an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse events over time. Tracking adverse events over time is a useful way to tell if changes being made are improving the safety of the care processes. The Trigger Tool methodology includes a retrospective review of a random sample of patient records using “triggers” (or clues) to identify possible adverse events. Many hospitals have used this tool to identify adverse events, to measure the level of harm from each adverse event, and to identify areas for improvement in their organizations. It is important to note, however, that the IHI Global Trigger Tool is not meant to identify every single adverse event in a patient record. The recommended time limitation for review and the random selection of records are designed to produce a sampling approach that is sufficient for the design of safety work in the hospital.
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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.
