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Content ArticleWhen the COVID-19 pandemic began, initial descriptions of the symptomology focused on the clinical presentations of patients in the acute, inpatient setting. In the months since, information on how patients with mild disease present has become available along with information on the fairly common occurrence of asymptomatic disease. More recently, data have emerged that some patients continue to experience symptoms related to COVID-19 after the acute phase of infection. There is currently no clearly delineated consensus definition for the condition: terminology has included “long COVID,” “post-COVID syndrome” and “post-acute COVID-19 syndrome". Among the lay public, the phrase “long haulers” is also being used. Here the COVID-19 Real-Time Learning Network review the current literature on post-acute symptoms in patients with COVID-19, using the term “post-acute COVID-19 syndrome".
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Content ArticleCOVID-NMA is an international research initiative supported by the WHO and Cochrane. It provides a living mapping of COVID-19 trials available through interactive data visualisations. COVID-NMA also conductis living evidence synthesis on preventive interventions, treatments and vaccines for COVID-19 to assist decision makers.
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News Article
Leaked government review plans new law to push data sharing
Patient Safety Learning posted a news article in News
An official review carried out for the health secretary, leaked to HSJ, reveals plans to bolster the law to require greater sharing of patient data, saying it would help improve safety for those wrongly prescribed drugs. A draft of the report on overprescribing, carried out for Matt Hancock by NHS England, says a major problem is that clinicians in different parts of the system can’t see what’s been prescribed and dispensed elsewhere. It says “wider access” should be given, which would also ensure “many eyes” are looking at the data to detect patterns or problems. This should include making it a requirement that prescribing apps make their data openly available, according to the report by chief pharmaceutical officer Keith Ridge. Read full story (paywalled) Source: HSJ, 16 November 2020 -
Content Article"When good science is suppressed by the medical-political complex, people die." Kamran Abbasi believes politicians and governments are suppressing science. They do so in the public interest, they say, to accelerate availability of diagnostics and treatments. They do so to support innovation, to bring products to market at unprecedented speed. Both of these reasons are partly plausible, as Abbasi explores in this BMJ Editorial.
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News Article
Pfizer coronavirus vaccine is 90% effective, early data suggest
Patient Safety Learning posted a news article in News
Pfizer and BioNTech have said that their coronavirus vaccine may be more than 90% effective, after the two pharmaceutical firms released interim data from their ongoing large-scale trial. Preliminary analysis, conducted by an independent data monitoring board, looked at 94 infections recorded so far in the vaccine’s phase 3 study, which has enrolled nearly 44,000 people in the US and five other countries. Of those participants who were infected with COVID-19, it is currently unclear how many had received the vaccine versus those who had been given a placebo. The current efficacy rate, which is much better than most experts expected, implies that no more than eight volunteers will have been inoculated. The data have yet to be peer-reviewed, and Pfizer said the initial protection rate might change by the time the study ends. The longevity of the immune response provoked by the mRNA-based vaccine also remains unknown. However, the findings are the most promising indication to date that a vaccine will be effective in preventing disease among infected individuals, handing humanity a crucial tool in tackling the pandemic. Pfizer and its German partner BioTech will continue with the phase 3 trial until 164 infections have been reported among volunteers - a figure that will give regulatory authorities a clearer idea of the vaccine’s efficacy. This number is expected to be reached by early December in light of the rising US infection rates, Pfizer said. The two companies said they have so far found no serious safety concerns and expect to seek US emergency use authorisation later this month. Read full story Source: The Independent, 9 November 2020 -
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Content ArticleThis Healthcare Safety Investigation Branch (HSIB) report charts a four-month patient safety investigation that was launched following concern that patients were contracting COVID-19 after being admitted to hospital. The report references data presented to SAGE in mid-May that suggested around 20% of patients were reporting symptoms seven days after admission. The aim of the investigation was to understand the factors that could contribute to the risk of transmission, how the NHS operates to reduce that risk and where there may be opportunities to reduce that risk even further. The investigation represented the voices of those working across the health service, from strategic national planners to hospital porters. It also captured experiences of patients and families, providing further insight into the challenges of managing the transmission of COVID-19.
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EventData and Information have been and continues to be a crucial and integral part of the health services fight against COVID-19. Data and patient information are constantly being used in new ways to help to care for people and help the NHS and social care to better understand and respond to the virus. NHS England along with NHSX are currently using data as evidence to help shape new care models and keep the public safe from the COVID-19 virus. The newly established NHS COVID-19 Data Store will provide a high-value tool for helping NHS monitor data sets and establish trends. This data can be used to look at several things such as bed capacity in hospitals or the number of ventilators available in a specific area. Our Developing new care models: The NHS Virtual Data & Information Congress will provide delegates with an interactive overview of this new Data Store and share best practices from across the UK. Key data-driven topics include; • Using health data responsibly and safely for research and innovation • Supporting vulnerable people (GP Records) • Remote patient monitoring • Security and regulation • Much more... Register
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Content ArticleSince the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the number of cases of coronavirus disease (COVID-19) in the United States has exponentially increased. Identifying and monitoring individuals with COVID-19 and individuals who have been exposed to the disease is critical to prevent transmission. Traditional contact tracing mechanisms are not structured on the scale needed to address this pandemic. As businesses reopen, institutions and agencies not traditionally engaged in disease prevention are being tasked with ensuring public safety. Systems to support organisations facing these new challenges are critically needed. Most currently available symptom trackers use a direct-to-consumer approach and use personal identifiers, which raises privacy concerns. Kassaye et al. developed a monitoring and reporting system for COVID-19 to support institutions conducting monitoring activities without compromising privacy.
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Content ArticleAs a second wave of COVID-19 infections is underway in the UK, Sarah Scobie answers some key questions on how mortality figures are collected and measured during the pandemic. How do the numbers relate to the daily figures reported, and are all the extra deaths due to the coronavirus?
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Content ArticleThe Clinical Command Centre is designed to optimise many aspects of day-to-day patient care and help create better patient experiences, outcomes, and lower costs. It makes sense of vast amounts of data for hospitals and healthcare systems worldwide. Today, Command Centres are also helping these systems meet the challenge of COVID-19. Currently, Bradford Teaching Hospitals NHS Foundation Trust (BTHFT) is the only Trust in Europe equipped with this technology which is likely to be crucial in dealing with any second wave of COVID-19 cases. In this video, Mel Pickup, CEO of BTHFT, shed some light on how they've been using advanced data visualisation and the vision for using it in the future. By making sense of vast amounts of operational data, the technology is enabling leadership teams to make critical, real-time decisions about patient care.
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Content Article'Long Covid' is a term is used to describe individuals who continue to suffer from COVID-19 symptoms outside of the two-week period in which they are believed to be infected. The World Health Organization (WHO) endorsed this two-week period as enough time for the virus and its symptoms to be able to come and go, yet studies are revealing cases in which symptoms are persisting well outside of this window. Survivors may have a chronic debilitating illness for many months.
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EventFree from the Patient Safety Movement offered for physicians, pharmacists, and nurses. This activity has been approved for AMA PRA Category 1 Credits™, ANCC contact hours, and ACPE contact hours. Registration
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Content Article
Canadian Institute for Health Information
Patient Safety Learning posted an article in International patient safety
The Canadian Institute for Health Information (CIHI) provides comparable and actionable data and information that are used to accelerate improvements in health care, health system performance and population health across Canada. Stakeholders use the broad range of health system databases, measurements and standards, together with the evidence-based reports and analyses, in their decision-making processes. -
Content ArticleThe COVID-19 pandemic will impact the health of many people in England and unfortunately many people will lose their lives. This paper from the Department of Health and Social Care, Office for National Statistics, Government Actuary’s Department and Home Office, provides a summary of research and analysis, discussing and estimating the health impacts (both excess deaths and morbidity) from the pandemic.
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Content ArticleIn this report, the Care Quality Commission (CQC) explain the information they have gathered on the pressures that services and local systems have faced during COVID-19 and the efforts that have been made to tackle them. These insight reports are designed to help everyone involved in health and social care to work together to learn from the first stages of the COVID-19 pandemic by: sharing and reflecting on what has gone well understanding and learning from the experience of what hasn't helping health and care systems prepare better in the future.
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Content ArticleData workbooks and explorer tool based on incidents reported by NHS providers in England to the National Reporting and Learning System (NRLS). Every six months the NHS publish official statistics as a breakdown by NHS trust of the incidents reported to the NRLS. The Organisation patient safety incident reports (OPSIR) provide data by NHS trust and gives NHS providers an easy-to-use summary of their current position on patient safety incidents reported to the NRLS. This includes information on patient safety incident reporting and the characteristics of their incidents. The information in these reports should be used alongside other local patient safety intelligence and expertise, and supports the NHS to deliver improvements in patient safety. As well as the OPSIR, the NHS also publish the National patient safety incident reports which set out the number of patient safety incidents reported to the NRLS from a national perspective and describe their patterns and trends.
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Content ArticleLast year, a report from the Health Foundation looked at quality measurement—including patient experience—across a range of healthcare services. It described a “measurement maze”, with multiple sources and numerous national bodies presiding over data collection. The potential usefulness of the data for trusts was “limited by the data being hard to locate online, with multiple spreadsheets to choose from and large Excel workbooks to download and navigate.” The Patient Experience Library wanted to find a solution to this, to find a way to organise all the data such that every Trust could get one-click access to everything it might need.. Miles Sibley, Director of the Patient Experience Library, explains what they did.
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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 ArticleThe mortality rates for people with autism spectrum disorder (ASD) are double those of the general population and researchers believe unmet mental health needs may be a factor. The researchers’ results were derived from an Australian-first University of New South Wales (UNSW) study, which analysed linked data sets on death rates, risk factors and cause of death for 36,000 people on the autism spectrum. While cancer and circulatory diseases are the leading cause of deaths in the general population, injury and poisoning – including accidents, suicide and deaths related to self-harm – were the most common causes for people with ASD. GP and autism advocate Dr James Best told newsGP he was not surprised by the results, but that they did confirm people with ASD have a different set of health risk factors.
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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 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 ArticleThe Resident Assessment Instrument-Minimum Data Set (RAI-MDS) 2.0 is designed to collect the minimum amount of data to guide care planning and monitoring for residents in long-term care settings. These data have been used to compute indicators of care quality. Use of the quality indicators to inform quality improvement initiatives is contingent upon the validity and reliability of the indicators.
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Content ArticleSystems and software engineering contribute not only to advancing and improving the delivery of healthcare but also to doing it more safely than has been the case in the past.
