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Showing results for tags 'Data'.
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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 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 ArticleEffective teamwork is critical to successful outcomes in pediatric cardiac surgery. Unfortunately, lapses in professional performance and conduct by those who treat paediatric cardiac patients pose threats to quality and safety. One hallmark of a profession is self regulation. Therefore, healthcare leaders need specific means for identifying and addressing those lapses and indicators of unsafe systems or individuals. This article from Pichert et al. describes an initial “near miss” event involving a paediatric cardiac surgeon. While fictional, the case represents a composite of events involving several paediatric cardiac surgeons who practice at different medical centers throughout the US.
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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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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 ArticleThis document from the World Health Organization (WHO) is to urge the readers to understand the purpose, strengths and limitations of patient safety incident reporting. Data derived from incident reports can be very valuable in understanding the scale and nature of harm arising from health care, provided that the properties of the data are reviewed carefully and conclusions are drawn with caution. The use of incident reporting systems for true learning in order to achieve sustainable reductions in risk and improvements in patient safety is still work in progress. It can be and has been done, but not yet on the scale and with the speed that compares with some other high-risk industries. That is what we must all strive for. This technical guidance will help the journey to a position where we can show patients and their families how we used this learning to give them care that is safe and dependable, every time they need it.
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Content ArticleDuring the first wave of the COVID-19 pandemic in England, several population characteristics were associated with an increased risk of death from the virus, including age, ethnicity, income, deprivation, care home residence and housing conditions. Public health agencies wanted to understand how these vulnerability factors were distributed across their communities. Daras et al. from the NIHR Applied Research Collaboration North West Coast (NIHR ARC NWC) analysed 6,789 small areas in England and assessed the association between COVID-19 mortality in each area and five vulnerability measures relating to ethnicity, poverty, and prevalence of long-term health conditions, living in care homes and living in overcrowded housing. They developed a Small Area Vulnerability Index (SAVI) modelling tool, which forecasts the vulnerability of the local population to the virus. The data identified noticeably higher levels of vulnerability to COVID-19 clustered within specific communities in the North West, West Midlands and North East regions.
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Content ArticleOn 21 January 2021, the Office of National Statistics (ONS) published its latest experimental estimates of long COVID symptom prevalence in the general population, using data from 9,063 respondents to the UK Coronavirus Infection Survey (CIS) testing positive for COVID-19 to 14 December 2020. The CIS is a survey sample of respondents randomly selected from the UK population (excluding communal establishments) who are followed-up weekly for the first month from enrolment, followed by monthly for a up to a year. At each visit, respondents are swab tested for COVID-19 and describe their current symptoms (from a list of 12 common COVID-19 symptoms) to the interviewer. The ONS estimated time-to-symptom-discontinuation using survival analysis techniques. Discontinuation was defined as the first post-infection occurrence of the respondent not reporting any symptoms for two consecutive visits (that is, the visit defining the date of discontinuation plus the next one). To allow time from infection to symptom onset, the ONS tracked symptoms reported at the visit where the respondent tested positive for COVID-19 or within the next month.
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Content ArticleThe purpose of this study from Klevens et al. was to provide a national estimate of the number of healthcare-associated infections and deaths in United States hospitals
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Content ArticleBioPhorum has developed a risk-based deviation management system (DMS). 13 member companies have implemented this approach, and summary data from these companies shows improved quality performance plus an average time saving of 22,200 work hours per site per year, which is equivalent to a $888k cost saving. An effective deviation management process is one that identifies and removes risk from processes using root cause analysis (RCA) principles and a corrective and preventive action (CAPA) programme. The current model used by many biopharmaceutical companies considers all deviations or events are equal and require a 30-day closure, known as the ‘30-day rule’1. Treating all events as equal and following the ‘30-day rule’ drives an inefficient process and wasteful behaviours. This guide outlines the work of the BioPhorum DMS Workstream in defining and creating a simplified and effective risk-based deviation management system with advanced RCA methodologies, and a track-and-trending process of low-risk events. It includes everything required to build a risk-based approach to DMS, including the business case for change, the new process, risk-based tools, and a detailed sharing of post-implementation benefit.
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Content ArticleVaccination is the single most effective way to reduce deaths and severe illness from COVID-19. A national immunisation campaign has been underway since early December 2020. All vaccines and medicines have some side effects. These side effects need to be continuously balanced against the expected benefits in preventing illness. The Medicines and Healthcare products Regulatory Agency (MHRA)'s role is to continually monitor safety during widespread use of a vaccine. They have in place a proactive strategy to do this. They also work closely with our public health partners in reviewing the effectiveness and impact of the vaccines to ensure the benefits continue to outweigh any possible side effects. Part of their monitoring role includes reviewing reports of suspected side effects. Any member of the public or health professional can submit suspected side effects through the Yellow Card scheme. The nature of Yellow Card reporting means that reported events are not always proven side effects. Some events may have happened anyway, regardless of vaccination. This is particularly the case when millions of people are vaccinated, and especially when most vaccines are being given to the most elderly people and people who have underlying illness.
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Content ArticleThe Health Foundation policy tracker provides a description and timeline of national policy and health system responses to COVID-19 in England in 2020. The full tracker includes data on what changes have been introduced, when, why, and by whom – as well as how these changes have been communicated by policymakers. We track policy changes in five areas – from health and care system changes to wider social and economic policy.
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Content ArticleIn Spring 2021, a new national Patient Safety Incident Management System (PSIMS) will enter its public beta stage. The new system will be phased in to replace the current National Reporting and Learning System (NRLS). Its aim is to maximise the NHS’s ability to learn from when things go wrong. In this, the first in a series of blogs from Lucie Mussett, PSIMS product owner, Lucie provides an introduction to PSIMS and some of the key features it will bring to support the NHS to make care safer., PSIMS product owner, Lucie provides an introduction to PSIMS and some of the key features it will bring to support the NHS to make care safer.
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Content ArticleThis report summarises data submitted by NHS hospitals and independent sector (IS) NHS treatment centres in England to the national SSI Surveillance Service (SSISS) at Public Health England (PHE). The aim of the national surveillance programme is to enhance the quality of patient care by encouraging hospitals to use data obtained from surveillance to compare their rates of SSI over time and against a national benchmark, and to use this information to review and guide clinical practice. The SSISS provides an infrastructure for hospitals to collect data on 17 surgical categories spanning general surgery, cardiothoracic, neurosurgery, gynaecology, vascular, gastroenterology and orthopaedics. Surveillance is targeted at open surgical procedures, which carry a higher risk of infection than minimally invasive (‘keyhole’) procedures.
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Content ArticleThe Health Index is a new tool to measure a broad variety of health outcomes and risk factors over time, and for different geographic areas. This methodology article explains how the Health Index has been constructed.
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NHS England: Never Events data
Patient Safety Learning posted an article in Data and insight
NHS England publishes provisional Never Events data every month as an update of the cumulative total for the current financial year. The data is published in the following formats: the overall provisional number of Never Events reported in the current financial year to date – these are displayed by month. the provisional number of each type of Never Event reported, with a more detailed breakdown of sub categories of Never Event. the provisional number of each type of Never Event reported by an organisation. -
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 Article
Explore England's prescribing data
Patient Safety Learning posted an article in Medication administration
Every month, the NHS in England publishes anonymised data about the drugs prescribed by GPs. But the raw data files are large and unwieldy, with more than 700 million rows. OpenPrescribing.net are making it easier for GPs, managers and everyone to explore - supporting safer, more efficient prescribing. Source: OpenPrescribing.net, EBM DataLab, University of Oxford, 2020 -
Content ArticleThis report by the Primary Care Foundation considers the question: 'Is the drive to improve outcomes and the quality of integrated urgent care being compromised by poor data quality?' The report highlights that monitoring the performance of NHS contracts is vital to allow commissioners to understand and compare the effectiveness of services, and that this monitoring cannot occur without accurate data. The authors conducted a detailed study of current data before exploring how issues in the system might be overcome. The report aims to build consensus for change within the urgent care sector.
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Content ArticleNuffield Trust analysis of data to look at how the cost of the maintenance backlog in the English NHS has changed over the years, with the latest rise in the costs of necessary repairs and maintenance in the health service making it an even more pressing factor in calculations ahead of the Spending Review.
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Today, Patient Safety Learning stands with others around the world to celebrate International Women’s Day 2021. In light of this year’s campaign theme “choose to challenge” we are raising awareness of some of the ways in which male bias can negatively impact on patient safety. Drawing on case studies and quantitative research, this blog focuses on three key areas: Design – using examples to illustrate how male-centric design of equipment and medical devices affects patient safety. Data – discussing how data which does not account for differences between the sexes impacts on patient safety. Dismissal – considering the recurring theme from personal testimonials, and healthcare scandals in recent years, that women’s voices and patient safety concerns are being ignored or dismissed. We will reflect on the key patient safety issues and inequalities in each of these areas and offer our perspective on what needs to happen moving forward to prevent future avoidable harm. -
Content ArticleA study from Jackson et al. looked at how the prevalence of psychological distress in the adult population of England has changed since 2020. The study found that the proportion reporting any psychological distress was similar in December 2022 to that in April 2020 (an extremely difficult and uncertain moment of the COVID-19 pandemic), but the proportion reporting severe distress was 46% higher. These findings provide evidence of a growing mental health crisis in England and underscore an urgent need to address its cause and to adequately fund mental health services.
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Content ArticleThis Mental State of the World report from Sapien Labs provides insight into the mental wellbeing of populations around the globe in 2022 across 64 countries in the Core Anglosphere, continental Europe, Latin America, the Arab world, South and South East Asia and Africa based on responses to the Mental Health Quotient (MHQ) assessment in English, Spanish, French, Arabic, Portuguese (European and Brazilian), German, Swahili and Hindi. The assessment provides an aggregate metric of mental wellbeing (the MHQ) as well as multiple dimensional views.
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