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Eventuntil2020 saw a huge leap in the delivery of virtual health and care, with encouraging lessons for the current crisis and beyond. But has the speed of innovation been at the expense of inclusive people and patient-centred care? In this free online event from the King's Fund, explore what we can learn from the innovations that have accelerated during the pandemic and how we can align patient and user involvement in the development of future virtual health and care solutions. Register
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Content ArticleThe world has significantly changed in the past decade and the healthcare sector has changed with it. Many healthcare organisations are now digital and digital tools enable patient safety and care. Electronic health records (EHRs) have replaced paper records. Picture archiving and communication systems have replaced film and light boxes. Computer-implemented or enabled hardware and software have replaced the mechanical systems of yesterday. In some instances, virtual visits have replaced in-person visits. And patients can transmit information about their health status and condition in real time to their clinicians via various software applications and devices. As a result of our digital transformation, electronic data is the lifeblood of the healthcare organisation. Electronic data, in the healthcare context, must be kept confidential, integrity must be preserved, and it must be made available on demand wherever and whenever it is needed. But if electronic data is not appropriately protected, clinical care and the business of healthcare can grind to a halt. This is why ransomware has been a significant concern for many healthcare organisations, as Lee Kim, Director Privacy and Security, HIMSS, explains in this article.
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News ArticleA firm which reviews healthcare apps for several NHS trusts says 80% of them do not meet its standards. Failings include poor information, lack of security updates and insufficient awareness of regulatory requirements, said Orcha chief executive Liz Ashall-Payne. The firm's reviews help determine whether an app should be recommended to patients by NHS staff. There are about 370,000 health-related apps available online, Orcha said. App developers can categorise their apps themselves and the ones reviewed by the firm include those tagged health, fitness and medical. So far, the firm has reviewed nearly 5,000 apps and found many poor examples, including: A diabetes management app offering complex medical support without any back-up from experts. A physiotherapy app offering exercise plans without any visible input from professionals. An app to help smokers quit, which had not had security updates in more than two years. Read full story Source: BBC News, 16 February 2021
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EventuntilDigitising the management of wound care provides accurate and accessible data to nurses and clinicians while also enabling remote assessment of wounds. The COVID-19 pandemic is front and centre of all current healthcare priorities – and rightly so. Yet, we must not, nor should not, overlook the need for other forms of healthcare provision – which have by no means abated. Take the management of wound care. It is estimated that 2.2 million people in the UK live with non-healing, chronic wounds – those wounds which do not respond to treatment and therefore do not heal. They can last for months or even years, costing the NHS around £5 billion a year. COVID-19 risks exacerbating the issue as the same populations who have been identified as at-risk of developing complications from the pandemic, such as older people and people with diabetes, are exactly those that are also at risk for developing chronic wounds. At a time when demand on the healthcare system is more pressured than ever, it is even more critical to ensure NHS providers have access to the tools they need to deliver quality care, making it easier to protect patients. This webinar, part of the Improving Patient Safety & Care Webinar Series, will discuss how harnessing technology can make routine monitoring digital and how digital wound care services can save time, reduce administrative burdens and helps NHS staff assess patients earlier. Register
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Content ArticleThe use of artificial intelligence in healthcare is often touted as a technology which can transform how tasks are carried out across the NHS. Rachel Dunscombe, CEO of the NHS digital academy and director for Tektology, and Jane Rendall, UK managing director for Sectra, examine what needs to happen to make sure AI is used safely in healthcare in this article for Digital Health.
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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 ArticleThis report has been developed by the Patient Coalition for AI, Data and Digital Tech in Health, which aims to unite representatives from patient advocacy groups, including Patient Safety Learning, Royal Colleges, medical charities, industry and other stakeholders committed to ensuring that patient interests. The report highlights that uptake of digital health technologies has been limited, while patient experience of technologies including video conferencing and mobile apps has been mixed. Although patients strongly believe in the value of digital health, there are still significant concerns about using it, particularly around data collection and sharing.
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News Article
Can digital technology help embed a strong patient safety culture?
Patient Safety Learning posted a news article in News
Within a few months of joining Great Ormond Street Hospital Foundation Trust as medical director, Mat Shaw became its chief executive. Heading up the organisation clearly brought with it new responsibilities and challenges, yet he says on one important issue there was little difference between the two roles – namely, the focus on patient safety and enabling clinicians to offer the best possible care for patients. “I lived through the time when all notes were on paper, when you had five, six volumes of thousands of pages. I lived through that time when it was very difficult to actually know what information to collect, and from where you should collect it, to make decisions around patients. And I recognise we don’t always do the right thing based on those systems. “So for me it’s been tremendously important to try and bring a system in, and the digital tools which are needed, to make care kinder and also safer, with better outcomes for patients. In our new strategy, digital is front and centre in a way that it’s never been before, because I consider this agenda so important to how we treat patients.” Read full story Source: HSJ (paywalled), 3 February 2021 -
News Article
Report reveals digital health technology must be accessible for all
Patient Safety Learning posted a news article in News
To be successful digital health technology must be accessible to all while still maintaining the human aspects of healthcare, a new report has said. ‘Digital Health during the Covid-19 Pandemic: Learning Lessons to Maintain Momentum’ draws on research and case studies of good practice in digital health during the pandemic. The aim of the report is to offer policy recommendations to help ensure the UK capitalises on the potential of digital health to the benefit of patients, the NHS and the UK, after the crisis subsides. The report, launched by the Patient Coalition for AI, Data and Digital Tech in Health, with support from patient organisations and the Royal Colleges of Nursing and Radiologists, highlights that uptake of digital health technologies has been limited, while patient experience of technologies including video conferencing and mobile apps has been mixed. While patients strongly believe in the value of digital health, there are still significant concerns about using it, particularly around data collection and sharing. A number of key organisations gave their support to the report. This included the likes of the British Heart Foundation, Patient Safety Learning and the Royal College of Nursing. Read full story Source: Digital Health, 3 February 2021- Posted
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Digital Health Rewired
Patient Safety Learning posted an event in Community Calendar
untilDigital Health Rewired is where digital health leaders and their teams connect with the biggest health tech brands and brightest start-ups. Join our 2021 edition for a unique, CPD-accredited virtual experience curated across a week-long festival. Register to gain exclusive access to inspirational keynotes, lively panel debates, video case studies, lightning talks, tech showcases and networking opportunities. Register -
EventuntilThe importance of healthcare data and good data practices continues to grow as the COVID-19 pandemic drives further digitalisation and creates new data streams. This free online event from the King's Fund explores the importance of patients trusting that their health and care data will be safely and responsibly used by the NHS. Now is the time to come together and look at how we can modernise protocols and ensure trust is built with the public. This event is the first in a series exploring how we put trust, transparency and fair value at the centre of digital health and care. Our expert panel will discuss what public institutions, industry and decision-makers that hold, control and use our most personal data are doing to help to maintain and improve trust in England while simultaneously modernising best practice. Register
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Community PostI am currently working to develop a new process for the investigation of incidents related to digital healthcare, something which clearly sits outside of the usual framework or process of investigating traditional patient safety incidents. I would be grateful for opportunities to discuss and share experiences and ideas with others. If you have already investigated these sort of incidents what sort of approach did you utilise and have you reviewed it post event in respect of effectiveness. @Keith Bates Clive has suggested it would be beneficial for us to discuss?
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Content ArticleThis document defines the investigation framework in the event of a patient safety Serous Incident (SI) related to NHS Wales Informatics Service (NWIS) delivered or supported services, which affects one or more health body in Wales.
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News Article
Discover the new technology managing cancer symptoms for patients
Patient Safety Learning posted a news article in News
In a new trial, cancer patients across the UK have been using the eRAPID technology system to help them manage their cancer symptoms. The system has been developed by the University of Leeds, and this is the first trial to offer automated advice to early-stage patients whose treatment aims to cure cancer. Hundreds of early-stage colorectal, breast, or gynaecological cancer patients took part in the trial which used computer algorithms to help manage their symptoms and improve their wellbeing. They were able to report online symptoms from home and receive instant advice on whether to self-manage or seek medical attention. Cancer can cause a range of different symptoms for patients living with the disease, as well as from the side effects of treatments such as chemotherapy, which are sometimes life-threatening and all of which lower a patients’ quality of life. Better monitoring and management of these symptoms can help in improving treatment delivery and reducing patients’ physical distress. All patients in the trial received their usual care, with 256 receiving the eRAPID system as additional care. The patients reported better symptom control and physical wellbeing in the early weeks of treatment, with the system preventing symptom deterioration in about 9% of patients after 12 weeks. Dr Kate Absolom, University Academic Fellow in the Leeds Institute of Medical Research at St James’s and the Leeds Institute of Health Sciences at the University of Leeds, said: “The encouraging results from this study will help pave the way for future development and refinement of these interventions in broader cancer settings. The COVID-19 pandemic highlighted the need and speeded a shift towards technology-enabled care, so these study results are very timely.” Programme lead Professor Galina Velikova, at the Leeds Institute of Medical Research at St James’s, University of Leeds, and the Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, said: “Rising numbers of cancer patients are receiving a range of anti-cancer treatments which means patients are living longer and require longer periods of care and monitoring. “Remote online monitoring options have the potential to be a patient-centred, safe, and effective approach to support patients during cancer treatment and manage the growing clinical workload for cancer care.” Read full story Source: Health Europa, 11 January 2021 -
Content ArticleHealth information technology (HIT) provides many benefits, but also facilitates certain types of errors, such as wrong-patient errors in which one patient is mistaken for another. These errors can have serious patient safety consequences and there has been significant effort to mitigate the risk of these errors through national patient safety goals, in-depth research, and the development of safety toolkits. Nonetheless, these errors persist.
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EventuntilHow Brighton & Sussex University Hospitals engaged staff to transform quality and free up time for patient care. Perfect Ward & Good Governance Institute will be joined by Carolyn Morrice, Chief Nurse and Matt Hutchinson, Head of Nursing - Quality and Safety from Brighton and Sussex Hospitals who will explain their own situation and how they engaged staff to transform quality and release time for patient care. Perfect Ward is a specialist provider in digital quality improvement and safety solutions across health and social care. Working with leading hospitals and care providers in the UK, Australia and South Africa, Perfect Ward is designed to make health and quality inspections easier and more efficient for frontline staff. Register
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Digital mental health
Patient Safety Learning posted an event in Community Calendar
untilGood mental health services are now recognised as vital to the NHS and to the health of the nation. With that in mind, the NHS Long Term Plan proposes to significantly increase mental health investment and envisages data and technology as central to transforming services. Stepping forward to 2020/21 sets out the need for continued development of the mental health workforce. We need mental health services that offer the best available care, provided by staff who can work effectively in a culture of continuous improvement. What will result when this policy alignment meets technological progress? This webinar from GovConnect will highlight the potential for emerging technologies to impact on our understanding of mental health and the care that we provide, identifying broad trends that are already underway, which are set to transform mental health services and the workforce who deliver them. Register- Posted
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Content ArticleLast year, the NHS published proposals for new legislation that is intended to reduce the role of competition in the NHS, and increase integration and collaboration between NHS organisations. The Patients Association have now submitted their response, making clear that while they support many of the aims of the proposals, they are deeply concerned about the complete lack of any clear role for patients in the new system. Co-design and co-production should become the default approach in the NHS, but instead the proposals take a traditional, paternalistic approach in which the NHS holds itself separate from patients. The Patients Association are writing to Simon Stevens, Chief Executive of NHS England and Improvement, to make clear that an appropriate role for patients must be included in the new proposals in order for them to be able to support any future legislation.
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News Article
NHS Trust chiefs warn funding needed for post-COVID digital uptake
Patient Safety Learning posted a news article in News
A major survey of NHS IT chiefs has revealed that despite more positive attitudes and uptake towards technology as a result of COVID-19, the long-term challenges of digital transformation within hospital trusts remain unchanged and only 14% of respondents believe they have sufficient funding to cover business priorities. The Digital Health Intelligence NHS IT Leadership Survey, carried out annually by Digital Health Intelligence, offers a 'state of the nation' insight into the priorities, concerns and challenges faced by NHS chief clinical information officers (CCIO’s), Chief Information Officer’s (CIOs) and other relevant digital health leaders. It revealed that despite record levels of positivity for digital transformation - 83% of respondents said the pandemic had resulted in a more positive attitude to digital among board members, up on 63% the previous year - just 24% are expecting a significant rise in funding and 14% think budgets will decrease. Read full story Source: Digital Health, 15 December 2020- Posted
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Champion clinicians in building AI for surgical safety
Yesh posted a topic in Artificial Intelligence
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Subject: Looking for Clinical Champions (Patient Safety Managers, Risk Managers, Nurses, Frontline clinical staff) to join AI startup Hello colleagues, I am Yesh. I am the founder and CEO of Scalpel. <www.scalpel.ai> We are on a mission to make surgery safer and more efficient with ZERO preventable incidents across the globe. We are building an AI (artificially intelligent) assistant for surgical teams so that they can perform safer and more efficient operations. (I know AI is vaguely used everywhere these days, to be very specific, we use a sensor fusion approach and deploy Computer Vision, Natural Language Processing and Data Analytics in the operating room to address preventable patient safety incidents in surgery.) We have been working for multiple NHS trusts including Leeds, Birmingham and Glasgow for the past two years. For a successful adoption of our technology into the wider healthcare ecosystem, we are looking for champion clinicians who have a deeper understanding of the pitfalls in the current surgical safety protocols, innovation process in healthcare and would like to make a true difference with cutting edge technology. You will be part of a collaborative and growing team of engineers and data scientists based in our central London office. This role is an opportunity for you to collaborate in making a difference in billions of lives that lack access to safe surgery. Please contact me for further details. Thank you Yesh yesh@scalpel.ai- Posted
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Content ArticleThe panel of this HSJ webinar explored how digital solutions might help clinicians improve patient safety and what barriers there might be along the way. In a debate chaired by HSJ contributor Claire Read, the panel explored how digital solutions might help clinicians improve patient safety and what barriers there might be along the way.
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EventuntilChief executive Joe Rafferty and strategic advisor for digital programmes Jim Hughes, will discuss how Mersey Care Foundation Trust has been part of a region-wide programme to develop shared understanding of covid and other pressures. Joining them on the panel will be Rebecca Malby, professor in health systems innovation at London South Bank University, and Markus Bolton, director of Graphnet Health – which is supporting the event. In a discussion chaired by HSJ contributor Claire Read, they will explore the value of a shared understanding of which pressures and caseloads exist in an area and consider how digital technologies might play a role here. Which parties need to be involved? Which information is most important to which groups? How can worries about information governance be overcome? Register
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News ArticleNiamh McKenna, Chief Information Officer at NHS Resolution, hosted the recent digital focussed event, ‘2020: A Catalyst for Rapid NHS Digital Transformation’. Panellists from NHS England & Improvement, Health Education England, and Microsoft, looked to dissect the rapid acceleration of digitalisation in our NHS over the last twelve months, and what this means for our sector and our workforce. The two hour event hosted over 100 attendees and live-streamed on YouTube, allowing delegates to hear about the key considerations for the impact of a new digital-first way of working. Looking at the good and the bad from the last twelve months, the panellists shared insight into digital-first training, technology fatigue on the workforce, revolutionary digital approaches from case studies on COVID-19 wards, and much more. One important topic associated with digital is the role of learning for our NHS workforce, and Henrietta Mbeah-Bankas, Head of Blended Learning and Digital Literacy at Health Education England, raised some interesting opportunities, challenges, and considerations around digital learning for the workforce: “Properly defining digital literacy is one of the first vital steps for a digital transformation strategy to succeed, we can’t continue to make assumptions like ‘Millennials are digital-natives’." “There are three groups we need to consider to properly develop an inclusive digital transformation strategy that will be effective – the digitally engaged, digitally ambivalent, and those that say, ‘I don’t do tech’. For me there’s also a fourth group, those who are actually digitally excluded. Until you understand the barriers these people have and consider how they’ll approach digital solutions, you can’t begin to create an inclusive digital strategy that will ensure everyone comes on the journey with you." Niamh's key take-away from the event was that we need to make sure we continue to embrace rapid digital transformation, use it as a catalyst to get stuff done, improve work, improve lives, and improve patient care. We must use all this data available to us to understand the good and the not so good outcomes from the pandemic to shape initiatives for our new future. A recording of this event is now available to watch on demand here, along with downloadable supportive resources shared by the panellists. Read full story Source: Health Tech Newspaper, 30 November 2020
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Content ArticlePatient safety is vital to well-functioning health systems. A key component is safe prescribing, particularly in primary care where most medications are prescribed. Previous research has demonstrated that the number of patients exposed to potentially hazardous prescribing can be reduced by interrogating the electronic health record (EHR) database of general practices and providing feedback to general practitioners (GPs) in a pharmacist-led intervention. This study aimed to develop and roll out an online dashboard application that delivers this audit and feedback intervention in a continuous fashion.
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Content Article
Keeping staff safe during COVID-19: Risk assessments
PatientSafetyLearning Team posted an article in Staff safety
Staff safety is fundamental to running an effective health service and delivering quality care. This year has highlighted how important risk assessments are in protecting the NHS workforce, as it continues to respond to the COVID-19 pandemic. We know that frontline healthcare staff are more at risk of becoming infected with COVID-19. We also know the virus has a disproportionate impact on staff from minority ethnic communities, and that many NHS workers are considered “clinically vulnerable” to COVID-19. There are also risk factors that relate to gender, age, weight and many more. This can understandably leave staff feeling confused about what they should and shouldn’t be doing to look after themselves and their colleagues. On 24 June, it became mandatory for all trusts to complete occupational risk assessments of vulnerable NHS workers. In this interview, Patient Safety Learning speaks to James Duez, CEO of Rainbird. James tells us how his company developed an automated decision-making tool, able to produce individualised risk assessments so that appropriate measures can be put in place quickly.- Posted
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