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Content ArticleHealth information technology (health IT) has potential to improve patient safety, but its implementation and use has had unintended consequences and has raised new safety concerns. This viewpoint article in BMJ Quality & Safety introduces a new framework—the health IT safety (HITS) framework—to provide a conceptual foundation for health IT-related patient safety measurement, monitoring and improvement.
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Event2020 has undoubtedly played a key role in forcing NHS organisations to sit up and take note of the productivity increases and money-saving benefits that digital tools and tech can have, this event aims to share some core policy updates and best practice from across the UK. This fully immersive Securing Secondary Care Excellence: The Virtual Acute Technology Conference platform will allow you to listen, learn and engage with some key policy-shaping guest speakers, network with peers from across the NHS and meet some of the UK’s most forward-thinking and innovative commercial problem solvers. Register
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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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EventIn today’s world of multidisciplinary care, good communication between professionals and with patients makes all the difference. The digital transformation the sector was already undergoing pre-pandemic to replace postal and fax systems with email has been dramatically accelerated by COVID-19. 94% of organisations are now sending more emails due to remote working and distanced service delivery. But more email means more risk to patient data. In fact, email data breaches happen every 12 working hours. With busy clinical and administrative staff focused on delivering high-quality care, it’s time for security solutions stepped up to eradicate the everyday mistakes they make, such as attaching the wrong file to an email or adding an incorrect recipient. Join this webinar to discuss the importance of human layer security within digital transformation to ensures patient data is kept secure, while also facilitating the email communications that are fundamental to multidisciplinary care. Presenters: Clive Flashman, Chief Digital Office, Patient Safety Learning; Dr Saif F Abed, Founding Partner & Director, Cybersecurity Advisory Services, The AbedGraham Group; Sudeep Venkatesh, Chief Product Officer, Egress Register
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EventuntilThe 2020 MindTech Symposium (#MindTech2020) will be held online as a virtual event for the very first time. The Symposium topic is ‘Digital Mental Health in the Age of Covid-19’ The session times are as follows: Wednesday 2nd December 2020: 8.00pm - 9.00pm: The digital mental health response to COVID-19: A global Perspective Thursday 3rd December 2020: 1st Session 10.00am - 11.30am: A rapid digital response to a global pandemic 2nd Session 1.15pm - 2.30pm: Virtual PPI: the way forward? 3rd Session 3.00pm - 4.00pm: Rethinking mental health services for a brave new world post-COVID-19 Wednesday evening’s opening session will embrace a global perspective on the digital mental health response to COVID-19 and includes international expert panellists Helen Christensen (Australia), John Torous (USA) and Sally Merry (New Zealand). Thursday’s sessions will cover emerging technologies and how they can be harnessed in the ‘new normal’ of mental healthcare in the post-Covid world. Thursday will also host a dedicated session encompassing Patient & Public Involvement (PPI) and user-centred co-design in a virtual world. This session will be delivered by MindTech’s own PPI group. Register
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EventuntilPatient Safety: Embracing technology in a rapidly evolving healthcare environment to reduce medication errors. In England 237 million mistakes occur at some point in the medication process. By embracing technology that already exists, we may actually hold the key to being able to significantly reduce this figure. Join Andrea Jenkyns MP, pharmacy and nursing thought leaders and patient safety representatives for an interactive discussion on embracing technology to reduce medication errors. The timing of this event is particularly significant as World Patient Safety Day takes place the following day and so these issues should be at the forefront of policy makers minds. Confirmed panelists include: Prof. Liz Kay, Former Director of Pharmacy at Leeds Teaching Hospitals NHS Trust Heather Randle, Lead for Medication Management at Royal College of Nursing Clive Flashman, Chief Digital Officer at Patient Safety Learning Ed Platt, Automation Director, Omnicell Registration
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EventuntilUnprecedented levels of change have taken place in the design, service and delivery of health care services in the space of months. COVID-19 has upended our understanding of good, quality care, with many barriers removed instantly and new ideas deemed too radical a couple of months ago, becoming our ‘new normal’. This new reality, with the essential limitations on physical contact has resulted in digital solutions taking centre stage in tackling the pandemic, providing care and ensuring continuity of care for patients across the country. In this event, we will examine the insights our current reality teaches us about how we have delivered digital health in the past. Were some of the barriers safeguards of quality standards and patient safety benchmarks? Are there reasons to be worried about the speed of transformation? And how can we ensure that we keep the good changes and mitigate the negative? Join The King's Fund free online event to discuss: what an inclusive, person-centred digital revolution would look like for the NHS and social care the standards from before the pandemic and what the gains from this rapid transformation should consolidate what this transformation will mean for people and staff on the ground. Further information and registration
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EventuntilCOVID-19 has transformed the delivery of health care services, bringing about unprecedented change in very little time. Changes that were thought to require years of careful planning happened in many cases overnight, with technology proving to be a key factor in supporting patients and staff in the delivery of care. In this four-day event, the King's Fund are bringing together top experts from the NHS and other parts of the digital health system to discuss the lessons from the COVID-19 pandemic. From the benefits of emergency data gathering in order to work on new treatments, to the transfer of primary care services online, COVID-19 has been the catalyst bringing about the long-discussed digital revolution. With almost every part of the system shaken by Covid-19, was all digital change positive and what are the challenges still left to tackle? Join to hear the views of NHS and industry leaders who played a central role in bringing about the new digital reality for health care. It will explore how they managed to adapt to the pressing needs of the pandemic, which cutting-edge innovative solutions they wish to retain as the system returns to ‘normal’ and what problems this speedy digital transformation has created. View programme and register
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EventuntilThis webinar will explore virtual care and the use of patient health data through remote patient monitoring. In the UK and US alike, COVID-19 has accelerated the dramatic shift towards utilising digital health services and tools to virtually connect with and care for patients. Remote patient monitoring (RPM) offers providers the opportunity to remotely collect and utilise patients’ personal health data, such as data from their home-use medical devices and wearables, within care delivery efforts. These personal health data are providing deeper insight into patients’ physiologic health metrics, lifestyle decisions and behavioural trends while replacing the clinical data previously collected in-person. As health care organisations need to quickly scale virtual care to thousands of patients, clear best practices and lessons learned have emerged. This episode will deep-dive into the successful operations of the largest, centralised RPM programme, supporting over 3000 clinicians and more than 50,000 enrolled patients. We’ll delve into the most basic and complex challenges around patient-generated health data, patient consent, enrollment workflows, device logistics, patient and provider engagement, and more. This webinar will explore: Core operations and technologies to a holistic virtual care strategy The clinical outcomes, patient and provider satisfaction, and efficiencies created with RPM Best practices in digital health operations, data integration, analytics, and engagement A model and framework for scaling virtual care and RPM to thousands of patients quickly A CPD certificate with 1 CPD credit will be issued to those joining the webinar live as well as those who watch the recording afterwards. Certificates will be issued 7 days after the webinar to those who watch it live and after 30 days for those that watch the recording. Join in the conversation online using #RSMDigiHealthBook hereFollow us on Twitter: @RoySocMed Book here
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EventuntilIn this extended episode, our panel will describe the Care Information Exchange, a patient portal that facilitates the sharing of healthcare records across NW London. This system currently holds the records for over 1.6 million patients and allows patients, hospitals, GP practices and social care organisations to effectively share records for a population of 2.4 million. They will also describe how the frailty team in the Trust have used the portal with remote patient monitoring technology to redesign a care pathway for lung conditions, post-COVID. They will discuss the resulting improvements in patient care, especially in detecting deterioration during hospital stays and afterwards in the community, and the economic benefits that have accrued through the use of patient-generated data. A CPD certificate with 1 CPD credit will be issued to those joining the webinar live as well as those who watch the recording afterwards. Certificates will be issued 7 days after the webinar to those who watch it live and after 30 days for those that watch the recording. Book here Join in the conversation online using #RSMDigiHealthFollow us on Twitter: @RoySocMed
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Content ArticleThe Professional Record Standards Body (PRSB) has published a new report on lessons learned from the pandemic to support the future of digital change in health and care. Following a consultation process with 100 of its members, PRSB has published the report examining the digital transformation of services during the pandemic and it recommends how the system can use the lessons in the future. The Digital Health and Care and COVID-19 report recommendations include building on the enthusiasm for digital but reviewing and evaluating safety implications, particularly for remote and virtual consultation where both clinical risk and patient access need to be addressed. The report also includes a focus on quality in practice, including the use of apps and other digital technologies.
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Content ArticleThis special Patient Safety Network Perspective compiles findings and insights into a series of case studies from interviews and written responses from leaders at three different health systems who had to increase their telehealth capacities in response to the COVID-19 pandemic.
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Content Article
Alexa, do I have COVID-19? (30 September 2020)
lzipperer posted an article in Other health and care software
This article in Nature explores how voice activation technologies have potential to diagnose coronavirus infections, dementia and depression. Emily Anthes discusses efforts around the globe to reach the highly anticipated potential of this technology in healthcare. -
Content ArticlePeek et al. evaluated the impact of the pharmacist-led Safety Medication dASHboard (SMASH) intervention on medication safety in primary care. SMASH was developed by researchers at the National Institute for Health Research Greater Manchester Patient Safety Translational Research Centre (NIHR GM PSTRC), which is a partnership between The University of Manchester and Salford Royal hospital in collaboration with The University of Nottingham. Pharmacists working in general practice use the SMASH dashboard to identify patients who are exposed to potentially hazardous prescribing. The study found that the SMASH intervention was associated with reduced rates of potentially hazardous prescribing and inadequate blood-test monitoring in general practices. This reduction was sustained over 12 months after the start of the intervention for prescribing but not for monitoring of medication. There was a marked reduction in the variation in rates of hazardous prescribing between practices.
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Content Article
NHS e-Review platform
Patient Safety Learning posted an article in Regulatory bodies/standards/guidance
A national bespoke system, called NHS e-Review, has been developed and launched as part of the NHS Covid Incident Recovery programme. The online system has been developed to support clinicians record the clinical priority of patients on a waiting list and to identify alternative pathways for patients if required. -
Content Article
Telemedicine: What is its role in patient safety?
PatientSafetyLearning Team posted an article in Telemedicine
In this webinar, produced by Patient Safety Movement, Dr Steve Barker is joined by Ronald Weinstein, Director/Founder, Arizona Telemedicine Program, and Jeffrey Dunn, Founder/CEO, Redivus Health. They discuss the future of telemedicine within the patient safety and quality improvement space. Telemedicine has become a significant area of investment in recent years and the panellists predict that, in the future, user experience, consolidation, customisation based on relevance to the user, robotics, and health literacy will become top priorities. -
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 ArticleAs trusts consider clearing the waiting list, there is an absence of objective approaches to prioritisation. There are 40 million variations of operative type and the NHS elective waiting list may reach more than 10 million. A coronavirus second wave may cause further delays and expansion of the waiting list. This blog from hub topic lead Richard Jones describes a proven approach to prioritising the waiting list built around individualised risk-adjustment for each patient and evolved from the core POSSUM methodology that is widely used for individual risk assessment pre-operatively.
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Content ArticleHealth IT (HIT) systems are increasingly becoming a core infrastructural technology in healthcare. However, failures of these systems, under certain conditions, can lead to patient harm and as such the safety case for HIT has to be explicitly made. This study from Habli et al., published in Safety Science, focuses on safety assurance practices of HIT in England and investigates how clinicians and engineers currently analyse, control and justify HIT safety risks. Two areas of strength were identified: establishment of a systematic approach to risk management and close engagement by clinicians; and two areas for improvement: greater depth and clarity in hazard analysis practices and greater organisational support for assuring safety. Overall, the dynamic characteristics of healthcare combined with insufficient funding have made it challenging to generate and explain the safety evidence to the required level of detail and rigour. Improvements in the form of practical HIT-specific safety guidelines and tools are needed. The lack of publicly available examples of credible HIT safety cases is a major deficit. The availability of these examples can help clarify the significance of the HIT risk analysis evidence and identify the necessary expertise and organisational commitments.
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Content ArticleThe COVID-19 crisis has created a watershed moment for the NHS, demanding a reappraisal of how essential services are delivered to the public. Even prior to COVID-19, the NHS recognised a pressing need to rethink healthcare using user-centred design principles, based on populations, not organisations. With the advent of the pandemic that pressing need has become an operational imperative. Digital capability has been and will continue to be a key part of transformation, but will only work when aligned with reforms in other key enablers such as financial flow, workforce planning and regulation. Many industries have already made the shift to enabling collaboration and innovation through more agile models of delivery by embracing technologies like artificial intelligence (AI), internet of things (IoT) and/or flexible and secure forms of (multi) cloud storage. Health, on the other hand, until now has introduced new technologies with the objective of improving existing pathways and service delivery models. There is now an opportunity to reimagine healthcare, driving true transformation enabled by digital capabilities.
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Content Article
UCL Partners: Proactive care frameworks
Patient Safety Learning posted an article in Care pathways
UCL Partners have developed a series of proactive care frameworks to restore routine care by prioritising patients at highest risk of deterioration, with pathways that mobilise the wider workforce and digital/tech, to optimise remote care and self-care, while reducing GP workload. The frameworks include atrial fibrillation, high blood pressure, high cholesterol, type 2 diabetes, asthma and COPD. -
Content Article
NHS Pathways
Patient Safety Learning posted an article in Care pathways
NHS Pathways is a clinical tool used for assessing, triaging and directing the public to urgent and emergency care services. -
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 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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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.
