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Found 472 results
  1. Content Article
    Imperial College Healthcare NHS Trust maternity service provides care for around 10,000 babies and their mothers each year throughout pregnancy, labour, and the postnatal period. The Trust introduced the Cerner electronic patient record system including a maternity module for clinical documentation in 2014. Contractions and foetal and maternal heart rate are monitored using cardiotocograph (CTG) devices. Previously, the readings were printed out on rolls of paper. Midwives added handwritten clinical observations to these ‘foetal strips’ and used them to make critical decisions about the management of labour. These paper records were hard to share to quickly get a second opinion. They were prone to fading over time so did not always provide a permanent record and they were not integrated into the electronic patient records for our patients.
  2. Content Article
    A Global Digital Exemplar (GDE) is an internationally recognised NHS provider delivering improvements in the quality of care, through the world-class use of digital technologies and information. Exemplars will share their learning and experiences through the creation of blueprints to enable other trusts to follow in their footsteps as quickly and effectively as possible. The GDE Blueprinting workstream forms part of the national Provider Digitisation Programme. GDE blueprints are expected to help other NHS Trusts deliver digital capabilities more quickly and cost effectively than has been possible in the past.
  3. Content Article
    The North West London Integration Toolkit is intended to support communities, people and partners as they work towards the shared vision of integrated care. The toolkit is the culmination of over 200 individuals and organisations across North West London coming together to share knowledge and develop ideas as to how to implement whole systems integrated care. The toolkit is a living document and repository of collective learnings. It will evolve and be updated as local areas start to implement their plans and lessons are learned and shared.
  4. Content Article
    The Healthcare and Safety Investigation Branch (HSIB) identified a significant safety risk posed by the communication and transfer of information between secondary care, primary care and community pharmacy relating to medicines at the time of hospital discharge. A reference event was identified that resulted in a patient inadvertently receiving two anticoagulant medications at the same time, possibly causing an episode of gastrointestinal (digestive tract) bleeding. Increasingly, healthcare facilities in primary and secondary care are introducing digital solutions (electronic prescribing and medicines administration (ePMA) systems) to improve medicines safety. However, analysis of the reference event identified how ePMA systems can create their own risks – risks that will need to be addressed as these systems become more widespread. Other risk factors relating to prescribing and the discharge of the patient, including medicines reconciliation, availability of pharmacy services and weekend working, were identified during the investigation.
  5. Content Article
    Encouraging diversity in the NHS isn’t simply a matter of inclusion, it’s a matter of patient safety, delegates at the Healthcare Excellence Through Technology (HETT) conference have heard.
  6. Content Article
    Winner of Patient Safety Learning's 'Data and Insight' 2019 award, Neptune is a drug testing monitoring software. Catherine tells the story of Neptune's journey from initial idea to implementation.
  7. Content Article
    The Patient Experience Journal (PXJ) is a peer-reviewed, open-access journal published in association with The Beryl Institute. PXJ is committed to disseminating rigorous knowledge and expanding the global conversation on evidence and innovation on patient experience. Grounded in their core principles, PXJ engages all perspectives, with a strong commitment to patients included.
  8. Content Article
    For the past two years, Scalpel Ltd have been building technologies that improve patient safety in surgery. We have found a lack of understanding of why we need to invest in patient safety. In this blog I discuss surgical errors and the urgent need to invest in patient safety.
  9. Content Article
    Drug monitoring is a cumbersome, time consuming (expensive) and somewhat inaccurate process. The challenge set to ESC Software by a GP was to make an IT solution that was easy to use, comprehensive and reliable that would monitor patient testing to improve safety.
  10. Content Article
    On a day to day basis, the NHS Digital Clinical Safety team are involved in several wide-ranging and very different projects. As you know, clinical safety should be part of everything the NHS do. Every project, every programme, every deployment. Clinical safety should be considered, understood and implemented to the highest calibre. So as you can imagine, we are a busy team. For those manufacturers with systems in use, we deal with live incidents, upgrades, further geographical or functionality deployments. For those creating new systems we are supporting them in their clinical risk management process, running hazard workshops, creating hazard logs and writing the supporting documentation.  We are constantly reviewing and peer reviewing, assessing compliance and marking against the standard requirements. We assist suppliers and health organisations to self-audit their compliance against the standards so they may improve their clinical safety position.  We are assessing new and emerging apps and mobile health solutions to ensure they are going through the same standard of assessment as the traditional computer-based systems and we are providing representation across the NHS to ensure clinical safety remains paramount to the work being done.  One of the biggest branches of our role is training delivery. We know first-hand the importance of having a team that are educated and confident in clinical risk management.
  11. Content Article
    We are NHS Digital’s Clinical Safety team and I’d like to tell you more about who we are, what we do and why we do it. 
  12. Content Article
    The use of health technology has grown exponentially in the past few decades, and the proliferation and complexity of this technology has led to new risks to patient safety. The Institute of Medicine (IOM) discussed this issue in their report, Health IT and Patient Safety: Building Safer Systems for Better Care, and concluded that achieving better health care requires “a robust infrastructure that supports learning and improving the safety of health IT.”
  13. Content Article

    What is NHSX?

    Claire Cox
    NHSX brings teams from the Department of Health and Social Care, NHS England and NHS Improvement together into one unit to drive digital transformation and lead policy, implementation and change. NHSX is leading the largest digital health and social care transformation programme in the world. With investment of more than £1 billion pounds a year nationally and a significant additional spend locally, NHSX has been created to give staff and citizens the technology they need.
  14. Content Article
    A case study on how Healthier Lancashire and Cumbria have been driving forward their digital strategy. This strategy includes how they are standardising and redesigning digital systems to improve patient safety (see Theme 4 - Manage the system more effectively).
  15. Content Article
    The DPSIMS (Patient Safety Incident Management System) project offers an opportunity to use modern technology to improve the health service for patients and carers, healthcare staff, NHS organisations, and decision-makers, so that time and energy can be invested in the right things: working to reduce harm.
  16. Content Article
    The Information Commissioners Office (ICO) gives guidance on how to handle information about people's healthcare and medical affairs.
  17. Content Article
    This joint statement from the Health Research Authority and the Medicines and Healthcare products Regulatory Agency, supported and endorsed by the Devolved Administrations, sets out the legal and ethical requirements for seeking and documenting consent using electronic methods. This statement is aimed at electronic signatures obtained for clinical trials.
  18. Content Article
    This is the Internet First policy, standards and guidelines defined by NHS Digital. The document will help health and social care organisations make their digital services accessible over the internet. It describes how to make them secure, scalable and, where possible, consistent.
  19. Content Article
    The Test Bed Programme brings NHS organisations and industry partners together to test combinations of digital technologies with pathway redesign in real-world settings. The goal is to use the potential of digital technologies to positively transform the way in which healthcare is delivered for patients and carers.
  20. Content Article
    The NHS App is for people aged 13 years and over who are registered with a connected GP surgery.
  21. Content Article
    A guide from The Point of Care Foundation supporting clinical, patient experience and quality teams to understand how to use online patient feedback to improve quality in healthcare.
  22. Content Article
    As COVID-19 spread throughout the world, clinicians and researchers rapidly published guidance and data and shared their experiences in the hope of understanding the virus better. Their shared purpose was to keep more patients safe from becoming acutely unwell or dying. While the initial focus was on treating the hospitalised, one Trust was also thinking ahead to the challenging recovery many would face.
  23. Content Article
    The results of Digital Health Intelligence’s first survey of CNIO Network members provides a ’state of the nation’ insight into nursing and allied health professional leadership in healthcare IT. This webinar offers a chance to learn about some of the key findings of the survey and to hear from senior nursing figures on their thoughts about what it means for where we go next.
  24. Content Article
    It is now very common for clinicians to carry out consultations with patients over the telephone. If you have time to prepare for the consulation Steve Turner has some suggestions. The aim being to help all patients / users of health and care services lead on their own care. This is a rolling blog. Steve Turner is a nurse prescriber and clinical educator and Associate Lecturer at Plymouth University.
  25. Content Article
    Health systems throughout the world are now more focused on creating a more patient-centred approach to healthcare, ensuring the voice of the patient is heard through every level of the system. This focus on the patient is driven by a desire to improve quality of care as the two are inevitably linked.  However, some countries are struggling to change systems which take a traditional approach based on a patient’s clinical presentation of signs and symptoms, followed with a management plan and medical treatment.  This report highlights many ways in which we can give patients more say in the decisions about their treatment and care. It draws on keynote presentations and seminars from ISQua 2017 – a world-leading conference on quality improvement. 
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