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Found 90 results
  1. Content Article
    On 17 November, there will be a Parliamentary launch event of the Surgical Fires Expert Working Group’s report 'A case for the prevention and management of surgical fires in the UK, which focuses on the prevention of surgical fires in the NHS'. Unfortunately surgical fires are still a patient safety issue. Each year patients needlessly suffer burns during surgical procedures which leave them with long-lasting, life-changing injuries and burdens the NHS with millions of pounds of avoidable costs and liabilities. Despite this, there is not a consistent, standardised approach across the NHS to prevent them. Kathy Nabbie, a theatre scrub nurse practitioner, shares how she implemented Fire Risk Assessment Score (FRAS) into her department.
  2. Content Article
    This Royal College of Nursing (RCN) publication highlights the specific needs of children and young people undergoing day surgery, outlining pre- and post-operative aspects of care and preparation, parental involvement and facilitating discharge. 
  3. Content Article
    In this article for Independent Living, Philip Anderson reflects on the significance of touch, and possible impact of COVID-19 for those who are deprived of touch. Philip is an advocate for barrier-free accessibility, equality, and inclusiveness for persons with disabilities. He is involved in several initiatives in the NHS, and with various disability, and accessibility advisory groups.
  4. Content Article
    The Canadian Patient Safety Institute (CPSI) outlines the process in Canada if you have a question or a concern about the healthcare services you have received.
  5. Content Article
    One year ago, on 2 October 2019, we officially launched the hub at our annual conference. To date, the hub has over 1,000 members from 450 organisations and from over 30 countries. It’s home to 3,000 pieces of content, has had 45,000 unique visitors and has been accessed 70,000 times. Although we are delighted with these numbers and continued growth of the hub, we are most proud of the relationships the hub is facilitating and the good work that is happening as a result. We launched the hub so that all members of the public – from patients to clinicians – could share their insight and experiences of patient safety. By working together with users of the hub, we aim to highlight patient safety concerns and take action so that real change can happen as we journey towards the patient-safe future. Wonderfully, we are beginning to achieve these aims.
  6. Content Article
    In 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.
  7. Content Article
    Human-centered design is about understanding human needs and how design can respond to these needs. With its systemic humane approach and creativity, human-centered design can play an essential role in dealing with today’s care challenges. Design’ refers to both the process of designing and the outcome of that process, which includes physical products, services, procedures, strategies and policies. In this Melles et al., address the three key characteristics of human-centered design, focusing on its implementation in health care: (1) developing an understanding of people and their needs; (2) engaging stakeholders from early on and throughout the design process; (3) adopting a systems approach by systematically addressing interactions between the micro-, meso- and macro-levels of sociotechnical care systems, and the transition from individual interests to collective interests.
  8. Content Article
    The Canadian Patient Safety Institute's (CPSI's) strategic plan for 2018-2023 promises to lead health system-level strategies to ensure safe healthcare by demonstrating what works and by strengthening commitment. Patient safety incidents in total (acute care and home care combined) are the third leading cause of death, behind cancer and heart disease with just under 28,000 deaths across Canada (2013). This is equivalent to such harm events occurring in Canada every one minute and 18 seconds, resulting in a death every 13 minutes and 14 seconds. Strengthening Commitment for Improvement Together: A Policy Framework for Patient Safety, focuses on key policy levers available to influence system changes.
  9. Content Article
    The latest newsletter from the Patient Safety Authority highlights the importance of stronger warnings on medications, tracking the way misinformation spreads online, treating brain conditions through art and music, and more.
  10. Content Article
    The Patients Association's response to the NHS consultation on draft requirements for Patient Safety Specialist roles. See also Patient Safety Learning's response to the consultation.
  11. Content Article
    A lack of medical engagement is known to represent a significant barrier to quality improvement within NHS England. In the context of clinical audit, securing medical engagement is critical to its long-term success because it helps to facilitate organisational learning so that the same errors are not subsequently repeated by others. By fostering open cultures medical engagement can help doctors to re-frame error as a learning opportunity.  By engaging doctors in this process, clinical audit goes beyond being a tool of quality control by providing a vehicle for continuous improvement in standards of diagnostic reporting. This study from Ross, Hubert and Wong identified the barriers and facilitators of doctors’ engagement with clinical audit and explores how and why these factors influenced doctors’ decisions to engage with the NHS National Clinical Audit Programme. The study documents performance feedback as a key facilitator of medical engagement with clinical audit. It found that medical engagement with clinical audit was associated with reduced levels of professional anxiety and higher levels of perceived self-efficacy.
  12. Content Article
    This paper from Helen Hughes presents a proposal to improve the safety of patients and the effectiveness of healthcare using Human Factors methods.
  13. Content Article
    This 53-page document provides guidance for engaging stakeholders in reviewing and providing feedback to the investigator on specific areas of concern before a research project is implemented. The objective is to strengthen research proposals. The process involves a community engagement studio, which operates like a focus group but with key differences. This model and toolkit were developed by the Meharry-Vanderbilt Community Engaged Research Core, a program of the Vanderbilt Institute for Clinical and Translational Research.
  14. Content Article
    The shared commitment and responsibility uniting everyone within and outside of healthcare during the COVID-19 has been unparalleled. Prior to the pandemic, this type of shared commitment has been discouragingly lacking for other major healthcare concerns such as patient safety. Reasons for this include organisational leaders who are incentivised to focus on activities essential for reimbursement and quality measurement rather than those involving the promotion of safety culture and implementation of systems-based approaches to improve safety, compounded by lack of clear ownership and accountability to solve long-standing safety challenges. The COVID-19 pandemic is leading to several ongoing impacts on the healthcare delivery system, many of which have patient safety implications. We are witnessing negative effects from delays in care from patients not seeking (or unable to seek) healthcare, patients with complex chronic conditions not having ongoing ambulatory care and new types of diagnostic errors. However, we are also witnessing some early short-term positive effects in selected safety areas where the COVID-19 pandemic has provided a new glimmer of hope. Singh et al. explore this further in their article in BMJ Quality & Safety.
  15. Content Article
    Stakeholder analysis is a way of identifying, prioritising and understanding your stakeholders. It is an interest/influence grid with four quadrants. It enables you to plot or map stakeholders based on their level of interest (high/low) and level of influence (high/low). Where you plot a stakeholder guides the actions you should take for involving and communicating with them.
  16. Content Article
    In this issue of Patient Experience you can find topics discussed by the people who are living inside the health and care systems and are sharing their stories.
  17. Content Article
    South Australia Health's patient-centred involves engaging with the consumer and the consumer to make sure they are responsive to their needs, values and preferences. One way South Australia Health gathers feedback is to survey people who have spent time in a country or metropolitan public hospital. In 2017, 2228 people were interviewed and their responses were analysed. This report summarises the results of the survey.
  18. Content Article
    Through speaking with Royal College of Paediatrics and Child Health (RCPCH) Members, child health workers and reviewing existing resources, it was identified that there was a lack of practical 'how to' materials to support professionals in delivering face to face sessions with children, young people and families. The impact was two-fold. Some professionals felt they didn’t have the confidence or skills to involve children, young people or families and ensure they had a voice. In addition,  young patients and their families were not consistently involved in providing feedback on services, in identifying gaps, reviewing service deliverables and being involved collaboratively with professionals to develop and test solutions. Ultimately it provides a missed opportunity to provide a service-user centred service that meets their needs as well as the potential for reducing long term disengagement with treatment plans.  This would inevitably impact on patient safety.  By having a service that actively listens and involves the service users strategically, is fit for purpose, meets the needs of the patient, family and professional and has shared ownership in developing the best service possible, services can become more effective and efficient. 
  19. Content Article
    This checklist from the Health and Safety Executive provides typical elements to score culture, particularly applicable for larger organisations.
  20. Content Article
    This study covers the world outlook for patient engagement solutions across more than 190 countries. For each year reported, estimates are given for the latent demand, or potential industry earnings (P.I.E.), for the country in question (in millions of U.S. dollars), the percent share the country is of the region, and of the globe. These comparative benchmarks allow the reader to quickly gauge a country vis-à-vis others. 
  21. Content Article
    In this book, you’ll learn the definitions behind the 4-point process of patient activation. It will also share how leading health care organisations and other clients have successfully used the model in a wide range of different initiatives. Along the way, you will gain specific techniques for applying patient activation in your own efforts. In this book, patient activation will refer to a fully integrated system to move from awareness to action.
  22. Content Article
    Ethical medical treatment is an important aspect of healthcare that is affected by multiple influencing factors in, both private and public, medical organisations. By understanding and adapting the components of the health system to these influencing factors, healthcare can have better outcomes for patients and practitioners. Healthcare Administration for Patient Safety and Engagement provides emerging research on the theoretical and practical aspects of healthcare management for optimal patient care and communication. While highlighting topics, such as clinical communication, ethical dilemmas, and preventive medicine, this book will teach readers about the tools and applications of ethical treatment and hospital behaviour in both private and public medical organisations. This book is a resource for managers and employees of health units, physicians, medical students, psychology and sociology professionals, and researchers seeking current research on healthcare organisation and patient satisfaction.
  23. Content Article
    BAPEN’s web-based self-screening tool is designed for people who are worried about their weight or the weight of somebody they care about to quickly and easily work out if there is a risk of malnutrition.
  24. Content Article
    The Difficult Airway Society (DAS) has produced a difficult airway card for patients to carry in their wallet. This is to alert the anaesthetist that this patient has a 'difficult airway' before they find out the hard way.  This website also holds the database for patients with difficult airways. This is for clinicians to use to help assess risk in patients undergoing sedation or general anaesthetic.
  25. Content Article
    INQUEST is a charity providing expertise on state related deaths and their investigation to bereaved people, lawyers, advice and support agencies, the media and parliamentarians. Their specialist casework includes deaths in police and prison custody, immigration detention, mental health settings and deaths involving multi-agency failings or where wider issues of state and corporate accountability are in question. What is the Family Reference Group? The INQUEST Family Reference Group is made up of people directly affected by a contentious death (i.e. in detention/custody, where a state body is involved, or where the facts are disputed). It supports and contributes to INQUEST's work from a family perspective. The reference group brings together a range of experiences, taking into consideration race and gender perspectives, types of deaths across custody, immigration detention and mental health care.
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