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Showing results for tags 'Healthcare'.
Found 290 results
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Content ArticlePlans to establish integrated care systems (ICSs) as statutory bodies in the health and care bill foreshadow further changes to the organisation of the NHS. Unlike previous reorganisations, the changes expected to occur in 2022 have developed from within the NHS rather than being imposed by the government. Not only this, but leaders in the NHS have also played a major part in shaping the nature of these changes in partnership with the centre. This paper from the NHS Confederation focuses on the changes needed to create the conditions in which ICSs can improve outcomes for patients and the public and outlines a series of simple rules to guide those leading the reform programme. The ideas put forward are intended to provide a basis for debate with healthcare leaders and others in England about next steps. The paper starts from the premise that a key role of leaders is to harness the intrinsic motivation of health and care staff and public health teams to perform to the best of their abilities. The distinctive contribution of ICSs is to work with partners in making use of all available assets and leading improvements in patient care and outcomes that require actions across the organisations and services that make up the health and care system. Staff must be fully engaged in this work as it is through their actions that patients and the public will experience improvements
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Content ArticleNigeria is projected to become one of the most populous countries in the world, and is rightly taking its place on the world stage. The Lancet Nigeria Commission tells the story of the country through a health lens, and details recommendations that will enable the country and its people to fulfil their potential, and seize the opportunity ahead. It has been led by Nigerians for Nigerians. The Commissioners call for the creation of a new social contract that redefines the relationship between citizen and state. They argue that health has, to date, been neglected by successive governments and consequently the citizens of Nigeria, and must be recentred as a vital investment in the population – one that will reap political and economic benefits. Nigeria is poised to define the future of West Africa, the African continent, and the whole world. This Commission lays out how best to realise that ambition.
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Content ArticleThe UK Government has opened a consultation on changes to the Mental Capacity Act (MCA) 2005 Code of Practice, and implementation of Liberty Protection Safeguards (LPS). This consultation is also seeking views on the LPS regulations, which will underpin the new system. This consultation applies to England and Wales and is open until 7 July 2022.
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Content ArticleHealthcare professionals need clearer guidance on responding to racism in paediatric settings, argue Zeshan Qureshi and colleagues.
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Content ArticleThe Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system, and of reform and policy initiatives in progress or under development in a specific country. Here is the HiT profile for Japan.
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Content ArticleThe announcement of the Messenger Review triggered some immediate concerns. The service has been subjected to a string of leadership reviews over the last decade. The initial media briefing, attributed to ministers, came across as unfairly critical of current NHS leadership. And there were worries about the potential for unhelpful distraction at a time of huge operational pressure. But the review brings a vital opportunity we must not miss. In light of the proposed Messenger Review, Chris Hopson delineates four areas of improvement where the NHS can improve its leadership capability and capacity
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Content ArticleThousands of individuals are released from immigration detention into the community every year. Between 1 October 2020 and 30 September 2021, 21,362 people were detained, and 17,283 were released into the community, having been granted bail or leave to enter/remain. This means that 81% of those detained were released back into the community. 2,239 were considered to be ‘Adults at Risk’ whilst in detention by the Home Office. In this report, Medical Justice sheds light on the many issues its clients face in accessing healthcare upon release into the community. By highlighting these issues, Medical Justice seeks significant improvements in the Home Office’s continuity of care of all individuals upon release and provides specific recommendations to the Home Office.
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Content ArticleIn a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This book presents the opportunities and challenges associated with performance measurement, in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those who govern the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. This book is practical guide for policy makers, regulators, patient groups and researchers.
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Content Article'Patient Safety: The PROACT® Root Cause Analysis Approach' addresses the proactive methodologies and organisational paradigms that must change in order to support and sustain activities that promote patient safety. Written by reliability expert Robert J. Latino, this book provides a perspective on patient care from outside the health industry and culture. It teaches a proven approach that measures its effectiveness based on patient safety results, rather than compliance, and demonstrates the Return-On-Investment for using root cause analysis to reduce and/or eliminate undesirable outcomes. Addressing the contribution of human error to physical consequences, Latino explores ways to identify conditions that are more prone to result in human error.
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Content Article
Open Letter to the Chief Executive, Health and Safety Executive
SafeDavid3 posted an article in Regulatory issues
Letter outlining potential legal non-compliance by persons involved in issuing Infection Prevention and Control Guidance. -
Content ArticleThis best-selling, user-friendly resource to evidence-based practice serves as a guide to implementing evidence-based practice in nursing and healthcare. Real-life examples help readers understand important concepts and overcome barriers in implementing evidence-based care.
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Content ArticleLaura Chapman is a law student in Chicago, USA, where she’s studying to become a lawyer. She has lymphoedema, a condition that causes painful swelling in her foot that worsens throughout the day. She needs custom garments to control that swelling, but her Medicaid plan doesn’t cover them. Here’s her story in her own words. Sick Note is a regular newsletter about America's healthcare system.
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Content ArticleA lay person commented recently that ‘seeing how nurse practitioners were so clever why didn't they rename themselves as something other than a type of nurse’. A sobering comment indeed, but one that has, on occasions, been uttered by nurse practitioners (NPs) themselves from around the world. In this editorial, Jenny Carryer and Sue Adams tease out the thinking behind this idea and consider the implications for the nursing discipline. In doing so, they draw essentially on the New Zealand experience of NP establishment but believe these ideas have international significance.
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WHO video: What is quality of care? (22 July 2021)
Patient Safety Learning posted an article in WHO
We all need healthcare at some stage in our life. Not only it is important to have access to health care we need, but also the health care we receive should be of high quality to improve our health. This WHO video explains what is meant by quality of care. -
Content ArticleSoojin Jun, a pharmacist and a patient advocate, discusses three ways in which pharmacists can help solve the health crisis in the US."The first and foremost value of recognizing pharmacists as providers is that we can help deprescribing medications and guide patients to healthier lives for many chronic illnesses. Many insurance and government sponsored programs are wasting money by “restricting” how pharmacists should practice under their laws and regulations when they can better use the time and money by “guiding” how pharmacists could practice as providers."
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Content ArticleIn 'Reshaping regulation for public protection', the Professional Standards Authority share their view on the implications of the Health and Care Bill for professional regulation. The Bill, currently going through Parliament, proposes new powers for the Secretary of State for Health and Social Care to abolish healthcare professional regulators as well as deregulate professions. In parallel with the progress of the Bill, an independent review, commissioned by the Department of Health and Social Care (DHSC), is looking at the regulatory landscape and will provide options for the exercise of these powers.
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Content ArticleState of Care is the Care Quality Commission's annual assessment of health care and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve. It highlights people's experiences of care, including the impact of the pandemic, health inequalities, the challenges for people with a learning disability, the rising demand for mental health care, workforce stress and burnout, access to services, and the challenges for systems.
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Content ArticleA study by Charles River found that patients believe the overall quality of healthcare would increase if stakeholders across the life sciences collaborated more. In this interview with Outsourcing-Pharma, Birgit Girshick, corporate executive vice-president of Charles River, discusses the results of the survey.
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Content ArticleThis article in The Joint Commission Journal on Quality and Patient Safety reports on the findings of a pilot programme to improve healthcare staff wellbeing. Between November 2018 and May 2020, researchers engaged five healthcare sites to take part in a pilot intervention. The pilot used evidence-based approaches to wellbeing including a comprehensive culture assessment, redesigning daily workflow and leadership and team development. The researchers found that healthcare worker wellbeing improved when: an integrated, skills-based approach was taken there was a focus on team culture, interactions and leadership workflows were redesigned to promote positive emotions. This study suggests that combining a number of these approaches at the same time can improve healthcare working environments and reduce levels of staff burnout.
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Content Article
Mindfulness and safety
Patient-Safety-Learning posted an article in Incentives and techniques
Current research suggests that staff mindfulness practices can contribute to better safety outcomes. Researchers at the University of Houston have conducted a systematic review of studies that assess the relationship between mindfulness and safety at work. The study suggests that: mindfulness training does not need to be lengthy or frequent to have a significant impact on workplace safety different mindfulness training techniques are better suited to specific industries such as healthcare and the military. -
Content ArticleThe biopsychosocial model is both a philosophy of clinical care and a practical clinical guide. Borrell-Carrió et al. discuss the principles behind the biopsychosocial model and its application.
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Content ArticleThe biopsychosocial model outlined in Engel’s classic Science paper four decades ago emerged from dissatisfaction with the biomedical model of illness, which remains the dominant healthcare model. Engel’s call to arms for a biopsychosocial model has been taken up in several healthcare fields, but it has not been accepted in the more economically dominant and politically powerful acute medical and surgical domains. This editorial from Wade and Haligan reviews the historical context, achievements and recent developments of the biopsychosocial model, with a view to explaining how the model could be better employed to help (re-)organise and improve both the efficiency and the effectiveness of healthcare systems. This could improve patient outcome while also controlling costs.
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Content ArticleHealthcare workers (HCWs) are exposed to a range of high and low molecular weight agents that are allergic sensitisers or irritants, including cleaners and disinfectants, natural rubber latex, and various medications. Studies have shown that exposed HCWs are at risk for work-related rhinitis and asthma (WRA). Work-related rhinitis may precede development of WRA and should be considered as an early marker of WRA. Avoidance of causative exposures through control strategies such as elimination, substitution, engineering controls, and process modification is the preferred primary prevention strategy for preventing development of work-related allergic diseases. There is limited evidence for the effectiveness of respirators in preventing occupational asthma. If sensitizer-induced WRA is diagnosed, it is important to avoid further exposure to the causative agent, preferably by more rigorous application of exposure control strategies to the workplace. This review from Mazurek and Weissman focuses on allergic occupational respiratory diseases in HCWs.
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Content ArticlePresentation at the Safer Healthcare and Biosafety Network meeting highlighting the Safety for All Campaign.
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Content ArticleThis article on quality improvement and accountability in the Danish healthcare system describes how Denmark developed and implemented national quality and patient safety initiatives in the healthcare system. Over the years, Denmark has worked to create a progressive and just culture in quality management and, in order to further develop the Danish governance model, the authors explain that it is important to expand the model to the primary care sector.
