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Event
COVID-19: Sharing the international lessons learned
Clive Flashman posted an event in Community Calendar
untilThe Royal Society of Medicine's International COVID-19 Conference brings together thought leaders from around the world to share the key clinical learnings about COVID-19.Session 1: Respiratory effects: critical care and ventilationChair: Dr Charles Powell, Janice and Coleman Rabin Professor of Medicine System Chief, Icahn School of Medicine, Mount Sinai> Professor Anita K Simonds, Consultant in Respiratory and Sleep Medicine, RBH NHS Foundation Trust> Dr Richard Oeckler, Director, Medical Intensive Care Unit, Mayo Clinic, Minnesota> Dr Eva Polverino, Pulmonologist, Vall D’Hebron BarcelonaSession 2: Cardiovascular complications and the role of thrombosisChair: Rt Hon Professor Lord Ajay Kakkar PC, Professor of Surgery, University College London> Professor Barbara Casadei, President, European Society of Cardiology> Professor K Srinath Reddy, President, Public Health Foundation of India> Professor Samuel Goldhaber, Associate Chief and Clinical Director, Division of Cardiovascular Medicine, Harvard Medical SchoolSession 3: Impacts on the brain and the nervous systemsChair: Professor Sir Simon Wessely, President, Royal Society of Medicine> Dr Hadi Manji, Consultant Neurologist and Honorary Senior Lecturer, National Hospital for Neurology> Dr Andrew Russman, Medical Director, Comprehensive Stroke Center, Cleveland Clinic> Professor Emily Holmes, Distinguished Professor, Uppsala UniversitySession 4: Looking forwardChair: Professor Roger Kirby, President-elect, Royal Society of Medicine> Dr Andrew Badley, Professor and Chair of Molecular Medicine, Chair of the Mayo Clinic COVID research task force, Mayo Clinic> Professor Robin Shattock, Professor of Mucosal Infection and Immunity, Imperial College London> Professor Sian Griffiths, Chair, Global Health Committee and Associate Non-Executive member, Board of Public Health England> Dr Monica Musenero, Assistant Commissioner, Epidemiology and Surveillance, Ministry of Health, Uganda Book here -
Content ArticleUsing the data obtained from Fifth Sense’s ‘Quality of Life Impact of Olfactory Disorders’ survey amongst its members, a research paper was produced by Mr Carl Philpott and Duncan Boak to demonstrate the impact that olfactory disorders have on people’s lives. A summary of the findings can be read here. The study found it impacted on people's emotional wellbeing and their mental health, with many patients feeling their voice was unheard. There is a need for medical practitioners to take olfactory disorders more seriously.
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Content ArticleThe call for meaningful patient and family engagement in healthcare and research is gaining impetus. Healthcare institutions and research funding agencies increasingly encourage clinicians and researchers to work actively with patients and their families to advance clinical care and research. Engagement is increasingly mandated by healthcare organizations and is becoming a prerequisite for research funding. In this article, Burns et al. review the rationale and the current state of patient and family engagement in patient care and research in the ICU. The authors identify opportunities to strengthen engagement in patient care by promoting greater patient and family involvement in care delivery and supporting their participation in shared decision-making. They also identify challenges related to patient willingness to engage, barriers to participation, participant risks, and participant expectations. To advance engagement, clinicians and researchers can develop the science behind engagement in the ICU context and demonstrate its impact on patient- and process-related outcomes. In addition, the authors provide practical guidance on how to engage, highlight features of successful engagement strategies, and identify areas for future research. At present, enormous opportunities remain to enhance engagement across the continuum of ICU care and research.
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Content ArticleHealthcare is in the midst of significant change, with substantial shifts in emphasis and priorities. Patient-centered care has become central to the core goals of better health, better quality, and lower costs while highlighting the necessity of incorporating patients’ efforts, needs, and perspectives into healthcare at all levels. Patient and family engagement (PFE) is critical to patient-centered care, and important theoretical and empirical work has identified key elements and implications of PFE, especially for management of chronic illnesses and preference-sensitive clinical decision making. Brown et al. believe that the ultimate goal of active, mutually respectful partnership among clinicians and patients/families is urgent and important. However, consistent terminology and definitions of PFE are still lacking. This deficit is particularly striking in intensive care units (ICUs), which pose special challenges to outpatient models of PFE: the emotional stakes are high, time is greatly compressed, surrogates play a central role, and the specter of death often dominates decision making.
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Content ArticlePatients who are actively involved in their health and health care tend to have better outcomes and care experiences and, in some cases, lower costs. Implementing patient and family engagement strategies has led to fewer hospital-acquired infections, reduced medical errors, reduced serious safety events, and increased patient satisfaction scores. After reviewing best practices and evidence-based strategies for increasing patient and family engagement in direct care settings, hospitals, health systems, the community, and through policy, the Task Force on Patient and Family Engagement developed and refined a set of 16 recommendations that will catalyse patient and family engagement and improve health and health care systems in North Carolina.
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Content ArticleLast week a letter signed by 435 GP practice staff on access to GP practices was published in The Times. The letter was drafted by a group of grass root GPs, in response to the recent misleading allegations that GPs have been “closed” during the pandemic. These headlines damage the reputation and morale of the workforce. Responsible media reporting is a patient safety issue, as those patients who believe this false rhetoric may not seek help for worrying symptoms. We have already seen reduced rates of cancer diagnosis during the pandemic by around 40%, along with reduced presentations of other major non-covid illnesses. Irresponsible media may also cause inappropriate use of emergency departments and the NHS 111 helpline, which adds further pressure on our secondary care colleagues at a critical time for the NHS. GPs Simon Hodes and Neena Jha discuss this further in this BMJ Opinion article.
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Content ArticleThe NHS is full of dedicated staff who, at a one-to-one level with patients, offer deeply personal and compassionate care. But too often the system as a whole seems institutionally deaf to the patient voice. This report from the Patient Experience Library explores the reasons for that. It shows how the NHS – at an institutional and cultural level – fails to take patient experience evidence seriously enough. It calls for a few simple and entirely feasible steps that would strengthen evidence-based practice and ensure that the patient voice is better heard.
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Content ArticleIn September 2018, we held our first Patient Safety conference at the King’s Fund in London. Over 100 healthcare leaders, clinicians, patient safety experts, politicians and patients and families attended from across the UK to listen to a packed and varied programme of leading experts in patient safety.
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Content ArticleIn September, Patient Safety Learning worked with Gill Phillips, Director of Nutshell Communications Ltd, to host an online workshop with staff and patients on the subject of staff safety, the theme of this year's World Patient Safety Day. Known as Whose Shoes?®, the workshop was an an intimate, highly participative event, giving participants the chance to talk openly about their personal experiences around key issues in staff safety and how they impact patient safety.
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Content ArticleWhat Your Patient Is Thinking (WYPIT) is a BMJ series led and edited by patients and carers. The articles are written by patients and carers and are a key part of The BMJ’s campaign to increase partnership with patients and public in healthcare. They contain messages that are thought provoking, and challenging for clinical readers of The BMJ, who mainly consist of doctors from across the world. Articles can be about any aspect of patient or carer experiences. This might include what it is like for you to live with your condition or as a carer or your experience of an appointment or procedure. This might be in relation to a single healthcare appointment to those from a lifetime of managing a long term health condition. It is important for the piece to include lessons for doctors. They can focus on a particular aspect of care or treatment, offer a new angle on a familiar situation, or ask controversial questions from the patient or carer's perspective. They can be triggered by good or bad experiences but all of them should give healthcare professionals and, or policy makers practical things that they can do differently tomorrow as a result of reading the article. The BMJ patient and clinical editors will work with you to develop your piece and to suggest specific questions to prompt reflection and action from the readership, that follow from the key points of your article. Guidance if you would like to contribute to the "What Your Patient is Thinking" series.
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Content ArticleOne year ago, on 2 October 2019, we officially launched the hub at our annual conference. To celebrate this special occasion, we want to update you on how the hub has grown and the impact it’s having, both on the people using it directly and on patient safety more broadly. To date, the hub has over 1,000 members from 450 organisations and from over 40 countries. It’s home to over 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. Here are some of the ways the hub has been making an impact.
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Content ArticleOne 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.
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Content Article
Patient Safety Movement: Informed consent blog
Patient Safety Learning posted an article in Consent issues
Clinicians often have competing priorities in the clinical setting which hinder their ability to provide time for thorough dialogue with patients. Often, this dialogue contains information about procedures or processes for which the patient needs a thorough understanding in order to make an informed decision. Due to the lack of time, sometimes this informed consent process is passed from the clinician to the medical assistant or nurse. Furthermore, clinicians are increasingly facing pressure to visit with more and more patients, thereby cutting the time with each one shorter and shorter. Therefore, typically only the most essential information is discussed with the patient during these short times and often, education doesn’t make the cut. This asymmetrical information makes it difficult for patients to make informed decisions about their care and may create situations with unforeseen consequences. These workflow barriers within the system itself make it extraordinarily difficult for clinicians to effectively explain and discuss informed consent with their patients. -
Content ArticleThe Accessible Information Standard directs and defines a specific, consistent approach to identifying, recording, flagging, sharing and meeting individuals’ information and communication support needs by NHS and adult social care service providers.
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Content ArticleA team of scientific experts has joined forces from across the world to help fight the spread of misinformation about the COVID-19 vaccines. Together they have created a unique online guide, led by the University of Bristol, to arm people with practical tips combined with the very latest information and evidence to talk reliably about the vaccines, constructively challenge associated myths, and allay fears. With the race on to vaccinate as many people as possible soonest in the wake of a more virulent virus strain, they’re appealing to everyone, from doctors to politicians, teachers to journalists and parents to older generations, to understand the facts, follow the guidance, and spread the word.
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Content Article
Informed consent: what is it?
Julie EIDO Healthcare posted an article in Consent and privacy
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Julie Smith is Content Director for EIDO Healthcare, an organisation that provides health professionals with resources and support around informed consent. In this blog, Julie explains what it means to give your ‘informed consent’ as a patient, and why it is so important to read the information given to you. -
Content ArticleThe Care Quality Commission (CQC) were commissioned by the Department for Health and Social Care to conduct a special review of Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions taken during the COVID-19 pandemic. This interim report sets out the progress of our review so far and our expectations around DNACPR.
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Content ArticleDr. Donna Prosser is joined by Dr John James, a patient safety advocate, and the author of A New, Evidence-Based Estimate of Patient Harms Associated with Hospital Care. The team discusses the meaning of informed consent for clinicians and patients, the steps to a genuine shared decision making dialogue, and the components that should be addressed in the decision making process. Informed consent cannot be separated from the person-centeredness of an organization. While the shared decision making between clinicians and patients and loved ones does require time, attention, and attentiveness to the patient's wishes and goals, it should be a priority for all healthcare organisations.
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Content ArticleThe collapse of healthcare services round the world, the behaviour of some of the “agencies” enforcing quarantining, and high levels of patient harm during the COVID-19 pandemic, undoubtedly warrant a strong response. We need a new agenda for change if we are to address the current threat to patient centred healthcare and patient safety globally. Kawaldip Sehmi, CEO International Alliance of Patient Organizations, summarises the key messages and actions from the 9th biennial Global Patients Congress 2020,
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Content ArticleIn this article Patient Safety Learning responds to a recent news story about an Ambulance Service reviewing their defibrillators after receiving two warnings from Coroners Prevention of Future Deaths reports. It considers the specific circumstances around this and how this case highlights a broader problem of failing to harness learning from these coroners reports for patient safety.
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Content ArticleThis article from Perlin et al. discusses how a 173-hospital system used technology as a strategy to reduce sepsis-related mortality system-wide by real-time dissemination of basic laboratory and clinical data to alert teams to patients exhibiting signs of sepsis risk.
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Content ArticleLeeds Hospital NHS Trust has developed a range of patient leaflets. These leaflets inform patients and relatives about the changes to their care and different processes during the pandemic.
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Content ArticleProviding patients with access to electronic health records (EHRs) may improve quality of care by providing patients with their personal health information, and involving them as key stakeholders in the self-management of their health and disease. With the widespread use of these digital solutions, there is a growing need to evaluate their impact, in order to better understand their risks and benefits, and to inform health policies that are both patient-centred and evidence-based. The main objective of this systematic review from Neves et al. was to assess the impact of these interventions on the six dimensions of quality of care. The findings suggest that providing patients with access to EHRs can improve patient safety and effectiveness
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Content ArticleOn 10 May 2017, the RCP (Royal College of Physicians) hosted ‘Learning from mortality reviews to improve patient safety’ as part of it's Keeping patients safe seminar series. The event discussed how the National Mortality Case Record Review (NMCRR) can improve care and keep patients safe. As well as hearing from the RCP's National Mortality Case Record Review (NMCRR) team about their work and the results of the programme's pilot phase, the seminar was an opportunity to hear about the wide-ranging work the RCP is undertaking to support improvements in patient safety.
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Content ArticleThe Professioan Records Standards Body are a unique collaboration of groups representing those who receive and provide health and social care across the UK, as well as those providing the IT systems that support care. Emma Robertson is the patient lead on the Professional Records Standards Body (PRSB), work to accredit apps and digital health technologies. She speaks to PRSB about why she got involved with the work and the benefits and challenges of using apps to support health and care.
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