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Found 417 results
  1. Content Article
    In this blog, Melanie Ottewill, National Investigator and Senior Investigation Science Educator at HSIB, shares some key messages from a recent seminar delivered by Tracey Herlihey, Head of Patient Safety Incident Response Policy and Lauren Mosley, Head of Patient Safety Implementation at NHS England. The seminar looked at the new Patient Safety Incident Response Framework (PSIRF) published in August 2022. PSIRF fundamentally shifts how the NHS responds to patient safety incidents for learning and improvement, promoting a proportionate approach to responding to patient safety incidents. It focuses on ensuring resources allocated to investigating and learning are balanced with those needed to deliver improvement. Melanie describes the cultural shift needed to implement PSIRF so it really makes a difference, and talks about the important of compassionate engagement.
  2. Content Article
    The US President’s Council of Advisors on Science and Technology (PCAST) consists of individuals from sectors outside of the US Federal Government who advise the President on policy matters where the understanding of science, technology and innovation is key. This is the recording of a live-streamed meeting of PCAST, where invited speakers presented opportunities to advance scientific innovation, including improving patient safety.
  3. Event
    2020 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
  4. Event
    Data 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
  5. Event
    At THIS Space, we welcome researchers, patients, carers, NHS staff and anyone with an interest in the evidence base for improving the quality and safety of healthcare. THIS Space 2020 event will take place entirely online and create an opportunity for people interested in the study of healthcare improvement to gather, connect, and share ideas remotely. THIS Space aims to: provide a focus for knowledge sharing in healthcare improvement stimulate innovation and fresh thinking help researchers to develop the habits, knowledge, skills, and experiences to support their professional growth connect colleagues from across different disciplines who share a common goal be a means of accelerating the development of the field of the study of healthcare. Plenary sessions: Professor Bob Wachter will explore an international perspective on the legacy of COVID-19 in healthcare improvement and research. Professor Ramani Moonesinghe will discuss the impacts of rapid innovations in healthcare. Dr Victoria Brazil will examine the role of simulation in healthcare improvement studies. Registration
  6. Event
    Virimask is a full face mask designed to offer the ultimate protection and maximum comfort against 99.99% of micron-sized particles. Commonly used masks, such as the N95 are limited in continuous use and are not particularly comfortable, or hygienic in longer-term wear. Virimask is designed to last each user a lifetime and uses replaceable HEPA14 filters which block out viral transmission. Unique advantages include the exceptional ventilation and speech clarity, integrated eye protection and varied size range. In this live webinar, the inventor of Virimask, Professor Noam Gavriely, will give a background on Virimask and the challenges faced during the initial phase along with plans for future development. We will highlight the problems with the lack of PPE available during the COVID-19 outbreak and discuss how Virimask can assist our front line workers during the COVID-19 outbreak and any possible future pandemics. The webinar will include customer testimonials and insight to how the world has reacted to the PPE crisis. We will have live discussion and an opportunity for the audience to ask questions in our live Q&A. Registration
  7. Event
    until
    Institute for Healthcare Improvement (IHI) and BMJ International Forum: Copenhagen 2020 virtual event showcasing the latest innovations in quality improvement, hosting discussions on the key issues facing health and care systems, and empowering the healthcare community to move forward stronger and more connected than ever before. The event will explore how we can unite those across our health and care systems to reflect, recover, and reassess priorities in light of the changes brought by COVID-19. It will deliver: 35+ live lectures and interactive workshops 10+ hours of on-demand content, plus 30+ videos covering key improvement projects from across the globe Virtual poster displays and presentations Networking, huddles, and more! View programme Book now
  8. Event
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    COVID-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
  9. Event
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    In 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
  10. Content Article
    Dr Maryanne Mariyaselvam, doctoral researcher in patient safety at Cambridge University, and Dr Peter Young, consultant in anaesthetisa and critical care at Queen Elizabeth NHS Trust, King’s Lynn, on how human factors thinking and design enabled two new patient safety innovations.
  11. 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.
  12. Content Article
    Since the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the number of cases of coronavirus disease (COVID-19) in the United States has exponentially increased. Identifying and monitoring individuals with COVID-19 and individuals who have been exposed to the disease is critical to prevent transmission. Traditional contact tracing mechanisms are not structured on the scale needed to address this pandemic. As businesses reopen, institutions and agencies not traditionally engaged in disease prevention are being tasked with ensuring public safety. Systems to support organisations facing these new challenges are critically needed. Most currently available symptom trackers use a direct-to-consumer approach and use personal identifiers, which raises privacy concerns. Kassaye et al. developed a monitoring and reporting system for COVID-19 to support institutions conducting monitoring activities without compromising privacy.
  13. Content Article
    This 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. 
  14. Content Article
    Journey behind the front lines of the coronavirus pandemic with Northwell Health, New York’s largest health system. What was it like at the epicenter, inside the health system that cared for more COVID-19 patients than any other in the United States? Leading through a pandemic: The inside story of lhumanity, innovation and lessons during the COVID-19 crisis takes readers inside Northwell Health, New York’s largest health system. From the C-suite to the front lines, the book reports on groundwork that positioned Northwell as uniquely prepared for the pandemic.
  15. Content Article
    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.
  16. Content Article
    Peek 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.
  17. Content Article
    Providers deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. Here is a case study from the University Hospitals of North Midlands NHS Trust. It shows: Deployed thermal imaging cameras to identify people with high temperature. Developed effective guidance for staff. Boosted public confidence in safety of hospital.
  18. Content Article
    Providers deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. Here is a case study from the Countess of Chester Hospital NHS Foundation Trust. It shows: Development of a trust wide roster for medical staff. Staff engagement – making the case for patient safety. Cultural shift – shared understanding across staff groups.
  19. Content Article
    Providers deliver: Resilient and resourceful through COVID-19 is the third report from NHS Providers which celebrate and promote the work of NHS trusts and foundation trusts in improving care for patients and service users. This report showcases eight examples of great ideas put into action by trusts through the dedication and ingenuity of staff. One of the main themes in the report is the value of staff empowerment, where trust leaders support ideas and approaches developed within their workforce. Other themes such as innovation and collaboration also emerge. The case studies in this report are a timely reminder of the resilience and resourcefulness that has characterised the response of trusts and their staff to the challenges posed by the pandemic.
  20. Content Article
    When an organisation stops innovating, it is only a matter of time before it fails. But what causes a company to cease coming up with new ideas? Over the last 20 years, Timothy Clark, founder and CEO of LeaderFactor, has studied many failed organisations and one of the things he consistently sees is an almost imperceptible erosion of intellectual bravery. Intellectual bravery is a willingness to disagree, dissent, or challenge the status quo in a setting of social risk in which you could be embarrassed, marginalised, or punished in some way. When intellectual bravery disappears, organisations develop patterns of willful blindness. Bureaucracy buries boldness. Efficiency crushes creativity. From there, the status quo calcifies and stagnation sets in. The responsibility for creating a culture of intellectual bravery lies in leadership. As a leader, you set the tone, create the vibe, and define the prevailing norms. Whether or not your company has a culture of intellectual bravery depends on your ability to establish a pattern of rewarded rather than punished vulnerability. Timothy share two examples in this blog.
  21. Content Article
    Trusts and frontline staff are working flat out to restore those services which were necessarily interrupted to cope with the first peak of the pandemic. NHS Providers' Restoring services: NHS activity tracker highlights detailed examples of the innovations trusts and their staff developing to improve capacity, and respond to unmet demand despite the constraints created by COVID-19, and the need to prepare for additional winter pressures. 
  22. Content Article
    Advances in 3D printing, also called additive manufacturing, are capturing attention in the healthcare field because of their potential to improve treatment for certain medical conditions. A radiologist, for instance, might create an exact replica of a patient’s spine to help plan a surgery; a dentist could scan a broken tooth to make a crown that fits precisely into the patient’s mouth. In both instances, the doctors can use 3D printing to make products that specifically match a patient’s anatomy. The technology is not limited to planning surgeries or producing customised dental restorations such as crowns; 3D printing has enabled the production of customized prosthetic limbs, cranial implants, or orthopedic implants such as hips and knees. At the same time, its potential to change the manufacturing of medical products—particularly high-risk devices such as implants—could affect patient safety, creating new challenges for Food and Drug Administration (FDA) oversight. When 3D printing is used to manufacture a medical product at the point of care, oversight responsibility can become less clear. It is not yet apparent how the agency should adapt its regulatory requirements to ensure that these 3D-printed products are safe and effective for their intended use. The FDA does not directly regulate the practice of medicine, which is overseen primarily by state medical boards. Rather, the agency’s jurisdiction covers medical products. In some clinical scenarios where 3D printing might be used, such as the printing of an anatomical model that is used to plan surgery, or perhaps one day the printing of human tissue for transplantation, the distinction between product and practice is not always easy to discern. This issue brief explains how medical 3D printing is used in health care, how FDA regulates the products that are made, and what regulatory questions the agency faces.
  23. Content Article
    As 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.
  24. Content Article
    The Care Quality Commission (CQC) recognises the enormity of challenges faced by health and care providers in responding to coronavirus (COVID-19). At very short notice, services developed new procedures and ways of working. They looked at how they work with others and how people they care for can stay in touch with family and friends. The CQC asked providers to send examples of changes they made. By sharing examples this may help other providers with the same issues. These are some themes from the examples provided.
  25. Content Article
    The 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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