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Found 1,153 results
  1. Content Article
    This manuscript provides a comprehensive overview of what healthcare worker support models are available in Canada and internationally. It outlines best practice guidelines, tools and resources that policy makers, accreditation bodies, regulators and healthcare leaders can use to assess the support needs of healthcare workers. The Canadian Peer Support Network is intended as a forum for healthcare organisations seeking guidance in the development of their Peer Support Programs to assist providers who have experienced a patient safety incident. These interventions aim to improve the emotional well-being of healthcare workers and allow them to provide the best and safest care to their patients.
  2. Content Article
    This consensus study report (published by the National Academies of Sciences, Engineering, and Medicine), builds upon two ground-breaking reports from the past twenty years, 'To Err Is Human: Building a Safer Health System' and 'Crossing the Quality Chasm: A New Health System for the 21st Century', which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences and contributing factors of clinician burnout. It provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
  3. Content Article
    This resource, published by the AHA Physician Alliance and the American Hospital Association, is a guide for health system leaders developing well-being programmes, focusing on the challenges of burnout due to COVID-19. This resource is in two-parts: COVID-19-specific resources and a guide to walk you through well-being program development and execution. These resources will help leaders build on tools already in place and learn from others who are doing this work.
  4. Content Article
    This news account, published by the International Council of Nurses, highlights the mass trauma that COVID-19 has caused among the world's nurses. It details the percentage of nurses experiencing mental health difficulties across the world as a result of the pandemic.
  5. Content Article
    This project, led by Hertfordshire Partnership NHS Foundation Trust, focused on acute mental health care and dementia care pathways across the Eastern region’s five mental health trusts. It aimed to improve patient safety in mental health care by addressing teamwork and communication issues that can affect the safety and effectiveness of care, and patient experience. Clinical teams were trained in system safety assessment (SSA) and human factors (HF).
  6. Content Article
    People experiencing mental health issues face unique patient safety issues when receiving healthcare. This document helps the reader understand some of the mental health patient safety issues, including suicide and self-harm, violence and aggressive behaviour, restraint use and seclusion and absconding, all of which directly impact patient care. Learning objectives for this downloadable module aims to help the reader understand systems thinking and understand system-engineering approaches to patient safety in mental health.
  7. Content Article
    An original article that explores the significance of both staff physical safety in the workplace as well as their psychological safety and wellbeing. In particular, I highlight the impact the COVID-19 pandemic has had on both these areas, and discuss the importance of ensuring all aspects of staff safety.
  8. Content Article
    This review was undertaken as part of the remit of MBRRACE-UK to ensure that key learning and recommendations for changes to care and services for pregnant women during the second wave of the SARS-CoV-2 infection in the UK are identified in a timely manner in order to implement rapid change. The report’s authors reviewed the care of all pregnant and postnatal women who died with SARS-CoV-2 infection, and women who died and whose care or engagement with care was influenced by changes as a consequence of the pandemic between 1 June 2020 and 1 March this year. Fourteen women died with SARS-CoV-2 infection, ten from COVID-19 and four from other causes, three further women's deaths were influenced by changes as a consequence of the pandemic. The report identifies several themes affecting the care of pregnant and postpartum women in the context of the pandemic and suggests that there needs to be wider awareness of how best to treat pregnant and postnatal women with COVID-19.
  9. Content Article
    Psychological safety (speaking up about ideas and concerns, free from interpersonal risk) is essential in high-risk environments, such as healthcare settings. This study, Enhancing psychological safety in mental health services, considers this issue within the context of mental health services. It provides an overview of the types of strategies and interventions for increasing the ethos of psychological safety and setting the foundations for delivering an organisation-wide programme on this topic. It also lists of key targeted areas in mental health that would maximally benefit from increasing psychological safety, both in clinical and non-clinical settings. Psychological safety as a cornerstone of improvement: blog by Joe Rafferty, Mersey Care Psychological safety and the critical role of leadership development (McKinsey and Company) The role of psychological safety in diversity and inclusion (Amy Edmondson) Three ways to create psychological safety in healthcare (Institute for Healthcare Improvement)
  10. Content Article
    This report presents findings from the Out of Area Placements in Mental Health Services March 2021 collection.
  11. Content Article
    This article from the Transforming Maternity Care Collaborative discusses midwifery a public health strategy, highlighting midwives in continuity of care models, evidence on midwifery public health interventions, and how the COVID-19 pandemic has shown the importance of investing in public health care to meet population health needs.
  12. Content Article
    The COVID-19 pandemic has imposed extraordinary strains on healthcare workers. But, in contrast with acute settings, relatively little attention has been given to those who work in mental health settings. Liberati et al. aimed to characterise the experiences of those working in English NHS secondary mental health services during the first wave of the pandemic.
  13. Content Article
    It will take years to unpack how badly the pandemic damaged our collective mental health. But what we know now is no one is immune. Healthcare providers, grocery store workers, executives, stay-at-home parents, food service workers: We’re all suffering in some way. In 2019, 10.8% of adults in the United States reported symptoms of anxiety or depression. By December 2020, that number had skyrocketed to 42.4%. Regina Hoffman, Director of Patient Safety Authority, talks about the importance of self-care and gives her top three tips.
  14. Content Article
    Back in February, the team at Patient Safety Learning highlighted how the number of antipsychotic medication prescriptions for people living with dementia had increased in care settings.  What’s worrying, is these prescriptions can be administered inappropriately and cause tremendous harm. This is one family's pandemic story. 
  15. Content Article
    This article published in BMJ Open aimed to explore the experiences of service users, carers and staff seeking or providing secondary mental health services during the Covid-19 pandemic. The authors found that patient and carer experiences of remote care were mixed. Some service users valued the convenience of remote methods as it allowed them to maintain contact with familiar clinicians, but most participants commented that a lack of non-verbal cues and the loss of a therapeutic ‘safe space’ challenged therapeutic relationship building, assessments and identification of deteriorating mental well-being. The study highlights the importance of taking a tailored, personal approach to decision making in this area, and the authors state that future research should focus on which types of consultations best suit face-to-face interaction, and for whom and why.
  16. Content Article
    This report describes the findings of the Care Quality Commission (CQC) review of children and young people’s mental health services. The report focuses on three main aspects of the mental health system for children and young people: People’s experience of and involvement in care How partners plan and deliver services that offer high quality care that can be accessed in a timely fashion How partners in the local area identify mental health needs and what they do to start the process of getting the right support for children and young people The CQC spoke with staff working across different parts of the system, children, young people, parents, families and carers. They also reviewed policies and procedures, and used ‘case-tracking’ to examine in detail how individual children and young people with mental health problems moved through the system.
  17. Content Article
    This study in Social Science & Medicine looked at access to mental healthcare services in the UK during the Covid-19 pandemic. It examined changes to the idea of candidacy, a concept used to describe people's perceptions about their eligibility and entitlement to care. The authors found that the pandemic had a significant effect on patients' ideas about their candidacy, and state that their findings affirm the value of the candidacy framework for mental health contexts.
  18. Content Article
    How often do we visit our doctor for guidance on our health, however, who asks after the doctor's health? When faced with life or death situations on a daily basis, that demands scrupulous attention to detail, across unsocial shift patterns; the option of ‘normal’ life seems unimaginable. In the last decade alone we have seen a rise in mental health issues for those working in healthcare. A recent study by the British Medical Association identified that almost 80% of all doctors are at high risk of burnout. An issue that used to arrive at the maturity of one's career, is now common in its nascency and is equating to growing rates of suicide. With a growing crisis around a serious issue, there is an urgent need to tackle the cultural taboos, training and opinions that are associated with mental health in our industry. 'You ok doc' is committed to not only supporting doctors' mental health through services like 'The Huddle', but also empowering doctors' wellbeing through bespoke mental and emotional health aids.
  19. Content Article
    Clinician burnout in healthcare is a growing area of concern, especially as the COVID-19 pandemic stretches on. Research from the U.S. Department of Veterans Affairs and Regenstrief Institute looked at ways organisations can address burnout.
  20. Content Article
    This policy paper from the Department of Health and Social Care (DHSC) details the government's vision for the Women’s Health Strategy for England, informed by the call for evidence. The call for evidence published in spring 2021 received nearly 100,000 responses from women across the country, and over 400 written responses from organisations and experts working in the health sector and beyond. The consultation response demonstrated that the system and the values that drive it need extensive reform to make women's health provision in England safer and more effective.
  21. Content Article
    The COVID-19 pandemic continues to be a source of stress and have important mental health implications for all persons but may have unique implications for men. In addition to the risk of contracting and dying from COVID-19, the rising COVID-19 death toll, ongoing economic uncertainty, loneliness from social distancing, and other changes to our lifestyles make up the perfect recipe for a decline in mental health. In June 2020, men reported slightly lower rates of anxiety than women, but had higher rates of depressive symptoms and suicidal ideation. As of September 2020, men sought mental health care at a higher rate than women for family and relationships, with year-over-year visits up 5.5 times and total virtual mental health care visits monthly growth in 2020 was up 79% since January. Because men are not a homogeneous group, it is important to implement strategies for groups of men that may have particularly unique needs. In this paper, Ellison et al. discuss considerations for intervening in men’s mental health during and in response to the COVID-19 pandemic, including current technology-based cyberpsychology options.
  22. Content Article
    In an article for the Patient Safety Journal, Cassandra Alexander, a nurse, shares what it is like on the front lines and the toll it has taken on her mental health—a deeply personal and painful story, yet a traumatic experience shared by many nurses around the United States.
  23. Content Article
    The Health and Social Care Committee calls for urgent action to prevent mental health services slipping backwards as a result of additional demand created by the pandemic and the scale of unmet need prior to it.
  24. Content Article
    A doctor describes why they left clinical practice for the sake of their mental health and how healthcare organisations can create more supportive environments.
  25. Content Article
    Benjamin Lee Stroud died on the 19 March 2021 at home. He lived alone but had a partner who saw him regularly. He had a previous medical history of recreational drugs, including steroids and cannabis; he was recently diagnosed as insulin dependent diabetic and had undergone a kidney transplant. He fell and injured his back at work, and developed a dependence on pain medication, some of which were purchased on the internet. His mental health issues increased as a result of his psychical health problems. A post mortem was undertaken and the cause of death was multiple drug toxicity.
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