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EventuntilThis free webinar from the Patient Safety Movement Foundation in the US takes place at 8.30am PT (4.30pm GMT). Every single person has an essential role in the movement to achieve zero preventable harm and death in medical care. Globally, there are significant legislative efforts to improve the quality of care. Regulatory oversight is important, but actions from patients, family members, and members of the general public will be essential. Panellists will discuss actions each group can take to get involved in policy work. Moderator: Yvonne Gardner, Patient Advocate Panellists: Athar Ali Tajik, MD, MSc, MBA, Associate Director, MSD Beth Daley Ullem, MBA, Governance Expert and Advocate for Safety and Quality in Health Care Ty Moss, Founder, Nile’s Project MRSA, Nilesproject.com This webinar is approved for 1 CE credit. This CE satisfies the requirements for Board Certified Patient Advocates (BCPA). Register for this webinar
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EventThere is no “magic wand” for impacting patient experience in healthcare. Even the best tools and most proven strategies require coordination and commitment across the organization to succeed in delivering a better patient journey. Leading healthcare organizations understand that a great staff culture of service, robust process, and differentiated technology are all equally vital to creating an improved patient experience. Join Burl Stamp, FACHE, a national thought-leader on patient and employee engagement and a frequent author and speaker on contemporary leadership issues in health care, as he explores actionable steps providers can take to create a patient-centric employee culture and ultimately drive better patient experiences. Burl will be joined by healthcare and consumer experience experts from Talkdesk to give you the best practices and insights to make an impact in your organisation. Register
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EventuntilTo truly improve patient experience and patient care, we need to shift our mindset. In conjunction with considering medical milestones or statistics, healthcare organisations need to consider what the impact of the health condition is on the patient’s life and how they experience their illness. For example, if a child suffers from asthma, as well as determining how frequently they are affected and how many times they need medication, it is crucial to ask how it is impacting their ability to play with their friends. Can they still do sport? Is it stopping them from attending school? While there is a general agreement in the medical field that PRO is important, there are challenges from a time and cost perspective to gathering this information and ensuring that it is then converted into a usable format. This upcoming conference will explore how the challenges and opportunities around how the use of patient-reported outcomes can be improved. Register
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Leveraging PFACS for patient safety
Patient Safety Learning posted an event in Community Calendar
There are so many organisations that are doing great work related to Patient and Family Advisory Councils (PFACs) but an astounding number are not and this work is crucial to performance improvement. Meaningful and sustainable incorporation of the patient and family perspective is no longer optional for organisations that strive for high reliability. In this Patient Safety Movement webinar, the panelists will discuss the background of person-centred care, the history of its incorporation in the clinical setting, and the introduction of PFACs, current organisational barriers to implementing and sustaining PFACs, recommendations to nurture involvement in and meaningful use of PFACs, and strategies for participant onboarding into PFACs on the journey towards high reliability. Register -
Eventuntil2020 saw a huge leap in the delivery of virtual health and care, with encouraging lessons for the current crisis and beyond. But has the speed of innovation been at the expense of inclusive people and patient-centred care? In this free online event from the King's Fund, explore what we can learn from the innovations that have accelerated during the pandemic and how we can align patient and user involvement in the development of future virtual health and care solutions. Register
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EventuntilA move to personalised care means people having more control over the care and support they need to improve their own health and wellbeing. Personalised care is based on ‘what matters’ to people, not just what’s the matter with them. This event from the King's Fund will share the latest practice and learning on personalised care, bringing together people with lived experience, the NHS, local government and the voluntary community sector, to discuss what personalisation means in the context of COVID-19. With personalisation core to both social care and the NHS Long Term Plan, join us to explore the progress made in creating a new relationship between people, professionals, and the health and care system. Register
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Content ArticleOur health services face an unprecedented challenge in recovering from the pandemic and coping with ongoing waves of covid. With such demand for healthcare services from the general population and covid cases rising once more, some customers are bound to be angry or unhappy. But, as we recover from the pandemic, our handling of complaints must surely change, writes David Oliver in this BMJ article.
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Content ArticleThis guide developed by the AHSN Network, the University of Plymouth and the pharma company Boehringer Ingelheim sets out four key principles to involve and engage patients and the public in digital health innovation: Engage – map out your strategy and motivations, identify a representative cohort and develop inclusive engagement practices. Acknowledge, value & support – show you value patients’ and the public’s contribution to ongoing and transparent communication, any necessary training and potential financial reimbursement. Communicate – tailored external communication and open feedback channels are crucial to maintaining engagement and accountability by all parties. Trust and transparency – In order to gain patients’ trust, organisations conducting PPIE should be trustworthy and transparent about potential risks.
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Content ArticleThere has been an increase in the use of video group consultations (VGCs) by general practice staff, particularly since the beginning of the Covid-19 pandemic, when in-person care was restricted. This qualitative study in the British Journal of General Practice aimed to examine the factors affecting how VGCs are designed and implemented in general practice. Through semi-structured interviews with practice staff and patients, the authors found that: in the first year of the pandemic, VGCs focused on supporting those with long-term conditions or other shared health and social needs. most patients welcomed clinical and peer input, and the opportunity to access their practice remotely during lockdown. not everyone agreed to engage in group-based care or was able to access IT equipment. significant work was needed for practices to deliver VGCs, such as setting up the digital infrastructure, gaining team buy-in, developing new patient-facing online facilitation roles, managing background operational processes, protecting online confidentiality, and ensuring professional indemnity cover. national training was seen as instrumental in capacity building for VGC implementation.
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Content ArticleIt is important that patients understand the risks, benefits and alternatives associated with their treatment, but there is often a gap in patients' actual understanding of these issues. There is now substantial evidence showing that patient decision aids (PDAs) and shared decision making can bridge the gap between the theory and practice of informed consent. However, in spite of the evidence, PDAs are still rarely used in clinical settings. This article in the journal Maine Law Review looks at how the monetary incentive of a professional liability insurance premium reduction could encourage doctors in the USA to increase the use of PDAs.
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Content ArticleStaying in hospital can be a frightening experience for people with diabetes. In 2017, an estimated 9,600 people required rescue treatment after falling into a coma following a severe hypoglycaemic attack in hospital and 2,200 people suffered from Diabetic Ketoacidosis (DKA) due to under treatment with insulin. This report by Diabetes UK outlines the patient safety issues and suggests the following measures are needed to make hospitals safer for people with diabetes: multidisciplinary diabetes inpatient teams in all hospitals better support in hospitals for people to take ownership of their diabetes better access to systems and technology more support to help hospitals learn from mistakes strong clinical leadership from diabetes inpatient teams knowledgeable healthcare professionals who understand diabetes.
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Content ArticleThis online community has been set up by the Care Quality Commission (CQC) to engage with members of the public on a range of topics related to the CQC's work as regulator of health and social care services in the UK. The site invites people to get involved in different ways, for example: by sharing expertise, experience and thoughts through discussions. by reviewing documents. by taking part in polls and surveys. by contributing to idea boards. When signing up, you can either use your own name or your organisation’s name, and you'll be asked to choose what groups you represent and what sectors you work in or use.
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In this blog Patient Safety Learning considers the safety concerns highlighted by a recent report by the Healthcare Safety Investigation Branch (HSIB) into the administration of high-strength insulin from pen devices in hospitals. This blog argues that without specific and targeted recommendations to improve patient safety in this area, patients will continue to remain at risk from similar incidents. -
Content ArticleThis is the report of the Health and Social Care Select Committee endorsing the appointment of Dr Henrietta Hughes as the first Patient Safety Commissioner for England. The publication of this report follows a formal meeting (oral evidence session) of the Committee which took place Tuesday 5 July 2022.
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Content ArticleThe Framework for Involving Patients in Patient Safety (PSP) identifies the requirement for individual organisations to develop local approaches to recruiting, working with and supporting Patient Safety Partners based on the principles provided. As integrated care systems (ICSs) are established opportunities for recruiting PSPs at ICS level to work across the system are being locally considered at system level. A focus group was held in May 2022 with Patient Safety Specialists from both provider and commissioning organisations to discuss the benefits and risks of recruiting PSPs at both provider and system level. This presentation is intended to support organisations when determining the most appropriate approach for their needs.
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Content ArticleThe government has published a draft Mental Health Bill for pre-legislative scrutiny. The bill aims to modernise the Mental Health Act for the 21st century.
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This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Clive talks to us about the important role of digital technologies in tackling the big issues healthcare faces, the need for digital tools and records to be joined-up and interoperable, and how his experiences as a carer have shaped how he sees patient safety. -
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We’re looking for patients to help raise awareness of the damaging impact that surgical infections can have on people, and guide improvements. Have you ever been in surgery and contracted an infection? Do you want to share your experience anonymously and help create change? Take part in this survey: Experiences of Surgical Infections -
Content ArticleThis survey conducted by the Care Quality Commission (CQC) explored the experiences of people who used community mental health services between September and November 2020. The results show that people are consistently reporting poor experiences of NHS community mental health services, with few positive results. Many people reported that their mental health had deteriorated as a result of changes made to their care and treatment due to the pandemic. Analysis also showed disparities in the experiences of people with different mental health diagnoses, and in the experience of people using different methods to access care, such as telephone consultations. On this webpage you can also access a benchmark report for each NHS trust, which provides detail of the survey methodology, headline results, the trust score for each evaluative question and banding for how a trust score compares with all other trusts.
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Content ArticleThis Healthcare Safety Investigation Branch (HSIB) investigation explores medicines omission among patients with learning disabilities who are cared for in medium and low secure wards in mental health hospitals. A medicine omission is when a patient doesn't receive medicines that have been prescribed to them, and the investigation focused on a number of factors that could contribute to omission: the environment in which medicines administration takes place the availability and use of learning disability nurses in these environments the skills required for nurses to help patients with learning disabilities be involved in choices about their medicines. For it's reference event, the investigation looked at the case of Luke, who was detained in a medium secure ward of a mental health hospital. He spent 21 months on the ward before moving into a low secure ward at the same hospital, where he stayed for a further 11 months. Both wards were specifically designated for patients with learning disabilities. While at the hospital, there were a number of periods when Luke was not given the physical health medication he had been prescribed for his diabetes and high cholesterol. Although Luke’s medication record regularly noted that Luke refused the medication, Luke and his Mother disagreed with this version of events, stating that other factors led to Luke’s medicine omissions.
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Content ArticleUnderstanding health information (health literacy) is essential for taking medications correctly, knowing which health services to use and managing long-term conditions. Around half the population struggles to understand health information, and the most disadvantaged groups in society are most likely to have limited health literacy. Improving health literacy is therefore key to tackling health inequalities and improving health outcomes for everyone. This resource collection from the National Institute for Health and Care Research (NIHR) brings together messages from research highlighted in NIHR Alert summaries. It includes research on the impact of unclear health messages, how we can help people understand health information and which groups of the population may need extra support.
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Content ArticleMental and physical health are closely related, and people who live with long-term physical conditions are twice as likely to have poor mental health as those who do not. The Covid-19 pandemic is likely to have increased this trend. This report looks at the lived experience of people living with long-term conditions, their family members and the healthcare professionals who work with them, to understand the relationships between having a long-term illness and people’s emotional and mental wellbeing. It aims to identify ways of improving people’s experiences and outcomes. The report covers: the impact long-term conditions can have on people, their relationships and jobs. what helps people deal with this impact. what support is already available and works. what needs to change to better emotionally support people living with long-term physical ill-health. This report was coproduced by National Voices and Centre for Mental Health, with support from a range of long-term conditions charities.
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Content ArticleIn this video, Michal Seres, who lives with Crohn's disease, talks about his experience of living with an ostomy bag and how he came to develop his own tools to help manage his treatment. Michael established 11 Health, a company which aims to create a collaborative community of patients, healthcare professionals and researchers to develop digital health solutions for patients with chronic illness. Michael talks about the importance of including patients in developing devices and treatments, and how positive, supportive relationships foster collaboration.
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Content ArticleCheshire and Merseyside Health and Care Partnership has published this consensus document on the interface between primary and secondary care. It aims to ensure healthcare providers ensure access to the right care to give patients the best outcomes. It contains a set of clinically-led principles to ensure pathways have a common structure of good quality, patient-centred communication. It includes a number of guiding principles that encourage staff to ensure: the patient is at the centre of decision making actions taken are completed in a timely way actions are undertaken by the most appropriate individual or team decisions and actions are understood by all.
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This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Claire talks to us about her role as a Patient Safety Lead and why she thinks the new Patient Safety Incident Response Framework will make her work more practical and patient-centred. She also describes why she set up the Patient Safety Management Network and highlights why patient safety roles would benefit from more standardisation across trusts.- Posted
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