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Found 1,331 results
  1. Content Article
    In this joint blog, Patient Safety Learning and Sling the Mesh highlight several issues with the specialist mesh centres set up by the NHS to provide treatment and surgery for women who have been harmed by mesh. We identify key patient safety issues and look at what needs to be done to ensure women receive timely, compassionate and appropriate treatment for complications they face as a result of mesh implants.
  2. Content Article
    This leaflet produced by Group B Strep Support and the Royal College of Obstetrics and Gynaecology provides information about group B Strep (GBS) aimed particularly at pregnant women. It includes; an explanation of what group B Strep is. what GBS could mean for a baby. how to reduce the risk of GBS infection to a baby. a list of the signs of GBS infection in newborn babies.
  3. Content Article
    This leaflet produced by the Irish Health Services Executive (HSE) provides a central place for patients to record information about their medications. It acts as a reference point for patients to use when discussing their medications with a healthcare professional and includes a reminder of the Know, Check, Ask campaign, aimed at reducing medication errors in the community.
  4. Content Article
    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. Soojin talks to us about how her personal experience of harm motivated her to work in healthcare and campaign for patient safety, the power of collaboration in improving healthcare safety and how healthcare workers can take steps to improve their own patient interactions.
  5. Content Article
    Louise Greenwood is joined by:  Sarah Kay, GP Clinical Lead for Patient Safety at NHS Dorset Jaydee Swarbrick, Patient Safety Specialist at NHS Dorset to discuss the importance of patient safety at this time of significant pressure across the NHS. Patient safety is about maximising the things that go right and minimising the things that go wrong. It is integral to the NHS’ definition of quality in healthcare, alongside effectiveness and patient experience.
  6. Content Article
    Online patient feedback is becoming increasingly prevalent on an international scale. However, limited research has explored how healthcare organisations implement such feedback. This research from Baines et al. sought to explore how an acute hospital, recently placed into ‘special measures’ by a regulatory body implemented online feedback to support its improvement journey.
  7. Content Article
    People increasingly provide feedback about healthcare services online. These practices have been lauded for enhancing patient power, choice and control, encouraging greater transparency and accountability, and contributing to healthcare service improvement. Online feedback has also been critiqued for being unrepresentative, spreading inaccurate information, undermining care relations, and jeopardising professional autonomy. Through a thematic analysis of 37 qualitative interviews, this paper explores the relationship between online feedback and care improvement as articulated by healthcare service users (patients and family members) who provided feedback across different online platforms and social media in the UK.
  8. Content Article
    Charlie Jones and Martin Seager outline ways in which healthcare staff can be more open to spontaneity and connection, and explain why it matters.
  9. Content Article
    Decision support tools, also called patient decision aids, support shared decision making by making treatment, care and support options explicit. They provide evidence-based information about the associated benefits/harms and help patients to consider what matters most to them in relation to the possible outcomes, including doing nothing. NHS England has just published a suite of eight decision support tools that will help people with their healthcare professionals in clinical consultations, about their treatment choices for their condition through shared decision making. NHS England has worked with patients, patient charities health professionals and research teams over several months to develop the tools in line with NICE guidance on shared decision making standards.
  10. Content Article
    With the number of outpatient hospital appointments in England recently as high as 125 million per year and a huge elective care backlog following the Covid-19 pandemic, patient-initiated follow-up on outpatient appointments has been touted as a potential solution in appropriate cases. But can it free up much-needed capacity while maintaining quality of patient experience and outcomes? As the NHS begins to expand its use of the approach, the NIHR RSET research team has conducted a first review of the available evidence.
  11. Content Article
    In this blog, Grace Annan-Callcott, Programme Adviser at the Understanding Patient Data programme (UPD) outlines the findings of a new report on the impact of including information about patient data in health charities' guidance. The report investigates whether adding small explanations about the role of patient data in developing health guidance affects people’s: perception of the information or advice general awareness or understanding of how patient data can be used. Working with a group of charities including Asthma + Lung UK, Best Beginnings, Cystic Fibrosis Trust, MS Trust, Stroke Association, National Autistic Society, British Heart Foundation and the Patient Information Forum (PIF), UPD set up a community of practice to research the impact of patient data in health guidance.
  12. Content Article
    Restorative justice brings those harmed by crime or conflict and those responsible for causing their harm into contact with each other. In healthcare, this can involve bringing together patients and families of patients who have suffered avoidable harm, and the healthcare professionals who may be responsible for this harm. The aim is to enable everyone affected by an incident to play a part in helping to set right the hurt or injury caused, and hopefully find a positive way forward. This blog outlines the content of a lecture given to staff at the Healthcare Safety Investigation Branch (HSIB) by Jo Wailling, Senior Research Fellow at Te Herenga Waka - Victoria University of Wellington, New Zealand, who is a globally-renowned expert in restorative practice and justice in healthcare. It covers Jo's experience of co-designing and evaluating New Zealand's innovative restorative response to surgical mesh harm, practical examples for patient safety investigations and how HSIB is going to integrate restorative justice principles in its future investigations.
  13. Content Article
    M R Rajagopal (known to all as Raj) is an internationally renowned Indian anaesthetist and palliative care physician who is one of the founders of a system of palliative care in Kerala that is admired the world over. The Lancet Commission on the Value of Death said that societies everywhere could learn from the Kerala innovation, which is a system led by the community with health professionals as supporters rather than leaders. Raj has now published his readable, insightful—and at times funny—autobiography, Walk with the Weary: Lessons in humanity in healthcare, which is both a severe critique of modern healthcare and a prescription for transformation and highlighted by Richard Smith in this BMJ article.
  14. Content Article
    In this episode of the Driving Insights to Action podcast, patient safety advocates Soojin Jun and Sue Sheridan talk about the role of the World Health Organization's Global Patient Safety Action Plan in helping reduce medication errors in healthcare. They also share their personal experiences of family members' deaths as a result of avoidable harm in healthcare.
  15. Content Article
    In this interview Keith Strahan, Clinical Informatics Lead of the Social Care Programme at NHS Digital, explains why 'About me’ information in records is so important. He describes the process of developing the About Me Standard, published by the Professional Records Standards Body (PRSB), alongside family members of people with disabilities and communication difficulties.
  16. Content Article
    Patient choice has been a feature of the NHS in England for the last two decades, but patients' knowledge about what choices they have in accessing their NHS healthcare is variable. This report by the Patients Association and the Independent Healthcare Providers Network (IHPN) looks at the role patient choice can play in tackling the elective care backlog. The report found that: there are significant variations in waiting times across the country. patients do not need to travel long distances to access care more quickly. On average, a patient would need to travel just 13.2 miles to go from one of the worst performing providers to one of the top performers. the potential for reducing waiting times by accessing care through an alternative provider was backed up by both polling and focus group work, which found the public is enthusiastic about patient choice. people's awareness of their rights around where they receive their NHS treatment is low, suggesting the Government and NHS England need to do more to promote choice and make it easier for patients to understand the options available to them.
  17. Content Article
    Disabled people's voices need to be valued and prioritised in the planning and delivery of health and care services. This long read sets out the findings of research carried out by The King's Fund and Disability Rights UK into how disabled people are currently involved in health and care system design, and what good might look like.
  18. Content Article
    In this blog, Lotty Tizzard, Patient Safety Learning’s Content and Engagement Manager, looks at the safety issues faced by people with diabetes in hospital settings. Reflecting on feedback from Twitter users with diabetes, she looks at why so many people with diabetes fear having to stay in hospital, and asks what the NHS and its staff can do to make it a safer, less stressful environment.
  19. Content Article
    This guide from The Patient Revolution aims to help healthcare activists contribute to an international movement for care. It summarises the foundations of The Patient Revolution's collective work towards the goal of careful and kind care for all. Underpinning these foundations is the idea that industrialised healthcare undermines compassionate, individualised care and costs more, both in terms of patient safety and financial cost. The guide provides tools and principles to help activists transform the way care is offered and promote genuine patient-healthcare collaboration.
  20. Content Article
    In this blog, Chris Day, Director of Engagement at the Care Quality Commission (CQC) sets out more detail on the CQC’s role in the assessment of Integrated Care Systems (ICSs). He highlights the importance of developing regulation that earns the trust of both people using services and those working in them. He outlines how the CQC will use its new responsibilities under the Health and Care Act 2022 to assess the extent to which each ICS understands the needs of its local population and whether it is working effectively in collaboration, with valued input from all health and care partners.
  21. Content Article
    Fracture liaison services (FLSs) check if people who have recently broken a bone after falling from a standing height or less (a fragility fracture) might also have osteoporosis – a disease that weakens bones. They then advise on treatments to reduce the risk of another fracture, helping to improve patient outcomes. The Royal College of Physicians (RCP) estimates that at least 90,000 patients in England and Wales who should have anti-osteoporosis therapy are not receiving it. This guide by the RCP's Fracture Liaison Service Database (FLS-DB) aims to help patients and their families and carers understand what to expect following a fragility fracture. It outlines three key findings and the actions that individuals can take to ensure they receive the care and treatment they need from health services.
  22. Content Article
    This guidance is for Integrated Care Boards, NHS trusts, foundation trusts and NHS England. It supports effectively partnership working with people and communities to improve services and meet the public involvement legal duties.
  23. Content Article
    The Patient-Centered Outcomes Research Institute (PCORI) is an independent, non-profit research organisation that seeks to empower patients and others with actionable information about their health and healthcare choices. It funds comparative clinical effectiveness research (CER), which compares two or more medical treatments, services, or health practices to help patients and other stakeholders make better informed decisions. The PCORI Strategic Plan provides a roadmap for its activities in the years ahead as they pursue their vision and mission. Developed with extensive stakeholder input, the Plan articulates a refined focus on generating patient-centered evidence that has the greatest positive impact on health outcomes.
  24. Content Article
    Patient safety remains a global challenge for society today; in high income countries, it is estimated that one patient in ten is subject to adverse events while receiving hospital care. This article by Laís Junqueira, Quality, Patient Safety and Innovation Manager at Elsevier, in The Journal of mHealth looks at how enabling safer healthcare decision-making could reduce the burden of avoidable harm. Junqueira highlights the need to recognise that non-analytic and implicit decisions occur in healthcare systems, and that these have an impact on patient safety. He argues that as healthcare systems evolve, there must be an increased focus on the importance of an environment that fosters safe decision-making.
  25. Content Article
    West Suffolk is first of a small number of trusts in England that are part of a pilot programme recently launched by NHS Improvement and NHS England called the Patient Safety Incident Response Framework (PSIRF). A national initiative, it is designed to further improve the quality and safety of the care we provide through learning from patient safety incidents. PSIRF outlines how providers should respond to patient safety incidents, and how and when an investigation should be carried out. It includes the requirement for the publication of a local Patient Safety Incident Response Plan (PSIRP), which sets out how trusts will continually improve the quality and safety of the care they provide, as well as the experience which patients, families and carers have when using our services. Find out more about what West Suffolk NHS Foundation Trust are doing.
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