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Found 1,341 results
  1. Content Article
    At the second annual Patient Safety Learning conference we interviewed Linda Kenward. Linda is Principal Lecturer in Nursing at the University of Cumbria. In this interview, Linda discusses why patient safety is important to her and why patients need to be engaged in patient safety. We asked her what practical steps she is taking to enable a patient-safe future and her 'take home' message for people wanting to engage patients in patient safety.
  2. Content Article
    Going to an appointment with your doctor can be a daunting experience. You may have a million questions to ask, but as soon as you get into the room they are forgotten or you feel you are unable to ask them. This blog, written by Bonnie Friedman and published by Fit for Joy, describes techniques you could use to enable your voice to be heard at consultations.
  3. Content Article
    This ‘Erice Call for Change’ is a report from a group of experts, patients and patient representatives who met in Erice in September 2019 following previous similar meetings after the original Erice Declaration (1996). The aim of the meeting was to discuss the challenge of causal complexity and individual variation in modern healthcare. The group’s concern was the impact that new clinical decision-making tools, based on statistical correlations in large databases, could have on individual patient care if they replace other types of clinical investigation and knowledge. The group calls for a change in the approach to the care of the individual patient, and indicates some specific challenges to overcome for such changes to happen.
  4. Content Article
    In this blog, published by In Health Associates, David Gilbert discusses some of the frustrations that he has with NHS Trusts who say they want patient involvement but pay lip service or who decline offers of help. This blog invites you to comment, to discuss and debate this issue. David Gilbert is a patient director at Sussex MSK Partnership. This is a new and pioneering role in the NHS. David has strategic leadership of how the Partnership relates with patients, carers and the communities they serve, including: learning from what people think of our services (patient experience) patients as partners in care decisions (Information, choice and shared-decision making) helping people look after themselves and care for their own condition (supported self-management) patients as partners for change (patient and public engagement; patient leadership).
  5. Content Article
    There is an increasing amount of evidence that co-producing change and improvement in health care leads to new approaches that are more likely to succeed and be sustained.  This blog, by the US-based Institute for Healthcare Improvement, asks: 'As health care systems grapple with planning for an uncertain future during the COVID-19 pandemic, how do we ensure that people with lived experience are real partners in what comes next?'
  6. Content Article
    Oligoanalgesia is defined as failure to provide analgesia in patients with acute pain. More than 60% of patients seen in the emergency department (ED) have pain as their primary symptom; however, multiple studies have shown that olioganalegesia continues to be a major problem in the ED. A blog published on the US King's County Emergency Department website explores why this is and how we can improve.
  7. Content Article
    Providing 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 objective of this paper, published by BMJ Quality & Safety, was to evaluate the impact of sharing electronic health records (EHRs) with patients and map it across six domains of quality of care: patient-centredness effectiveness efficiency timeliness equity safety.
  8. Content Article
    To deliver a new normal that serves patients we must grab this opportunity to bake patient involvement into new structures, processes and cultures within the NHS, writes Rachel Power, Chief Executive at the Patients Association, in this HSJ article. In responding at scale and pace to coronavirus – discharging patients, cancelling operations, changing how patients access services – the NHS avoided becoming overwhelmed. However, changes were delivered without allowing the patients affected a say. Given the emergency, that was probably necessary and people were largely supportive. But as the NHS looks ahead to what the “new normal” might be, if its recent experience has given it a taste for bold, clinically led change, then the NHS needs to think again.
  9. Content Article
    This study, published in Health Services and Delivery Research, found the patient experience feedback cycle was rarely completed, and despite diverse approaches to gathering feedback in inpatient settings, approaches to analysing and using this information remain underdeveloped.
  10. Content Article
     In this commentary published in the Journal of Patient Safety and Risk Management, Gurses et al. describe how human factors and ergonomics (HFE) can contribute to the COVID-19 pandemic response. Specifically, the authors provide an example of how HFE methodologies informed workflow redesigns implemented as part of COVID-19 pandemic preparations in an academic paediatric ambulatory clinic. They identify key mechanisms and areas where HFE can contribute to and improve the effectiveness of a pandemic response: Just-in-time (JIT) training development, adapting workflows and processes, restructuring teams and tasks, developing effective mechanisms and tools for communication, engaging patient and families to follow the recommended practices (e.g., social distancing, revised hospital visitation policies), identifying and mitigating barriers to implementation of plans, and learning from failures and successes to improve both the current and future pandemic responses.
  11. Content Article
    Healthcare Improvement Scotland is currently working with the Scottish Government to develop COVID-19 specific Anticipatory Care Planning (ACP) templates and guidance. ACP is a person-centred approach to help people to plan for their future. The essence of ACP is to encourage individuals to think ahead to help ensure that in the event of a change in their health or care needs, including loss of capacity, the right thing is done at the right time by the right person with the right outcome. ACP can benefit many individuals, from those with early onset of long-term conditions to people with chronic and complex illnesses, to plan ahead for care needs. ACP can be beneficial to individuals towards the end of their life, however the process can be more effective if started earlier in their journey. The link below takes you to an online resource that is designed to be used in conjunction with practitioner judgement, and is not for sole use by individuals and their families without guidance. 
  12. Content Article
    Simon Whitely in this video responds to some of the comments received on his last video, where he talk about a high-level HCS Model of the Healthcare System and how interactions with the general public are key for patient safety. He also talks about the challenges between managing safety and the potential impacts upon the overall economy.
  13. Content Article
    Rates of induction of labour have been increasing globally to up to one in three pregnancies in many high-income countries. Although guidelines around induction, and strength of the underlying evidence, vary considerably by indication, shared decision-making is increasingly recognised as key. The aim of this study, published in Women and birth, was to identify women’s mode of birth preferences and experiences of shared decision-making for induction of labour.
  14. Content Article
    Change is at the heart of quality improvement in healthcare. As the needs of populations continually fluctuate, healthcare must evolve to reflect and serve those needs. The overarching theme of the 2018 ISQua conference, hosted in Kuala Lumpur, was ‘Heads, hearts and hands weaving the fabric of quality and safety’, which led many speakers to examine change in quality and safety improvement through the lens of these three central elements. Collectively, the conference presentations formed a picture of the global landscape of quality and safety in healthcare and offered many valuable examples of innovation that can facilitate sustainable change. Identifying areas for transformation and implementing change can be relatively straightforward, but lasting change is much more challenging to realise. This topic was widely discussed, with many speakers sharing their experiences and learning on embedding lasting change through organisational culture. It is evident that investing time and resources to engage those on the frontline of healthcare delivery can have a huge impact on quality improvement. 
  15. Content Article
    Health systems throughout the world are now more focused on creating a more patient-centred approach to healthcare, ensuring the voice of the patient is heard through every level of the system. This focus on the patient is driven by a desire to improve quality of care as the two are inevitably linked.  However, some countries are struggling to change systems which take a traditional approach based on a patient’s clinical presentation of signs and symptoms, followed with a management plan and medical treatment.  This report highlights many ways in which we can give patients more say in the decisions about their treatment and care. It draws on keynote presentations and seminars from ISQua 2017 – a world-leading conference on quality improvement. 
  16. Content Article
    This one-hour webinar considers the redesign of the patients journey and experience. Using theories that rethink the relationship between provider and ‘customer or client’, it explores co-producing better care relevant to any speciality, environment or healthcare system. This will include some practical examples learners can adapt to their own situation. By the end of the session learners will be familiar with a framework that can enable teams to work with patients to build safer, more effective and efficient care that is focused on what matters to patients and families as well as excellent performance from the team.
  17. Content Article
    Strengthening a safety culture necessitates interventions that simultaneously enable, enact and elaborate in a way that is attuned to the existing culture. Through a literature review of more than 60 resources, a Patient Safety Culture Bundle has been created and validated through interviews with Canadian thought leaders. The Bundle is based on a set of evidence-based practices that must all be applied in order to deliver good care. All components are required to improve the patient safety culture. The Patient Safety Culture "Bundle" for CEOs and Senior Leaders encompasses key concepts of safety science, implementation science, just culture, psychological safety, staff safety/health, patient and family engagement, disruptive behavior, high reliability/resilience, patient safety measurement, frontline leadership, physician leadership, staff engagement, teamwork/communication, and industry-wide standardisation/alignment.
  18. Content Article
    Patient Safety Right Now, the Canadian Patient Safety Institute’s (CPSI) 2018-2023 strategy defines a vision that “Canada has the safest healthcare in the world.” CPSI’s mission is: “to inspire and advance a culture committed to sustained improvement for safer healthcare.” CPSI develops system-wide strategies to ensure safe healthcare in two ways: by demonstrating what works to improve safe care in Canada, and by strengthening commitment to patient safety priorities among all healthcare stakeholders. It has, however, become clear that not only are more robust commitments required to advance patient safety in Canada, but health systems need additional evidence and support to complete end-to-end patient safety improvements and to measure and sustain results. To this end, CPSI drafted the Strengthening Commitment for Improvement Together: A Policy Framework for Patient Safety to stimulate conversation and action on the following policy levers: legislation, regulations, standards, organizational policies and public engagement.
  19. Content Article
    This publication presents UK-focused analysis of The Commonwealth Fund’s 2019 International Health Policy Survey of Primary Care Doctors in 11 Countries. This includes responses to several UK-specific questions funded by the Health Foundation. The Health Foundation present their analysis of the data, including comparisons with the 2015 survey where possible, under three main themes: how GPs view their job what care GPs are providing and how it is changing how GPs work with other professionals and services.
  20. Content Article
    Patient and family advisory councils (PFAC) are groups of patients, family members, community members, and hospital staff who work together to bring the unique perspectives of patients and families to a hospital’s operations, especially its efforts to improve care. According to one estimate, more than 2,000 hospitals in the United States have PFACs. They are also slowly becoming more common in outpatient settings. Massachusetts is the only state that mandates all hospitals (acute care, rehabilitation, and long-term acute care) to have a PFAC. Five years on, this is a review of how the mandate came about, how the implementation process has gone, what PFACs in Massachusetts are doing now and what other states, healthcare organisations and consumer advocacy groups can learn from the Massachusetts experience.
  21. Content Article
    This study covers the world outlook for patient engagement solutions across more than 190 countries. For each year reported, estimates are given for the latent demand, or potential industry earnings (P.I.E.), for the country in question (in millions of U.S. dollars), the percent share the country is of the region, and of the globe. These comparative benchmarks allow the reader to quickly gauge a country vis-à-vis others. 
  22. Content Article
    In this book, you’ll learn the definitions behind the 4-point process of patient activation. It will also share how leading health care organisations and other clients have successfully used the model in a wide range of different initiatives. Along the way, you will gain specific techniques for applying patient activation in your own efforts. In this book, patient activation will refer to a fully integrated system to move from awareness to action.
  23. Content Article
    Patient Engagement for the Life Sciences is a practical handbook for anyone striving to incorporate patient value in the delivery of medicines from research and development into a practical healthcare setting. This book provides a tangible framework of how this can be achieved with and for patients. Any profits generated from book sales will be donated to International Health Partners UK, Europe's largest coordinator of donated medicines, to support patients around the world.
  24. Content Article
    Positive Psychology studies how people are able to perform extraordinarily well in challenging situations. After a dozen years of research in prestigious medical centres, an evidence-based method for applying this science has been developed. That six step program is PROPEL.
  25. Content Article
    Professor Anne-Sophie Darlington speaks to ecancer at the 2019 EORTC Groups Annual Meeting (EGAM) about the importance of including the patient's experiences and voice during clinical trial assessments. Professor Darlington details the use of questionnaires to measure these patient parameters and how these must be carefully developed to allow flexibility to withstand the evolving environment of clinical trial research. 
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