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Found 441 results
  1. News Article
    The national patient safety watchdog has launched an investigation into the “significant patient harm” caused by ambulances being forced to wait with patients outside of A&E. The Health and Safety Investigation Branch (HSIB) has confirmed it intends to launch an investigation after it received several alerts expressing concerns over the issue of ambulance delays this year. The investigation comes after The Independent revealed 160,000 patients had either died or come to harm as a result of delayed ambulance response times during 2020-21, which were being driven by delays in param
  2. Content Article
    In Spring 2021, I was due to meet a senior NHS official, along with a group of pelvic mesh campaigners, to ask for consistent training of all surgeons performing mesh removal procedures. That meeting was cancelled, and I’m calling for it to be reinstated, and fast. We desperately need action to sort out the inadequate, piecemeal approach the NHS has taken to redress the harm caused by surgical mesh. I manage a Facebook support group of over 9,200 women, most of whom are still living with debilitating pain and side effects caused by pelvic mesh. Each experience tells of harm added to
  3. News Article
    Changes must be made across services at one of England's biggest NHS trusts following its first wide-ranging inspection, a health watchdog said. Mid and South Essex NHS Foundation Trust - which runs Basildon, Southend and Broomfield hospitals - has been rated as "requires improvement". The Care Quality Commission (CQC) turned up unannounced after concerns over standards were raised. Philippa Styles, the CQC's head of hospital inspection, said they "found a mixed picture" of positive improvements and areas of concern. "Following the trust's formation in 2020, leaders should
  4. Content Article
    When a new or under-recognised patient safety issue is reported through the NHS national reporting system or other sources, NHS England works with frontline staff, patients, professional bodies and partner organisations to determine a course of action. If necessary, they will issue a National Patient Safety Alert that sets out actions healthcare organisations must take to reduce the safety risk to patients.
  5. News Article
    It was 4am on a Sunday in San Antonio, US, when Dana Jones heard an ominous sound, barely audible over the whirring of box fans, like someone struggling to breathe. She ran down the hall and found her daughter Kyra, age 12, lying on her back, gasping for air. Terrified, she called 911. A police officer, the first to arrive, dashed into Kyra’s bedroom, threw the slender girl over his shoulder and laid her on a leather sofa in the living room. He asked her mother, an oral surgery technician, to give her CPR. Kyra’s lips were ice-cold. An ambulance whisked the girl to Methodist Children
  6. Content Article
    The prevention of surgical fires (one that occurs in, on, or around a patient undergoing a surgical procedure) is an internationally recognised patient safety issue. Although rare, these incidents can cause serious harm to both patients and healthcare professionals and, in some cases, result in life-changing injuries. How frequently do surgical fires occur in the NHS? The Short Life Working Group for the prevention of surgical fires looked at this issue in their report published last year, A case for the prevention and management of surgical fires in the UK.[1] They found that: fr
  7. Content Article
    The data included in the review identified that 10% of patients experience a PSI in prehospital care. The review also provides more detailed insights into the prevalence of PSIs and associated harm in prehospital care, and the authors argue that this evidence justifies giving the same level of attention to patient safety in prehospital care as is given to secondary care. They also state that the review gives direction as to how to advance methods for identifying PSIs and harm in prehospital care.
  8. Content Article
    Policy Points: Healthcare complaints contain valuable data on quality and safety; however, there is no reliable method of analysis to unlock their potential. The authors demonstrate a method to analyse healthcare complaints that provides reliable insights on hot spots (where harm and near misses occur) and blind spots (before admissions, after discharge, systemic and low-level problems, and errors of omission). Systematic analysis of healthcare complaints can improve quality and safety by providing patient-centred insights that localise issues and shed light on difficult-to
  9. Content Article
    On 22 September 2021 the Health and Social Care Select Committee launched a new inquiry examining the case for reform of NHS litigation, identifying concerns regarding a significant increase in clinical negligence costs and missed opportunities for learning to improve patient safety. The Committee stated that the existing system was “failing to meet its objectives for both families and the healthcare system”.[1] Here we will provide an overview of our response to this Inquiry, which focused on four key areas: Learning from avoidable harm in healthcare Improving redress for p
  10. News Article
    A focus on “reputation management” was a factor in how an acute trust failed to properly investigate serious safety concerns in a dysfunctional department where consultants were “divided along ethnic lines”. An external review into the urology services at University Hospitals of Morecambe Bay Foundation Trust has identified 520 cases where patients suffered “actual or potential harm”, including several cases where patients died. The review, commissioned by NHS England, has found there were “multiple individual, team, organisational, and regulatory shortfalls which have resulted in a
  11. News Article
    Wales' Health Minister has rejected a suggestion that the NHS is “harming patients” due to the severe levels of pressure on its services. Eluned Morgan MS acknowledged that the speed at which patients were receiving treatment was being impacted but said she would “not accept for a moment” that the NHS was harming its patients. ITV Cymru Wales has spoken to a number of NHS staff and health sector bodies and heard concerns over the sustainability of the health service in its present form. Ms Morgan said: “I don’t think the NHS is harming patients, no. “I think our ability to
  12. News Article
    Researchers are to use artificial intelligence (AI) in the hope of reducing risk to pregnant black women. Loughborough University experts are to work with the Healthcare Safety Investigation Branch (HSIB) to identify patterns in its recent investigations. Research has suggested black women are more than four times more likely to die in pregnancy or childbirth than white women in the UK. The researchers plan to look at more than 600 of HSIB's recent investigations into adverse outcomes during pregnancy and birth. The research team will develop a machine learning system capab
  13. Community Post
    What is your experience of having a hysterscopy? We would like to hear - good or bad so that we can help campaign for safer, harm free care. You can read Patient Safety Learning's blog about improving hysteroscopy safety here. You'll need to be a hub member to comment below, it's quick and easy to do. You can sign up here.
  14. Content Article
    The guidance covers the following areas: Part 1: Raising a concern Duty to raise concerns Overcoming obstacles to reporting Steps to raise a concern Part 2: Acting on a concern Investigating concerns Help and advice
  15. News Article
    Ambulance handover delays could harm 160,000 patients a year, 12,000 of them severely, according to a structured clinical review of cases by service bosses earlier this year. The Association of Ambulance Chief Executives examined a sample of 470 cases where handover to A&E was delayed for an hour or more on 4 January this year. The review, whose findings were shared with HSJ, involved every mainland ambulance service in England. It found that 85% of those who waited more than an hour suffered potential harm, with nine per cent potentially severely harmed. Extrapolated acros
  16. Event
    Patient safety is a critical global public health issue and is essential if health systems are to advance and achieve universal health coverage (UHC). Every year, an inadmissible number of patients are harmed or die because of unsafe and poor-quality healthcare, exerting a very high global burden especially in low- and middle-income countries (LMICs). Even before the pandemic, 1 in 10 patients in high-income countries were harmed from safety lapses during their hospital care. This number is greater in LMICs where adverse events in healthcare contribute to around 2.6 million hospital death
  17. News Article
    A loophole in the law is leaving vulnerable patients at risk of abuse and sexual assault by unregulated private ambulance staff, The Independent has revealed. While many private ambulance providers are regulated, a small number, such as those providing services at events, those providing first aid, and those who are subcontracted, fall outside the reach of the Care Quality Commission (CQC). This is due to a loophole in the legislation, which means that organisations providing healthcare at events are not required to be CQC registered. The Independent has learned that around 10,0
  18. News Article
    People are dying in the back of ambulances and up to 160,000 more a year are coming to harm because they are stuck outside hospitals unable to be offloaded to A&E, a bombshell report has revealed. Patients are also dying soon after finally getting admitted to hospital after spending long periods in the back of an ambulance, while others still in their own homes are not being saved because paramedics are trapped at A&E and unable to answer 999 calls, said the report by NHS ambulance service bosses in England. In addition, about 12,000 of the 160,000 are suffering “severe harm”
  19. News Article
    There have been more than 30 serious security breaches at NHS hospital mortuaries in the past five years, The Independent can reveal. The figures come as local MPs demand a public inquiry into the crimes of NHS electrician David Fuller who sexually abused 100 corpses, including three children, over a period of 12 years. The calls for a full inquiry have also been backed by Labour’s shadow health secretary Jonathan Ashworth who said on Friday: “It is important the secretary of state listens to the concerns of the local MP and the families of those who have been involved, and establish
  20. News Article
    A man who murdered two women 34 years ago went on to sexually abuse 100 female corpses in hospital mortuaries, taking videos and images of his crimes, HSJ can reveal. David Fuller was employed as an electrician and later a maintenance supervisor at the now closed Kent and Sussex Hospital, in Tunbridge Wells, and later the Tunbridge Wells hospital in Kent. Over a period of 12 years from 2008 to 2020 he used his access to the hospital mortuaries to sexually abuse the bodies of women and girls. HSJ first learned of David Fuller’s crimes in June this year, but agreed to a request by Kent