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Found 140 results
  1. Content Article
    This research article focuses on the patient safety aspects of handling and recognising allergic reactions and severe perioperative anaphylaxis, and discusses the basic approach of the allergic patient and of patients with a suspected allergy to perioperatively administered medication.
  2. Content Article
    This article on sex and gender differences discusses the definitions, general and perioperative implications and how acknowledging differences between men and women relevant to anesthesia is of paramount importance to ensuring perioperative patient safety.
  3. Content Article
    This article describes the case studies of a 65-year-old woman with a history of acute myeloid lymphoma called her oncology physician's office with symptoms of chemotherapy-induced nausea and a 66-year-old woman was prescribed estradiol vaginal tablets for post-menopausal symptoms. Cynthia Li and Katrina Marquez discuss how both patient cases resulted from human error by pharmacy staff and how although most medication errors can be directly attributed to human error, human error is often a result of poor system design and recommend 'The 8 R's' approach to reduce the risk for errors includes development of safeguards at every level of the medication use process.
  4. Content Article
    This study, published in the Journal of the Royal Society of Medicine, analyses safety incidents on acute medical wards in the NHS over a period of 10 years. A total of 377 reports of severe harm or death were confirmed, with the most common types of incident the result of diagnostic errors, medication-related errors and failures monitoring patients.
  5. Content Article
    This original research article describes how patients with mental health issues face similar risks as to those patients in other areas of healthcare, particularly in relation to measures taken to address unsafe behaviours from patients which may result in further risks to their safety. The authors of this research conducted a systematic review and meta-synthesis to identify and synthesise the literature on patient safety within inpatient mental health settings, and found patient safety research in this area of healthcare was under researched in comparison to other inpatient settings that are not related to mental health.
  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
    In this article, Hannah Nelson discusses electronic prior authorisation (ePA), its uses, effectiveness, implementations and use challenges, strategies for improving ePA utilization and integration and if there is an appetite from providers.
  8. Content Article
    This paper describes the case of a patient who had undergone a Ripstein procedure to address rectal prolapse 6 years before admission to the researchers clinic due to pain and discomfort over a period of 2 years. The researchers document the complications of the mesh implantation for rectal prolapse repair and presents the case of the unusual complication and reviews the relevant literature.
  9. Content Article
    This document presents the National Safety Standards for Invasive Procedures which sets out a standardised framework – key steps - necessary to deliver safe care for patients undergoing invasive procedures.
  10. Content Article
    This article in the Nursing Times explains how the law has evolved and how it applies to nursing practice, describing the legal duty of nurses to obtain informed consent from their patients before carrying out any treatment or intervention, and why informed consent is fundamental to the provision of person-centred care.
  11. Content Article
    Healthcare Inspectorate Wales (HIW) performs surgical inspections to ensure the procedures are safe for patients. HIW have designed a patient centred approach by allowing lay reviewers to take the same journey a patient would when going through orthopaedic and trauma surgery pathways. HIW focuses on Trauma surgery (emergency surgery on the bones) Elective orthopaedic surgery (planned surgery on the bones) and The National Safety Standards for Invasive Procedures or NatSSIPs (Safety checks and processes during surgery).
  12. Content Article
    This document describes Never Events, and the revised list of reportable patient safety incidents to be classed as Never Events from 1 April 2018.
  13. Content Article
    Research has shown Black adults experience significantly worse patient safety events when compared with White adult patients. Previous research examined how race can affect the quality of care and how it could be attributed to the differences in the quality of hospitals that Black patients are admitted to when compared to White patients. Now, new analysis suggests these disparities exist among patients treated in the same hospital.
  14. Content Article
    This report describes the priorities for for safeguarding the health and the wellbeing of the UK population for winter 2021/22 and beyond and provides an overview of the current research available at the time of writing. The report also focuses on promoting the resilience of communities, populations and the health and social care system.
  15. Content Article
    This paper describes the results and rationale of a systematic review carried out across seven countries, including the UK. The authors aimed to study the implementation and impact of remote home monitoring models (virtual wards) for patients who were confirmed or suspected to have Covid-19, identify their main components, processes of implementation, target patient populations, patient impact on outcomes, costs and lessons learnt.
  16. Content Article
    This article describes SEIPS ((Systems Engineering Initiative for Patient Safety) 101 and seven simple SEIPS tools. The authors discuss how it is intended to make the SEIPS model more useful, particularly for practitioners and those who have not used it before.
  17. Content Article
    This study looks at patients experiences of surgical site infections (SSIs) with the aim of improving clinical practice. The researchers conducted 17 narrative interviews with patients who had SSIs and then performed a thematic content analysis. Results found patients were not fully informed about SSIs and the nature surrounding them, with 7 patients saying they did not know they even had SSIs which may have been due to staff not informing the patients appropriately. Among the authors' conclusions, they suggest that if patients were more aware of SSIs, it may be able to help them adhere to preventative measures.
  18. Content Article
    This article discusses endometriosis and how the common treatment of performing laparoscopic surgery to remove damaged tissue may not be as effective as once thought. Lucia Osborne-Crowley writes about how experts have found that women who have the surgery don't always get better and if they do, it only lasts a short while. The article also describes what endometriosis is and how it is important not to continue encouraging women to undergo repeat surgeries as it may not improve the condition.
  19. Content Article
    This article discusses a new consultation that has been launched by Robert Francis QC regarding the terms of reference for an independent study into the infected blood scandal. The article covers the suggested scope, the approach and the rationale behind the research and what it won't do, such as run through evidence already heard by the Inquiry.
  20. Content Article
    This article focuses on common general surgical Never Events (NEs). The researchers analysed data from the National Health Service (NHS) in England and found a total of 797 general surgical NEs identified under three main categories: wrong-site surgery, retained items post-procedure and wrong implant/prosthesis. With this research, the authors aimed to raise awareness of these common themes with the hope it may help create better safety standards and safeguards and reduce the incidence of NEs.
  21. Content Article
    This article describes how Never Events (NE) are serious clinical incidents that cause harm to patients. The authors analysed data from NHS England to categorise themes and identify common NE. Their results revealed 51 common NE themes in four main categories out of a total of 3247 between 2012 and 2020, identifying wrong-site surgery as the most common category. The authors conclude that with this research, awareness may help to reduce the amount of incidences in the future.
  22. Content Article
    This article discusses patient safety clinical incidents in relation to bariatric surgery with an aim to identify bariatric surgery-related learning points from the incidents. After analysing reports from the National Reporting and Learning System (NRLS) database in England and Wales, the authors found 541 bariatric surgery-related clinical incidents with 58 themes, including failure of thromboprophylaxis and medication errors. The authors hope that their research can raise awareness of these clinical incidents and propose a safety checklist and specific recommendations to help improve patient safety.
  23. Content Article
    This article describes the "July effect" and why July is considered a concerning time for patient safety in hospitals due to the new influx of medical students graduating and starting their internships. The authors discuss how it may be avoided, effects from the pandemic on resources and educating new doctors.
  24. Content Article
    In this article, Brian Edwards, MD, discusses pharmacovigilance, society's changing approach to benefit and risk, confusion between compliance and ethics within pharmacovigilance and how ethical business practice is the basis of good business practice.
  25. Content Article
    Durrand et al. look at ways patients may be able to better prepare for major surgery, including targeting behaviours and lifestyle choices such as smoking and excessive drinking. The authors review evidence that physical inactivity and poor fitness, among other behaviours, has an impact on a patient's outcome. They also explore evidence for possible interventions at the perioperative stage.
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