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Found 140 results
  1. News Article
    According to leaked figures, the number of patients ready to be medically discharged has been rising since the spring and is now higher than the winter, but levels are believed to still be substantially lower than pre-covid. These figures come after reports hospitals are facing increased pressure to free up beds for incoming patients. David Oliver, consultant geriatrician and former national clinical director for older people, has said "Thanks to additional funding and capacity in community health and social care services, fantastic collaborative working across systems and new rules and permissions, and innovative service models, we saw far fewer delays and far slicker discharge for patients needing ongoing support outside hospital. Unsurprisingly, it wasn’t sustainable. Both in my local experience and speaking to colleagues from around the country, we are now back to pre-pandemic levels of delays and worse. This is bad for patients, leaving them stranded in hospital when they’d be better off in their own home and other settings and bad for other patients needing hospital care, including those on waiting lists, as flow through acute beds is impaired." Read full story (paywalled). Source: HSJ, 11 August 2021
  2. News Article
    The Care Quality Commission has closed mental health hospital, Eldertree Lodge, in Staffordshire after inspectors saw evidence of patients being abused. The hospital, which looked after 40 adults with learning disabilities and autism, was found to have unprofessional and abusive staff members, with incidents being recorded on CCTV where staff slammed doors on patients. Staff were also found to pull or drag a patient in an attempt to move them to a ward seclusion room. Commenting on the latest report, Debbie Ivanova, CQC deputy chief inspector for people with a learning disability and autistic people, said, “In some cases, people were subjected to abuse and interactions that lacked compassion, dignity or respect. This is unacceptable and people deserved better. Additionally, the environment was unhygienic and poorly maintained, as well as blighted by blind spots, which undermined staff observation of patients. Read full story. Source: The Independent, 11 August 2021
  3. News Article
    A report has concluded that significant failings by hospital staff led to the avoidable suffering of Ann Jones, 69, who had bowl cancer, before she died. During their investigation, the Public Services Ombudsman found complications after surgery were not properly identified and weight loss was blamed on psychological factors rather than the pain of a bowel obstruction. Betsi Cadwaladr University Health Board has apologised to Mrs Jones' family. Denbighshire council have also said they were "sincerely sorry" for the distress caused to the family and have issued a written apology to her husband. Read full story. Source: BBC News, 10 August 2021
  4. News Article
    Health leaders have warned the public may be at more risk amid plans to simplify nursing training across the UK. Nursing leaders have also come out in opposition of the proposals by the Nursing and Midwifery Council (NMC) saying bosses could not be sure that the nurses they hired would have the skills required to care patients' safely. Matthew Winn, chief executive of Cambridgeshire Community Services Trust, said "The changes being proposed by the Nursing and Midwifery Council will lead to a watering down of the educational and training standards of these specialist professionals. If courses are developed unilaterally by universities, as an employer I will have no idea if the district nurse is competent to undertake the role I am recruiting them to do.” Read full story. Source: The Independent, 08 August 2021
  5. News Article
    The president of the Intensive Care Society has warned despite the fall in Covid cases, intensive care units in hospitals remain under substantial pressure, with Stephen Webb, a consultant in intensive care and deputy medical director at the Royal Papworth Hospital Trust, describing the situation as "grim". “Cases of Covid infections are coming down but that’s not having much of an impact on hospitals and on intensive care units yet. The situation in ICUs is pretty grim at the moment and it’s grim for a completely different reasons from wave one and two of the pandemic.” Dr Webb told The Independent. Read full story. Source: The Independent, 5 August 2021
  6. News Article
    The Care Quality Commission have increased the safety rating for the William Harvey Hospital, in Kent, from 'inadequate' to 'requires improvement'. This comes after the hospital was hit with a safety scandal after staff and members of the public raised concerns about a lack of infection control amid outbreaks of Covid-19. “I am pleased to report that since our last inspection, leaders have worked hard to improve infection control practices in the medical care services departments at both hospitals, although some improvements still need to be fully embedded, particularly at William Harvey Hospital. We also found that there was a positive culture in the service across both hospitals, and staff felt empowered to report incidents. These were fully investigated by managers and, importantly, learnings were shared with the wider team.” Amanda Williams, CQC’s head of hospital inspection has said. Read full story. Source: The Independent, 5 August 2021
  7. 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.
  8. News Article
    New research examining severe harm incidents and deaths in NHS hospitals has been published today in the Journal of the Royal Society of Medicine. The research, looking at more than 370 incidents has highlighted the risks to patients from fragmented care on busy wards and shortages of staff. According to the findings, “errors occurred due to a lack of clarity regarding responsibilities for patient care coordination, especially during emergency situations or out of hours. Poor documentation of long-term management plans and no reliable review system to ensure follow-up by the most appropriate teams contributed,” with researchers also saying many of the errors in medication happened more often overnight due to a lack of out-of-hours pharmacy support. Read full story. Source: The Independent, 5 August 2021
  9. 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.
  10. 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.
  11. News Article
    New chief executive of NHS England Amanda Pritchard, has said the NHS must find “new ways” to deliver the care patients need. Thanking staff for their efforts during the pandemic and praising the success of the vaccine roll-out, Ms Pritchard said of the Covid-19 response that the NHS was entering into a “new, but no less challenging phase”. “This means we will need the same determination, team-work and innovation that have served us so well over the last 18 months. Amid these pressures, I know colleagues share my determination to deliver the long term improvements in treatment and care which, coupled with a renewed focus on prevention, will enable many more people to live longer and more fulfilling lives.” Ms Pritchard has said. Read full story. Source: The Independent, 3 August 2021
  12. 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.
  13. 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.
  14. News Article
    According to a new study, a lack of GP services and poor community healthcare could be behind the higher rates of death among patients admitted to hospital on the weekends. Until now, a lack of doctors were to blame for the higher death rates but now the new research suggests there is no evidence of a link between mortality rates and the number of consultants on duty. “This report appears to show that you can’t look at hospitals and ignore the rest, because people start off in the community and go in and out of hospital, and we need the same forensic focus on our services that we’ve had on acute hospitals.” Says Tracy Allen, chief executive of the Community Health Services Foundation Trust. Read full story. Source: The Independent, 2 August 2021
  15. News Article
    A new report has revealed patients have died as a result of cancelled appointments to remove objects from their bodies that had been left inside them. Research looking at 23 coroners reports in England and Wales has found the deaths were largely preventable. Read full story (paywalled). Source: The Telegraph, 27 July 2021
  16. News Article
    Breast surgeon Ian Paterson, was convicted and jailed for 20 years for performing unnecessary and dangerous surgery on women over the span of 14 years, being found guilty of 17 counts of wounding with intent and three counts of unlawful wounding. Thousands of his patients are only now just learning that they experienced unnecessary tests and surgery when there was no clinical need, having never been properly reviewed after his conduct had been revealed. Now, Spire Healthcare may be facing up to £50 million in compensation costs with the NHS and insurers having also paid £10 million. Linda Millband, head of clinical negligence at Thompsons Solicitors has said "“It is clear people have been missed and we will be urging anyone who believes they may have been a victim of Ian Paterson, at any time, to come forward and seek compensation for their injuries. Our job is to ensure any victim of Paterson, whenever they may have been contacted, get the maximum compensation.” Read full story. Source: The Independent, 27 July 2021
  17. Event
    The eyewatering cost of clinical negligence claims to the NHS have dominated the headlines over the years, with spending increasing on average by 13% each year since 2010/11. Should costs continue to rise at the same rate, we could see the NHS paying out £4.4 billion a year by 2023/24, constituting a major threat to the sustainability and viability of the NHS. We need to tackle the problem at the source – by making improvements in quality and patient safety so that both patient harm and subsequent litigation are reduced. According to NHS England, by 2024, continuous improvements in patient safety could save an extra 1,000 lives and up to £100m in care costs each year. So how can this threat be reversed and where does technology come into play? The role of technology in enabling staff to shift from a reactive to a proactive approach to deliver patient care, subsequently preventing avoidable harm Investing in the right infrastructure to support staff identify risks, ultimately reducing litigation costs Really committing to learning and having a system in place which instils that learning Enabling and supporting system-wide safety improvements To register, please click here.
  18. 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.
  19. 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.
  20. News Article
    The Department of Health and Social Care has been criticised after it accepted only 4 out of the 9 recommendations set out in the Cumerledge review. Marie Lyon, co-chairwoman of the patient reference group for the Independent Medicines and Medical Devices Safety Review has said “Unfortunately, the culture of protect and deny continues to be the default response to patients, while stating lessons have been learned. These lessons will never equate to action and improved safety of drugs and devices, while government ministers mark their own performance as satisfactory when it is not. Many more women and children will be damaged unless this systemic culture of protect and deny undergoes a profound change.” Read full story. (paywalled) Source: HSJ, 22 July 2021
  21. News Article
    Some people calling 999 are having to wait up to 10 minutes before their call is answered. Staff have warned patients may be coming to harm, and may be even dying as a result of the delays and with paramedics also reporting it's taking as long as 24 hours for some ambulances to reach patients. One paramedic has told The Independent, “We are stacking over 500 jobs, with patients waiting hours for an ambulance response. That includes elderly vulnerable people who have fallen but only merit a category three, so their calls are routinely pushed further and further down the queue. In the last few days, I've been to patients waiting 11 or 13 hours. And just to be clear: this is not the hospitals’ fault. The system is profoundly broken.” Read full story. Source: The Independent, 22 July 2021
  22. 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).
  23. 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.
  24. News Article
    The care watchdog has warned patient care may be being affected by the current pressures on the NHS with healthcare workers suffering significant levels of stress. Concerns have been raised in recent weeks after a surge in Covid-19 infections has resulted in record numbers of people calling for ambulances and attending emergency departments, overwhelming the service. Professor Ted Baker, the Care Quality Commission’s chief inspector of hospitals has said “It's imperative that not only do we deal with the immediate pressures on the system, we also need to deal with the underlying problems with the models of care. If we don't do that, patients will not be able to receive the care we want them to, and the pressure on staff to provide care under these difficult circumstances will continue.” Read full story. Source: The Independent, 22 July 2021
  25. News Article
    The number of people who have died in each care home has been published for the first time. According to reports, more than 39,000 care home residents died with the virus between 10 April 2020 and 31 March 2021. The data, released by the Care Quality Commission (CQC) shows 21 homes had more than 30 Covid-19 related deaths, with the highest number of deaths in a single care home being 44. Kate Terroni, CQC chief inspector for adult social care has said "Every number represents a life lost". Read full story. Source: BBC News, 21 July 2021
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