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Showing results for tags 'Patient safety strategy'.
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Content ArticleHear from Amanda Hutchinson, Head of Policy for Regulatory Change and Lisa Annaly, Head of Analytic Content here at CQC, as they take you through the Care Quality Commission's (CQC) new regulatory approach. This video covers: CQC's assessment framework. CQC's assessment approach. What a 'year in the life' of a provider will look like under our new regulatory approach. Feedback from a recent engagement session CQC held with over 100 health and social care providers and professionals. Ways you can stay up to date with the changes CQC is making.
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Content ArticleThis is the report of the Health and Social Care Select Committee endorsing the appointment of Dr Henrietta Hughes as the first Patient Safety Commissioner for England. The publication of this report follows a formal meeting (oral evidence session) of the Committee which took place Tuesday 5 July 2022.
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Content ArticleIn this editorial, published in the British Journal of Hospital Medicine, Dr Paul Grime reviews the report 'Mind the implementation Gap: The persistence of avoidable harm in the NHS', which calls on the government, parliamentarians and NHS leads to take action to address the underlying causes of avoidable harm in healthcare.
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Tracey Cammish, Patient safety, Clinical Intelligence and Partnership Lead, explains why patient safety is central to everything NHS Supply Chain does, and why clinical and end-user experience is so important. -
Content ArticleA podcast from The QI Guy, Jonathan O’Reilly. Each month Jonathan speaks to a leader, implementer or educator in the field of quality improvement in the UK’s public services and beyond. In this episode Jonathan speaks to Patient Safety Learning's Helen Hughes and Claire Cox, Patient Safety Lead at Kings College NHS Foundation Trust, about patient safety,
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Content ArticleIn May 2022, the National Steering Committee for Patient Safety (NSC) issued the Declaration to Advance Patient Safety to urge health care leaders across the continuum of care to recommit to advancing patient and workforce safety. The NSC called for immediate action to address safety from a total systems approach, as presented in the National Action Plan to Advance Patient Safety, and implored leaders to adopt safety as a core value and foster collective action to uphold this value.
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Content ArticleForty-two Integrated Care Systems (ICSs) in England are set to become new statutory bodies from July 2022, marking a significant shift in how health and care services are planned and delivered towards a model of joined-up partnership working and coordination. At the Health Plus Care conference on the 18 May 2022, Patient Safety Learning's Chief Executive Helen Hughes, Maggie Boyd, Associate Consultant at NHS Arden & GEM Commissioning Support Unit, Sue Braysher, Managing Director at Bluebellwoods Consulting and Graham Hewett, Associate Director of Quality at NHS South East London Clinical Commissioning Group, discussed the development of ICSs in the context of patient safety. They considered the opportunities and challenges that this presents and the need to embed patient safety in the culture, leadership and new governance structures. See attached their presentation slides.
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Content ArticleHow can healthcare organisations work towards becoming true learning organisations in a reliable safety system? At the Health Plus Care conference on the 18 May 2022, Patient Safety Learning's Chief Executive Helen Hughes and Dr Sanjiv Sharma, Medical Director at Great Ormond Street Hospital for Children (GOSH), discussed the activity being undertaken at Great Ormond Street, one the world’s leading children’s hospitals, to transform their approach to patient safety, in collaboration with Patient Safety Learning. See attached their presentation slides.
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Content ArticleJeremy Hunt', former health secretary, has written a new book: 'Zero: Eliminating Preventable Harm and Tragedy in the NHS'. You can’t fault the former health secretary proposals for improving patient care, but his slick prose fails to acknowledge the damage inflicted on the NHS by his party during his tenure as health secretary writes Rachel Clarke, a palliative care doctor.
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Content ArticleJordan is a middle-income country located in the Middle East. Health services in Jordan are provided by the public and private sectors Jordan's health indicators have been internationally lauded. In 2010, Jordan was ranked the leading medical tourism destination in the Arab world and fifth globally by the World Bank. In 2003, the Minister of Health and other health sector leaders from the RMS, the Private Hospital Association (PHA), the healthcare professional councils, and medical schools met to discuss how to address some of the health system challenges and how they might improve the quality of healthcare services. In 2007, the bylaws of the new organization were endorsed by all sectors, and in December of that year, the Health Care Accreditation Council (HCAC)—a private, non-profit, shareholding company—was created to act as the national healthcare accreditation agency of Jordan. The mission of the HCAC was to foster the continuous improvement of the quality and safety of healthcare facilities, services, and programs through developing internationally accepted standards, building capacity, and awarding accreditation.
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Content ArticlePatient safety is fundamental to healthcare and is a major concern for the Republic of Maldives. For strengthening the patient safety framework, Ministry of Health (MOH), Republic of Maldives had requested the WHO for assistance in assessing prevalent the status in the year 2016. Now the Ministry of Health has decided to develop the National Strategic plan for the Patient Safety in the country. This report looks at the current patient safety situation in the Maldives and their action plan for implementation of a patient safety framework.
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Content ArticleThis literature review in the Journal of Patient Safety aimed to assess lessons learned on patient safety in Organization for Economic Cooperation and Development (OECD) countries, and to assess whether they can be applied to humanitarian medicine. The authors concluded that safety culture and strategies will need to be adapted to address different intervention contexts and to respond to the concerns and expectations of humanitarian staff. As there is no overarching authority for the sector, medical humanitarian organisations, have a major responsibility in the development of a general patient safety policy in all their operations.
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Content ArticleThe Patient Safety Movement's World Patient Safety, Science & Technology Summit took place on the 29-30 April. For those of you who were unable to attend, the entire event is now available on YouTube and is accessible to anyone using the link below.
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Patient Safety Authority Annual Report 2021
Sam posted an article in International patient safety
The Patient Safety Authority (PSA) share its 2021 annual report, highlighting the agency’s expansion of education and reporting efforts to improve patient safety throughout the commonwealth. PSA is an independent state agency that collects reports of patient safety events from Pennsylvania healthcare facilities. Pennsylvania is the only state that requires acute care facilities to report all incidents of harm (serious events) or potential for harm (incidents). -
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Peter Lachman explains why safety must be embedded into what we do every day, not what we do only after harm has occurred, and why we need to constantly ask ourselves “what do we need to do to be safe?” His new book, Oxford University Press Handbook of Patient Safety, translates the complex patient safety theories into actions that frontline staff can take to be safe. -
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Who killed patient safety? (5 May 2022)
Patient Safety Learning posted an article in Research, data and insight
The medical communities commitment to patient safety has withered over the past 10-15 years after the original call for action in 2000 with the release of the IOM report. What was once a call for action, safety in hospitals and oversight by government has been deprioritised, defunded, and devalued, leaving patients like the authors of this article wondering: What happened to patient safety? -
Content ArticleThis article in the journal Implementation Science aims to offer a system for classifying implementation strategies. The article recommends that authors not only name and define their implementation strategies, but also specify who enacted the strategy, and the level and determinants that were targeted.
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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. Sarah and Jaydee are working on an innovative project at NHS Dorset Integrated Care Board (ICB) to ensure general practice is a central part of improving patient safety across services. They talk about the value and challenges of collaborative working, how they are tailoring their offer to fit the needs of local GP practices, and making patient safety a core part of training for all healthcare professionals. -
Content ArticleThe NHS Confederation, NHS Providers, the Academy of Medical Royal Colleges, National Voices and the Richmond Group of Charities have penned a joint letter to the new Prime Minister warning that without urgent action on key priorities the NHS risks being trapped in a relentless cycle unable to meet rising patient need and demand. The five organisations, which together represent NHS leaders, clinicians and patients, are calling on the new government to take rapid action to address five key priorities in the short term. These priorities are: Workforce Social care Capital funding The impact of the cost of living crisis and inflation Strengthening the voice of people living with ill health in decision making.
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The Josie King Foundation
Patient Safety Learning posted an article in International patient safety
On 22 February 2001, eighteen-month-old Josie King died from medical errors. More than 250,000 people die every year from medical errors, making it the third leading cause of death in the United States. The Josie King Foundation’s mission is to prevent patients from dying or being harmed by medical errors. By uniting healthcare providers and consumers, and funding innovative safety programs, we hope to create a culture of patient safety, together. -
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The Betsy Lehman Center
Patient Safety Learning posted an article in International patient safety
The Betsy Lehman Center is a Massachusetts state agency that supports providers, patients and policymakers working together to advance the safety and quality of health care. -
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Wessex LMCs Podcasts
Patient Safety Learning posted an article in Recommended video and audio resources
Wessex LMCs podcasts share good ideas, challenge your thoughts and introduce you to interesting people and projects all to support you in your work in general practice. -
Content ArticleThe dangers of health care in Britain have been long understood. Systematic data collection of the hazards of health care can be traced back at least to the time of Florence Nightingale's publications in the 1860s. This short paper from Susan Burnett and Charles Vincent, outlines the evolution of patient safety and trace its development and progress over the last 10 years in Britain, where a nationalised health service and sustained commitment from Chief Medical Officer Sir Liam Donaldson and other senior figures have brought patient safety to considerable prominence.
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Content ArticleThe NHS is in trouble today due to an utter failure of leadership in response to the challenge of increasing demand, writes Dr John Carlisle. The Health and Social Care Act was the most extensive reorganisation of the NHS ever. The plan emerged in 2010 when Health Secretary Andrew Lansley began to prepare the new bill, just as the NHS public satisfaction with the NHS was at its highest ever in a polling series that ran back to 1983. Now, ask yourselves, what fool would interfere with any organisation that had such ‘consumer confidence’? Never has the phrase, ‘if it ain’t broke, don’t fix it’ been more apt, particularly for an organisation that employs over a million staff and whose work is critical, and is respected around the world. But Lansley, ignoring international experts like Dr Don Berwick, pushed his own theory (which is all it was) into practice and created the conditions for Jeremy Hunt and his Oxford chum, Simon Stevens, to run the organisation down. Needless to say, the act worked out badly for the poor NHS. By 2018 public satisfaction had dropped to its lowest in 11 years as Hunt and Stevens tried to cobble together the ‘new’ NHS. Just how did this happen?
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Content ArticleConcerns for patient safety persist in clinical oncology. Within several nonmedical areas (eg, aviation, nuclear power), concepts from Normal Accident Theory (NAT), a framework for analysing failure potential within and between systems, have been successfully applied to better understand system performance and improve system safety. Clinical oncology practice is interprofessional and interdisciplinary, and the therapies often have narrow therapeutic windows. Thus, many of the processes are, in NAT terms, interactively complex and tightly coupled within and across systems and are therefore prone to unexpected behaviours that can result in substantial patient harm. To improve safety at the University of North Carolina, Chera et al. have applied the concepts of NAT to their practice to better understand their systems’ behaviour and adopted strategies to reduce complexity and coupling. Furthermore, recognising that you cannot eliminate all risks, they have stressed safety mindfulness among their staff to further promote safety. Many specific examples are provided herein. The lessons from NAT are translatable to clinical oncology and may help to promote safety.
