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Found 545 results
  1. Content Article
    We can use what we’ve learned from the crisis to make a 21st-century service fit for patients and staff alike, says Joel Schamroth in a blog to the Guardian. This pandemic is forcing us to rethink how we deliver healthcare. For too long patients have experienced fragmented services, administrative hurdles and unreliable lines of communication. The “patient experience” often remains an afterthought in the NHS, leading to worse health outcomes, and costing the NHS dearly. The lesson the public is learning is that money can be made available when it’s deemed to be important. In a matter of weeks COVID-19 has shown us that change is possible. 
  2. Content Article
    Benning et al. conducted an independent evaluation of the first phase of the Health Foundation’s Safer Patients Initiative (SPI), and identified the net additional effect of SPI and any differences in changes in participating and non-participating NHS hospitals. Four hospitals (one in each country in the UK) participated in the first phase of the SPI (SPI1). The SPI1 was a multi-component organisational intervention delivered over 18 months that focused on improving the reliability of specific frontline care processes in designated clinical specialties and promoting organisational and cultural change. The authors found that the introduction of SPI1 was associated with improvements in one of the types of clinical process studied (monitoring of vital signs) and one measure of staff perceptions of organisational climate. There was no additional effect of SPI1 on other targeted issues nor on other measures of generic organisational strengthening.
  3. Content Article
    When it comes to patient safety, a substantial body of evidence exists to demonstrate interventions (leading practices and processes) that lead to improved patient outcomes for numerous healthcare conditions. Despite available evidence, practice changes are not implemented consistently and effectively to support organizations and teams to address patient safety challenges. This resource has been designed by the Canadian Patient Safety Institute to support teams across all healthcare sectors in using a Knowledge Translation and Quality Improvement integrated approach to change that will impact patient safety outcomes. This Guide for Patient Safety Improvement is intended to accompany current best available evidence change ideas, and tools and resources for your specific project. It includes ideal practice changes “the what” and strategies “the how” that creates the evidence-based intervention. Adaptations are expected and important considerations for implementation will be provided in this guide.
  4. Content Article
    The national Patient Safety Improvement Programmes (SIPs) collectively form the largest safety initiative in the history of the NHS. They are delivered by 15 Patient Safety Collaboratives (PSCs), each hosted by an Academic Health Science Network (AHSN). However, while they have done some work in out-of-hospital settings in the five years since PSCs launched, there is massive potential to explore improving patient safety outside of acute hospital trusts and expanding into more community settings. Natasha Swinscoe, patient safety national lead for the AHSN Network, looks at the importance of safer care in community settings, such as care homes.
  5. Content Article
    Recording now available for the ISQUA webinar. Dr David Bates reflects on achievements and challenges in patient safety since the publication of To Err is Human: Building a Safer Health System.
  6. Content Article
    In this blog, Patient Safety Learning considers the impact of the COVID-19 on the social care sector in the UK. This blog highlights the emerging patient safety issues the pandemic is creating in the sector and recommends some essential steps that need to be taken now to tackle some of the most urgent patient safety concerns.
  7. Content Article
    A blog from the charity, Picker, on the benefits of patient-centred care and the new challenges the coronavirus pandemic brings. Picker is an independent charity which uses patient experience of healthcare to identify priorities in delivering the highest care quality.
  8. News Article
    National NHS leaders are to take action over growing fears that the “unintended consequences” of focusing so heavily on tackling covid-19 could do more harm than the virus, HSJ has learned. NHS England analysts have been tasked with the challenging task of identifying patients who may not have the virus but may be at risk of significant harm or death because they are missing vital appointments or not attending emergency departments, with both the service and public so focused on covid-19. A senior NHS source familiar with the programme told HSJ: “There could be some very serious unintended consequences [to all the resource going into fighting coronavirus]. While there will be a lot of covid-19 fatalities, we could end up losing more ‘years of life’ because of fatalities relating to non-covid-19 health complications. “What we don’t want to do is take our eye off the ball in terms of all the core business and all the other healthcare issues the NHS normally attends to." “People will be developing symptoms of serious but treatable diseases, babies will be born which need immunising, and people will be developing breast lumps and need mammograms.” HSJ understands system leaders are hopeful that in the coming days they will be able to assess the scale of the problem, and the key patient groups, and then begin planning the right interventions and communications programme to tackle it. Read full story Source: HSJ, 5 April 2020
  9. Content Article
    March’s Letter from America highlights insights from the field shared during Patient Safety Awareness Week earlier this month and touches on improving transitions, managing implicit bias and using evidence. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States. *Please note, this letter was written before WHO announced that COVID-19 was a pandemic, just a few short weeks ago. We acknowledge that the world has changed since then but we feel this content is still relevant to safer patient care, maybe even more so now.
  10. News Article
    Doctors have been reminded not to prioritise coronavirus patients at the expense of others in new ethical guidance backed by royal colleges. There are increasing concerns that patients are not getting treatment for serious problems, including strokes or heart attacks, because they are afraid to go to hospitals. The guidelines were drawn up by the Royal College of Physicians (RCP) amid worries that a shortage of ventilators and beds could force doctors to make difficult decisions on which patients get lifesaving treatment. Read full story (paywalled) Source: The Times, 2 April 2020
  11. Content Article
    Since To Err is Human was published in 1999, the patient safety evidence-base has expanded exponentially in alignment with continued maturity of the field. This publication is the 4th in a series of reports from the Agency for Healthcare Research and Quality (US-based), that reviews research supporting established patient safety practices to reduce patient harms. The current report is being published as updates are finalised to provide recommendation and share strategies highlighted in the literature to drive implementation of the practices discussed in areas such as:  opioid stewardship patient and family engagement telehealth implicit bias failure to rescue computerised decision support deprescribing.
  12. Content Article
    A number of associations and societies across the UK have come together to provide guidance on the safe switching of warfarin to direct oral anticoagulants (DOACs). This needs to be undertaken in a phased manner over the 12 week cycle of INR monitoring to protect the supply chain for ALL patients. As highlighted in the guidelines, many patients are not suitable for a switch from warfarin to DOACs and further guidance will be available shortly to support services providing care for these patients.
  13. Content Article
    On 11 December, Nuno Melo (MEP) – a Portuguese Member of the European Parliament – gathered European experts together to discuss how to improve medication adherence and increase the quality of life and safety of patients, especially those suffering from chronic diseases. Delivering a speech at the event Dr. Neelam Dhinga, co-ordinator for the Patient Safety and Quality Improvement Unit, in the Service Delivery and Safety Department at the World Health Organization, highlighted that the patient safety agenda in Europe should be a priority. She called for the European institutions and stakeholders to take urgent action to save patients’ lives. The panel discussion in the European Parliament recognised the importance of improving therapeutic adherence and avoiding medication errors to increasing the efficiency of healthcare systems across the European Union and improve patients’ safety. MEP Nuno Melo closed the event with a statement that all decision-makers need to take into consideration the results and best practices presented on the day, acknowledge that there is a therapeutic adherence gap, open a dialogue with the relevant actors involved in the process to offer dose dispensing a clear regulatory pathway across Europe.
  14. Content Article
    The Republic of Ireland's Health Service Executive Patient Safety Strategy makes six commitments: Empower and engage patients to improve patient safety. Empower staff to improve patient safety. Anticipate and respond to risks to patient safety. Reduce common causes of harm. Measure and learn to improve patient safety. Provide effective leadership and governance to improve patient safety.
  15. Content Article
    The CEO of Disability Rights UK has written to the Rt Hon Justin Tomlinson MP, Minister for Disabled People, Health and Work, and the Rt Hon Helen Whately MP, Minister for Care, to raise concerns about safeguarding disabled people, people with long-term health conditions and older people in relation to COVID-19 (Coronavirus).
  16. News Article
    Mike Ramsay has been appointed new Chairman of the Patient Safety Movement Foundation, taking over from Joe Kiani. The Patient Safety Movement's goal is to get to ZERO preventable deaths. In their latest newsletter, Mike discusses how he intends to build on the tremendous momentum gained so far. "We are not competing with any organization but strongly support entities with the patient safety goal and hope that we can all pull together and use all our resources to reach zero preventable deaths and zero harm. Zero is our target and we can get there!" Read Mike's Letter in the March Patient Safety Movement Foundation newsletter
  17. News Article
    This week is Patient Safety Awareness Week, an annual recognition event intended to encourage everyone to learn more about healthcare safety. During this week, the Institute for Healthcare Improvement (IHI) seeks to advance important discussions locally and globally, and inspire action to improve the safety of the health care system — for patients and the workforce. Patient Safety Awareness Week serves as a dedicated time and platform for growing awareness about patient safety and recognising the work already being done. Although there has been real progress made in patient safety over the past two decades, current estimates cite medical harm as a leading cause of death worldwide. The World Health Organization estimates that 134 million adverse events occur each year due to unsafe care in hospitals in low- and middle-income countries, resulting in some 2.6 million deaths. Additionally, some 40 percent of patients experience harm in ambulatory and primary care settings with an estimated 80 percent of these harms being preventable, according to WHO. Some studies suggest that as many as 400,000 deaths occur in the United States each year as a result of errors or preventable harm. Not every case of harm results in death, yet they can cause long-term impact on the patient's physical health, emotional health, financial well-being, or family relationships. Preventing harm in healthcare settings is a public health concern. Everyone interacts with the health care system at some point in life. And everyone has a role to play in advancing safe healthcare. Learn more about IHI's work to advance patient safety.
  18. Content Article
    Imagine if hospitals could fly? Would they be safer for patients? Before you say to yourself, what a silly question. Please hear me out… Abdulelah M. Alhawsawi is Director General at the Saudi Patient Safety Center.
  19. Content Article
    In this interview, Cheryl Crocker, AHSN Network Patient Safety Director, tells us more about her role and why she is passionate about care homes.
  20. Content Article
    Claire, a Critical Care Outreach Sister, Darzi Fellow and Associate Director for Patient Safety Learning, talks about her passion to make a difference in patient safety and how her two very different roles come together to achieve this ambition.
  21. Content Article
    Author Hugh MacLeod host's this fourth episode in the ISQua Podcast series. "We do not make stuff in healthcare, we deliver care to people through people. When the relationship patterns between people are connected and healthy quality and patient safety magic happens, when they are not connected nor healthy, things fall through the cracks and patient harm and death occurs."
  22. Content Article
    The aim of the Patient Safety and Access Initiative of India Foundation is to improve accessibility to safe and quality healthcare for all under Universal Health Coverage (UHC) and tackling the menace of spurious and not of standards medicines in the supply chain globally.
  23. News Article
    A new poll has found only 8 out of the 1,618 respondents believed the health service was ready to deal with an outbreak when asked by The Doctors’ Association UK (DAUK), despite the prime minister’s insistence that the NHS will cope if it is hit by a surge in the number of people falling ill. Common concerns included difficulties coping with increased demand, a shortage of beds and poor staffing levels, according to the group who led the poll. Some doctors asked said they were worried that there could be not enough laboratory space to do testing in the case of a pandemic. Others claimed that NHS 111 had been giving out “inappropriate advice” to go to A&E and GP practices, according to DAUK. “The NHS has already been brought to its knees and many frontline doctors fear that our health system simply will not cope in the event of a Coronavirus (Covid-19) outbreak,” Dr Rinesh Parmar, the DAUK chair, said. “Many hoped the threat of Covid-19 would prompt an honest conversation to address the issue of critical care capacity and our ability to look after our sickest patients. By simply saying ‘the NHS is well prepared to deal with coronovirus’ it seems that yet again doctors’ concerns have been brushed under the carpet.” The findings come after the number of people infected with the coronavirus which rose to 39 in the UK on Monday. Read full story Source: The Independent, 3 March 2020
  24. Content Article
    Dr Joanna Silver describes her role working with adults and children with eating disorders. An important part of her role is to work closely work with the multidisciplinary team and other health professionals to make sure the complexities of treating people with eating disorders and related conditions are understood and to ensure the patient is kept safe.
  25. Content Article
    This guide, published by the American-based Agency for Healthcare Research and Quality (AHRQ) looks at how patient safety can be improved in primary care settings by engaging patients and families. It is the result of a two-year effort to develop an evidence-based collection of interventions and case studies exploring how primary care organisations and practitioners engage patients and families in improvement work and in their personal safe care. The resource includes a user's guide and is accompanied by a deep environmental scan that informed the development of the work.
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