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Showing results for tags 'Patient safety strategy'.
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Content ArticleIn his presentation to the City Club of Cleveland, renowned patient safety expert, Dr Peter Pronovost talks about why we must transform healthcare to reduce harm, to operate as an effective system for patient benefit and eliminate inefficiencies. Peter describes the power of stories for learning and how we can create moments of microtrust that will inspire and give us confidence to change.
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Content ArticleHow are trauma-informed approaches being implemented by public services – and what are the barriers to embedding the approach more widely? Produced jointly by the Centre for Mental Health and the Agenda, the alliance for women and girls at risk, this reports explores how trauma-informed approaches are being implemented by public services including women’s centres, prisons and mental health services. Evidence has shown that there are strong links between traumatic experiences and poor mental health. The need for public services to be trauma-informed has been repeatedly demonstrated. A sense of safety summarises the findings of interviews and site visits to a range of public services for women, including substance misuse, homelessness, mental health, the criminal justice system, and domestic and sexual abuse and exploitation. It found that services taking a holistic approach to supporting women’s needs were best able to make the change to becoming trauma-informed. However, many organisations faced barriers including short-term and fragile funding.
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News Article
Health NHS patient feedback is not being used to improve services, report warns
Patient Safety Learning posted a news article in News
The NHS is spending millions of pounds encouraging patients to give feedback but the information gained is not being used effectively to improve services, experts have warned. Widespread collection of patient comments is often “disjointed and standalone” from efforts to improve the quality of care, according to a study by the National Institute for Health Research (NIHR). Nine separate studies of how hospitals collect and use feedback were analysed. They showed that while thousands of patients give hospitals their comments, their reports are often reduced to simple numbers – and in many cases, the NHS lacks the ability to analyse and act on the results. The research found the NHS had a “managerial focus on bad experiences” meaning positive comments on what went well were “overlooked”. The NIHR report said: “A lot of resource and energy goes into collecting feedback data but less into analysing it in ways that can lead to change, or into sharing the feedback with staff who see patients on a day-to-day basis. NHS England's chief nurse, Ruth May, said: "Listening to patient experience is key to understanding our NHS and there is more that that we can hear to improve it. This research gives insight into how data can be analysed and used by frontline staff to make changes that patients tell us are needed." Read full story Source: 13 January 2020 -
Content ArticleFor eligible patients, prompt admission to the Intensive Care Unit (ICU) can increase their chance of survival by up to 23%. Yet those that do survive may experience lasting physical and emotional effects, and it is the job of the clinician to carefully weigh up the potential gains and risks of admission in what is often a time-pressured environment. There are currently no national guidelines to help the decision-making process, and evidence suggests it is influenced by a range of factors, with considerable variation between clinicians. In addition, patients and their families are not always fully informed or consulted. This study, published by Health Services and Delivery Research, explored current practice in order to create a decision support tool that could be used to help take some of the uncertainty out of the process, thereby improving decisions and, when possible, also informing the discussions with the patient and their family.
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Content ArticleThis diagram, published by the Institute for Healthcare Improvement (IHI), is titled A driver diagram to systematically and proactively identify and eliminate non-value-added waste in the US health care system by 2025. Produced by the IHI's Leadership Alliance's Waste Working Group, it sets out a number of drivers for reducing waste in the healthcare system in America. The top driver listed focuses on safety and reducing harm.
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Content ArticlePatient safety has been increasingly recognised as an issue of global importance. To overcome this issue,Ministry of Health and Family Welfare, Government of India, has taken an initiative for patient safety by introducing a National Patient Safety Implementation Framework (NPSIF), which positions patient safety as fundamental element of healthcare. NPSIF is intended to be adopted by both, public and private, sectors to address the various issues arising while providing qualitative healthcare services.
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Content ArticleAn editorial from Lahariya et al., published in the Indian Journal of Medical Research, on World Patient Safety Day 2019 discussing patient safety in India.
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Content ArticleThis declaration was written by participants of the regional workshop on 'Patients for Patient Safety’ in July 2007 in Jakarta, Indonesia. This included patients, consumer advocates, health care professionals, policy-makers and representatives of non-governmental organisations, professional associations and regulatory councils. It was inspired by the WHO World Alliance for Patient Safety, Patients for Patient Safety London Declaration (March 2006).
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Content ArticleOn 10 May 2017, the RCP (Royal College of Physicians) hosted ‘Learning from mortality reviews to improve patient safety’ as part of it's Keeping patients safe seminar series. The event discussed how the National Mortality Case Record Review (NMCRR) can improve care and keep patients safe. As well as hearing from the RCP's National Mortality Case Record Review (NMCRR) team about their work and the results of the programme's pilot phase, the seminar was an opportunity to hear about the wide-ranging work the RCP is undertaking to support improvements in patient safety.
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Content ArticleA report by the Centre for Health Policy at Imperial College London, an academic partner to Health Education England and the Commission on Education and Training for Patient Safety. The project team studied study the innovations taking place in the four corners of our healthcare system; to listen to the voices of patients, carers, students, and NHS staff; and to absorb the experiences of local and international education experts in patient safety. Their findings suggest that effective education and training for patient safety is realised through efforts on two equally important fronts: designing curricula and training interventions based on what we know to work, and shaping a culture which supports safe learning and care.
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Content ArticleSeveral organisations, researchers and clinicians have discussed the need for a patient safety culture in dentistry. Strategies are available to help improve patient safety in healthcare and deserve further consideration in dentistry. Published by the British Dentistry Journal, this article: discusses the history of patient safety initiatives in healthcare and dentistry describes strategies that can be applied to identify patient safety issues in dentistry emphasises the importance of both process and cultural factors in developing a safer healthcare environment.
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Content ArticleIn this presentation on improving patient safety and reducing alarm fatigue, the panellists discuss the right and wrong way to use continuous surveillance monitoring.
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Content Article
Patient safety alerts
PatientSafetyLearning Team posted an article in NHS Improvement
Typically issued in response to a new or under-recognised patient safety issue with the potential to cause death or severe harm. NHS Improvement aim to issue warning alerts as soon as possible after becoming aware of an issue and identifying that healthcare providers could take constructive action to reduce the risk of harm. Warning alerts ask healthcare providers to agree and coordinate an action plan, rather than to simply distribute the alert to frontline staff. -
News Article
NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes
Patient Safety Learning posted a news article in News
Hospitals will be required to employ patient safety specialists from next April as part of efforts by the health service to reduce thousands of avoidable errors every year. NHS trusts will be told to identify staff who will be designated as the safety specialist for each organisation. These workers, who will get specific training and work as part of a network across the country, will help to tackle a fragmentation in the way safety issues are dealt with in the NHS and ensure nationwide action on key safety risks is coordinated. The proposals are part of a national patient safety strategy which is aiming to save 928 lives and £98.5m across the NHS, as well as reducing negligence claims by £750m by 2025. The specialists will be identified from existing staff, with part of the role focused on embedding a so-called “just culture” approach to safety. This means reducing blame, supporting staff who make honest errors and tackling systemic causes of mistakes. Read full story Source: The Independent, 26 December 2019 What do you think? Join the conversation on the hub. -
Community PostI am interested in what colleagues here think about the proposed patient safety specialist role? https://improvement.nhs.uk/resources/introducing-patient-safety-specialists/ https://www.independent.co.uk/news/health/nhs-patient-safety-hospitals-mistakes-harm-a9259486.html Can this development make a difference? Or will it lead to safety becoming one person's responsibility and / or more of the same as these responsibilities will be added to list of duties of already busy staff? Can these specialist be a driver for culture change including embedding a just culture and a focus on safety-II and human factors? What support do trusts and specialists need for this to happen? Some interesting thoughts on this here: https://twitter.com/TerryFairbanks/status/1210357924104736768
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Content ArticleSouth Australia Health's patient-centred involves engaging with the consumer and the consumer to make sure they are responsive to their needs, values and preferences. One way South Australia Health gathers feedback is to survey people who have spent time in a country or metropolitan public hospital. In 2017, 2228 people were interviewed and their responses were analysed. This report summarises the results of the survey.
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Content Article
Leading for improvement, a blog by Sally Howard
Sally Howard posted an article in Leadership for patient safety
Sally Howard, topic leader for the hub, shares her insight on the imminent NHS Improvement Framework after she attended a webinar with National Director of Improvement for NHS England and NHS Improvement, Hugh McCaughey. -
Content ArticleSince the emergence of the opioid epidemic in the United States at the beginning of the 21st century, more than 400,000 Americans have died as the result of an opioid overdose. As of 2018, the Substance Abuse and Mental Health Services Administration estimates that more two million people have an opioid use disorder. With the rate of opioid-related inpatient stays and the number of opioid-related emergency department visits continuing to rise dramatically in the US, hospitals have the opportunity to make a major impact in reducing morbidity and mortality related to opioid use. This document, produced by the Institute for Healthcare Improvement, provides system-level strategies that hospitals can implement immediately to address the challenges of preventing, identifying, and treating opioid use disorder.
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Content ArticleEarlier this year, the World Health Organization declared 17 September the first World Patient Day and presented it as an opportunity to speak up for patient safety. A week or so beforehand, health leaders from across the world had met in Salzburg, Austria, at the request of Salzburg Global Seminar and the Institute for Healthcare Improvement (IHI) to explore ways of improving the measurement of patient safety. The Lucian Leape Institute, an initiative of the IHI, led the convening and content curation. Participants of Moving measurement into action: designing global principles for measuring patient safety agreed that there is no single measure that allows all stakeholders in all settings to assess the past, current, and future safety of their system. Participants agreed a system of measures must be carefully designed to assess the safety of patients throughout their health journey. The conversations in Salzburg have helped establish eight global principles for the measurement of patient safety. They feature in this new document, Salzburg Statement on Moving Measurement into Action: Global Principles for Measuring Patient Safety.
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Content ArticlePresentation from Jo Hughes at the Patient Safety Learning Annual Conference 2019 on engaging patients and families in patient safety. Joanne’s daughter Jasmine died in 2011 following failures in her care. Soon after Joanne set up Mother’s Instinct with the ambition to provide a source of support specifically for families whose children die following medical error, and a platform to share their stories and experiences for learning to improve patient safety for children, patient engagement in patient safety, and care of avoidably bereaved parents.
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Content ArticlePresentation from Linda Kenward at the Patient Safety Learning Annual Conference 2019 on engaging patients and service users. Linda is Principal Lecturer in Nursing at the University of Cumbria.
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Content ArticleAt the second annual Patient Safety Learning conference, held on 2 October 2019, we interviewed Tom Kark QC. QEB Hollis Whiteman and Verita, Tom joined a conversation with Ted Baker and Dr Elaine Maxwell on the topic of 'Leadership for patient safety'.
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Content ArticleAn Institute for Healthcare Improvement expert puts landmark patient safety report into perspective.
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Content Article
Safe practices for drug allergies using CDS and health IT (2019)
Claire Cox posted an article in Allergies
The Partnership for Health IT Patient Safety, a national collaborative convened by ECRI Institute, has released a new report on drug allergy interactions and how clinical decision support (CDS) and health information technology (IT) can be used to improve safety. Drug allergy alerts, a feature of clinical decision support (CDS), incorporated within the electronic health record (EHR), act as a safeguard against prescribing or dispensing a medication to which a patient has a documented allergy that could cause an adverse event for a patient. Drug allergy interactions are an important patient safety concern. Inadequate communication and display of drug allergy interaction information may result in incorrect treatment, delay care, or result in additional or prolonged care for a patient. -
Content ArticleBen Tipney and Vikki Howarths' presetation on Human Factors in practice. This presentation covers: an introduction to human factors human factors training implementation of human factors in practice new initiatives.
