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Showing results for tags 'Patient safety strategy'.
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Content ArticleThe Patient Safety Movement Foundation (PSMF) surveyed their community members from April 20 to May 4, 2020 and share the results in this report. They collected a total of 195 complete responses worldwide. This included 71% respondents from the US, 13% from EMEA, 7% from Mexico, 4% from the rest of LATAM, 3% from JAPAC, 2% from Canada, and 1% from India. The community sample also comprised of approximately a quarter of nurses, a quarter of other medical professionals (doctors, pharmacists), and significant representation of administrators, vendors, advocates, quality control, as well as many other backgrounds and occupations.
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Content ArticleTo deliver a new normal that serves patients we must grab this opportunity to bake patient involvement into new structures, processes and cultures within the NHS, writes Rachel Power, Chief Executive at the Patients Association, in this HSJ article. In responding at scale and pace to coronavirus – discharging patients, cancelling operations, changing how patients access services – the NHS avoided becoming overwhelmed. However, changes were delivered without allowing the patients affected a say. Given the emergency, that was probably necessary and people were largely supportive. But as the NHS looks ahead to what the “new normal” might be, if its recent experience has given it a taste for bold, clinically led change, then the NHS needs to think again.
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Content ArticleIn this video Dr. Donna Prosser, Chief Clinical Officer at the Patient Safety Movement Foundation, interviews Helen Hughes the Chief Executive of Patient Safety Learning, on how we can better share learning about reducing harm in healthcare. Helen shares the resources that are available through Patient Safety Learning and how those passionate about safety can get involved.
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Content ArticleFrom the early stages of the COVID-19 pandemic in the UK, Patient Safety Learning has been working with others in healthcare – from patients and staff to healthcare leaders and politicians – to identify the impact the pandemic is having on non COVID-19 treatment and care, and on patient safety. Recently, Patient Safety Learning hosted a webinar, in partnership with HealthPlusCare, titled ‘Patient safety: Time for questions? Non Covid-19 care and treatment’. The webinar took place on Wednesday 6 May, with a panel consisting of: Professor Maureen Baker CBE, Chair of the Professional Records Standards Body and past Chair of the Royal College of GPs Professor Mike Bewick, Chair of CECOPS and past Deputy Medical Director to Sir Bruce Keogh at NHS England Dr Jane Carthey, Human Factors and Patient Safety Specialist Mike Fairbourn, Chair of ABHI Patient Safety Working Group and BD Country General Manager Dean Russell MP, MP for Watford and member of the Health and Social Care Select Committee Claire Cox, Patient Safety Learning’s Associate Director of Patient Safety and Critical Care Outreach Nurse Helen Hughes, Patient Safety Learning’s Chief Executive We are delighted with the success of the webinar, with 542 participants. Those who attended represented stakeholders from across the health and care system, and were well-engaged, making good use of the chat, Q&A and polls.
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Content ArticleToo little, too late, says Scally, Jacobson and Abbasi in this BMJ Editorial on the government's response to COVID-19. The UK government and its advisers were confident that they were “well prepared” when COVID-19 swept East Asia. The four-pronged plan of 3 March to contain, delay, research, and mitigate was supported by all UK countries and backed, they claimed, by science. With over 30 000 hospital and community deaths by 12 May, where did the plan go wrong? What was the role of public health in the biggest public health crisis since the Spanish flu of 1918? And what now needs to be done?
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NHS trade unions’ blueprint for return (May 2020)
PatientSafetyLearning Team posted an article in Exit strategies
As we enter what could be the start of a gradual easing of lockdown restrictions, discussion has turned to how the NHS restarts those services that were stepped down during the peak of the COVID-19 pandemic. In this document, 16 NHS trade unions That is why 16 NHS trade unions are asking UK governments and employers to work with them to deliver their Blueprint for Return, in which they set out 9 key recommendations. -
Content ArticleThis is a joint letter from The Health Foundation, The King's Fund and the Nuffield Trust to the Health and Social Care Select Committee for the evidence session on delivering core NHS and care services during the pandemic and beyond.
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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 ArticleImagine 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.
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Content ArticleAuthor 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."
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Content ArticleClaire, 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.
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Content ArticleIn this interview, Cheryl Crocker, AHSN Network Patient Safety Director, tells us more about her role and why she is passionate about care homes.
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My role as a lead therapist for eating disorders
Dr Joanna Silver posted an article in Stories from the front line
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. -
Content ArticlePresentation from Dr Neelam Dhingra-Kumar, Coordinator, Patient Safety and Risk Management, at the World Health Organization's "A Global Consultation – A decade of Patient Safety 2020–2030".
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Communication and Optimal Resolution (CANDOR) Toolkit
lzipperer posted an article in International patient safety
The Communication and Optimal Resolution (CANDOR) process is an evidence-based approach developed through support and testing by the US Agency for Healthcare Quality and Research. The CANDOR program aids healthcare institutions and practitioners to effectively respond when accidental, unexpected harm befalls patients in their care. The CANDOR toolkit contains information to help organisations implement the program. It covers topics such as event reporting and analysis, disclosure response and organisational learning. Further reading - The 'seven pillars' response to patient safety incidents: effects on medical liability processes and outcomes (December 2016) -
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'Storm in a Checklist'
Kathy Nabbie posted an article in Surgery
Kathy Nabbie reflects on the recent flights caught up in Storm Dennis and how 'routine' quickly became 'out of the ordinary'. As with aviation, in surgery we must always do the safety checks for each patient to ensure that every journey for the patient is a safe one. -
Content ArticleIn this BMJ Opinion article, David Rowland from the Centre for Health and the Public Interest discusses why he thinks the Independent Inquiry into the issues raised by Paterson is yet another missed opportunity to tackle the systemic patient safety risks which lie at the heart of the private hospital business model. David believes that although the Inquiry provided an important opportunity for the hundreds of patients affected to bear witness to the pain and harm inflicted upon them it fundamentally failed as an exercise in root cause analysis. None of the “learning points” in the final report touch on the financial incentives which may have led Paterson to deliberately over treat patients. Nor do they cover the business reasons which might encourage a private hospital’s management not to look too closely. Yet these concerns about how the private hospital system works and the associated patient risks it produces had been established in a number of previous inquiries. He suggests that the Inquiry report threw the responsibility for managing patient safety risks back to the patients themselves in two of its main recommendations but that it should be for the healthcare provider first and foremost to ensure that the professions that they employ are safe, competent and properly supervised, and for this form of assurance to be underpinned by a well-functioning system of licensing and revalidation by national regulatory bodies.
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Content ArticleDr Hein Le Roux is Primary Care Patient Safety GP Lead at the West of England Academic Health Science Network. Here Hein interviews Dr Emma Redfern on their programme to encourage the use of the National Early Warning Score (NEWS), followed by a conversation with Dr Sheena Yerburgh on a standardised admission sheet they have helped to develop, which is being used by GPs in the Gloucestershire area when referring patients to emergency departments.
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Content ArticleThe West of England Academic Health Science Network has produced this webpage on caring for the deteriorating patient. One of the priorities identified by their Patient Safety Collaborative was the emergency management of the deteriorating patient, in particular identifying patients at risk and avoiding patient deterioration. This webpage includes examples and resources to help others implement similar changes and initiatives.
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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 ArticleMarginalised groups (‘populations outside of mainstream society’) experience severe health inequities, as well as increased risk of experiencing patient safety incidents. To date however no review exists to identify, map and analyse the literature in this area in order to understand 1) which marginalised groups have been studied in terms of patient safety research, 2) what the particular patient safety issues are for such groups and 3) what contributes to or is associated with these safety issues arising. This review from Cheraghi-Sohi et al. in the International Journal for Equity in Health highlights that marginalised patient groups are vulnerable to experiencing a variety patient safety issues and points to a number of gaps. The findings indicate the need for further research to understand the intersectional nature of marginalisation and the multi-dimensional nature of patient safety issues, for groups that have been under-researched, including those with mental health problems, communication and cognitive impairments.
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Content ArticleThe Independent Inquiry into the Issues raised by Paterson, published on Tuesday 4 February 2020, was prompted by the case of Ian Paterson, a breast surgeon who was convicted of wounding with intent some of the 11,000 patients he treated and jailed for 20 years in 2017. More than 200 patients and family members gave evidence as part of the Inquiry and it is estimated that he could have harmed more than 1000 patients.[1] The Inquiry gave those involved an opportunity to be heard and to learn how this happened, in both the NHS and the independent sector. It found that this “is the story of a healthcare system which proved itself dysfunctional at almost every level when it came to keeping patients safe, and where those who were the victims of Paterson’s malpractice were let down time and time again”.[2] At Patient Safety Learning we have reflected on some of the key patient safety themes that have emerged from this Inquiry and the actions required these issues. You can read Patient Safety Learning's full response here.
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Content ArticleThis article by Abdulelah M. Alhawsawi, from the Saudi Patient Safety Center, first appeared on the G20 Health & Development Partnership news stream. It is copied below verbatim.
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Content Article
NHS Mid and South Essex's 'We're Listening' leaflet
Danielle Haupt posted an article in Keeping patients safe
Danielle, Critical Care Outreach Nurse at Southend University Hospital, share's her 'We're Listening' leaflet as part of the trust's Call for Concern service. This leaflet will be displayed in all hospital areas. This service has been developed so that patients, friends and family can alert the Critical Care Outreach team if they have concerns that need listening to and gives a telephone number to call and outlines the next steps. -
Content ArticleFollowing the news of the appointment of the UK's first harms prevention nurse consultant at Ashford and St Peter's Hospital NHS Foundation Trust, we interviewed Sue Harris on her new role.
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