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Showing results for tags 'Patient safety strategy'.
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Content ArticlePort-au-Prince, the capital of Haiti, has seen waves of clashes between armed groups. The violence has driven a stark need for emergency trauma care and surgery, and cut people off from the everyday healthcare services they need. Nurse Amadeus von der Oelsnitz explains how the Médecins Sans Frontières / Doctors Without Borders (MSF) principles of neutrality, impartiality and independence help teams provide vital healthcare in a city torn apart by insecurity.
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Content ArticleThis US study in the journal Medical Care aimed to investigate the extent of physician practice adoption of patient engagement strategies nationally. The authors analysed data collected from the National Survey of Healthcare Organizations and Systems (NSHOS) on adoption of patient engagement strategies. They found that there was modest adoption of shared decision-making and motivational interviewing, and low adoption of shared medical appointments.
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Content ArticleIn this podcast, the Learn from Patient Safety Events (LFPSE) team talks to the National Director for Patient Safety about the new LFPSE service, why it’s important, and the benefits he thinks it will bring for patient safety.
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News Article
‘Patient safety progress stopped in its tracks by covid’ says Hunt report
Patient Safety Learning posted a news article in News
A report commissioned by Jeremy Hunt before he became Chancellor has highlighted how the pandemic ’stopped progress on patient safety in its tracks’ and called for more accurate data to be published on a range of measures. The National State of Patient Safety was funded by Mr Hunt’s Patient Safety Watch charity and produced by Imperial College London’s Institute of Global Health Innovation. It highlights a rise in rates of MRSA and C. difficile since the onset of the pandemic in 2020, as well as an increase in deaths due to venous thromboembolism and hip fractures. The report said the pandemic had also exacerbated issues associated with staff wellbeing, claiming there had been “notable rises” in staff burnout and ill-health. The researchers described problems with the breadth and accuracy of available patient safety data and highlighted that only 44% of trusts currently fulfilled the obligation to report their own estimated number of avoidable deaths. Although the report added that “data on rates of avoidable deaths are not a panacea”, it described them as a “snapshot of safety and harm and are most usefully used to initiate further work to understand the causes of unwarranted variation”. Read full story (paywalled) Source: HSJ, 27 November 2022 -
Content ArticleThis Canadian study in the Journal of Patient Safety describes an initiative that introduced system-wide changes to practice and patient safety culture in a rapid time frame. it looks at the implementation of a 'zero harm' approach to eliminate preventable harm across a wide variety of clinical areas. In less than a year, the intervention increased patient safety incident reporting by 37% while decreasing falls with injury by 39%, pressure injury rates by 37% and central line–associated blood stream infections by 34%.
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News Article
USA: Address ‘plane-crash level’ patient harm, HHS tells hospitals
Patient Safety Learning posted a news article in News
Health and Human Services (HHS) Secretary Xavier Becerra startled a recent meeting of senior health system leaders by declaring in opening remarks that a plane crash had just killed all 200 passengers. He immediately added that this hadn’t really happened; he’d said it only to illustrate the toll taken by medical error. The 14 November meeting at which Becerra spoke signalled a renewed commitment by HHS to preventing patient harm as it launched an “Action Alliance to Advance Patient Safety.” The Alliance aims to recruit the nation’s largest health systems as participants. “We’re losing pretty much an airline full of Americans every day to medical error, but we don’t think about it,” said Becerra. (The department’s fiscal 2022-2026 strategic plan actually estimated the death toll at roughly 550 daily, which would be a very large airliner.) “But the worst part about it is that it’s avoidable.” Though the meeting rhetoric was rousing and the invitee list impressive, specifics remained scarce. The Alliance is described only in general terms as a partnership among health systems, federal agencies, patients and others to implement Safer Together: A National Action Plan to Advance Patient Safety. Read full story Source: Forbes, 17 November 2022 -
Content ArticleThe Royal College of Emergency Medicine’s Safety Resources hub has information and resources about alerts, safety resources, safety in the Emergency Department and safety events. This page is managed by the Safer Care Committee, which is part of the Quality in Emergency Care Committee (QECC). The QECC has produced a series of strategy documents, explaining the role of RCEM, and these committees, in improving patient care.
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Content ArticleAn HSIB guest blog post from Henrietta Hughes introducing her vision for her new role as Patient Safety Commissioner.
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Content Article
The Beryl Institute - Path to experience excellence
Patient-Safety-Learning posted an article in Patient engagement
Shaped by the contributions and learning of the Beryl Institute community, these foundational frameworks provide a path for organisations to guide and assess their experience journey. Each framework offers strategic concepts, suggests practical actions and links to applicable resources. There are three frameworks available: Guiding principles - Foundational commitments to build your experience strategy Experience framework - Integrated strategy to frame your experience efforts The new existence- Roadmap to transform human experience in healthcare -
EventuntilThe free, one-day, virtual conference will explore the themes and issues arising from the report recently published by the Authority, Safer care for all – solutions from professional regulation and beyond. It will be an opportunity to hear a range of views, debates and discussions about some of the issues in the report with the aim of moving towards solutions to support safer care for all. Safer care for all – solutions from professional regulation and beyond is the Authority’s contribution to the debate on some of the key patient and service user safety challenges within health and social care, drawing on insights from our role overseeing the ten health and care professional regulators and the Accredited Registers programme. Topics that we focus on within the report include: tackling inequalities regulating for new risks facing up to the workforce crisis accountability, fear and public safety. Register
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Content ArticleThis article* is an update from Dr Henrietta Hughes, Patient Safety Commissioner for England.
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Event
The NHS Patient Safety Conference
Patient Safety Learning posted an event in Community Calendar
The NHS Patient Safety Conference, in partnership with Patient Safety Learning, is a long-standing virtual and in-person event series that has welcomed over 1500 NHS professionals through its doors. In February 2021, further updates and changes were made to the NHS Patient Safety Strategy. The most significant strategy update is the new commitment to address patient safety inequalities, with a new objective added to the safety system strand of the strategy. This event series provides a timely platform to discuss these changes. Key event topics are run across 3 key pillars: Insight Adopt and promote fundamental safety measurement principles and use culture metrics to better understand how safe care is. Use new digital technologies to support learning from what does and does not go well, by replacing the National Reporting and Learning System with a new safety learning system. Introduce the Patient Safety Incident Response Framework to improve the response to an investigation of incidents and implement a new medical examiner system to scrutinise deaths. Improve the response to new and emerging risks, supported by the new National Patient Safety Alerts Committee Share an insight from litigation to prevent harm. Involvement Establish principles and expectations for the involvement of patients, families, carers, and other lay people in providing safer care. Create the first system-wide and consistent patient safety syllabus, training, and education framework for the NHS. Establish patient safety specialists to lead safety improvement across the system. Ensure people are equipped to learn from what goes well as well as to respond appropriately to things going wrong. Ensure the whole healthcare system is involved in the safety agenda. Improvement Deliver the National Patient Safety Improvement Programme, building on the existing focus on preventing avoidable deterioration and adopting and spreading safety interventions. Deliver the Maternity and Neonatal Safety Improvement Programme to support a reduction in stillbirth, neonatal and maternal death, and neonatal asphyxia brain injury by 50% by 2025. Develop the Medicines Safety Improvement Programme to increase the safety of those areas of medication use currently considered the highest risk. Deliver a Mental Health Safety Improvement Programme to tackle priority areas, including restrictive practice and sexual safety. Work with partners across the NHS to support safety improvement in priority areas such as the safety of older people, the safety of those with learning disabilities and the continuing threat of antimicrobial resistance. Work to ensure research and innovation support safety improvement. All organisations are committed to patient safety, but how do leaders ensure that they’re doing all they can to deliver safe and effective care? Join Dr Sanjiv Sharma, Executive Medical Director at Great Ormand Street Hospital for Children, and Helen Hughes, Chief Executive of Patient Safety Learning for a presentation at 9.05am. Dr Sharma will outline their ambitious patient safety transformation journey, how they are designing and delivering an innovative safety systems approach. Embedding Patient Safety Learning’s new standards for patient safety, hear how GOSH’s self assessment has informed the development of prioritised action plans, strengthened governance and leadership engagement and cross organisation collaboration. Helen Hughes, Chief Executive of Patient Safety Learning, will outline why a standards based approach to patient safety is needed and the benefits it can bring. Register -
News Article
NHSE drops tech target
Patient Safety Learning posted a news article in News
NHS England has revealed it is no longer planning to meet a long-term plan maternity digitisation target, because of a change of approach. Under the heading of “empowering people”, the 2019 long-term plan promised to extend digital access to maternity records to the whole country by 2023-24. This was in addition to digitising the so-called red book, which is used to track the health of babies and young children. It followed a recommendation in the 2016 Better Births report, led by former health minister Baroness Julia Cumberlege and commissioned by NHS England. It was intended to reduce bureaucracy and improve safety, as well as provide parents with better information. However, a paper prepared by chief nursing officer Ruth May for NHSE’s October board meeting said while the organisation “remains committed” to digitising the records, meeting the 2024 deadline would be a challenge due to “varying levels of digital maturity and change capacity across maternity services”. In response, Royal College of Obstetricians and Gynaecologists president Edward Morris told HSJ: “While we recognise the enormous pressures that maternity services are currently facing, we are disappointed that NHSE is no longer on track to meet the target to digitise maternity records by 2024. “This programme of digitisation will help realise our ambition for more effective use of data collected during pregnancy, to help identify and prevent the future onset of disease and improve outcomes for women and their babies. “If digital maternity records are to become part of the wider shift to electronic patient records, it is vital that this information is still accessible to both women and healthcare professionals as an important tool for shared decision making.” Read full story (paywalled) Source: HSJ, 11 October 2022 -
Content ArticleThis article* is an update from Dr Henrietta Hughes, Patient Safety Commissioner for England.
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Content ArticleThis article* is an update from Dr Henrietta Hughes, Patient Safety Commissioner for England.
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Content ArticleThis article* is an update from Dr Henrietta Hughes, Patient Safety Commissioner for England.
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Content ArticleThis article* is an update from Dr Henrietta Hughes, Patient Safety Commissioner for England.
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Content Article
Patient Safety Commissioner for Scotland Bill (6 October 2022)
Mark Hughes posted an article in Scotland
The Scottish Government has published a new Bill to establish a Patient Safety Commissioner for Scotland. This article provides an overview of the remit, accountability, powers, and responsibilities of the new Commissioner that are proposed in this Bill. -
Content ArticleIt won’t come as a surprise but more than in 9 in 10 of almost 200 NHS leaders that responded to the latest NHS Confederation survey said that risk to patient safety is going to increase as we approach winter. Almost all of them identified the biggest risks being demand for urgent and emergency care and ambulance waits. And most expect to have to make difficult decisions and compromises around safe staffing ratios and delayed transfers of care. As the health and care sector braces for a challenging winter, three key steps could support systems to manage risk and minimise harm, writes Matthew Taylor, chief executive at NHS Confederation: The need for a robust and honest assessment of harm. The role of systems in minimising harm. The role of the centre in providing a helping hand.
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Content Article
Three years since we launched the hub, our award-winning platform to share learning for patient safety, we have seen it grow in members, content and impact. To date, the hub has received over 565,000 visits and had over 1 million page views. It now has over 3,400 members from 80 countries working in over 1,000 different organisations, and offers 7,500 knowledge resources, viewed by people from 221 countries. We continue to highlight serious patient safety issues, celebrate patient safety achievements, provide ‘how to’ resources on good practice and offer a safe space for staff and patients to share their experiences and discuss challenges. In this blog, we would like to celebrate just some of the work we are especially proud of and highlight where we’ve been making the case for change and the many ways the hub is making an impact. -
Content Article
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 ArticleThis document, Malaysian Patient Safety Goals 2.0 – Guidelines on Implementation & Surveillance explains the details of the new Malaysian Patient Safety Goals, known as MPSG 2.0. It describes the: Malaysian Patient Safety Goals and KPIs. The technical specifica!on of the associated KPIs (i.e., rationale, strategies & implementation, definition, inclusion and exclusion criteria, formula of KPI, numerator, denominator and target for each goal). The data collection process and format.
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Content ArticleIdentifying a route to net zero emissions for a complex system as large as the NHS is particularly challenging. To understand how and when the NHS can reach net zero we established an NHS Net Zero Expert Panel, reviewed nearly 600 pieces of evidence submitted to us and conducted extensive analysis and modelling. The targets set are as ambitious as possible, while remaining realistic; and are supported by immediate action and a commitment to continuous monitoring, evaluation and innovation. The aim is to be the world’s first net zero national health service.
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News Article
Contacting the Patient Safety Commissioner for England
Patient Safety Learning posted a news article in News
Dr Henrietta Hughes was appointed as the first ever Patient Safety Commissioner for England in July. She began her role on 12 September. Dr Hughes is an independent point of contact for patients so that patients’ voices are heard and acted upon. She will use patients’ insight to help the government and the healthcare system in England listen and respond to patients’ views and promote patient safety, specifically with regard to medicines and medical devices. For more information on the role of the Patient Safety Commissioner see the fact sheet and the government’s response to a consultation regarding the post. The privacy notice sets out how the Patient Safety Commissioner collects and uses personal data to fulfil the role. Please contact the Patient Safety Commissioner at commissioner@patientsafetycommissioner.org.uk. Source: Department of Health and Social Care, 28 September 2022- Posted
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EventGovconnect are delighted to announce that the 3rd Annual Improving Patient Safety & Care Conference, will be held at the RSM in partnership with Patient Safety Learning. Supporting STPs/ICSs and healthcare providers to implement features of the NHS Patient Safety Strategy can only be achieved through the joint efforts of multiple organisations, and for the last 3 years, the Govconnect’s Patient Safety series of webinars has provided the platform for discussion to shape a better policy in order to better deliver the commitments of the strategy. Improving Patient Safety & Care 2022 allows government departments, arms-length bodies, the NHS and local authorities, research institutions, and the charity and voluntary sector to hear from senior leaders from many of the key partner organisations involved in implementing the patient safety strategy. Speakers at this event include: Dr Una Adderley, National Wound Care Strategy Programme Director, AHSN Network Cheryl Crocker, Patient Safety Director, AHSN Network Sir Robert Francis, Chair, Healthwatch England Dr Nigel Acheson, Deputy Chief Inspector of Hospitals, Care Quality Commission Helen Hughes, Chief Executive Officer, Patient Safety Learning Peter Walsh, Chief Executive, Action Against Medical Accidents & WHO Patients for Patient Safety Champion Agenda Register We are delighted to announce we have a number of fully funded tickets to offer. Please use the following code when asked at the cart on the registration page: IPSC22GUEST
