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Showing results for tags 'Patient safety strategy'.
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Content ArticleThe Institute for Healthcare Improvement (IHI)-convened National Steering Committee for Patient Safety (NSC) has released a National Action Plan intended to provide US health systems with renewed momentum and clearer direction for eliminating preventable medical harm. Safer Together: A National Action Plan to Advance Patient Safety draws from evidence-based practices, widely known and effective interventions, exemplar case examples and newer innovations. The plan is the work of 27 influential federal agencies, safety organisations and experts, and patient and family advocates. The plan provides clear direction that health care leaders, delivery organisations, and associations can use to make significant advances toward safer care and reduced harm across the continuum of care.
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Content ArticleSince the Institute of Medicine’s 1999 report To Err is Human, it has been known that upwards of 100,000 deaths due to preventable medical errors occur each year. In the twenty years since then, little progress has been made in the way of reducing the number of these deaths and estimates now suggest between 200- 440,000 Americans are dying preventably each year. One major component many believe is lacking in the United States is a national agency that focuses on responsibility and accountability for patient safety. The Patient Safety Movement Foundation has published a white paper assessing the feasibility of creating a National Patient Safety Board to reduce preventable medical errors in facilities across the country.
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Content ArticleBenning 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.
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Content ArticleIn advance of the second annual World Patient Safety Day on 17 September 2020, the theme of which is Health Worker Safety: A Priority for Patient Safety’, this blog from Patient Safety Learning looks at how staff safety relates to patient safety.
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Content ArticleMaking Healthcare Safer III report is the third in a series of reports from the Agency for Healthcare Research and Quality (AHRQ), which reviews research supporting patient safety practices in place to reduce patient harms. This supplement from Shoemaker-Hunt et al. presents the reviews for eight of the patient safety practices from the Making Healthcare Safer III report: The use of rapid response teams to reduce failure-to-rescue events. The use of patient monitoring systems to improve sepsis recognition and outcomes. Environmental cleaning and decontamination to prevent Clostridioides difficile infection in healthcare settings. Chlorhexidine bathing strategies for multidrug-resistant organisms Using deprescribing practices and STOPP criteria to reduce harm and preventable adverse drug events in older adults The effect of opioid stewardship interventions on key outcomes System-level patient safety practices that aim to reduce medication errors associated with infusion pumps Improving team performance and patient safety on the job through team training and performance support tools.
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Content ArticleWhen 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.
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Content ArticleThe global healthcare delivery paradigm shift calls for enhanced strategies to engage patients in delivering safer and high-quality healthcare. There still exists a gap area in a globally accepted measure for the person-centered care. Recent tri-institutional global quality reports from National Academies of Sciences, Engineering, and Medicine (NAESM), World Bank Group, and Lancet Global Health Commission attempted to report the patient engagement measures used globally. In this paper in Cureus Journal of Medical Science, Ratnanin et al. aim to understand the variation in these globally reported patient-centered care measures and highlight the recent proactive strategies to enhance patient engagement to improve patient safety.
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Content ArticleThe highly publicised crashes of two Boeing 737 Max aircraft quickly triggered pointed questions about the company’s commitment to safety versus profits. As we near the twentieth anniversary of the landmark Institute of Medicine (IOM) report on medical error, To Err is Human, that same level of scrutiny should apply to hospitals. Cost-benefit analysis is both a legitimate and crucial management function. But the criteria used in those calculations can range from appropriate to appalling. It’s long past time to examine how the “business case for safety” can sometimes represent a serious threat to patients’ lives. Michael L. Millenson discusses the dangers in the "business case" for patient safety in his blog in Health Affairs.
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Content ArticleDr Abdulelah Alhawsawi, Abdominal Organs Transplant and Hepato-biliary Surgeon, and Director General of the Saudi Patient Safety Center, discusses why hospitals are falling short of safe care levels. He believes healthcare continues to be structurally weak when it comes to the safety conditions and suggests that there is an urgent need for a paradigm shift in the way we think about patient safety and how we implement it while providing healthcare. In his essay, Dr Alhawsawi proposes four practical solutions.
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Content ArticleThis paper from Helen Hughes presents a proposal to improve the safety of patients and the effectiveness of healthcare using Human Factors methods.
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Content ArticleThis month, the Institute of Public Policy Research (IPPR) published their new Injury Prevention Policy, Better Than Cure.[1] In this report they call on the Government to make injury prevention a public health priority and to take further action to prevent the transmission of Covid-19 in the workplace. Patient Safety Learning welcomes the publication of this report and its recognition of the importance of improving patient safety. We concur with its identification of unsafe care as being driven by a range of underlying systems issues, such as the culture of fear, barriers to resource sharing and insufficient focus on patient safety training and skills. These closely relate to the six foundations of safer care we have set out in A Blueprint for Action.[2] We also agree about the importance of two core areas which they highlight for action in this respect: 1) The Government should commit to long-term safe staffing This is particularly an important issue as we return to more normal levels of care following the peak of the Covid-19 pandemic, with the need to ensure that organisations and staff transition to this safely.[3] We consider that system wide (health and social care) workforce modelling is needed to inform resourcing and ensuring safe staffing. 2) The NHS should use patient safety networks to share best practice We strongly agree about the importance of sharing learning for patient safety. We need people and organisations to share learning when they respond to incidents of harm, and when they develop good practice for making care safer. This is why we have created the hub, a patient safety learning platform. Designed with input from patient safety professionals, clinicians and patients, the hub provides a community for people to share learning about patient safety problems, experiences, and solutions. References 1. IPPR. Better Than Cure: Injury Prevention Policy, August 2020. 2. Patient Safety Learning. The Patient-Safe Future: A Blueprint For Action, 2019. 3. Patient Safety Learning. Patient Safety Learning’s response to the Health and Social Care Select Committee Inquiry: Delivering Core NHS and Care Services during the Pandemic and Beyond, June 2020.
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Content ArticleHealthcare Quarterly is a Canadian publication and this issue, supported by the Canadian Patient Safety Institute (CPSI), focuses on patient safety.
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Content ArticleNational Healthcare Safety Network (NHSN) subject matter experts provide updates on NHSN Analysis for 2020. Topics include: Changes to NHSN Dataset Generation (DSG) Adjusted Ranking Metric (ARM) & the Reliability-Adjusted Rankings Dashboard MDRO/CDI Module analysis updates, 2020 CLABSI analysis changes and introduction to SIR/SUR percentile distribution 2020 changes to the HAI-AR analysis reports Recently published NHSN surveillance reports Patient Safety Portal.
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Content ArticleFounded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating healthcare organisations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission evaluates and accredits more than 22,000 healthcare organisations and programmes in the United States. The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them. The goals are to: Identify individuals served correctly Use medicines safely Prevent infection Identify individuals served safety risks.
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Content ArticleFounded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organisations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission evaluates and accredits more than 22,000 health care organisations and programs in the United States. The below link takes you to the 2020 National Patient Safety Goals (NPSGs) for the Ambulatory Health Care program. The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them.
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Content ArticleThis paper, from THIS Institute, aims to describe exactly what needs to happen for maternity care to be safe by examining how interventions and context work together to nurture and sustain safe practice.
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Content ArticleThis report details the experiences of the Scan4Safety demonstrator sites. Six trusts implemented scanning of people, products and places over the two-year initiative, which was funded by the Department of Health and made extensive use of unique identifiers from GS1, a not-for-profit organisation that develops and maintains global standards for business communication. At these organisations, all patients have a barcode on their wristband which is scanned before a procedure. All equipment used for that procedure is also scanned – including implantable medical devices – and recorded against the patient and the location. At some trusts, staff even have barcoded badges which are scanned before a procedure so making it possible to identify which teams were identified in which procedures. The result is complete traceability alongside a full understanding of costs, at patient and clinical team level.
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Content ArticleThe shared commitment and responsibility uniting everyone within and outside of healthcare during the COVID-19 has been unparalleled. Prior to the pandemic, this type of shared commitment has been discouragingly lacking for other major healthcare concerns such as patient safety. Reasons for this include organisational leaders who are incentivised to focus on activities essential for reimbursement and quality measurement rather than those involving the promotion of safety culture and implementation of systems-based approaches to improve safety, compounded by lack of clear ownership and accountability to solve long-standing safety challenges. The COVID-19 pandemic is leading to several ongoing impacts on the healthcare delivery system, many of which have patient safety implications. We are witnessing negative effects from delays in care from patients not seeking (or unable to seek) healthcare, patients with complex chronic conditions not having ongoing ambulatory care and new types of diagnostic errors. However, we are also witnessing some early short-term positive effects in selected safety areas where the COVID-19 pandemic has provided a new glimmer of hope. Singh et al. explore this further in their article in BMJ Quality & Safety.
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Content ArticleWatts et al. evaluated the effectiveness of audit and communication strategies to reduce diagnostic errors made by clinicians.
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Content ArticleThe 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.
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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 ArticleUnsafe healthcare is a well-recognised issue internationally and is attracting attention in India as well. Drawing upon the various efforts that have been made to address this issue in India and abroad, Madock et al. explore how we can accelerate developments and build a culture of patient safety in the Indian health sector. Using five international case studies, the authors describe the experiences of promoting patient safety in various ways to inform future developments in India. The authors offer a roadmap for 2020, which contains suggestions on how India could build a culture of patient safety
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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 ArticleThe NHS has recently conducted a consultation on its updated Standard Contract for use in 2020/21. Once finalised this contract is published by NHS England and used by commissioners to contract for all healthcare services other than primary care services. The contract is regularly updated to reflect changes in legislation, policies and technical improvements. In this year’s consultation there have been several changes proposed that specifically relate to patient safety and in this blog we outline the main patient safety changes proposed and detail Patient Safety Learning’s formal consultation response.
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Content Article
Getting It Right First Time (GIRFT)
PatientSafetyLearning Team posted an article in Quality Improvement
Getting It Right First Time (GIRFT) is an NHS improvement programme delivered in partnership with the Royal National Orthopaedic Hospital NHS Trust.
