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Content ArticleThe Faculty of Occupational Medicine (FOM) has published guidance for healthcare professionals to assist them in facilitating the return to work of people who are unable to work due to Long-COVID. Follow the link below or download the guidance as a pdf.
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Content Article
Patient Safety Movement: Story of Pat Denton
Patient Safety Learning posted an article in By patients and public
The story of Pat Denton who died from a surgery site infection after surgery. -
Content ArticleRegina Hoffman, Executive director of Pennsylvania’s Patient Safety Authority and editor-in-chief of Patient Safety, discusses why we need to shift the focus from "whomever-care" to a "people's care" approach. She hopes after the pandemic that the next chapter brings radical change to how we approach patient safety and says we must start by making patient safety a national priority. This is part of a series of blogs from Regina 'The bigger picture'.
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Content Article'Covid Oximetry @home' describes an enhanced package of care for individuals with confirmed (or suspected) COVID-19 who are at risk for future deterioration. NHS England and Improvement wrote to all CCGs and trusts to encourage the development of local CO@H projects. The 'CO@h' package of care involves the remote monitoring of the patient's condition through providing regular contact with a local health care team who will reassess the individuals symptoms (including oxygen saturation levels). This close monitoring enables the individual to remain at their usual place of residence whilst allowing early signs of deterioration to be identified and escalated quickly and appropriately. This material has been designed primarily for use across the South East AHSN network by colleagues within the Wessex AHSN, Kent Surrey Sussex AHSN and Oxford AHSN regions. Colleagues from regions beyond the South East are also very welcome to make use of this toolkit in setting up their own local approaches to remote monitoring.
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Mölnlycke: SSI Risk Reduction Partnership
Patient Safety Learning posted an article in Surgery
Surgical Site Infections (SSIs) are a problem of increasing concern with major implications for both patients and the NHS. Between 2014 – 2019 SSIs, as a percentage of all healthcare associated infections, jumped from 16% 1 to 20%. It is a growing problem, in need of a solution. Mölnlycke has developed the Risk Reduction Partnership is a new initiative that has been specifically designed to combat the problem and potentially help reduce its incidence and impact. -
Content ArticleEngaging with patients is a time-honoured tradition in medicine, and by no means a new concept. A great physician-patient relationship is something that every patient would love to have. Back in the day, the physician was like Marcus Welby – they would visit your house and know all about you and your family. This arrangement was not only great for improving the physician-patient relationship, but also improved health outcomes by providing the most patient-centered care possible. Today, many medical professionals face some new challenges in making that all-important connection. These days, doctors are pressed for time and don’t have that same one-on-one relationship with their patients. While doctors can pull up a chair and speak to the patient at eye level, technology is playing a greater role these days. The increasing role of technology in healthcare has been advantageous in some ways, but has posed new challenges, too. In this blog, David Mayer explores the challenges physicians face.
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Content ArticleThe global coronavirus (COVID-19) pandemic has taken a dramatic toll on virtually all aspects of life, from the economy, to employment, relationships, public health, and personal health. In the United States, more than 200,000 individuals have died of the coronavirus. As of October, hundreds of thousands of Americans are filing unemployment claims each week. For all of us, the pandemic has become a time marked by uncertainty, fear, and grief. According to a survey conducted by the Centers for Disease Control and Prevention (CDC), about 40 percent of US adults reported struggling with mental health or substance use issues. Although much of the general population has admitted to feeling more anxious and depressed during the pandemic, those with substance use and mental health issues face unique challenges.
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Content ArticleThis video from NHS Resolution looks at the criteria that need to be met in order for patient consent to be legally valid. Advice is provided on how to ensure practitioners obtain legally valid consent.
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Content ArticleFor some people, anaesthesia is one of the scariest parts of surgery. Do you wonder about the risks, too? Anesthesiologist Christopher Troianos offers some insights to help separate fact from fiction. He highlights five key points about anesthesia that are sometimes misunderstood or have changed in recent years.
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Content ArticleHow are we ensuring that patient and staff safety is being prioritised during the pandemic? Watch the recording of the 'Leadership for patient safety during COVID-19' webinar that took place on 7 December 2020.
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Content Article
Rebuilding Shattered Lives
Patient Safety Learning posted an article in Legal matters
People who suffer an injury caused by the negligence of someone else need, and have a right, to rebuild their lives. Going through a personal crisis – whether it is short-term or life-changing – is bad enough without being made to feel ashamed about making a claim. People who have been injured needlessly must have access to justice and the care and support they need on the road to recovery. Injured people deserve our empathy and understanding. As a nation we should be focused on what genuinely injured people need, rather than on myths about their motivation, and misconceptions about the specialist lawyer s who fight for their rights and help put them on the road to recovery. ‘Rebuilding Shattered Lives’ tells the real story of personal injury and of people who need expert support to help them build brighter futures. -
Content ArticleThe early identification of deterioration in suspected COVID-19 patients managed at home enables a more timely clinical intervention, which is likely to translate into improved outcomes. Dr Matt Inada Kim and team undertook an analysis of COVID-19 patients conveyed by ambulance to hospital to investigate how oxygen saturation and measurements of other vital signs correlate to patient outcomes, to ascertain if clinical deterioration can be predicted with simple community physiological monitoring.
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BMJ: Speaking up against bullying in the patient community
Claire Cox posted an article in Bullying and fear
Many of us are aware of school campaigns against bullying, protecting school aged children from harmful experiences that pose life-long lasting effects. Phrases such as “don’t be a bystander” and “stand up” are used to remind us of our obligation to help those who need it. Yet, these efforts rarely continue into our adult lives, and have mainly ignored the devastating effects of bullying on people from all walks of life, including in the patient community. -
Content Article
Surgical Outcome Risk Tool v2 (SORT)
Patient Safety Learning posted an article in Surgery
Some patients die after major surgery. Risk prediction tools can help shared decision making with the patient, aiding decisions on whether to operate, how to prepare and use of critical care. An international multi-centre prospective observational cohort study in 274 sites with 22,631 patients compared risk prediction with 30-day mortality. In 88.7% of cases clinicians exclusively used subjective assessment. The best predictions were from the SORT tool combined with clinical assessment. P-POSSUM Surgical Risk Scale, SRS and SORT all over-predicted risk, with SORT performing best. This 10-question SORT model has been updated including clinician assessment and provides an accurate means of predicting perioperative risk. -
Content ArticlePatient advocate Vonda Vaden Bates interviews Brandyn Lau, Assistant Professor of Radiology and Health Sciences Informatics, Johns Hopkins School of Medicine, around the importance of venous thromboembolism (VTE) prophylaxis for hospitalised patients.
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Care Quality Commission: Choosing a baby scanning service
Patient Safety Learning posted an article in Maternity
Ultrasound scans are important for checking the health of you and your baby. There are different types of scanning service and it's important to understand what each type offers. The Care Quality Commission provides some guidelines. -
Content ArticleIn this Episode of the 'This Is Nursing' podcast series, Gavin Portier speaks to Stacey Ward, Capsule Endoscopy Clinical Nurse Specialist from Barnsley Hospital. Capsule Endoscopy is a non invasive way to look inside a patient. Stacey has pioneered a nurse led endoscopy service that she is deeply proud and passionate about. Her vision and drive for the service and improvement to the patient experience and journey is inspiring.
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Content ArticleThe increased use of personal protective equipment (PPE) during the COVID-19 pandemic has added challenges for healthcare workers and accessing the right PPE, or having the right equipment and staff, can be difficult. This guidance from Royal College of Physicians (RCP) aims to help individuals working in healthcare to ensure PPE use does not impair patient safety. This guidance, created by the RCP Medicine Safety Joint Working Group and led by the RCP’s Medicines safety clinical fellow, Jennifer Flatman, aims to raise awareness of key issues relating to the use of PPE. It includes recommendations on how you can help to mitigate against patient safety issues related to PPE in your healthcare environment and considers scenarios such as use of PPE when performing tasks and situational awareness.
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Content ArticleThe latest newsletter from the Patient Safety Authority highlights the importance of stronger warnings on medications, tracking the way misinformation spreads online, treating brain conditions through art and music, and more.
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Content Article
AbbVie: Shared decision making
Patient Safety Learning posted an article in Patient-centred care
The involvement of patients in decisions about their care is essential to help effectively manage long-term conditions and help achieve the best possible patient outcome. ‘Shared decision making’ ensures that individuals are supported, by their healthcare partners, to make decisions about their care or treatment, that are right for them. Shared decision making is included in the NHS Constitution, and AbbVie, a research-driven biopharmaceutical company. hopes to help continue raising the profile of patient involvement. AbbVie wants to see shared decision making be widely adopted across NHS services. To support this ambition, AbbVie held the Shared Decision Making Showcase in Parliament on the 10 March 2020. A year on from the publication of the NHS Long Term Plan, and Universalised Personalised Care Plan – which established ambitious targets to put shared decision making at the heart of patient care – the showcase provided a platform for patient groups, NHS Trusts, and healthcare providers to share their innovative work. The projects showcased ranged from MS, arthritis, Lymphoma, Autism, Hepatitis C, kidney dialysis and more—all focused on empowering patients to take an active part in decisions about their treatment and care. AbbVie has supported a number of organisations and projects to develop and enable shared decision making including two of the showcased initiatives: a survey of treatment decision experience amongst psoriasis patients and the work of the Patient Information Forum to develop and implement the Perfect Patient Information Journey. -
Content ArticleA new toolkit to support GPs to deliver care for patients with hearing loss and aims to encourage deaf patients to access primary care, has been launched. The educational kit, developed by Royal College of GPs (RCGP) in collaboration with the UK’s largest hearing loss charity, RNID and NHS England and Improvement aims to support GPs to consult effectively with deaf patients by offering tips on how to communicate during face to face and remote appointments. It also offers guidelines on how to recognise early symptoms of hearing loss and how to refer patients for a hearing assessment. The project aims to support GPs implement the latest NICE Guidelines, NHS Accessibility Quality Standard and Guidance across the UK. Resources include an Essential Knowledge Update (EKU) Screencast, GPVTS Teaching Powerpoint, Podcasts, Hearing Friendly Practice Charter for your GP Surgery to sign up to, EKU Online E-learning Module, RCGP Accredited Deaf Awareness Online Course, Hearing Friendly Practice Animation Video and much more.
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Content ArticleBetween 6 May and 17 August 2020, the Patients Association asked patients about their experiences during the first wave of the COVID-19 pandemic in an online survey.
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Content Article
My hospital experiences during COVID-19 by Chris Maddocks
Patient Safety Learning posted an article in Blogs
Chris Maddocks has dementia and on 28 July, after suddenly becoming unwell, she was admitted to her local hospital. She shares her experience of being in hospital and explains how small things can become much bigger for someone living with dementia. She hopes by sharing that this will help others who may be admitted in the future. -
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David Oliver: Should doctors be on first name terms?
Patient Safety Learning posted an article in Culture
In this BMJ perspective, David Oliver, a consultant in geriatrics and acute general medicine, discusses whether doctors should keep with tradition of using their professional titles amongst colleagues and patients, or whether, as in his own hospital, first names should be used as part of a wider focus on patient safety and a human factors culture. Of course, professional roles and hierarchies remain important in healthcare. Different people have different training or experience, and it’s important to have clear team leadership and responsibilities, especially in emergency care. But first names are part of a push to build strong team working, flatten hierarchies, and improve patient safety by making it easier for less senior team members or different clinical professionals to question senior doctors and “stop the line” before avoidable harm occurs. -
Content ArticleWhen you are receiving treatment, it is important to feel that you are in safe hands. The Private Healthcare Information Network (PHIN) website publishes information on a range of patient safety measures, including about serious safety incidents. One category of these are known as Never Events. Here we explain what Never Events are, why they are measured, and how you can use them when considering which hospital is right for you.explain what Never Events are, why they are measured, and how you can use them when considering which hospital is right for you.
