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Showing results for tags 'Patient'.
Found 1,293 results
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Content ArticlePatients and families are important contributors to the diagnostic team, but their perspectives are not reflected in current diagnostic measures. Patients/families can identify some breakdowns in the diagnostic process beyond the clinician’s view. Bell et al. developed a framework with patients/families to help organisations identify and categorise patient-reported diagnostic process-related breakdowns (PRDBs) to inform organisational learning. The framework describes 7 patient-reported breakdown categories (with 40 subcategories), 19 patient-identified contributing factors and 11 potential patient-reported impacts. Patients identified breakdowns in each step of the diagnostic process, including missing or inaccurate main concerns and symptoms; missing/outdated test results; and communication breakdowns such as not feeling heard or misalignment between patient and provider about symptoms, events, or their significance. The PRDB framework can help organisations identify and reliably categorise PRDBs, including some that are invisible to clinicians; guide interventions to engage patients and families as diagnostic partners; and inform whole organisational learning.
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Content ArticleCurrent UK health policy recommends the transition of maternity services towards provision of Midwifery Continuity of Carer (MCoCer) models. Quality of healthcare is correlated with the quality of leadership and management yet there is little evidence available to identify what is required from midwifery managers when implementing and sustaining MCoCer. Turner et al. developed a theoretical framework that represents midwifery managers’ experiences of implementing and sustaining MCoCer models within the UK’s National Health Service (NHS).
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Content ArticleThe direction of hospital design is taking a turn for the practical as a surge of institutions are updating their infrastructure and responding to demands for more outpatient facilities. Beyond aesthetics, hospitals are seeking architectural updates that improve safety, patient and staff satisfaction, and friendliness to the environment. Infection control, lighting conditions, noise level, air quality, and patient room design are just some of the factors that are considered.
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Content Article
Parkinson’s is the fastest growing neurological condition in the world. It affects young or old, and in the UK around 145,000 people are living with the condition. With population growth and ageing, this figure is estimated to increase by 20%, within the next ten years. Currently there is no cure for Parkinson’s, but medication plays a vital role in managing symptoms and preventing deterioration. In this blog, Laura Cockram, Head of Policy and Campaigning at Parkinson's UK, talks about: How people with Parkinson’s can prepare their medication to go into hospital. Resources that can support you. -
Content ArticleSecond harm is the added psychological distress from an inadequate response by healthcare providers in response to medical errors or neglect. This inadequate response may require patients to seek counselling. The counselling needs of patients who have experienced second harm have received limited research attention. This Q methodology study addresses this gap in knowledge in order to further inform counselling practice.
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Content ArticleSafety and quality of care for psychiatric patients is a relatively understudied area of patient safety research. This scoping review explores patient safety strategies used in psychiatry. The review identified seven key strategies that rely on staff performance, competence, and compliance: 1) risk management, (2) healthcare practitioners, (3) patient observation, (4) patient involvement, (5) computerised methods, (6) admission and discharge, and (7) security. These strategies primarily target reductions in suicide, self-harm, violence and falls.
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Content ArticleThe Ipsos Global Health Service Monitor is an annual study that explores the biggest health challenges facing people today and how well-equipped people think their country’s healthcare services are to tackle them. It ran the survey in 30 countries between 30 August and 3 September 2021. The survey found that public perceptions of healthcare services have not been adversely affected by the pandemic, according to our 30-country survey. Britons are generally happy with the quality of healthcare but are acutely aware of the challenges facing healthcare services.
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Content ArticleThis study from Harris et al. estimated the effect of prompt admission to critical care on mortality for deteriorating ward patients. They found that prompt admission to critical care leads to lower 90-day mortality for patients assessed and recommended to critical care.
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Content ArticleAs Psychology / Human Factors advisor to the UK surgical patient safety learning group (CORESS), and having published on clinical excellence and patient experience issues, Narinder Kapur recently had the unique experience of being a surgical patient. The author discusses the gained insights and learned lessons that could help improve the patient hospital experience and also patient safety.
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Content ArticleThis article in Social Science & Medicine examines how GPs and patients explore medical and existential uncertainty in consultations. The authors analysed 20 naturally occurring clinical consultations between general practitioners and patients in England, focusing on interactions and how they negotiated uncertainty. They found that the doctor-patient dynamic contributes significantly to the way in which medical uncertainty is discussed. By conceptualizing uncertainty in an indirect and depersonalized manner, GPs manage to safeguard against clinical errors without compromising their authority and credibility.
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What's your heart age? NHS Health Check
Patient Safety Learning posted an article in Heart conditions
A new study by Staffordshire University shows that people who understand their ‘heart age’ are more likely to make healthy lifestyle changes. 50 preventable deaths from heart attack or stroke happen every day and Public Health England’s online Heart Age Test (HAT) allows users to compare their real age to the predicted age of their heart. The tool aims to provide early warning signs of cardiovascular disease (CVD) risk, encouraging members of the public to reduce their heart age through diet and exercise and to take up the offer of an NHS Health Check. -
Content Article
Top 21 Chronic Pain & Illness Blogs (20 August 2021)
Patient-Safety-Learning posted an article in Patient stories
This article lists some of the top chronic pain and illness blogs on the internet, with a short description of each one.- Posted
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Content ArticleThis article from Healthwatch outlines the communications patients should expect from their healthcare provider while they are waiting for treatment. It also describes how healthcare staff should involve patients in shared decision-making about their care and communicate clearly, personally and transparently.
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Content Article
Prevention of Future Deaths report – Joshua Sahota
Patient Safety Learning posted an article in Coroner reports
Joshua Sahota died as a result of asphyxia and psychosis while a patient in Northgate Ward at Wedgewood House, operated and staffed by Norfolk and Suffolk NHS Foundation Trust. In his report, the Coroner raised patient safety concerns regarding how the trust communicates to relatives which items are restricted and not allowed to be brought into the ward. He raised concerns that family and friends of current inpatients may still inadvertently take a restricted item onto the ward unless changes are put in place. -
Content ArticleMany elective orthopaedic procedures were cancelled due to the Covid-19 pandemic and the number of patients on waiting lists for surgery is rising. This study looks at the disparities between inpatient and day-case orthopaedic waiting list numbers and the ‘hidden burden’ that exists due to reductions in elective secondary care referrals. The authors looked at elective procedures at a single District General Hospital in the UK between 1 April and 31 December 2020 and compared data with the same nine-month period from 2019. The study found: a 52.8% reduction in elective surgical workload in 2020 the total number of patients on waiting lists had risen by 30.1% in just 12 months inpatient waiting lists have risen by 73.2%, compared to a 1.6% rise in the day-case waiting list new patient referrals from primary care and therapy have reduced by 49.7%. The authors highlight the disparity between inpatient and day-case waiting lists and predict an influx of new referrals as the pandemic eases. They call for robust planning and allocation of adequate resources to deal with the backlog.
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Content Article
Alzheimer's Society: 'This is me' leaflet
Patient-Safety-Learning posted an article in Dementia
'This is me' is a simple leaflet for anyone receiving professional care who is living with dementia or experiencing delirium or other communication difficulties. 'This is me' can be used to record details about a person who can't easily share information about themselves. For example, it can be used to record: a person’s cultural and family background important events, people and places from their life their preferences and routines. -
Content ArticleJulia’s mum, Gladys, lived with vascular dementia. She was a bubbly, social woman and her care replicated that. The support Gladys received was exceptional, and now Julia would like to help families, not as lucky as her own, to receive the same. Read Julia's story.
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Content ArticleThis leaflet explains what sedation is, how it works and when you may need it. It also explains the benefits and risks of using sedation and what it might feel like. Importantly, it tells you what you will need to plan for your care after sedation. It has been written by patients, patient representatives and anaesthetists, working together.
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Content ArticleThe report defines the standards for the provision of conscious sedation in the delivery of dental care.
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Content Article
Conscious sedation in dentistry (June 2017)
Patient Safety Learning posted an article in Dentist
This Scottish Dental Clinical Effectiveness Programme guidance aims to promote good clinical practice through recommendations for the safe and effective provision of conscious sedation for dental care. -
Content Article
CQC. Dental mythbuster: Safe and effective conscious sedation
Patient Safety Learning posted an article in Dentist
Conscious sedation can help a patient undergo dental treatment. There are several reasons why they may need sedation – anxiety, medical needs or complex treatment. The Care Quality Commission (CQC) outlines the regulations and standards of conscious sedation. -
Content Article
What Is conscious sedation? (14 September 2018)
Patient Safety Learning posted an article in Patient management
Conscious sedation helps reduce anxiety, discomfort, and pain during certain procedures. This is accomplished with medications and (sometimes) local anesthesia to induce relaxation. Conscious sedation is commonly used in dentistry for people who feel anxious or panicked during complex procedures like fillings, root canals, or routine cleanings. It’s also often used during endoscopies and minor surgical procedures to relax patients and minimise discomfort. Find out more about the procedure, the drugs used and the side effects. -
Content ArticleRegina Hoffman, executive director of Pennsylvania’s Patient Safety Authority, explains why we sometimes need to look beyond the accepted 'best practice' and provide the best care instead.
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Content ArticleThe Centers for Disease Control and Prevention (CDC) provide answers to FAQs about ventilator-associated pneumonia.
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Content ArticleSubstantial evidence indicates that patient outcomes are more favourable in hospitals with better nurse staffing. One policy designed to achieve better staffing is minimum nurse-to-patient ratio mandates, but such policies have rarely been implemented or evaluated. In 2016, Queensland (Australia) implemented minimum nurse-to-patient ratios in selected hospitals. In a study published in the Lancet, McHugh et al. aimed to assess the effects of this policy on staffing levels and patient outcomes and whether both were associated.
