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Content Article
World Patient Safety Day 2021
Patient Safety Learning posted an article in Maternity
In this blog Patient Safety Learning marks World Patient Safety Day 2021. It sets out the scale of avoidable harm in healthcare, what needs to change to create a patient safe future and considers the theme of this year’s World Patient Safety Day, ‘Safe maternal and newborn care’. -
Content ArticleHealthcare organisations strive to improve patient care experiences. One way is to use one-on-one provider counselling (shadow coaching) to identify and target modifiable provider behaviours. Quigley et al. examined whether shadow coaching improves patient experience across 44 primary care practices in a large urban US health centre. They found that shadow coaching improved providers' overall performance and communication immediately after being coached. However, these gains disappeared after 2.5 years. Regularly planned shadow coaching "booster" sessions might maintain or even increase the improvement gained in patient experience scores, but research examining additional coaching and optimal implementation is needed.
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Content ArticleThis report summarises some of the key findings from the full 2020 National Cardiac Audit Programme (NCAP). It provides useful background information and highlights what you can do to help improve cardiac health for you and your friends and family. It includes answers to some frequently asked questions and links to where to go for more information or support.
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Content ArticleAs part of a Patient Safety in Surgery Webinar Series held by Massachusetts General Hospital’s COMPASS (Center for Outcomes and Patient Safety in Surgery), Vivian Lee, president of Verily Health Platforms, shares strategies for leading quality improvement and change to work toward a healthcare system that provides better care, more efficiently and at a lower cost.
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Content Article
Patients For Patient Safety US
Patient Safety Learning posted an article in International patient safety
Patients for Patient Safety US (PFPS US) is a network of people and organisations aligned with the World Health Organization (WHO) and focused on making healthcare safe in the United States. It is led by people who have experienced medical error as a patient or in their families, and is committed to implementing the World Health Organization Global Patient Safety Action Plan in the USA. Read their 'Stories That Impacted Change' -
Content ArticleThis guide, developed by the charity Action Against Medical Accidents (AvMA), aims to provide support for people seeking legal advice about a possible clinical negligence claim. It is intended to provide information about what to expect from a first meeting with a lawyer and how to prepare for this.
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Content ArticleThis article discusses what advocacy actually entails and what values it ought to embody. The paper considers whether advocates are necessary since not only can they be dangerously paternalistic, but the salutary values advocacy embodies are already part of good professional health care.
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Content ArticleThis article by Dean K Wright describes the definition of 'advocate' and discusses how a doctor can best support their patient, particularly in regards to advocating for their patients rights and/or needs and in cases of child abuse and barriers to effective patient care.
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Content ArticleThis research article aimed to provide Registered Nurses with a description of patient advocacy in the clinical setting. Through a series of semi-structured interviews with 25 participants, the results of this study found the nurses had an adequate understanding of patient advocacy and were willing to advocate for patients, describing patient advocacy as promoting patient safety and quality care.
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Content Article
‘Mistreatment’ due to the colour of your skin
Becky T posted an article in Health inequalities
A blog highlighting the barriers in healthcare faced by patients due to the colour of their skin.- Posted
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Content ArticleThis article, published in Social and Personality Psychology Compass, looks at the biopsychosocial model as a dynamic system of multiple contextual factors that influence health.
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Content ArticleThis toolkit has been developed to inform improvement work in inpatient and residential settings which support people with dementia. It provides guidance on the steps needed to organise and manage an improvement project, how to utilise the experiences of people affected by dementia to develop improvement priorities and shares work and interventions by teams across Scotland.
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Content ArticleThis video, produced in conjunction with Royds Withy King Solicitors, provides a quick overview of AvMA’s services and how volunteers help them to deliver the vital support people need after experiencing medical harm.
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Content Article
Biopsychosocial Model
Becky T posted an article in Organisational
This collection of chapters surrounding the Biopsychosocial Model covers the background to the model and it's implications in areas of medicine as diverse as gastrointestinal diseases and mental health disorders. -
Content ArticleThis rapid response to the article 'What is a good doctor and how can we make one?', published on the BMJ website, discusses the background to the Biopsychosocial Model and it's implications in clinical practice today. The author highlights the importance of taking psychosocial factors into consideration, such as diet or loneliness, in order to improve individualised patient treatment.
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Content Article
Needlestick injuries – making the point for safety
Becky T posted an article in Staff safety
An article outlining the significance of needlestick injuries - their risks to healthcare workers, their cost, and the importance of prevention. -
Content ArticleIn addition to older individuals and those with underlying chronic health conditions, maternal and newborn populations have been identified as being at greater risk from COVID-19. It became critical for hospitals and clinicians to maintain the safety of individuals in the facility and minimise the transmission of COVID-19 while continuing to strive for optimised outcomes by providing family-centered care. Rapid change during the pandemic made it appropriate to use the plan–do–study–act (PDSA) cycle to continually evaluate proposed and standard practices. Patrick and Johnson describe how their team established an obstetric COVID-19 unit for women and newborns, developed guidelines for visitation and for the use of personal protective equipment, initiated universal COVID-19 testing, and provided health education to emphasize shared decision making.
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Content ArticleMissed or failure to follow up on test results threatens patient safety. This qualitative study from Dahm et al. used volunteers to explore consumer perspectives related to test result management. Participants identified several challenges that patients experience with test-results management, including systems-level factors related to the emergency department and patient-level factors impacting understanding of test results.
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Content ArticleThere is concern among patients, surgeons and health authorities regarding reported adverse patient outcomes following use of mesh in certain urogynaecological surgical procedures. The European Society of Coloproctology (ESCP) has conducted an extensive review of the surgical literature on the outcome of use of mesh in the pelvis of patients who have undergone bowel surgery and will shortly publish its recommendations. ESCP would like to hear from patients who have had both good and not so good experiences with colorectal surgery using mesh such as operations for rectal prolapse (rectopexy), or operations for advanced rectal cancer/inflammatory bowel disease who had mesh inserted to assist in skin closure of the back passage area. The survey is designed to capture the experience of patients who have had an operation that involved using mesh in the pelvis as a part of a colorectal (bowel) surgical operation. The survey is NOT designed to cover outcomes following urogynaecological operations for prolapse or urinary incontinence. The use of mesh as part of abdominal wall hernia repair is also not included.
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Content ArticleYvonne Ormston shares her experience of dealing with Covid as the CEO of Gateshead Health FT and her own cancer journey during the pandemic. Published in HSJ.
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Content Articlen the UK, while most primary care contacts are uncomplicated, safety incidents do occur and result in patient harm, for example, failure to recognise a patient’s deterioration in health. This study by Cecil et al. determined the patient and healthcare factors associated with potentially missed acute deterioration in health. Differentiating acute deterioration from self-limiting conditions can be difficult for clinicians, particularly in patients with sepsis, urinary tract infections, or long-term conditions. The findings of this study support the call for longer GP consultations and caution against reliance on telephone consultations in primary care; however, more research is needed to understand the underlying mechanisms.
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Content Article
Dr Gordon Caldwell believes that patient safety should be an active process of checking for avoidable errors. In this blog for the hub, he describes how he developed a checklist for his ward rounds and how this became incorporated into the daily clinical review notes to ensure that all the important aspects of care on a team’s routine ward rounds are actively addressed. -
Content Article
HSJ Roundtable: Ensuring safe vascular access
Patient Safety Learning posted an article in Patient management
Ensuring safe vascular access is a fundamental part of the care of many hospital patients with up to 90% of inpatients requiring intravenous access for delivery of fluids and medication or blood sampling. Historically vascular access has been carried out by anaesthetists, radiologists and medical consultants. But an HSJ roundtable heard that introducing specialist teams to assess patients for vascular access, and then insert, care and maintain devices has many advantages from both an organisational perspective and that of the patient. -
Content ArticleWhile healthcare quality has been improving on average in OECD members countries, patient safety remains a central priority for policy makers and health care leaders. A growing research body has found that patient safety culture (PSC) is associated with numerous positive outcomes, including improved health outcomes, improved patient experience, and organisational productivity and staff satisfaction. Tools to measure PSC have proliferated in recent decades and are now in wide-spread use. This report includes findings from OECD countries on the state of the art for measurement practices related to PSC. Overall, measurement of PSC is prevalent across OECD countries, though the application, purpose, and tools vary. International learning and benchmarking has significant potential for better understanding and improvement of patient safety and health care quality.
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Content ArticleNine out of 10 medical professional bodies think patients have a right to know if their doctor had financial or other links with pharmaceutical or medical device companies. Abi Rimmer considers the next steps towards implementing a mandatory register of doctors’ interests in the UK.
