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Showing results for tags 'Policies'.
Found 131 results
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Content ArticleLooking at health and care through a systems lens reveals a wealth of connections and opportunities to achieve better outcomes, as seen in the case studies within this paper. Systems are also complex and changing, with multiple inputs and feedback loops, and control distributed across multiple stakeholders. This paper is a timely exploration of the strategies, skills, and toolkit for effective working within systems. The paper is particularly focused on local government’s role in health and care systems, though there are learning points relevant to any systems leader.
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Content ArticleHealthcare simulation is an established technique for improving patient safety, through training individual skills, teamwork behaviours, and by testing healthcare systems for latent safety threats. However, healthcare simulation may present risks to safety, especially when delivered ‘in situ’—in real clinical environments—when lines between simulated and real practice may be blurred. Brazil et al. developed a simulation safety policy (SSP) after reading reports of adverse events in the healthcare simulation literature, editorials highlighting these safety risks, and reflecting on our own experience as a busy translational simulation service in a large healthcare institution. The process for development of a comprehensive SSP for translational simulation programs is unclear. Personal correspondence with leaders of simulation programs like our own revealed a piecemeal approach in most institutions. In this article, the authors describe the process we used to develop the simulation safety policy at our health service, and crystalize principles that may provide guidance to simulation programs with similar challenges.
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EventuntilCOVID-19 has shown clearly why governments need to prepare for an uncertain future. Preparation means more creative strategic thinking, more analysis of what might be ahead, and an acceptance of the value of reserve capacity to mitigate risk. Could the pandemic be a re-defining moment for how the UK government prepares for uncertainty, plans for the long-term and thus builds resilience? This won’t happen by accident: policymakers have strong incentives to pay attention only to the short-term. What are convincing arguments as to why they should change? What else would make them, and their successors, do it? Join The Health Foundation for this webinar, where they will consider these issues and what practical steps can be taken now to strengthen capacity for long-term thinking and dealing with uncertainty in UK policymaking – steps that might be hard-wired into normal policymaking now and in the future.
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Content ArticleSafety governance refers to the approaches taken to minimise the risk for patient harm across an entity or system. It typically comprises steering and rule-making functions such as policies, regulations and standards. To date, governance has focused on the clinical level and the hospital setting, with limited oversight and control over safety in other parts of the health system. All 25 countries that responded to a 2019 OECD Survey of Patient Safety Governance have enacted legislation that aims to promote patient safety. These practices include external accreditation and inspections of safety processes and outcomes. Safety governance models are also moving away from punishment and shaming towards increased trust and openness. Learning from success as well as failures represents a paradigm shift in safety governance, an approach that has been increasingly adopted in OECD countries.
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Content ArticleThe Centre for Perioperative Care (CPOC) has started work on the UK’s first ever Green Paper on perioperative care.
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Content ArticleThe Health Foundation policy tracker provides a description and timeline of national policy and health system responses to COVID-19 in England in 2020. The full tracker includes data on what changes have been introduced, when, why, and by whom – as well as how these changes have been communicated by policymakers. We track policy changes in five areas – from health and care system changes to wider social and economic policy.
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Content ArticleThe Canadian Patient Safety Institute's (CPSI's) strategic plan for 2018-2023 promises to lead health system-level strategies to ensure safe healthcare by demonstrating what works and by strengthening commitment. Patient safety incidents in total (acute care and home care combined) are the third leading cause of death, behind cancer and heart disease with just under 28,000 deaths across Canada (2013). This is equivalent to such harm events occurring in Canada every one minute and 18 seconds, resulting in a death every 13 minutes and 14 seconds. Strengthening Commitment for Improvement Together: A Policy Framework for Patient Safety, focuses on key policy levers available to influence system changes.
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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 ArticleThis article from Michael Ollove in USA Today compares international activities responding to the COVID-19 pandemic to those of the United States to illustrate gaps and highlight areas where coordination and collaboration are desperately needed to move the US effort forward.
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Content ArticleThis report from the American Association of Medical Colleges outlines 11 government-focused recommendations to support and motivate a United States collective plan to reset the response to the COVID pandemic. Informed by expert insights from a variety of fields, the document shares actionable suggestions on topics such as testing improvement, national standards on face coverings and other safety protocols, and vaccine deployment planning.
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Content Article
Letter from America: “We got trouble my friends”
lzipperer posted an article in Letter from America
In her latest Letter from America, Lorri Zipperer explores the lack of coordination that is undermining the current US response to the COVID-19 crisis and preparation for the next phase. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments and patient safety challenges in the United States. -
Content ArticleThe objective of this study, published by Risk Management and Healthcare Policy, was to examine factors impacting the awareness of hospital policies and programs and their impact on the actual disclosure of medical errors.
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Content ArticleThis book explores patient safety themes in developed, developing and transitioning countries. A foundation premise is the concept of ‘reverse innovation’ as mutual learning from the chapters challenges traditional assumptions about the construction and location of knowledge. hub members can receive a 20% discount. Please email: feedback@pslhub.org to request the discount code.
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Content Article
Safe practices for drug allergies using CDS and health IT (2019)
Claire Cox posted an article in Allergies
The Partnership for Health IT Patient Safety, a national collaborative convened by ECRI Institute, has released a new report on drug allergy interactions and how clinical decision support (CDS) and health information technology (IT) can be used to improve safety. Drug allergy alerts, a feature of clinical decision support (CDS), incorporated within the electronic health record (EHR), act as a safeguard against prescribing or dispensing a medication to which a patient has a documented allergy that could cause an adverse event for a patient. Drug allergy interactions are an important patient safety concern. Inadequate communication and display of drug allergy interaction information may result in incorrect treatment, delay care, or result in additional or prolonged care for a patient. -
Content Article
Radio Ombudsman
Patient Safety Learning posted an article in Recommended video and audio resources
The Radio Ombudsman features full and frank conversations with special guests on a range of topics such as NHS investigations, good complaint handling and improving public services. Hosted by Parliamentary and Health Service Ombudsman Rob Behrens, it generates lively discussion and interesting ideas. The Ombudsman makes final decisions on complaints about government departments, other public organisations and the NHS in England. -
Content ArticleThe Health Foundation policy team carried out this project to communicate clear recommendations for enabling successful change in the NHS, grounded in the UK’s experience of what has gone before, where the NHS is now, and the principles of quality improvement.
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Content ArticleA report of the National Patient Safety Foundation’s Lucian Leape Institute's roundtable on consumer engagement in patient safety. This US based report looks at how increasing engagement between those who provide care and those who receive it at every level can result in improved health care outcomes for individuals and safer and more productive work environments for healthcare professionals.
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Content ArticleAs cancer care becomes inundated with cutting edge and novel treatments, such as personalised medicine, oral chemotherapy, biosimilars, and immunotherapy, new safety challenges are emerging at increasing speed and complexity.
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Content ArticleThis paper, by the King's Fund, argues that the NHS in England cannot meet the healthcare needs of the population without a sustained and comprehensive commitment to quality improvement as its principal strategy.
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Content ArticlePatient-controlled personal health records facilitate coordinated management of chronic disease through improved communications among, and about, patients across professional and organisational boundaries. An NHS foundation trust hospital has used 'Patients Know Best' (PKB) to support self-management in patients with inflammatory bowel disease; this paper published in Digital Health presents a case study of usage.
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Content ArticlePresentation by Andrew Brent (Sepsis Clinical Lead, Oxford AHSN & Oxford University Hospitals NHS Foundation Trust) and Bethan Page (Oxford AHSN) in collaboration with Dr Matt Inada-Kim (Wessex AHSN).
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Content Article
Further serious patient safety incidents: why are staff still not being listened to when concerns are raised?
Anonymous posted an article in Whistle blowing
Due to COVID-19 and the safety issues the pandemic is highlighting, I have decided to write a sequel to my previous blog 'Dropped instrument, washed and immediately reused'. I am writing this because it recently came to my notice from colleagues that safety is once again being compromised in the same private hospital where my shifts were blocked after I reported a patient safety incident.- Posted
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Content Article
The human-centred organisation (11 May 2020)
Patient Safety Learning posted an article in Techniques
The world today is highly complex and fast changing. New technologies become available and change the way we work, communicate and live our lives. The complex socio-economic and socio-political systems can make it difficult to anticipate the needs and requirements of tomorrow. This article discusses issues organisations have to deal with and the benefit of becoming more human-centred with help of a model aiming to influence organisations on policy level. -
Content ArticlePatient Safety Right Now, the Canadian Patient Safety Institute’s (CPSI) 2018-2023 strategy defines a vision that “Canada has the safest healthcare in the world.” CPSI’s mission is: “to inspire and advance a culture committed to sustained improvement for safer healthcare.” CPSI develops system-wide strategies to ensure safe healthcare in two ways: by demonstrating what works to improve safe care in Canada, and by strengthening commitment to patient safety priorities among all healthcare stakeholders. It has, however, become clear that not only are more robust commitments required to advance patient safety in Canada, but health systems need additional evidence and support to complete end-to-end patient safety improvements and to measure and sustain results. To this end, CPSI drafted the Strengthening Commitment for Improvement Together: A Policy Framework for Patient Safety to stimulate conversation and action on the following policy levers: legislation, regulations, standards, organizational policies and public engagement.
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Content ArticlePresentation from Dr Neelam Dhingra-Kumar, Coordinator, Patient Safety and Risk Management, at the World Health Organization's "A Global Consultation – A decade of Patient Safety 2020–2030".
