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Found 754 results
  1. Event
    until
    The Institute for Healthcare Improvement (IHI) and BMJ bring you one of the largest international conferences focused on improving outcomes for patients and communities through quality improvement. Themed Adapting to a changing world: equity, sustainability and wellbeing for all, the conference programme will focus on how the improvement movement can help healthcare systems adapt and thrive in a rapidly changing world. Key topics we will address include equity, sustainability, wellbeing and learning from adverse events. Further information and registration
  2. Event
    The new NHS Patient Safety Syllabus has brought education and training to the fore to push patient safety in healthcare. Based on the syllabus this masterclass will focus on how Human Factors and Red Teams can be improve patient safety. Red Teams are defined as a team that is formed with the objective of subjecting an organisation’s plans, programmes, ideas and assumptions to rigorous analysis and challenge. It will look at the use of Red Teaming taken from the Ministry of Defence for supporting staff and teams faced with different problems and challenges in healthcare. It will look at how you can use these techniques to improve problem solving and making decisions across all levels of the organisations. Red Teaming is the independent application of a range of structured, creative and critical thinking techniques to assist healthcare staff make a better-informed decision or produce a more robust product. Finally, it will address problems and develop capability within healthcare organisations. It introduces more formal analytical techniques that can be used with more complex problems when more time is available. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
  3. Event
    This conference will focus on measuring, understanding and acting on patient experience insight, and demonstrating responsiveness to that insight to ensure patient feedback is translated into quality improvement and assurance. Through national updates and case study presentations the conference will support you to measure, monitor and improve patient experience in your service, and ensure that insight leads to quality improvement. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/patient-experience-insight or email nicki@hc-uk.org.uk hub members receive 20% discount. Email info@pslhub.org for discount code. Follow on Twitter @HCUK_Clare #PatientExp
  4. Event
    The NHS Patient Safety Conference, in partnership with Patient Safety Learning, is a long-standing virtual and in-person event series that has welcomed over 1500 NHS professionals through its doors. In February 2021, further updates and changes were made to the NHS Patient Safety Strategy. The most significant strategy update is the new commitment to address patient safety inequalities, with a new objective added to the safety system strand of the strategy. This event series provides a timely platform to discuss these changes. Key event topics are run across 3 key pillars: Insight Adopt and promote fundamental safety measurement principles and use culture metrics to better understand how safe care is. Use new digital technologies to support learning from what does and does not go well, by replacing the National Reporting and Learning System with a new safety learning system. Introduce the Patient Safety Incident Response Framework to improve the response to an investigation of incidents and implement a new medical examiner system to scrutinise deaths. Improve the response to new and emerging risks, supported by the new National Patient Safety Alerts Committee Share an insight from litigation to prevent harm. Involvement Establish principles and expectations for the involvement of patients, families, carers, and other lay people in providing safer care. Create the first system-wide and consistent patient safety syllabus, training, and education framework for the NHS. Establish patient safety specialists to lead safety improvement across the system. Ensure people are equipped to learn from what goes well as well as to respond appropriately to things going wrong. Ensure the whole healthcare system is involved in the safety agenda. Improvement Deliver the National Patient Safety Improvement Programme, building on the existing focus on preventing avoidable deterioration and adopting and spreading safety interventions. Deliver the Maternity and Neonatal Safety Improvement Programme to support a reduction in stillbirth, neonatal and maternal death, and neonatal asphyxia brain injury by 50% by 2025. Develop the Medicines Safety Improvement Programme to increase the safety of those areas of medication use currently considered the highest risk. Deliver a Mental Health Safety Improvement Programme to tackle priority areas, including restrictive practice and sexual safety. Work with partners across the NHS to support safety improvement in priority areas such as the safety of older people, the safety of those with learning disabilities and the continuing threat of antimicrobial resistance. Work to ensure research and innovation support safety improvement. All organisations are committed to patient safety, but how do leaders ensure that they’re doing all they can to deliver safe and effective care? Join Dr Sanjiv Sharma, Executive Medical Director at Great Ormand Street Hospital for Children, and Helen Hughes, Chief Executive of Patient Safety Learning for a presentation at 9.05am. Dr Sharma will outline their ambitious patient safety transformation journey, how they are designing and delivering an innovative safety systems approach. Embedding Patient Safety Learning’s new standards for patient safety, hear how GOSH’s self assessment has informed the development of prioritised action plans, strengthened governance and leadership engagement and cross organisation collaboration. Helen Hughes, Chief Executive of Patient Safety Learning, will outline why a standards based approach to patient safety is needed and the benefits it can bring. Register
  5. Event
    until
    Organised by The Healthcare Improvement Studies Institute, THIS Space aims to share learning on what works in healthcare improvement, what doesn’t, and why. This year there are over 30 speakers and more opportunities for networking and interaction with colleagues, sessions on imaginative ways of understanding problems and evaluating solutions, and updates on the latest evidence. THIS Space aims to: provide a focus for knowledge sharing in healthcare improvement stimulate innovation and fresh thinking help researchers to develop the habits, knowledge, skills, and experiences to support their professional growth connect colleagues from across different disciplines who share a common goal be a means of accelerating the development of the field of the study of healthcare. For researchers, patients, carers, NHS staff and anyone with an interest in the evidence base for improving the quality and safety of healthcare. Register
  6. Event
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    Join Kayleigh Barnett, Senior Improvement Advisor at Aqua who will share her experience in using Appreciative Inquiry methods to create additional value for learners in a quality improvement (QI) programme aimed at aspiring senior leaders. Appreciative Inquiry is increasingly used as the basis for building a structured learning process and this session will present a case study, and provide practical ideas for you to consider. Ensuring that Appreciative Inquiry processes are included in any part of an organisation can also contribute to psychological safety. Psychological safety is the belief that you won’t be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes. Kayleigh has worked at Aqua for six years and is the Delivery Lead for Appreciative Inquiry. She is an accredited Appreciative Inquiry Practitioner from the International Academy of Appreciative Inquiry. Her other areas of work are quality improvement and human factors. The case study she will present has also been featured in the September edition of the Appreciative Inquiry Practitioner journal. Register
  7. Community Post
    NHS hospital staff spend countless hours capturing data in electronic prescribing and medicines administration systems. Yet that data remains difficult to access and use to support patient care. This is a tremendous opportunity to improve patient safety, drive efficiencies and save time for frontline staff. I have just published a post about this challenge and Triscribe's solution. I would love to hear any comments or feedback on the topic... How could we use this information better? What are hospitals already doing? Where are the gaps? Thanks
  8. Content Article
    Chris Graham of the Picker Institute and Jacob Lant from charity National Voices join host Annabelle Collins to discuss patient experience revealed by recent national surveys, how the findings should be used to improve quality and reduce health inequalities, and whether there is a bigger role for “real-time” experience measures.
  9. Content Article
    Mölnlycke are keen to highlight the great work happening across the NHS, and share this best practice to benefit the wider healthcare system. They have developed this short survey as part of their ‘Spotlighting Surgical Excellence’ project, to collect positive case studies from across the patient pathway, and profile them in order to highlight ways of improving efficiency and patient outcomes in operating theatres across the system. Your answers will be collated and anonymously assessed by an independent expert advisory board of clinicians and healthcare experts. They will choose a selection of case studies to profile in-depth in a short Q&A podcast, which will be conducted virtually. This will provide the chosen entries with the opportunity to showcase the work happening in their trust, and share this with other healthcare professionals.
  10. Content Article
    Despite the prevalence of diabetes amongst individuals with Serious Mental Illness (SMI), diabetes care is not currently audited within mental health inpatient settings as it audited in physical health settings. This project piloted an audit to assess the diabetes care within London NHS Mental Health Trusts. The Health Innovation Network in partnership with South London and Maudsley NHS Foundation Trust (SLaM) developed and piloted a diabetes audit. Following the SLaM pilot, the audit was completed by all nine London Mental Health Trusts. A diverse approach was taken to spread and adoption. This included piloting the audit within one MH Trust, refining, and then rolling out the audit to eight London Mental Health Trusts.
  11. Content Article
    This NHS dentistry and oral health update has a special focus on patient safety. It includes an introduction by newly appointed Interim Chief Dental Officer (CDO) for England, Jason Wong and covers the following topics: Quality and safety in dental care  Contributing to patient safety learning Using the Learning from Patient Safety Events (LFPSE) service Patient safety incidents and harm Patient Safety Incident Response Framework (PSIRF) Spotlight on Project Sphere Regulatory support Clinical leadership in patient safety
  12. Content Article
    This paper attached clarifies what statutory duties, accountabilities and responsibilities providers, Integrated Care Boards (ICBs) and NHS England hold for quality. Please note this is a working document and will be updated.
  13. Content Article
    Key to the success of the Patient Safety Incident Response Framework (PSIRF) is working collaboratively across organisations utilising the skills of colleagues from different departments This podcast, hosted by Tracey Herlihey, Head of Patient Safety Incident Response Policy at NHS England, aims to further progress the conversation with special guests: Liz Maddocks-Brown, formerly NHS Horizons Claire Cox, Andy Wilmer and Lorraine Catt from Kings College Hospital Stefan Cantore from Sheffield University Management School.
  14. Content Article
    An opportunity to connect virtually with health and care professionals from across the UK and Ireland on your shared interest in patient safety and quality improvement. An initiative from Supporting Q Connections programme.
  15. Content Article
    The aim of the NHS Safety Thermometer is to provide a local improvement tool for measuring, monitoring and analysing patient harms and ‘harm free care’. Data is collected by Trusts on pressure ulcers, falls, urinary tract infections (UTI), and Venous Thromboembolism (VTE) assessments, prophylaxis and treatment. The North East Quality Observatory Service (NEQOS) Safety Thermometer Tool allows trusts to compare themselves against their peers (for improvement purposes) as well as to undertake internal comparisons across different service areas within the Trust. Produced quarterly, the tool uses National Safety Thermometer data published by NHS Digital and presents this by Trust across the North East & North Cumbria (NENC) area, providing comparisons between peers as well as with the national average, with breakdowns by service areas for detailed analysis.
  16. Community Post
    Hi The new Patient Safety Incident Response Framework is due for publication this month for early adopters and as 'introductory guidance' for everyone else: https://improvement.nhs.uk/resources/about-new-patient-safety-incident-response-framework/ I wondered if there is anyone who is involved in an organisation that is an early adopter who can share what has happened so far and also would be willing to share any local learning as the new framework is implemented? Also, more generally wondered if anyone has any initial comments on the proposals which were mentioned in the NHS patient safety strategy and any things in particular which they think will bring benefit or could represent significant challenges or issues?
  17. Community Post
    Hello I would be interested in hearing from anyone who has done any work on how we monitor patient deterioration overnight? I am currently working on am improvement project looking at patient surveillance of deterioration during night shifts. I have chosen this project as part of a Clinical Improvement Scholarship Program I am on. The program is combined with my day job as a Critical Care Outreach Sister as well as enabling me to develop my research and leadership skills alongside implementing improvements in clinical care. I am in the early stages of my work, however I have some literature and local research around deficiencies in how we monitor patients for deterioration overnight (as well as personal experiences as a CCOT nurse) which is why this topic is so important to me. I would be interested in hearing from anyone who has worked on anything similar, or can point me in the direction of anyone who maybe able to help. Thank you ?
  18. Community Post
    We know from academic research that patient engagement reduces the risk of unsafe care and harm, in patients own care and improving safety for all. Some organisations are investing time (if not money!) in recruiting, training and supporting patient leaders to work with Executives and senior staff, sharing their experience and as they engage with staff and patients, report back what they see. The model in Berkshire, as shared with me by Douglas Findlay, patient leader, is that they don’t make decisions on what needs to change and how, but report back what they see for others to learn and act. Do we know of other models of good practice? What can we learn and share from them?
  19. Content Article
    Gloucestershire Hospitals NHS Foundation Trust introduced a policy for reviewing deaths in 2017 based on the structured judgement review (SJR) methodology, which identified triggers for which deaths to review. To support implementation, the Datix system was modified to report deaths. The new tool required a culture change in how mortality was reviewed and raised concerns regarding responsibilities, workload and resource. This webpage and poster describe the quality improvement process and how these issues were overcome.
  20. Content Article
    The Regional Patient Safety Observatory of the Community of Madrid is an initiative aimed at increasing the quality of healthcare and the safety of professionals and patients in the healthcare environment. The Observatory is a consultative and advisory body of the Ministry of Health in matters of health risks and is functional in nature.  Its objectives are: Promote and spread the culture of health risk management in the Community of Madrid. Obtain, analyse and disseminate regular and systematic information on health risks. Propose measures to prevent, eliminate or reduce health risks. It hosts the Patient Safety Brief Library, a tool for disseminating scientific knowledge developed by a group of experts within the framework of the Patient Safety Strategy 2027 of the Ministry of Health.
  21. Content Article
    The International Alliance of Patients’ Organizations (IAPO) is an alliance of patient groups in official relationship with the WHO and is representing the interests of patients worldwide IAPO P4PS Observatory is a single-point global platform for gathering and analysing patients’ expertise and experience to feed evidence to the national, regional and global policies aimed at improving patient and quality of care for patients by the patients.
  22. Content Article
    Do you ever feel like you keep addressing the same healthcare issue over and over again, only to have it resurface? It can be frustrating to focus on individual symptoms or parts of the system and not see any lasting change. This is where systems thinking comes in - a holistic approach that allows you to see the bigger picture and understand how different parts of a system interact with each other. Find out more in this blog from Tara Thornton for the FutureNHS Community.
  23. Content Article
    The Pennsylvania Patient Safety Reporting System (PA-PSRS) is the largest database of patient safety event reports in the US. In addition to over 4.5 million acute care reports, the PA-PSRS database contains more than 396,000 long-term care healthcare-associated infection (HAI) reports. This study in Patient Safety aimed to look at trends in HAIs in long term care using data from the PA-PSRS database. The study found that there was an increase in the total number and rate of infections reported to PA-PSRS in 2022. 
  24. Content Article
    Patients are vulnerable during emergency episodes outside the formal care sector, for example, care provided by paramedics responding to a stroke or heart attack at home. Yet much less is known about the safety of Emergency Medical Services (EMS) as compared with primary or secondary healthcare. This relative lack of information is important given there are aspects of EMS care that create unique patient safety challenges. This BMJ Editorial discusses how we can improve patient safety in the Emergency Medical Services.
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