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Showing results for tags 'Research'.
Found 949 results
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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 study looks at the case of a patient who had been fully vaccinated against Covid-19, and despite past infection and receiving booster shots, was found to have been re-infected with the Delta Variant and then the Alpha Variant from a fully vaccinated family member.
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Content ArticleIn this study, published in the Journal of Patient Safety and Risk Management, the authors explore and compare types and longitudinal trends of hospital adverse events in Norway and Sweden in the years 2013-2018 with special reference to the adverse events that contributed to death. They found that 13.2% of hospital admissions in Norway and 13.1% in Sweden were associated with an adverse event, with 0.23% of admissions in Norway and 0.26% in Sweden associated with an adverse event that contributed to death. In addition to the similar rates in adverse events between the two countries, the authors also found that there was no significant change in the level adverse events or fatal adverse events in either country over the six-year time period.
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Content ArticleScientific and policy bodies’ failure to acknowledge and act on the evidence base for airborne transmission of SARS-CoV-2 in a timely way is both a mystery and a scandal. In this study, Greenhalgh et al. applied theories from Bourdieu to address the question, “How was a partial and partisan scientific account of SARS-CoV-2 transmission constructed and maintained, leading to widespread imposition of infection control policies which de-emphasised airborne transmission?”.
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Content ArticleNo two countries are alike when it comes to organising and delivering healthcare for their people, creating an opportunity to learn about alternative approaches. Schneider et al. compared the performance of 11 high-income countries healthcare systems.
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Content ArticleThis research focused on the Clinical pharmacist (CP) interventions from the PROTECTED-UK cohort. Data was collected from 21 adult critical care units over 14 days and interventions were catergorised as an error, optimisation or consults, with pharmacy service demographics also being collected by investigator survey.
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Content Article
Avoiding Brain Injury in Childbirth (ABC)
PatientSafetyLearning Team posted an article in Maternity
Preventable harm during labour can be catastrophic for parents, babies and families, as well as for the staff involved. Reducing avoidable brain injury in childbirth means building on everyone’s experiences and expertise, working together to improve care in labour for all. THIS Institute, in partnership with The Royal College of Midwives and The Royal College of Obstetricians & Gynaecologists, is inviting maternity staff, parents and birth partners from across the UK to contribute their views to their Avoiding Brain Injury in Childbirth (ABC) campaign. The focus is on monitoring and responding to babies’ wellbeing during labour and on managing the emergency complication at caesarean section known as impacted fetal head. The ABC campaign aims to give maternity staff tools and support to be able to provide the highest quality of care when there are concerns about the baby’s wellbeing during labour. It also aims to improve communication with everyone using maternity services and make sure they are listened to and involved in decisions about their care. -
Content ArticleThis article discusses how fibromyalgia is a poorly understood condition, and until now, was considered to originate in the brain, however, new research considers that the condition may actually be associated with the body's immune system. New findings published in the Journal of Clinical Investigation may help pave the way for more effective treatments for the millions of people affected by fibromyalgia.
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Content ArticleResearch in women's health deserves more attention, and not only for conditions related to reproduction. Clinical and pre-clinical studies alike tend to focus on men: for example, only one-third of people participating in clinical trials relating to cardiovascular disease are women, and an analysis of neuroscience studies published in six journals in 2014 found that 40% of them used only male animals. Although progress can be made when women’s health challenges are brought to the fore, women’s health advocates caution that the field is often still viewed too narrowly. The study of health and disease in women should not be limited to conditions that affect only women. Conditions such as type 2 diabetes, Alzheimer’s disease and heart disease affect men and women differently. Such diseases must be studied in both men and women, with the recognition that diagnosis, prognosis and treatment might need to be different between the sexes.
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Content ArticleThis paper from Parsons et al. looked at how patients prefer to be addressed by their healthcare providers and assessed their knowledge of their attending medical team's identity. The researchers conducted a survey which included 300 inpatients, with findings showing over 99% of patients prefer informal address and 57% of patients unable to correctly name a single member of their attending medical team.
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Content ArticleCo-producing a research project is an approach in which researchers, practitioners and the public work together, sharing power and responsibility from the start to the end of the project, including the generation of knowledge. This guidance, from the National Institute for Health Research, is a first step in explaining what is meant by co-producing a research project. It sets out the key principles and features of co-producing a research project and suggests ways to realise them. It also outlines some of the key challenges that will need addressing, in further work, to aid those intending to take the co-producing research route. Read the guidance in full. Related reading: Patient engagement resources Listening to the patient saved many lives
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Content Article
NHS performance summaries (Nuffield Trust)
PatientSafetyLearning Team posted an article in Data and insight
These webpages, published by Nuffield Trust, look at the latest NHS England data on key activity and performance measures. They highlight some of the statistics and how they compare to previous trends. These might include for example, data on waiting times and urgent care. Each summary links to 'indicators' detailing the statistics in greater depth, for example around A&E or diagnostic test waiting times or emergency readmissions. -
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 ArticlePast research, some dating as far back as 1990 has highlighted a number of inaccuracies in readings when measuring oxygen levels in ethnic minorities. Especially now with the outbreak of coronavirus, further assessment is needed to ensure accurate measurements are being taken. The NHS Race and Health Observatory is now calling for further action and research alongside a rapid review includes a series of recommendations for national healthcare, regulatory and research bodies.
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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 ArticleThis evidence report aims to identify changes across health and social care in response to COVID-19 that could offer potentially sustainable benefits..Frontier Economics, Kaleidoscope Health and Care, and RAND Europe were commissioned to lead this independent rapid review, with three core aims: Understand the impact of the response to the COVID-19 pandemic in relation to innovation, research and collaboration across the health and care system Identify any methods/practices which would support the development and adoption of high impact changes identified in the existing Beneficial Changes Network (BCN) evidence, whilst considering the impact on health inequalities Propose recommendations to support current activities and inform future priorities of the Accelerated Access Collaborative and BCN, and the wider health and social care system.
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Content Article
Mitigating the July effect
Patient-Safety-Learning posted an article in Patient safety in health and care
This article describes the "July effect" and why July is considered a concerning time for patient safety in hospitals due to the new influx of medical students graduating and starting their internships. The authors discuss how it may be avoided, effects from the pandemic on resources and educating new doctors. -
Content ArticleThe study aims to describe patients' experiences of acquiring a deep SSI and it's negative impact. The authors propose that as many safety measures should be taken as possible to avoid and prevent infection.
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Content ArticleThis research investigates whether providing patients with leaflets and oral information will influence patient satisfaction, recall of information and SSI opinion.
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Content ArticleIn order to obtain compensation for harm arising out of medical treatment received within the NHS in Scotland, the elements needed to establish negligence under the law of delict must be satisfied. The Scottish government has expressed the view that a no-fault compensation scheme in relation to clinical negligence claims made against the NHS in Scotland could be simpler than the existing litigation system and could support the development of the concept of a mutual NHS, as well as a positive feedback and learning culture. With this in mind, the government considers that such a scheme is the favoured way forward for the NHS in Scotland. This report reviews and analyses existing no-fault schemes in a number of countries/jurisdictions: New Zealand (NZ); Nordic countries (Sweden, Finland, Denmark, Norway); and the schemes operating in Virginia and Florida (United States) for birth-related neurological injury.
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Content ArticleDiagnostics function as a compass in healthcare. They help determine the cause of a person’s condition, thus steering the healthcare provider towards the appropriate treatment or care pathway to address a disease and determine whether the approach is working. Despite their value in the healthcare delivery system, innovation, implementation, reimbursement and accessibility include barriers that constrain the use of diagnostics, particularly in low- and middle-income countries (LMICs), where increased availability could lower healthcare costs while saving lives. How can leaders increase affordable access to essential diagnostics globally? How can diagnostic advances be supported without contributing to growing disparities across the globe? This report seeks to address these questions through a landscape review of the global diagnostic ecosystem – including identifying key stakeholders, barriers and enablers along the product life cycle and the effectiveness of diagnostics – while highlighting the various challenges, opportunities and potential solutions across high-income countries and LMICs.
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Content ArticlePsychological safety, a shared belief that interpersonal risk taking is safe, is an important determinant of incident reporting. However, how psychological safety affects near-miss reporting is unclear, as near misses contain contrasting cues that highlight both resilience (“we avoided failure”) and vulnerability (“we nearly failed”). Near misses offer learning opportunities for addressing underlying causes of potential incidents, and it is crucial to understand what facilitates near-miss reporting. This study by Jung et al. found near misses are not processed and reported equally. The effect of psychological safety on reporting near misses becomes stronger with their increasing proximity to a negative outcome. Educating healthcare workers to properly identify near misses and fostering psychological safety may increase near-miss reporting and improve patient safety.
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Content ArticleWyndaele et al. evaluated the trends in female stress urinary incontinence (SUI) surgery in a UK tertiary referral centre during five years before the July 2018 tape suspension and to compare it with NHS England data. They found that when all invasive treatment options are transparently presented to female patients with SUI, they prefer other surgical treatments as an alternative to mid-urethral sling.
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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.
