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Showing results for tags 'Risk management'.
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Content ArticleIn 1991, the Institute of Medicine released a landmark report revealing that as many as 98,000 patients a year were dying due to avoidable medical error. But even more recent research indicates that estimate was, if anything, a drastic understatement of the patient-safety crisis in the US healthcare system. In Malpractice, neurosurgeon and attorney Dr. Larry Schlachter demonstrates how most patients enter the system without any idea of the risks they face due to a medical culture that avoids transparency, perpetuates an atmosphere of blind deference to doctors, and protects dangerous doctors from any accountability. Drawing on twenty-three years of experience, Dr. Schlachter recounts unbelievable stories that illustrate the host of risks patients face whenever they seek diagnostic evaluation or go under the knife. This book brings readers inside the healthcare citadel, exposing the flawed culture that can fuel egos and outlining the steps every patent should take to protect himself or herself in “a bitter pill for an industry that for many years has avoided the hardest conversations about patient safety.”—Dr. Michael Dogali, MDCM, FACS, president of Pacific Neurosurgery
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- Surgery - Neurosurgery
- Surgeon
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Content ArticlePatients in inpatient mental health settings face similar risks (eg, medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (eg, self-harm), and the measures taken to address these (eg, restraint), may result in further risks to patient safety. The objective of this review, published in BMJ Open, is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology.
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- Mental health
- Hospital ward
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Content ArticleThis blog, written by Human Factors expert Stephen Rice and published by Forbes, looks at what healthcare can learn from the success of the aviation industry when it comes to safety.
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- Risk management
- System safety
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Content Article
Coronavirus: myth busters (WHO)
PatientSafetyLearning Team posted an article in Good practice and useful resources
The World Health Organization has produced a list of questions and answers to help provide the public with accurate information on the coronavirus.- Posted
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- Medicine - Infectious disease
- Risk management
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Content ArticleThe World Health Organization has produced a number of resources, in response to the coronavirus outbreak, to help members of the public know when they should wear a mask and how to put on, use, take off and dispose of a mask.
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- Medicine - Infectious disease
- Risk management
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Content ArticleThrombosis UK is a charity and a leader in: Identifying, Informing & Partnering the NHS, healthcare providers and individuals to work to improve prevention of venous thromboembolism (VTE) and the management and care of unavoidable VTE events. This short video explains how a blood clot might form, what the risks are and how they might be treated.
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- Patient / family support
- Training
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Content ArticleThe Care Quality Commission is the independent regulator of health and adult social care in England. We make sure that health and social care services provide people with safe, effective, compassionate, high quality care and we encourage care services to improve. Their role: They register health and adult social care providers. They monitor and inspect services to see whether they are safe, effective, caring, responsive and well-led, and we publish what we find, including quality ratings. They use our legal powers to take action where we identify poor care. They speak independently, publishing regional and national views of the major quality issues in health and social care, and encouraging improvement by highlighting good practice.
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- Investigation
- Patient death
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Content ArticleSingle-use N95 respirators are critical to protect staff and patients from airborne infections, but shortages may occur during disease outbreaks and other crisis situations. Wearing an N95 respirator for hours at a time (i.e. extended wear) or reusing a respirator several times (i.e., donning and doffing between uses) are practices used to ease shortages. The potential risks and benefits of these practices may vary greatly across locations and may evolve rapidly during a crisis. This report’s conclusions are not intended as a practice endorsement or call to action. Rather, this report is intended to provide practical guidance on the potential risks and benefits that clinical centers should consider during decision making about N95 respirator reuse or extended use. ECRI is a US-based organisation.
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- Infection control
- Equipment shortages
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Content ArticleThe COVID-19 pandemic is sweeping across the length and breadth of the UK. As a result, NHS England has issued guidelines for effective triaging of urgent cancer 'two-week wait' referrals. The intention of this guideline is to minimise the disruption to cancer services. In order to fully understand the implications of this manual triage approach, this article, Data-Drive Triage Automation – YouDiagnose’s fight against COVID-19, will first explain the triage process during normal circumstances, and then highlight the additional impacts due to the coronavirus emergency. Finishing with a suggested solution (from YouDiagnose) to improve the efficiency of the triaging process and save lives during the pandemic.
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Content ArticleA careful planning for a pandemic, like COVID-19, is critical to protecting the health and welfare of entire humanity. Hospitals play a very critical role within the health system in providing essential medical care to the community, particularly during the crisis. But hospitals are complicated and vulnerable institutions, dependent on crucial external support and supply lines. During the current outbreak, an interruption of these critical support services and supplies would potentially disrupt the provision of acute health care by an unprepared health-care facility. Any shortage of critical equipment and supplies could limit access to the needed care and have a direct impact on healthcare delivery and panic could potentially jeopardise established working routines. In such scenario, even a modest rise in admission volume can overwhelm a hospital beyond its functional reserve. Even for a well-prepared hospital, coping with the health consequences of a COVID-19 outbreak would be a complex challenge for sure. WHO hospital readiness checklist shows the key actions to take in the context of a continuous hospital emergency preparedness process.
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- Staff safety
- Board member
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Content ArticleAhead of the Health and Social Care Select Committee’s next oral evidence session, Patient Safety Learning have raised several urgent safety issues with the Chair, Jeremy Hunt MP. Below is a blog summarising our submission to the Committee.
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- Risk assessment
- Risk management
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Content ArticleIn this webinar, (filmed on 24 March for the International Society for Quality in Healthcare) Dr Francesco Venneri shares his experience of the response to COVID-19 in Italy from the perspective of his involvement as both a clinical risk manager and as an emergency front line worker. Dr Venneri speaks passionately of how the response was handled, the positive elements, the criticisms, and also how we can learn from COVID-19 by proposing measures that we can apply in the case of future outbreaks.
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- Leadership
- Organisational learning
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Content ArticleA novel human coronavirus that is now named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (formerly called HCoV-19) emerged in Wuhan, China, in late 2019 and is now causing a pandemic. The authors of this research, published in The New England Journal of Medicine, analysed the aerosol and surface stability of SARS-CoV-2 and compared it with SARS-CoV-1, the most closely related human coronavirus.
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- Infection control
- Public health
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Content ArticleThis guidance is for people, including children, who are at very high risk of severe illness from coronavirus (COVID-19) because of an underlying health condition, and for their family, friends and carers. It is intended for use in situations where the extremely vulnerable person is living in their own home, with or without additional support. This includes the extremely clinically vulnerable people living in long-term care facilities, either for the elderly or persons with special needs. Shielding is a measure to protect people who are clinically extremely vulnerable by minimising all interaction between those who are extremely vulnerable and others. We are strongly advising people with serious underlying health conditions (listed below) which put them at very high risk of severe illness from coronavirus (COVID-19) to rigorously follow shielding measures in order to keep themselves safe.
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- Older People (over 65)
- Public health
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Content Article
NICE publishes first rapid COVID-19 guidelines
PatientSafetyLearning Team posted an article in Guidance
NICE has published its first three rapid guidelines on the care of people with suspected and confirmed COVID-19, and in patients without COVID-19. These guidelines have been developed to maximise patient safety whilst making the best use of NHS resources and protecting staff from infection. The guideline has been developed using the interim process and methods for developing rapid guidelines on COVID-19 and recommendations are based on evidence and expert opinion. COVID-19 rapid guideline: critical care COVID-19 rapid guideline: delivery of systemic anticancer treatments COVID-19 rapid guideline: dialysis service delivery.- Posted
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- Risk management
- protocols and procedures
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Content ArticleA powerful essay from Dr Joshua Lerner, an Emergency Room (ER) doctor who currently works at the Leominster campus of UMass Memorial Health Alliance-Clinton Hospital in the US...
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- Medicine - Infectious disease
- Lack of resources
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Content ArticleThis article, published by The Lancet, is written by Dale fisher, Chair of the Global Outbreak Alert and Response Network (GOARN) and Annelies Wilder-Smith, co-Chair of the Lancet Infectious Diseases Commission on Preparedness for Emerging Epidemic Threats. They highlight the urgent public health action required in response to the coronavirus outbreak.
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- Public health
- Medicine - Infectious disease
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To beat COVID-19, social distancing is a must (19 March 2020)
PatientSafetyLearning Team posted an article in Blogs
A blog by the National Institutes of Health Director, Dr. Francis Collins, highlighting relevant research that shows how important it is for everyone to comply with social distancing advice. The National Institutes of Health is a US based, government organisation.- Posted
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- Medicine - Infectious disease
- Public health
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Content ArticleWritten by Benjamin W. Starnes, MD (professor and chief) and Niten Singh, MD (professor and associate chief) in the division of vascular surgery at the University of Washington, Seattle. This letter, published in Vascular Specialist, provides statistical and personal insight into how coronovirus is playing out for hospitals, and the measures they are having to put in place to deal with overwhelmed services.
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- Medicine - Infectious disease
- Staff safety
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COVID-19: advice for staff (updated 18 March 2020)
PatientSafetyLearning Team posted an article in Guidance
Please note, this is an evolving situation and the advice changes based on the latest published Public Health England guidance.- Posted
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- Staff safety
- Medicine - Infectious disease
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Content ArticleAn animated video explaining the science behind the coronovirus, how it affects the human body and what you should do.
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- Public health
- Risk management
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Content ArticleThis video, from US news channel abc6, shows a nurse on the front line expressing a dire need for protective gear to help keep the most vulnerable out of the hospitals. The Ohio Council for Home Care and Hospice is calling on Governor Mike DeWine to act now.
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- Public health
- Risk management
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Content Article
WHO: Q&A on disability considerations during coronavirus
PatientSafetyLearning Team posted an article in Guidance
In this question and answer session, produced by the World Health Organization, guests discuss the considerations that need to be made specific to disability during the coronavirus pandemic. Considerations include that people with disabilities may be less able to social distance, due to the support required and so will potentially be more at risk of contracting the virus. Some people with disabilities may have further underlying health conditions, respiratory function and immune responses that could make them at higher risk of developing a severe case if they get get the virus.- Posted
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- Learning disabilities
- Risk management
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Content Article
Scope: Coronavirus information
PatientSafetyLearning Team posted an article in Good practice and useful resources
This webpage from Scope provides up to date information about how coronovirus is impacting on their service provision. Content includes information on Scope's: service changes shop closures the Scope helpline the Scope online community.- Posted
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- Learning disabilities
- Risk management
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Content ArticleThe CEO of Disability Rights UK has written to the Rt Hon Justin Tomlinson MP, Minister for Disabled People, Health and Work, and the Rt Hon Helen Whately MP, Minister for Care, to raise concerns about safeguarding disabled people, people with long-term health conditions and older people in relation to COVID-19 (Coronavirus).
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- Learning disabilities
- Risk management
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