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Showing results for tags 'Risk management'.
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Content ArticleIn the past 10 years, rates of Obstetric Anal Sphincter Injury (OASI) have increased in England. Experiences in some maternity units have shown that some of the underlying problems related to this rise in OASI include:Inconsistencies in approaches to preventing OASIsInconsistencies in training and skillsLack of awareness of risk factors and long-term impact of OASIsVariation in practice between health professionalsIn light of this, the OASI care bundle team have developed and piloted an intervention package, including a care bundle and guide, a multidisciplinary skills development module for health care professionals, and campaign materials (such as leaflets and newsletters designed to raise awareness).This scaling up programme is a collaboration between the Royal College of Obstetricians and Gynaecologists (RCOG), Croydon Health Services NHS Trust, the Royal College of Midwives (RCM) and the London School of Hygiene and Tropical Medicine (LSHTM), with funding provided by The Health Foundation.
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Content ArticleIn response to the pandemic earlier this year, the priority became freeing up as much bed and staffing capacity as possible within hospitals in anticipation of the incoming tide of COVID-19 patients. One way of doing this was postponing all non-urgent elective operations for a period of at least three months. It was estimated that this would free up 12,000-15,000 hospital beds in England alone. This approach was successful in the short-term, helping the NHS to meet the immediate demand created by the pandemic. However, it has produced a longer-term challenge as we transition back to ‘normal’ with a large backlog of cases. Decisions about how these are prioritised will have significant implications for the health and wellbeing of patients. In this blog, Patient Safety Learning look at the patient safety implications and highlight where we need to focus on to avoid patient harm. Read the full blog on the Patient Safety Learning website.
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Content ArticleA 14 minute TEDx talk by Niall Downey, a doctor and pilot, exploring how healthcare could modify aviation's approach to error for use in managing and reducing adverse events to improve patient safety.
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Event
Online course: Risk management
Patient Safety Learning posted an event in Community Calendar
This masterclass, facilitated by Faisal Ahmed, Governance Specialist Trainer, provides knowledge and skills in addressing and managing risks within a health Organisation. All staff who report and manage risks should attend. Risks are inherent in all organisations – implementing and managing control measures is pivotal to managing risk in order to prevent an incident taking place. By exploring drivers behind why risks happen we can understand how to mitigate and reduce the likelihood and severity of further risks and the occurrence of incidents. A risk can be viewed as a precursor to an incident. Prevention through the risk management process can be an effective mechanism for organisations to manage their risks. All staff have a duty to identify and escalate risk within an organisation. This masterclass will explore the key components of the risk management process that must be followed to reduce the likelihood and severity of the risk. hub members can receive a 10% discount with code hcuk10psl. Further information and registration -
News ArticlePharmacy leaders in the black, Asian and minority ethnic (BAME) communities have expressed concern that assessments of BAME staff’s susceptibility to COVID-19 are not widespread enough in community pharmacy. NHS England wrote to community pharmacies on 29 April 2020 advising employers to “risk assess staff at potentially greater risk” of COVID-19 after “emerging UK and international data” suggested people from BAME backgrounds are “being disproportionately affected”. The Faculty of Occupational Medicine later published a risk reduction framework — backed by NHS England — to assist with the risk assessments on 14 May 2020. This was updated on 28 May 2020 to include guidance from the Health and Safety Executive to “help organisations identify who is at risk of harm”. But speaking to The Pharmaceutical Journal, Elsy Gomez Campos, president of the UK Black Pharmacists’ Association (UKBPA), said she had been told by a small number of community pharmacists that “nothing has been done” in terms of risk assessing BAME staff. “I know of a few people who have been assessed and that is mainly in hospital,” she said. “In terms of community pharmacists — who I’ve had contact with so far — they haven’t even been asked to have the risk assessment done.” However, she stressed that not many from the community pharmacy sector have come forward, but “the people who have come forward have said no, it has not been done”. “People are quite scared to ask as well because it can have repercussions on their employment or their relationships [at work],” she added. Read full story Source: The Pharmaceutical Journal, 29 May 2020
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Content ArticleLeaders, at all levels, need to understand the range of health and safety risks in their part of the organisation and to give proportionate attention to each of them. This applies to the level of detail and effort put into assessing the risks, implementing controls, supervising and monitoring. The Health and Safety Executive (HSE) gives examples of effective and ineffective health and safety management to check if you are doing what you need to do on leadership.
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Community Post
COVID-19 risk assessments for BAME staff
PatientSafetyLearning Team posted a topic in Coronavirus (COVID-19)
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This topic has been created to provide our members with a space to share COVID-19 risk assessments for BAME staff. You can share your risk assessment resources by commenting below and adding an attachment. We've kicked things off by sharing an example below. If you are not yet a member of the hub, you'll need to sign up here first - it's quick and easy to do. By collaborating and sharing learning, we hope to reduce risk. Risk ax form .doc- Posted
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Content ArticleThe National Falls Prevention Coordination Group has identified resources to address Covid-19 related falls and fracture issues including advice for patients on keeping active following hospital discharge. The advice leaflet has been designed for patients who are discharged home with no community rehabilitation and can be download via the Chartered Society of Physiotherapy link below. It explains why muscle wasting occurs with prolonged bed rest or inactivity and why it is important to be active when discharged home from hospital.
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Content Article
NHS trade unions’ blueprint for return (May 2020)
PatientSafetyLearning Team posted an article in Exit strategies
As we enter what could be the start of a gradual easing of lockdown restrictions, discussion has turned to how the NHS restarts those services that were stepped down during the peak of the COVID-19 pandemic. In this document, 16 NHS trade unions That is why 16 NHS trade unions are asking UK governments and employers to work with them to deliver their Blueprint for Return, in which they set out 9 key recommendations. -
Content ArticleThe Clinical Risk Management and Patient Safety Centre (GRC) is a clinical governance structure instituted in 2003 by the Italian Tuscan regional council. GRC builds on the expertise and vision of the former Ergonomics and Human Factors Research Centre in Healthcare (CRE), founded in 2000 as a joint endeavor of the Florence Heathcare Trust, the University of Florence and Siena. The GRC now enrolls professionals of different disciplines (public health, clinical risk management, industrial design, human factors, organisation studies, communication science, law, psicology, international relations). It promotes the safety culture through the active and cross disciplinary learning from adverse events and errors. The GRC aims to construct a shared vision for safety through the sharing of experiences and the development of collaborative projects for patient safety.
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Content ArticleThe Health and Social Care Select Committee is currently holding an Inquiry into Delivering Core NHS and Care Services during the Pandemic and Beyond. It’s stated aim is to ‘give focus to these upcoming strategic challenges, and give those working in the NHS and care sectors an opportunity to set out what help they will need from Government in meeting them’[1]. In its call for evidence the Inquiry has specifically identified ‘meeting the needs of rapidly discharged hospital patients with a higher level of complexity’ as one of the issues it will cover [2]. This is a joint submission (see attachment) to the Inquiry by Patient Safety Learning and CECOPS which is focused on this specific issue.
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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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Content ArticleThis page, created by the British Thoracic Society, contains information, guidance and resources to support the respiratory community during the COVID-19 pandemic.
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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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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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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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Community PostDo you usually access services, receive treatment or take medication for mental health difficulties? How is this being impacted by the coronavirus outbreak? We’re asking for patients, carers, family members and friends to share their stories, highlight weaknesses or safety issues that need to be addressed and share solutions that are working. We will be identifying themes and reporting to healthcare leaders with your insights. We want to help close the gaps that might emerge as everyone focuses on the pandemic. Please share your stories in the comments below. You’ll need to sign up (for free) to join the conversation. Register here - it's quick and easy.
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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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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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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. -
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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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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Content Article
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. -
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.
