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EventLeadership in the NHS is the responsibility of all staff. This one day masterclass in Quality Improvement will allow all healthcare staff to learn about QI methodology, tools to use and how to lead change. The day has been developed to provide both practical and appropriate QI training to all staff. You will learn what QI tools to use and how to maintain the improvements. You will explore how to avoid common mistakes that staff make. Key learning objectives: Understand QI. Learn QI methodology. Develop QI skills. Learn how to lead change and avoid common resistance to change. Consider when to lead and when to follow. Ensure your QI results are maintained. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
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Digital health and care congress 2023
Patient Safety Learning posted an event in Community Calendar
untilDigital technologies have transformed how health and care services are offered and used, and the better and more widespread use of these technologies bring further opportunities to improve people’s health and experiences of services. Through the lens of both the workforce and people who draw on health and care services, this event will explore how to successfully adopt digital solutions in health and care and the practical realities of implementation. At this event, you’ll have the opportunity to discuss different digital technologies, and hear how they can be used innovatively to improve service design and delivery and user experience, as well as help tackle the current pressures facing the NHS and the wider system. Join experts from The King’s Fund and across the health and care system to share best practice and consider how we can ensure the system has the skills, leadership and culture to harness digital transformation. Register- Posted
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EventuntilAbout 900,000 Americans develop venous thromboembolisms each year, about half of which are healthcare-associated. Up to 70% of these blood clots are preventable, yet fewer than 50% of hospital patients receive appropriate preventive treatment, according to the CDC. During this webinar, two experts will share tools and strategies nursing leaders can use to empower their teams to become VTE prevention champions and achieve sustained quality improvements. Learning points: The cost of VTEs — from patients to providers to financial repercussions Key strategies to enhance compliance and improve outcome quality How to energize and excite your team for long-term success. Register
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Event
AfPP Annual Conference 2023
Patient Safety Learning posted an event in Community Calendar
untilAs one of the largest gatherings of perioperative professionals in the UK, the AfPP Annual Conference is essential for anyone working in the perioperative field. This year’s theme is ‘A Profession To Be Proud Of’. What better way to celebrate this incredible profession than by listening to fantastic speakers, asking exhibitors your burning questions and getting dressed up at our Gala Dinner! Join us at the University of York from 10 – 13 August. If you’re joining us for the entire conference or just for a day, there will be something for everyone. Virtual tickets are also available if you can’t make it to York. Our Annual Conference boasts a full programme of education, networking, hands-on workshops and entertainment. You’ll leave feeling informed, challenged and inspired. If you’re not proud of your profession when you arrive, you will be by the time you leave! Register- Posted
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Root Cause Analysis: 2 day masterclass
Patient Safety Learning posted an event in Community Calendar
untilThis two day intensive masterclass will provide Root Cause Analysis Training in line with the July 2019 Patient Safety Strategy. This intensive two-day masterclass will provide Root Cause Analysis training in line with the 2019 Patient Safety Strategy and subsequent guidance. The course will offer a practical guide to conducting RCA with a focus on systems-based patient safety investigation as proposed within the latest guidance released by NHS England and NHS Improvement. The course provides insights into how RCA is evolving and gives detailed information on what standards RCA investigations are expected to reach following the detailed recent reviews of patient safety work across the NHS and healthcare. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/root-cause-analysis-2-day-masterclass or email kate@hc-uk.org.uk. hub members receive a 20% discount. Email info@pslhub.org for further information.- Posted
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EventThis conference will bring together current and aspiring Ward Managers to understand current issues and the national context, and to develop your skills as an effective Ward Manager. The conference will open with reflections on the characteristics and qualities required for the role, and understanding your role within quality and specifically meeting the CQC Quality Ratings at Ward level. The conference will include a look at the challenges and issues as a result of the Covid-19 pandemic for Ward Managers. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/effective-ward-manager or email frida@hc-uk.org.uk. hub members receive a 20% discount code. Email info@pslhub.org for discount code. Follow the conference on Twitter @HCUK_Clare #wardmanager
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EventDifficult conversations - Thursday 2nd February 2023 Difficult people - Tuesday 7th February 2023 Conflict management - Wednesday 15th February 2023 This 3 day intensive training course will provide an effective guide to improving your communication skills. With each day focusing on difficult conversations, managing difficult people, and conflict and conflict resolution the course will empower you with the skills to deal with difficult issues and difficult situations within your everyday practice. Day 1 - how to deal with and manage difficult conversations. With a focus on telephone and virtual consultations with patients this masterclass focuses on dealing with difficult conversations, The event will focus on speaking to patients in distress, understanding where patient safety issues arise, and managing unhappy patients and complaints. It will discuss strategies and tools to improve communication and interactions. Day 2 - how to with difficult people. Do you have someone at work who consistently triggers you? Doesn’t listen? Takes credit for work you’ve done? Wastes your time with trivial issues? Acts like a know-it-all? Can only talk about themselves? Constantly criticises? It will discuss strategies and tools to improve communication and interactions with others. Day 3 - conflict from how to manage different types of conflict through to conflict resolution This course is aimed at all healthcare staff from frontline staff through to senior managers in dealing with conflict with colleagues, staff, clients and patients. Further information and registration
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EventuntilThis ASCEND (acquiring skills, career exploration, networking and development) webinar aims to help students and newly qualified practitioners to develop the practical and personal skills needed to succeed during the early years of their perioperative career. It will focus on two main skills - leadership and the management of anaesthetic emergencies. Leadership is often mistaken for something that only comes with vast experience in a particular discipline. We will be re-examining ‘what is leadership?’ and introducing some leadership opportunities available early in your perioperative career. Management of anaesthetic emergencies is a crucial part of perioperative care. This is not only relevant for anaesthetic practitioners, it incorporates the whole theatre team. Being able to identify an anaesthetic emergency is a valuable skill in your early career. Learning outcomes: An introduction into leadership opportunities available early in your perioperative career. Understand different styles of leadership and how you can deploy them in your everyday practice. Identifying anaesthetic emergencies and learning through virtual simulation. Register
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Content ArticleSuccessful day surgery requires a day surgery team with the correct knowledge and skills to enable safe, early recovery and discharge but there is an absence of national guidance on supporting competencies. Applying in-patient competency criteria is inappropriate as this pathway is not aimed at promoting early discharge. This joint publication between AfPP and BADS (the British Association Of Day Surgery) provides recommendations for core competencies for adult day surgery through (1) admission, (2) anaesthetic room, (3) theatres, (4) first-stage recovery and (5) second-stage recovery and discharge. They are relevant for staff new to or after a long absence from day surgery and acknowledge some members of the day surgery team may include non-registered practitioners. All can be used as a reference for workbook competency documents in place or in development.
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Community Post
National Patient Safety Syllabus
Jon Holt posted a topic in Professionalising patient safety
The Academy of Medical Royal Colleges have published the first National patient safety syllabus that will underpin the development of curricula for all NHS staff as part of the NHS Patient Safety Strategy: https://www.pslhub.org/learn/professionalising-patient-safety/training/staff-clinical/national-patient-safety-syllabus-open-for-comment-r1399/ Via the above link you can access a ‘key points’ document which provides some of the context for the syllabus and answers to some frequently asked questions. AOMRC are inviting key stakeholders to review this iteration of the syllabus (1.0) and provide feedback via completing the online survey or e-mailing Rose Jarvis before 28 February 2020. I would be interested to hear people's thoughts and feedback and any comments which people are happy to share which they've submitted via the online survey -
Community Post
The patient safety leader of the future
Patient Safety Learning posted a topic in Leadership for patient safety
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One of the interesting discussions at our Patient Safety Learning Annual Conference was what do future directors of patient safety look like? What are the skills and attributes that they will possess? Andy Burrell wrote an excellent blog for the hub following this: What are you thoughts and suggestions?- Posted
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Teaching RCAs to teams: a checklist
lzipperer posted a topic in Investigations, risk management and legal issues
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Root case analysis has its detractors but can still bring value to understanding deep-seated problems that affect the safety of care. Does anyone have a checklist of elements of an effective TRAINING strategy to bring staff on board with the process? Not how to do an RCA, but to bring a team to the skill competencies they need to do RCA? I'd appreciate hearing your experiences. Please tell your tales!- Posted
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Community PostI met at a recent conference a newly appointed Patient Safety Manager. She’d been working in a supporting role in another organisation and was delighted with her obviously well deserved promotion to a more senior role of patient safety manager in another Trust. But 6 days in, she’s had no induction, there is no patient safety strategy or plan in the Trust, there isn’t any guidance as how she should do her job other than just ‘get on with doing RCAs. ‘ She doesn’t know who she can turn to for advice or support either in her Trust or elsewhere. Are there networks of PSMs she can turn to? Surely there is a model framework for patient safety that is produced as a guide? How can we help her and other PSMs?
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Content Article
AHRQ: Team STEPPS
Patient Safety Learning posted an article in How to engage for patient safety
AHRQ's TeamSTEPPS - Team Strategies and Tools to Enhance Performance and Patient Safety - is an evidence-based set of teamwork tools, aimed at optimising patient outcomes by improving communication and teamwork skills among healthcare teams, including patients and family caregivers.- Posted
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Content ArticleIn July 2018, the then Minister of State for Health, Stephen Barclay MP, commissioned Tom Kark QC to write a report and to make recommendations in relation to the fit and proper person test (FPPT) as it applied under Regulation 5 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The Tom Kark QC review of the fit and proper person test (the Kark review) was published in February 2019 and made seven recommendations on how to improve the operation and effectiveness of Regulation 5.
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Content ArticleAn independent review of how effectively the test prevents unsuitable staff from being redeployed or re-employed in health and social care settings.
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NHS Long Term Workforce Plan (30 June 2023)
Patient Safety Learning posted an article in NHS England
The first comprehensive workforce plan for the NHS, putting staffing on a sustainable footing and improving patient care. It focuses on retaining existing talent and making the best use of new technology alongside the biggest recruitment drive in health service history. -
Content ArticleThe King's Fund compared the healthcare systems in different countries by doing three things: Reviewed the research literature and assessed previous attempts to rank and compare health care systems. Interviewed academic experts in international health care policy and experts who had extensive knowledge of the UK, German and Singaporean healthcare systems. Analysed the latest quantitative performance data for the UK health care system and the health systems of 18 higher-income peer countries. They analysed data in three main domains: the context the health system operates in (eg, the health status and behaviours of the population) the resources a health system has (eg, levels of staffing, equipment and health care spending) how well the health care systems uses its resources and what it achieves as a result (eg, measures of efficiency in delivering services, quality of care, financial protection from the costs of ill health, and health care outcomes).
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Content ArticleThe aim of this Australian study was to assess the impact of adding assistants in nursing to acute care hospital ward nurse staffing on adverse patient outcomes using administrative health data. The results suggest that the introduction of assistants in nursing into ward staffing in an additive role should be done under a protocol which clearly defines their role, scope of practice, and working relationship with registered nurses, and the impact on patient care should be monitored.
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Content ArticleFive professionals explore and discuss safe patient handling. Safe patient handling is essential for encouraging mobility for the patient and maintaining their skin integrity while not forgetting the impact on the healthcare worker. Each health care specialty has differing challenges, and this podcast explores some of these and look to see if an interprofessional care approach can help drive safer care and better outcomes.
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NHS Patient Safety Syllabus v. 2.1 (June 2022)
Patient Safety Learning posted an article in Training & education
The Academy of Medical Royal Colleges and the University of Warwick have developed this NHS Patient Safety syllabus to complement it as the basis for education and training for staff throughout the NHS. -
News ArticleEntire hospital units could be forced to shut because of staff quitting in protest at the government’s order that they must all be vaccinated against COVID-19, a senior NHS leader has warned. Chris Hopson, the chief executive of NHS Providers, said that at one hospital trust in England, 40 midwives were refusing to get jabbed, raising fears that the maternity unit may have to close. “Trust leaders are acutely aware that, from April onwards, when Covid vaccinations will become mandatory, decisions by staff to remain unvaccinated could – in extreme circumstances – lead to patient services being put at risk,” said Hopson. “If sufficient numbers of unvaccinated staff in a particular service in a particular location choose not to get vaccinated, the viability and/or safety of that service could be at risk.” Hopson did not name the trust. But he cautioned that its maternity unit is “one representative example” of potential closures on grounds of patient safety that the government’s decision to compel NHS staff in England to be vaccinated or risk losing their job could lead to. Hopson said: “I was talking to a [trust] chief executive who said that 40 of the midwives on their midwifery service … were saying they were not prepared to be vaccinated. Those staff, given their skills and their expertise, are not easily redeployed but they’re also extremely difficult to replace." Read full story Source: The Guardian, 20 December 2021
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CQC criticises care scandal trust for 'unsafe staffing'
Patient Safety Learning posted a news article in News
The trust at the centre of a maternity scandal does not have enough midwifery staff to keep women and babies safe, a Care Quality Commission (CQC)inspection has revealed. East Kent Hospitals University Foundation Trust relied on community midwives to fill slots at its acute unit, with some of them working 20-hour days after being called in to help cover and feeling outside of their competence. The trust had suspended a midwife-led unit and diverted women in labour to other hospitals – and when the CQC raised the understaffing issue at its inspection in July, it suspended its home birth service. But the CQC found that the number of midwives and maternity workers on duty rarely matched planned numbers and managers rarely calculated staffing numbers accurately, with some elements of the workload not being factored in. Lack of staff meant there was a risk to the safe assessment and monitoring of women and babies at the trust’s William Harvey Hospital in Ashford. Unqualified staff were having to deal with telephone queries from women who needed advice and support. Read full story (paywalled) Source: HSJ, 15 October 2021 -
News ArticleHealth chiefs are designing an “early warning” system to detect and prevent future maternity care scandals before they happen, a health minister has said. Patient safety minister Nadine Dorries said she hoped the system would highlight hospitals and maternity units where mistakes were being made earlier. The former nurse also revealed the Department of Health and Social Care was drawing up a plan for a joint national curriculum for both midwives and obstetricians to make sure they had the skills to look after women safely. During a Parliamentary debate following the publication of a report into the Shrewsbury and Telford Hospital care scandal, the minister was challenged by MPs to take action to prevent future scandals. The former health secretary, Jeremy Hunt, warned the failings at the Shropshire trust, where dozens of babies died or were left with permanent brain damage, could be repeated elsewhere. He said: “The biggest mistake in interpreting this report would be to think that what happened at Shrewsbury and Telford is a one-off — it may well not be, and we mustn't assume that it is.” Ms Dorries said: “Every woman should own her birth plan, be in control of what is happening to her during her delivery and I really hope ... this report is fundamental in how it's going to reform the maternity services across the UK going forward. Read full story Source: The Independent, 11 December 2020
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New trust’s ‘inexperienced’ leadership criticised as CQC serves warning
Patient Safety Learning posted a news article in News
The Care Quality Commission (CQC) has criticised a new trust’s leadership after issuing it with a warning notice to improve care in its two emergency departments. The watchdog warned North Cumbria Integrated Care Foundation Trust that patients were not always receiving timely and appropriate care, while delayed transfers of care had “resulted in significant delays in admitting patients on to wards”. The CQC — which carried out focused inspections at the trust in August and September after concerns were raised about risks to patient and staff safety — added there was evidence of “insufficient numbers of suitably qualified, skilled, competent and experienced clinical staff”. The CQC also said there was a lack of an effective system to mitigate risks, including infection control in the emergency department escalation areas and on some medical wards. Of the trust’s Cumberland Infirmary and West Cumberland hospitals, the CQC said: “People could not access the urgent and emergency care and medicine service when they needed them and often had long waits for treatment.” The CQC’s inspection report, published today, also said the trust had an “inexperienced leadership team” which “did not always have the necessary skills and abilities to lead effectively”. It added there were “few examples of leaders making a demonstrable impact on the quality or sustainability of services”. Read full story (paywalled) Source: HSJ, 30 November 2020- Posted
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