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Found 999 results
  1. Content Article
    Surgical fires are a serious a patient safety issue. In this blog, Patient Safety Learning analyses a recent response from Maria Caulfield MP, Minister for Patient Safety and Primary Care, to several questions tabled in the House of Commons about surgical fires in the NHS, and outlines the need for further action to prevent these incidents.
  2. Content Article
    Posters submitted to the Learning from Excellence Conference. The posters were grouped into three sessions, based on the topic of the poster and the session theme.
  3. News Article
    NHS chiefs are advising all hospitals to review their security arrangements in the wake of Sunday’s terrorist incident at Liverpool Women’s hospital, the Guardian can reveal. NHS England is finalising new guidance to send to all 213 health trusts in England, which between them provide services at more than 500 hospital sites. It will tell them to check that their security measures are adequate and also to ensure that their staff know what to do and how to stay safe if their hospital is targeted by terrorists. It is being finalised and will be sent imminently to hospital bosses, who are still taking in the implications of the taxi explosion outside Europe’s largest maternity hospital. Many hospitals have beefed up their security over the last year in response to numerous incursions by Covid deniers and anti-lockdown activists and the growing abuse of frontline staff. But Sunday’s incident has prompted NHS England to write to all trusts urging them to take any steps needed to ensure they are protected. Read full story Source: The Guardian, 16 November 2021
  4. Content Article
    This research gives insights into the views of doctors who were previously practising in the UK but who are not currently doing so, in terms of their characteristics, motivations and likelihood to return to clinical practice in the UK. A survey of over 13,000 doctors was carried out between 21 January 2020 and 10 March 2020. This report was developed in partnership between the General Medical Council (GMC), Health Education England (HEE), The Department of Health (Northern Ireland), NHS Education for Scotland (NES) and Health Education and Improvement Wales (HEIW).
  5. Content Article
    Hot debriefs are interactive, structured team conversations that take place immediately or very shortly after a clinical case. They are designed to help the whole team learn from the experience, reflect on what went well, identify team strengths or difficulties and to consider ways to improve future performance. In this blog, the authors describe how a multidisciplinary focus group at Edinburgh Emergency Medicine, alongside staff from the Scottish Centre for Simulation and Clinical Human Factors (SCSCHF), developed “STOP5: STOP for 5 Minutes”, a new tool to facilitate hot debriefs.
  6. News Article
    The COVID-19 crisis triggered high levels of anxiety and depression among doctors in the UK, Italy and Spain, a new study has found The research of 5,000 survey responses, across the three countries, found Italian doctors were most likely to have suffered during the crisis last year. The study, published in PLOS ONE, measured the mental wellbeing of doctors in Catalonia (Spain), Italy and the UK during June, November and December 2020. It found that around one in four medical doctors in Italy had experienced symptoms of anxiety in June and December 2020, with around one in five reporting symptoms of depression over the same period. In Catalonia around 16% of doctors reported anxiety and around 17% experienced depression. In the UK around 12% of doctors reported anxiety and around 14% had symptoms of depression. The study is among the first cross-country analysis of mental wellbeing among healthcare workers during the COVID-19 pandemic and the first to focus on medical doctors. Across all countries, female doctors and doctors under 60 were more likely to have anxiety or depression. Professor Quintana-Domeque, professor of economics at the University of Exeter Business School, who carried out the study said: “The COVID-19 pandemic has been classified as a traumatic event, with healthcare workers arguably having the most direct and longest exposure to this disease." “The results of this study suggest that institutional support for healthcare workers, and in particular doctors, is important in protecting and promoting their mental health in the current and in future pandemics.” Read full story Source: The Independent, 3 November 2021
  7. Content Article
    Healthcare workers have had the longest and most direct exposure to COVID-19 and consequently may suffer from poor mental health. Quintana-Domeque et al. conducted one of the first repeated multi-country analysis of the mental wellbeing of medical doctors at two timepoints during the COVID-19 pandemic to understand the prevalence of anxiety and depression, as well as associated risk factors. Rates of anxiety and depression were highest in Italy (24.6% and 20.1%, June 2020), second highest in Catalonia (15.9% and 17.4%, June 2020), and lowest in the UK (11.7% and 13.7%, June 2020). Across all countries, higher risk of anxiety and depression symptoms were found among women, individuals below 60 years old, those feeling vulnerable/exposed at work, and those reporting normal/below-normal health.
  8. Content Article
    At the start of the COVID-19 pandemic, Lancashire Teaching Hospitals Trust recognised that more staff would need to access psychology services. This case study shows how the Lancashire Teaching Hospitals NHS Trust has implemented a psychological support service for its staff. Almost 1000 staff have been able to access psychological support since adopting new pathways as part of their overall health and wellbeing offer.
  9. Content Article
    This is the recording of a presentation given to the Bristol Patient Safety Conference 2021 by Annie Laverty, Director of Patient Experience and Anna Burhouse, Director of Quality Development at Northumbria Healthcare NHS Foundation Trust. It outlines the Trust's approach to assessing staff satisfaction and wellbeing and developing improvement plans based on feedback from staff. It focuses on the impact of the Covid-19 pandemic and highlights key measures that helped maintain staff wellbeing during the first wave in Spring 2020.
  10. Content Article
    Healthcare work is known to be stressful and challenging, and there are recognised links between the psychological health of staff and high-quality patient care. Schwartz Center Rounds® (Rounds) were developed to support healthcare staff to re-connect with their values through peer reflection, and to promote more compassionate patient care. Research to date has focussed on self-report surveys that measure satisfaction with Rounds but provide little analysis of how Rounds ‘work’ to produce their reported outcomes, how differing contexts may impact on this, nor make explicit the underlying theories in the conceptualisation and implementation of Rounds. This study found from Maben et al. found, where optimally implemented, Rounds provide staff with a safe, reflective and confidential space to talk and support one another, the consequences of which include increased empathy and compassion for colleagues and patients, and positive changes to practice.
  11. Content Article
    The guardian of safe working hours ensures that issues of compliance with safe working hours are addressed by the doctor and the employer or host organisation as appropriate. It provides assurance to the board of the employing organisation that doctors' working hours are safe. Access the resources that guardians of safe working hours will need in order to fulfil their roles. It includes, a job role specification, checklist of things to do, templates for annual reports and more.
  12. News Article
    Some trainee doctors and consultants at one Welsh health board are "scared to come to work", a report has found. A report by the Royal College of Physicians (RCP) described "frightening experiences" staff faced at Aneurin Bevan University Health Board. Chronic understaffing and excessive workloads at the Grange hospital in Cwmbran were causing "very serious patient safety concerns", it added. The Health Board said it had taken the findings of the report very seriously. The report, obtained by BBC Wales, said that some trainee doctors and consultants were worried about working in case they lost their licence to practise. It also said the problems had caused some consultants to feel demoralised and on the brink of leaving. One trainee told the authors of the report: "On one overnight shift, I treated a four-year-old with seizures. The ambulance took six hours. Colleagues treated an 18-month-old with burns. Lots of kids come in with respiratory distress. Paediatric cases are not uncommon. We've treated stabbing victims. Colleagues delivered a baby earlier in the minor injuries unit. These things shouldn't happen at all." Another trainee said: "There's so much patient movement with [this] model. I recently sent someone from Nevill Hall to the Grange to get a scan, then to the [Royal] Gwent to get a follow-up procedure, then back to Nevill Hall. "That's three bed moves, three ambulance crews and three medical people dealing with the same patient. It's extremely inefficient." And another added: "I worry about the safety of the patients coming into this hospital." Read full story Source: BBC News,
  13. News Article
    Following the unprecedented impact and strain that the COVID-19 pandemic has placed on the NHS and social care, both the public and the healthcare sector believe politicians must prioritise the improvement of both patient and healthcare worker safety. The Safety for All white paper, Patient and Healthcare Worker Safety – Two sides of the same coin, is published today by the Safety for All campaign, set up by the Safer Healthcare and Biosafety Network (SHBN), an independent forum focused on improving healthcare worker and patient safety, including Patient Safety Learning and the Association of British HealthTech Industries. The white paper sets out the symbiotic relationship between healthcare worker safety and patient safety and that you cannot have one without the other. The pandemic has shone a light on the interconnection of these two issues, from the importance of effective infection control to ensuring healthcare professionals feel safe to speak up about incidents of unsafe care. This white paper makes the case for a new focus and priority for improvements in, and between, patient and healthcare worker safety to prevent safety incidents and deliver better outcomes for all. Dean Russell MP, a member of the Health and Social Care Select Committee, said: “The NHS estimates that there are 11,000 avoidable deaths in the UK each year due to patient safety incidents. We must look at the issue of patient safety holistically. If we can change our approach then then we can reduce the number of serious safety incidents. Also, if we ensure, in the transition back to normality following the pandemic, that the safety of healthcare workers is a priority this will also impact positively on patient safety.” Jonathan Hazan, chair of Patient Safety Learning, said: “I welcome the publication of the Safety for All white paper with its focus on the relationship between patient safety and staff safety. At Patient Safety learning, we have always understood that improvements in one area reinforce safety in the other. We recognise that avoidable harm has complex causes and to address them, we must transform the system so that patient safety is core to the purpose of health and social care, not just one of many competing priorities. We are engaging with politicians, healthcare organisations, professionals and patients to push for the system-wide change which will result in the reduction of harm. Dean Russell and his colleagues in Parliament have a key role in improving safety and we look forward to working with them.” Mike Fairbourn, Board Member of the Association of British HealthTech Industries, said: “Today the Safety for All campaign is launching its white paper called “Patient and Healthcare Worker Safety – Two sides of the same coin”. This makes the case for a new focus and priority for improvements in, and between, patient and healthcare worker safety to prevent safety incidents and deliver better outcomes for all. There needs to be a better understanding and advocacy of the mutual benefits to be accrued for patient safety by improving healthcare worker safety, and vice versa. Safety needs to be a core purpose for both the NHS and social care and for patient and workplace safety, with greater support for staff and for them to speak up following patient safety incidents.” Read the full story Source: Safer Healthcare and Biosafety Network (20 October 2021)
  14. Content Article
    This white paper sets out the symbiotic relationship between healthcare worker safety and patient safety. It makes the case for a new focus on improvements in patient and healthcare worker safety, and on the relationship between them, to prevent safety incidents and deliver better outcomes for all. It has been published by the Safety for All campaign, set up by the Safer Healthcare and Biosafety Network (SHBN), an independent forum focused on improving healthcare worker and patient safety, including Patient Safety Learning and the Association of British HealthTech Industries.
  15. News Article
    A whistleblowing letter sent by maternity staff to inspectors and a newspaper was "the right thing to do", the hospital's boss said. Midwives at West Suffolk Hospital in Bury St Edmunds said they were "exhausted and broken" and claimed the unit was "consistently short-staffed". The hospital had previously been criticised for its treatment of whistleblowers. Its interim chief executive Craig Black said the letter was a "brave thing". The anonymous letter was sent to the Bury Free Press, the Care Quality Commission (CQC) and the West Suffolk Foundation NHS Trust, in August. It claimed the midwives had spoken out because standards of care had fallen sharply. Staff were "under extreme pressures all the time, which has left them fed up, exhausted and burnt out", it said. Read full story Source: BBC News, 19 October 2021
  16. Content Article
    It can be difficult to turn down requests to cover rota gaps. However, you must balance your own needs against those of the service discusses Emmeline Lagunes-Cordoba, Partha Kar and Tharusha Gunawardena in this BMJ article.
  17. Content Article
    NHS Improvement and NHS England presentation at the NHS Health at Work Network Conference on health and wellbeing in the NHS. View the presentation slides below.
  18. Content Article
    Burnout is a serious problem for clinicians as well as the patients who rely on them for safe care, and the challenge has only been compounded by the stresses and trauma of the pandemic. A recent study by Pearl et al. showed that healthcare administrators could use a single survey item to see how their clinicians are doing. The question it asked was, “Are there individuals at your work location who are so burned out that the quality or safety of research, clinical care, or other important work product is impacted?” The respondents’ perception of the impact of burnout on quality safety of healthcare was self-reported using a 5-point system, ranging from 1 (“no burnout or it doesn’t impact safety and quality”) to 5 (“a serious impact on quality and safety”). This nonproprietary, single-item burnout-impacting safety scale showed a sensitivity of 82% using 4 on the scale as a cutoff (“there is quite a bit of impact of burnout on safety and quality”), indicating this tool may be effective in helping determine what healthcare providers may be at high risk for safety events affecting patients.  
  19. Content Article
    This guidance from the Care Quality Commission is aimed at adult social care services managers and staff. It explains the care needs associated with type 1 and type 2 diabetes.
  20. News Article
    Dr Katherine Henderson, a senior A&E consultant in London and President of the Royal College of Emergency Medicine, says physical and verbal attacks have increased in recent months. Speaking to the Guardian, she says: “It is a sad reality that in recent months there has been a rise in abuse directed towards healthcare workers, but this abuse is not something new to frontline staff or emergency departments. It was bad before the pandemic, but there’s a changed atmosphere now. “During the pandemic people were being very positive about healthcare workers. But now the public are frustrated that services aren’t getting back to normal. Maybe people who weren’t the source of abuse before are now being the source of abuse. Abuse may be physical or verbal, it may be through social media, or it may be racial or misogynistic. “People are being angry – very angry – with us. They are angry about long waits, about having to stand outside emergency departments in queues, about delays in ambulances coming, including to take their relative home from hospital. The public haven’t really caught up with how struggling the whole NHS is." Read full story Source: The Guardian, 10 October 2021
  21. Event
    until
    HR leaders, mental health professionals and technology experts will be discussing how the NHS can support staff through peak demand at a forthcoming HSJ webinar. Charlotte Andrews, head of wellbeing and development at Kingston Hospital Foundation Trust; Neil Greenberg, professor of defence mental health at King’s College London and lead for trauma at the Royal College of Psychiatrists; Karon Hart, assistant director of human resources (operations and wellbeing) at Buckinghamshire Healthcare Trust; and Coppelia Rose, global SAP healthcare and life sciences leader at DXC Technology will together discuss how workforce resilience and wellbeing can be supported during times of extreme stress. This free HSJ webinar, which is being supported by SAP, will be chaired by HSJ contributor Claire Read. Register
  22. News Article
    The abuse of staff at GP surgeries has "no place in the NHS", a healthcare boss has said, following complaints it has risen during the pandemic. Dr Joanne Watt, GP chairwoman of the Northamptonshire Clinical Commissioning Group (CCG), said she understood patients' frustrations as surgeries battle with increased demand. But she said the reports of abuse were "extremely upsetting and demoralising". A receptionist told the BBC she had "never seen this level of abuse". Claire, who works at Harborough Field surgery in Rushden and has been employed by the NHS for 34 years, said staff were being verbally abused on a daily basis and it was "becoming the norm and it shouldn't be". "We work within the rules we're given. It's very upsetting, we've been reduced to tears," she said. The latest NHS staff survey found one in three staff claimed to have experienced at least one incident of bullying, harassment or abuse from service users, their relatives or other members of the public, in the year to March 2021. Read full story Source: BBC News, 7 October 2021
  23. Content Article
    This webinar from the Chartered Institute of Ergonomics & Human Factors is about boosting organisational and personal performance by recognising, measuring and promoting wellness. It describes the development and application of indices to measure wellness using a 'Whole Life - Whole Organisation' approach.  Topics include: Ways for organisations to improve key performance indicators such as sales, productivity, customer service, reduction in accidents, quality, safety/liability, people retention, absence, presenteeism and levels of engagement/motivation Access to new software and management intelligence to support and implement a 3D next generation organisational improvement approach New certifications such as Certificate in Personal Performance - Wellness Management Global Wellness Indices for Healthcare, Hybrid Workers, Hazardous Industries and Universities (staff and students) New research and development and the growing international community of organisations and people active in Performance – Wellness – Health
  24. Content Article
    Research shows that peer support is an effective way to help healthcare staff recover when something goes wrong in patient care. The Betsy Lehman Center for Patient Safety has developed a toolkit that aims to help healthcare organisations create or expand peer support opportunities for staff. Each section of the online toolkit focuses on key elements of a successful peer support program - from gaining leadership buy-in to creating policies and collecting data.
  25. Content Article
    Using a number of analytical approaches, this working paper from the World Health Organization (WHO) attempts to estimate the global number of deaths in health and care workers due to Covid-19. It includes a breakdown of deaths by WHO region and country. It demonstrates that data reported to WHO has greatly underestimated the scale of infection and death among health and care workers, and calls for targeted approaches to increasing vaccination uptake in health and care workers worldwide.
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