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Content ArticleThere is an overall dearth of information on implementation and compliance with patient safety standards in developing countries. In recognition of this, the World Bank Group’s Health in Africa Initiative, WHO and the PharmAccess Foundation came together with the ministries of health to conduct an assessment of patient safety at Kenyan health facilities. The study is the first nationwide assessment of patient safety levels based on documented processes and levels of risk, and is meant to serve as a baseline against which future interventions can be measured.
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Content ArticleThere is concern among patients, surgeons and health authorities regarding reported adverse patient outcomes following use of mesh in certain urogynaecological surgical procedures. The European Society of Coloproctology (ESCP) has conducted an extensive review of the surgical literature on the outcome of use of mesh in the pelvis of patients who have undergone bowel surgery and will shortly publish its recommendations. ESCP would like to hear from patients who have had both good and not so good experiences with colorectal surgery using mesh such as operations for rectal prolapse (rectopexy), or operations for advanced rectal cancer/inflammatory bowel disease who had mesh inserted to assist in skin closure of the back passage area. The survey is designed to capture the experience of patients who have had an operation that involved using mesh in the pelvis as a part of a colorectal (bowel) surgical operation. The survey is NOT designed to cover outcomes following urogynaecological operations for prolapse or urinary incontinence. The use of mesh as part of abdominal wall hernia repair is also not included.
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News Article
Fears of side-effects fuel reluctance to get Covid jabs, survey finds
Patient Safety Learning posted a news article in News
Most people who are reluctant to be vaccinated against Covid are worried about side-effects and whether the vaccines have been adequately tested, a survey in 15 countries has shown. Other reasons cited in the survey of 68,000 people, led by Imperial College London’s Institute of Global Health Innovation in collaboration with YouGov, were the uncertainty that people would not get the vaccine they preferred and worries about efficacy. The survey was carried out in Australia, Canada, Denmark, France, Germany, Israel, Italy, Japan, Norway, Singapore, South Korea, Spain, Sweden, the United Kingdom and the United States. Excluding eligibility, the top reasons for not having the vaccine across all 15 countries surveyed were “concerns about side effects” and/or “concerns that there has not been enough testing of vaccines”. Trust in vaccines was highest in the UK, at 87%, and lowest in Japan, at 47%. The UK respondents also had the highest level of confidence in their health authorities (70%), while South Korea had the lowest (42%). Among those who had not yet been vaccinated, confidence was highest in the Pfizer/BioNTech vaccine in nine out of the 15 countries, and in three others – Canada, Singapore and Sweden – among those under 65. Read full story Source: The Guardian, 4 June 2021 -
EventThis AHRQ webcast will introduce the new Surveys on Patient Safety Culture™ (SOPS®) Diagnostic Safety Supplemental Items. Medical offices can use the survey items as a supplement to the SOPS Medical Office Survey to assess the extent to which the organizational culture supports the diagnostic process, accurate diagnoses, and communication around diagnoses. Speakers will provide background on the importance of diagnostic safety, an overview of the development of the items, results from a pilot test in 66 medical offices, and share resources available for users. Register
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Content Article
Endoscopy safety: Staff attitudes survey
Patient Safety Learning posted an article in Medical devices (existing)
The Joint Advisory Group on GI Endoscopy (JAG) and Imperial College London are conducting a survey into the safety attitudes of all endoscopy staff across UK & Ireland endoscopy services. Your views are vital in understanding current safety practices across endoscopy nationally. This survey takes less than 7 minutes to complete. -
Content ArticleIn the Patients Association 2020 survey, patients told us about their experiences of living with health and care needs during the COVID-19 pandemic. Their testimony painted a bleak picture in many ways. This follow-up survey finds that many aspects of their experiences are not much better, and some are worse.
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News ArticleNearly 90% of organisations representing doctors agree that the UK should have a mandatory and public register of doctors’ interests, a survey by The BMJ has found. Last year the Independent Medicines and Medical Devices Safety Review, chaired by Julia Cumberlege, called for the General Medical Council (GMC) to expand its register to include a list of financial and non-pecuniary interests for all doctors. That review investigated harmful side effects caused by the hormone pregnancy test Primodos, the anti-epileptic drug sodium valproate, and surgical mesh. One of its key conclusions was that patients had a right to know if their doctor had financial or other links with pharmaceutical or medical device companies. The BMJ wrote to six faculties, 14 royal medical colleges, and the Academy of Medical Royal Colleges about such a register. It received responses from two faculties, 12 colleges, and the academy, a 71% response rate. Of the organisations that responded, 13 (87%) agreed that there should be a mandatory and public register of doctors’ interests in the UK. Read full story Source: BMJ. 8 April 2021
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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.
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Content ArticleA patient satisfaction survey for outpatient hysteroscopy for patient's to share their comments on the service they received.
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Content ArticleThe Maternal and Neonatal Health Safety Collaborative (MNHSC), is providing each maternal and neonatal service with an opportunity to assess their safety culture as part of the programme of improvement work across England. Organisations within each wave of the collaborative will be given the opportunity to undertake a culture survey, and then a repeat survey after 12-18 months. The culture of an organisation, team and staff attitudes can have a tangible impact on patient safety and outcomes. There is great value in assessing the safety culture; the results can inform the local improvement plans. The organisation will be supported through the process. This document explains more about the SCORE survey, what it measures, and what it means for the team and improvement projects.
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Content ArticleThe cornerstone of good general practice has long been recognised as lying in the quality of the relationship between doctor and patient. This focus on the interaction between GP and patient has been further reinforced in recent years by increasing attention on the patient’s experience of healthcare encounters. However, pleasing the patient is not always consistent with providing good-quality care. GPs are well aware that patients may demand an antibiotic when it is not judged clinically appropriate. The aim of this study from Ashworth et al. was to determine the relationship between antibiotic prescribing in general practice and reported patient satisfaction. The results found that patients were less satisfied in practices with frugal antibiotic prescribing. A cautious approach to antibiotic prescribing may require a trade-off in terms of patient satisfaction.
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Content Article
NHS Staff Survey 2020 results
Patient Safety Learning posted an article in Culture
The NHS Staff Survey is one of the largest workforce surveys in the world and has been conducted every year since 2003. It asks NHS staff in England about their experiences of working for their respective NHS organisations. The results of the latest NHS Staff Survey bear witness to the sustained pressure on the NHS over the last year. Undertaken during the second wave of the pandemic, the results point to improvements in areas including health and wellbeing. But it highlights that there remains some way to go to improve staff experience – particularly among ethnic minority staff – as the service recovers from the acute phase of the pandemic. In particular, it highlights the need for a renewed focus on equality and further progress on bullying, harassment and violence. The full results of the 2020 NHS Staff Survey are published on the NHS Staff Survey website below along with briefings from the NHS Staff Survey centre on overall themes, benchmarking reports and five-yearly trends. You can also find a joint briefing with NHS Confederation on the Confed website. -
News Article
NHS poll shows rising toll of work stress on staff health
Patient Safety Learning posted a news article in News
The proportion of NHS staff in England who reported feeling unwell as a result of work-related stress increased by nearly 10% last year as the Covid pandemic took its toll, according to the health service’s 2020 survey. The survey found that 44% reported feeling unwell as a result of work-related stress in the previous 12 months, compared with 40.3% in 2019. The proportion has steadily increased since 2016 (36.8%). In a year like no other for the health service, the 2020 survey also found a slight reduction in respondents who said they often or always looked forward to going to work, and a bigger fall in those who said they were often or always enthusiastic about their job. Nevertheless, the survey – which was carried out before Boris Johnson announced plans to give NHS England healthcare workers a 1% pay rise next year, prompting widespread fury – found that the proportion of staff who were thinking of leaving the NHS fell from 19.6% to 18.2%. In a year in which ethnic minorities were heavily represented in the death toll of healthcare workers, and concerns were raised about being more likely to be pushed into frontline roles and about access to personal protective equipment, the responses relating to equality, diversity and inclusion were not so positive. The proportion of staff who said their employer provided equal opportunities fell compared with 2019, with a decrease among black and minority ethnic staff from 71.2% to 69.2%. Danny Mortimer, the chief executive of the NHS Confederation, said the overall picture was encouraging in the circumstances, adding: “There are, though, significant areas of concern, and the recent data on the continued poorer experience of ethnic minority staff starkly reminds NHS leaders that staff experience varies unacceptably in their organisations." Read full story Source: The Guardian, 11 March 2021 -
News Article
Two in five NHS staff feel anxious, NHS England reports
Patient Safety Learning posted a news article in News
Around 40% of NHS staff reported feeling anxious during the recent coronavirus surge, but results were 10 percentage points worse for minority ethnic workers, according to NHS England’s surveys. Prerana Issar, NHSE chief people officer, highlighted national data from the health service’s ‘people pulse’ survey during a Commons health and social care committee hearing. The survey was launched last July to help gauge how the health service’s workforce was coping with the pressures of the pandemic, asking questions such as whether they felt supported, motivated, or anxious and what made the biggest difference to their experience at work. It involves findings from 114 local NHS organisations. Ms Issar said the percentage of staff who reported they were feeling supported “was at a high of 68% during the first few months and started dipping from November onwards to 62%. It is still at 62%”. Meanwhile, the share of those “feeling anxious” was at a “low” of 29% during the summer and autumn but has since increased to 40%. The 40% finding may seem surprisingly low to many, considering the enormous impact of the winter surge of coronavirus demand, the very widespread extra asks of staff, potential health risks, and redeployment of roles. Ms Issar added: “We have seen ‘feeling supported’ come down a little bit and ‘feeling anxious’ go up, and we used that feedback to then augment our offer and communication.” Read full story (paywalled) Source: HSJ, 24 February 2021 -
Content ArticleThe objective of this study from Carey et al. was to explore medical oncology outpatients' perceived experiences of errors in their cancer care. A cross-sectional survey was conducted. English-speaking medical oncology outpatients aged 18 years or older were recruited from 9 Australian cancer treatment centres. One hundred forty-eight participants perceived that an error had been made in their care, of which one third reported that the error was associated with severe harm. Of those who perceived an error had been made, less than half reported that they had received an explanation for the error and only one third reported receiving an apology or being told that steps had been taken to prevent the error from reoccurring. Patients with university or vocational level education and those who received radiotherapy or “other” treatments were significantly more likely to report an error in care. The authors concluded that here is significant scope to improve communication with patients and appropriate responses by the healthcare system after a perceived error in cancer care.
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Content ArticleThe Patients Association had not previously carried out work with patients on the topic of accredited registers, so in order to inform their response to this consultation they conducted an online survey of our members and supporters. Here are the results.
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Content ArticleA study from Chamberlain et al. examined post-traumatic stress disorder (PTSD) symptoms in 13 049 survivors of suspected or confirmed COVID-19, from the UK general population, as a function of severity and hospital admission status. Compared with mild COVID-19, significantly elevated rates of PTSD symptoms were identified in those requiring medical support at home, those requiring hospital admission without ventilation and those requiring hospital admission with ventilator support. Intrusive images were the most prominent elevated symptom. Adequate psychiatric provision for such individuals will be of paramount importance.
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Content ArticlePatient safety remains one of the most pressing health issues for public awareness and further policy action. Since 2006, OECD’s Health Care Quality and Outcomes (HCQO) Working Party (WP) has developed patient safety indicators (PSIs) based on administrative data sources. These data have been regularly collected and reported with an aim of assessing and comparing cross-country differences in patient safety. However, the international comparability of existing PSIs is challenging due to a number of methodological variations in measure implementation, for example, how countries record diagnoses and procedures, define hospital admissions, processes for reporting safety events. Consequently, in some cases, higher adverse event rates may signal more developed patient safety monitoring systems and a stronger patient safety culture rather than worse care. Current PSIs have limitations in that they fail to adequately capture important aspects of patient safety, such as the extent to which health care practices to prevent and address safety incidents are implemented. This report summarises activities undertaken to date as part of the international indicator development on patient-reported experiences of safety and also a set of questions to be used for the pilot data collection of patient-reported experience of safety, guidelines for the pilot data collection and ongoing pilot data collection
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Content ArticleThis survey from the Care Quality Commission (CQC) looks at the experiences of people receiving community mental health services. The 2020 community mental health survey received feedback from 17,601 people who received treatment for a mental health condition between 1 September 2019 and 30 November 2019. This report shows that people are consistently reporting poor experiences of NHS community mental health services, with few positive results. For example, poor experiences were reported for crisis care, accessing care, and involvement. It also found disparity in the experiences of different groups of people, especially among respondents with different diagnoses.
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EventThis webcast provides a tutorial on the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Data Entry and Analysis Tool. Speakers will demonstrate how you can enter your SOPS survey data into the tool and it will automatically create tables and graphs to display your survey results. The tool allows healthcare organisations to compare results to the data in SOPS Databases. Register
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Content ArticleIn October the Faculty of Intensive Care Medicine surveyed their Fellows and Members about their experiences and feelings during the first wave of the COVID-19 pandemic. They have published Voices from the Frontline of Critical Care based on the results of this survey.
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Content ArticleThis survey looks at the experiences of people who stayed at least one night in hospital as an inpatient. People were eligible to take part in the survey if they stayed in hospital for at least one night during November 2021 and were aged 16 years or over at the time of their stay.
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Content ArticleThe national surgical site infection (SSI) surveillance service in England collates and publishes SSI rates that are used for benchmarking and to identify the prevalence of SSIs. However, research studies using high-quality SSI surveillance report rates that are much higher than those published by the national surveillance service. This variance questions the validity of data collected through the national service. The aim of this study from Tanner et al. was to audit SSI definitions and data collection methods used by hospital trusts in England.
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Content ArticleIn this short analysis from the Health Foundation, data from the GP patient survey, an annual independent survey run by Ipsos MORI on behalf of NHS England, was used to explore who gets good access to general practice, unpicking how patient satisfaction with the service they receive varies by deprivation, age and ethnicity. Note: The 2020 GP patient survey data were mostly collected before the COVID-19 pandemic, therefore this analysis doesn’t reflect patient experiences or service changes during the pandemic.
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Content ArticleThe Patient Information Forum ran a survey on covid choices. It asked how people are balancing the need to have new or ongoing health conditions treated and managed versus the risks of contracting COVID-19. The aim of the survey was to identify the factors important to patients’ decision-making. This will help charities and the NHS produce the information patients need to make crucial decisions about health and well-being.
