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Found 244 results
  1. Content Article
    In 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.
  2. Content Article
    While there is growing awareness of the risk of harm in ambulatory health care, most patient safety efforts have focused on the inpatient setting. The Comprehensive Unit-based Safety Program (CUSP) has been an integral part of highly successful safety efforts in inpatient settings. In 2014 CUSP was implemented in an academic primary care practice. As part of CUSP implementation, staff and clinicians underwent training on the science of safety and completed a two-question safety assessment survey to identify safety concerns in the practice. The concerns identified by team members were used to select two initial safety priorities. The impact of CUSP on safety climate and teamwork was assessed through a pre-post comparison of results on the validated Safety Attitudes Questionnaire. CUSP is a promising tool to improve safety climate and to identify and address safety concerns within ambulatory health care.
  3. Content Article
    In 2008, the UK National Patient Safety Agency (NPSA) made recommendations for safe arterial line management. Following a patient safety incident in their intensive care unit (ICU), Leslie et al. surveyed current practice in arterial line management and determined whether these recommendations had been adopted. They contacted all 241 adult ICUs in the UK; 228 (94.6%) completed the survey. Some NPSA recommendations have been widely implemented – use of sodium chloride 0.9% as flush fluid, two‐person checking of fluids before use – and their practice was consistent. Others have been incompletely implemented and many areas of practice (prescription of fluids, two‐person checking at shift changes, use of opaque pressure bags, arterial sampling technique) were highly variable. More importantly, the use of the wrong fluid as an arterial flush was reported by 30% of respondents for ICU practice, and a further 30% for practice elsewhere in the hospital. This survey provides evidence of continuing risk to patients.
  4. Content Article
    Between 6 May and 17 August 2020, the Patients Association asked patients about their experiences during the first wave of the COVID-19 pandemic in an online survey.
  5. Content Article
    This survey, a collaboration between the International Society for Quality in Healthcare (ISQua) and the International Hospital Federation (IHF) was designed to frame the WHO Global Consultation on Patient Safety, which was held from 24-26 February 2020 to kick off the development of the Global Patient Safety Action Plan. Already then, the pandemic-to-be was affecting various regions, before striking health systems worldwide. The question of patient safety is a critical one in the discussion about COVID-19: hygiene and hospital-acquired infections, non-suitable hospital architecture, delayed surgeries and procedures, lack of personal protective equipment (PPE) and much more affected the safety of patients as well as of health workers, to whom the World Patient Safety Day 2020 is dedicated. In February 2020, the IHF disseminated a short survey on national safety plans to its Full Members, hospitals’ national/regional representatives. At the same time, ISQua disseminated their survey asking how well incident reporting is in place, and if the outcomes improve the 'no blame no shame' approach to their Individual and Institutional Members. The surveys were repeated in July 2020 to see if the onset of COVID-19 had made any positive or negative changes to the responses.
  6. Content Article
    In order to inform clinical and research practice in secondary care in light of the COVID-19 pandemic, an online survey was used to collect public opinions on attending hospitals. The survey link was circulated via the National Institute for Health Research (NIHR) Public Involvement (PPI) Leads network and social media. Data collection included self-identified risk status due to comorbidity or age, and 100 point Likert-type scales to measures feelings of safety, factors affecting feelings of safety, intention to participate in research, comfort with new ways of working and attitudes to research. Results for feelings of safety scales indicate two distinct groups: one of respondents who felt quite safe and one of those who did not. *Note: This article is a preprint and has not been peer-reviewed. 
  7. Content Article
    The Queen’s Nursing Institute (QNI) has published a major new report on the effect of the COVID-19 pandemic on the UK’s nursing and residential homes.
  8. Content Article
    This survey looks at the experiences of adults that have been an inpatient at an NHS hospital. The survey has been running since 2002 and is published annually.
  9. Content Article
    Between 30 June - 05 July 2020, the College conducted a survey to assess its members' views on the current preparedness to restart planned services. 
  10. Content Article
    This 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.
  11. Content Article
    A new report published by the National Guardian’s Office reveals that the perception of the speaking up culture in health is improving. An annual survey, conducted by the National Guardian’s Office, asked Freedom to Speak Up Guardians, and those in a supporting role, about how speaking up is being implemented in their organisation. The results reveal details about the network’s demographics and their perceptions of the impact of their role. This infographic highlights some of the findings.
  12. Content Article
    When patients experience unexpected events, some health professionals become “second victims”. These care givers feel as though they have failed the patient, second guessing clinical skills, knowledge base and career choice. Although some information exists, a complete understanding of this phenomenon is essential to design and test supportive interventions that achieve a healthy recovery. Scott et al., in a paper published in BMJ Quality & Safety, report interview findings with 31 second victims.
  13. Content Article
    Never events (NEs) are serious preventable patient safety incidents and are a component of formal quality and safety improvement (Q&SI) policies in the UK and elsewhere. A preliminary list of NEs for UK general practice has been developed, but the frequency of these events, or their acceptability to GPs as a Q&SI approach, is currently unknown. This study from Stocks et al., published in the Journal of Patient Safety, aimed to estimate the frequency of 10 NEs occurring within GPs' own practices and the extent to which the NE approach is perceived as acceptable for use.
  14. Content Article
    Both staff and patients want feedback from patients about the care to be heard and acted upon and the NHS has clear policies to encourage this. However, doing this in practice is complex and challenging. This report from the National Institute for Health Research (NIHR) features nine new research studies about using patient experience data in the NHS. These show what organisations are doing now and what could be done better. Evidence ranges from hospital wards to general practice to mental health settings. The report found that although a lot of resource and energy goes into collecting feedback data, less goes into analysing it in ways that can lead to change or into sharing the feedback with staff who see patients on a day-to-day basis. Patients’ intentions in giving feedback are sometimes misunderstood. Many want to give praise and support staff and to have two-way conversations about care, but the focus of healthcare providers can be on complaints and concerns, meaning they unwittingly disregard useful feedback. The report provides insights into new ways of mining and analyzing big data, using online feedback and approaches to involving patients in making sense of feedback and driving improvements. 
  15. Content Article
    South Australia Health's patient-centred involves engaging with the consumer and the consumer to make sure they are responsive to their needs, values and preferences. One way South Australia Health gathers feedback is to survey people who have spent time in a country or metropolitan public hospital. In 2017, 2228 people were interviewed and their responses were analysed. This report summarises the results of the survey.
  16. Content Article
    Physicians, particularly trainees and those in surgical subspecialties, are at risk for burnout. Mistreatment (i.e., discrimination, verbal or physical abuse, and sexual harassment) may contribute to burnout and suicidal thoughts. In a study published in NEJM, Hu et al. carried out a cross-sectional national survey of general surgery residents administered with the 2018 American Board of Surgery In-Training Examination assessed mistreatment, burnout (evaluated with the use of the modified Maslach Burnout Inventory), and suicidal thoughts during the past year. They found mistreatment occurs frequently among general surgery residents, especially women, and is associated with burnout and suicidal thoughts.
  17. Content Article
    Patient diaries have often been used in the adult intensive care setting. This paper explores the use of diaries with the paediatric population and how this can enhance care and rehabilitation post critical care stay.
  18. Content Article
    Patient reporting and action for a safe environment (PRASE) is system for collecting patient feedback about how safe they feel whilst in hospital. It is designed to help staff identify things that are working well, and areas needing improvement. Feedback is collected using a patient safety questionnaire and a reporting tool. With the help of PRASE hospital volunteers, patient feedback is collected. Once enough information has been collected, a ward report is produced and guidance is provided to help make action plans and monitor their successes. 
  19. Content Article
    This research paper discusses the problem of decision fatigue and how it can impact patient safety.  The authors hypothesised that decision fatigue, if present, would increase clinicians’ likelihood of prescribing antibiotics for patients presenting with acute respiratory infections as clinic sessions wore on.
  20. Content Article
    Despite recent policy recommendations advocating the use of health apps in routine clinical practice, they are rarely recommended to patients by healthcare professionals in practice. To find out why, ORCHA (Organisation for the Review of Care and Health Applications) conducted its first study of healthcare professionals’ views regarding digital health, published in the Lancet Digital Health. Conducting in-depth interviews followed by a quantitative survey with healthcare professionals, ORCHA discovered what is most important, of some importance and of limited influence to healthcare professionals when considering recommending a health app to patients.
  21. Content Article
    The Patient Safety Movement Foundation (PSMF) surveyed their community members from April 20 to May 4, 2020 and share the results in this report. They collected a total of 195 complete responses worldwide. This included 71% respondents from the US, 13% from EMEA, 7% from Mexico, 4% from the rest of LATAM, 3% from JAPAC, 2% from Canada, and 1% from India. The community sample also comprised of approximately a quarter of nurses, a quarter of other medical professionals (doctors, pharmacists), and significant representation of administrators, vendors, advocates, quality control, as well as many other backgrounds and occupations. 
  22. Content Article
    The Health & Safety Laboratory (HSL) Safety Climate Tool (SCT) measures the perceptions of the workforce on health and safety issues, offering a unique insight into the safety culture within an organisation. It can be applied across industries of all sizes, from SMEs to large complex organisations. Multi-site companies can also use it to look at the strengths and weaknesses of different sites or business units. The HSL SCT is delivered on a CD-ROM, which you install onto a suitable computer to allow you to produce a customised questionnaire that is then run across your organisation. Once the questionnaire survey has been run, the tool produces a series of automated charts that allow detailed analysis of the findings. (HSL is an agency of the Health and Safety Executive.)
  23. Content Article
    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 survey provides essential information to employers and national stakeholders about staff experience across the NHS in England. Participation is mandatory for trusts and voluntary for non-trust organisations (CCGs, CSUs, social enterprises). The survey does not cover primary care staff. The report below provides a concise summary of key national results. Detailed local (organisation-level) results are also available here.
  24. Content Article
    Guys and St Thomas' Hospital NHS Foundation Trust and the National Institute for Health research (NIHR) have developed an app. This app can be accessed by everyone. It will map out symptoms you may have (coronavirus symptoms) even if you feel well. This is part of ongoing research in how this virus is spreading and to understand symptoms.
  25. Content Article
    This Care Quality Commission (CQC) survey looks at the experiences of people who use community mental health services. The 2022 community mental health survey received feedback from 13,418 people. Those aged 18 and over were eligible to take part if they were receiving specialist care or treatment for a mental health condition between 1 September 2021 and 30 November 2021.
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