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Content ArticleIn healthcare, digital solutions have been adopted with zeal, but there is paucity of evidence for benefits and harms of these solutions. The impact, immediate or long term, of digital applications on healthcare has not been assessed. With the overwhelming numbers and types of digital solutions, it is becoming increasingly important to develop evidence-based insights for the integration of these solutions in routine medical care. Digitalisation can certainly empower and enable patients and physicians to achieve health objectives. The World Health Organization has released guidance for digital health after a critical review of available evidence for the benefits, harms, acceptability, feasibility, resource use and equity considerations of digital health interventions. This guidance can potentially inspire and impact future research endeavours for digital applications. Tarveen Jandoo reviews the guidance in context of the current research situation and insights are shared for researchers engaged in the design and assessment of digital interventions.
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Content Article
We are delighted to announce that Patient Safety Learning's Chief Executive Helen Hughes has been recognised by HIMSS as a global Patient Leader in digital healthcare, alongside Birgit Bauer, Tiffany McKever and Christine Von Raesfeld. -
Content ArticleCatherine Mitchell, Head of cost and value at Healthcare Financial Management Association, explains how NHS finance can take an active role in supporting the use of digital healthcare to transform services and drive value and efficiency.
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Content ArticleThis report looks at research commissioned by the Juvenile Diabetes Research Foundation (JDRF) to understand the varying pandemic experiences of different people affected by type 1 diabetes in the UK. It highlights an enormous withdrawal of NHS services during the pandemic, leading to highly unequal access to type 1 diabetes care.
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Content ArticleThis article in BMC Health Services Research looks at a range of macro, meso and micro factors influencing eHealth innovation in the English NHS. eHealth is a broad term which encompasses e-health, m-health, telemedicine and telecare, public health surveillance, personalised medicine/patient engagement, health and medical platforms, self-tracking, medical imaging, healthcare information systems, mobile connectivity, social networking, sensors and wearables, gamification, electronic health records, big data, health information technology, health analytics, digitised health systems, robotics and active assistive living. The study found that the fragmentation of the NHS is the most significant factor limiting the adoption of eHealth innovations, arguing that national policy has intensified the digital divide. It states that the NHS Long Term Plan places great emphasis on the role of digital transformation in aiding communication and enabling people to access care quickly and easily, highlighting significant implications for effectiveness, efficiency and equity.
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Content ArticleIn this article in Inforisk Today, Marianne McGee looks at warnings from patient safety experts and federal authorities around cyberattacks on the public health sector. She looks at emerging trends in the way that cybercriminals target healthcare, recent work to bring down cybercriminal gangs and the impact of ransomware attacks on healthcare systems.
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Content ArticleThis study in Clinical Child Psychology and Psychiatry assessed feedback from paediatric diabetes patients and their parents or carers regarding virtual consultations, using a solution focused approach, in a hospital setting. Patients completed an electronic survey following their virtual consultation, and of those surveyed, 86% recommended video consultations to be part of their diabetes care. Qualitative data showed reduced travel time, comfort, reduced need for parking and convenience as the major benefits to patients. The results demonstrated that clinical care was shown to be positive and addressed patients concerns, the majority of respondents (84%) reported that the appointment was about what they wanted it to be about. Using the solution focused model helped overcome the challenges faced with virtual consultations particularly with concerns surrounding safeguarding issues, confidentiality, audio/video difficulties and also helped to support the patient journey.
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Content ArticleReports from the G7 working groups on AI governance and interoperability setting out how the G7 are implementing their commitments on digital health.
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Content ArticleIn this 'letter', Dr Soojin Jun, as a healthcare professional and a patient advocate, gives her three recommendations to guard "patient safety" in the digital health era. Your end-users are ultimately patients, no matter who uses your product. Healthcare is not binary, and your digital solutions shouldn’t be either. Please look ahead and consider empathy for “patients” and provide solid feedback loops for the “users.”
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Content ArticleThis World Health Organization (WHO) policy brief takes stock of how digital health tools have been used during the COVID-19 pandemic, in order to review what has happened, assess how uptake and use of these tools has been facilitated, identify issues that are emerging, and learn lessons for the longer term to support the sustained use of digital health tools.
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Content Article
The 12 days of digital patient safety
Clive Flashman posted an article in Digital health and care service provision
A couple of weeks ago, I presented some of the ideas I’ve had around digital clinical safety. This was seasonally branded, ‘The 12 days of Digital Patient Safety’. The 12 issues that were on my list comprised: AI – regulation, ethics and testing. Patient safety not built into the innovation process (co-design and co-production with patients is required). Patient safety (in use) not effectively built into the digital health compliance systems. Poor user experience (design). The safety of medical devices, e.g. remote hacking. Privacy and consent around data. Fragmentation of patient records and data. Lack of interoperability. Cybersecurity. Patient digital and health literacy. Clinician attitudes and knowledge of digital technologies. The barriers to EHR integration (and poor use of patient-generated data). There was only time on the webinar to cover points 2, 3, 6 and 10; I hope that we can have further session in 2022 where we can discuss the others. -
Content ArticleSystems and software engineering contribute not only to advancing and improving the delivery of healthcare but also to doing it more safely than has been the case in the past.
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Content ArticleThis manual sets out the process for deciding how topics are identified, selected and routed for NICE guidance developed by the Centre for Health Technology Evaluation (CHTE). This includes diagnostics, highly specialised technologies, interventional procedures, medical technologies and technology appraisal guidance. See also NICE health technology evaluations: the manual.
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NICE health technology evaluations: the manual (31 January 2022)
Patient Safety Learning posted an article in NICE
This guide describes the methods and processes, including expected timescales, that NICE follows when carrying out health technology evaluations. The methods and processes are designed to produce robust guidance for the NHS in an open, transparent and timely way, with appropriate contribution from stakeholders. Organisations invited to contribute to health technology evaluation development should read this manual in conjunction with the NICE health technology evaluation topic selection: the manual. All documents are available on the NICE website. -
Content ArticleIn this interview for Healthcare IT News, Jennifer Ball, Director of Virtual Care at Saint Luke's Health System in Kansas City talks about the benefits of virtual nursing units, and what training and support is needed to set one up.
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Patient blog - A tale of two MRIs (10 July 2020)
Patient-Safety-Learning posted an article in Patient stories
This blog by patient Lelainia Lloyd in the Journal of Medical Imaging and Radiation Sciences is a personal account of two starkly different MRI appointment experiences. In the first scan, the technologist said very little to Lelainia and the experience left her with significant anxiety about future MRIs. But her second experience was completely different, with the technologist communicating clearly, asking questions and making sure she felt comfortable throughout the process. Lelainia highlights the importance of communicating clearly and compassionately with patients to make them feel safe and able to ask for help. She outlines some practical steps for healthcare workers to help them engage with patients and ensure they are clearly consenting to all aspects of care and treatment. -
Content ArticleThis blog in the Health Services Journal (HSJ) looks at the risk posed to clinical care by cyberattacks. A recent HSJ webinar in association with Sophos argued cybersecurity should be the business of everyone in the NHS, and looked at how NHS organisations can tackle the issue. Cyberattacks can cause delays and compromise patient safety and are therefore something that all healthcare staff need to consider. Using helpful language to explain the implications of cyberattacks is key to getting involvement right across the spectrum of management and frontline staff, so that it is not seen as 'an IT issue'.
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Content ArticleThis article, published in JMIR mHealth and uHealth, explores the impact and effectiveness of patient-facing mobile health technology on patient outcomes. It concludes that these technologies can empower patients to play a more active and meaningful role in improving their outcomes, but that there is a need for better understanding of the interactions between patients, technology and health care providers.
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Content ArticleThis white paper documents a roundtable discussion held at the International Forum on Quality and Safety in Health Care in Europe 2021. Participants discussed how smart medication management can be improved to optimise healthcare quality and efficiency. The meeting was chaired by Yu-Chuan (Jack) Li, a researcher of artificial intelligence (AI) in medicine and medical informatics, and editor-in-chief of BMJ Health and Care Informatics.
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EventuntilHETT 2023 will explore the systems and infrastructure that underpin and enable a data-driven NHS, supporting the ecosystem to deliver patient outcomes through the meaningful implementation of technology. Register
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HFMA members' summer series
Patient Safety Learning posted an event in Community Calendar
untilThis unique series of online events will provide Healthcare Financial Management Association (HFMA) members with a variety of engaging sessions over three days. The programme will be centred around several key themes: Career development – including resilience training, progression within the NHS, qualifications mapping and developing your personal brand. The bigger picture – technologies of the future, system working, diversity and inclusion. Thought leadership – case studies from across the four nations of the NHS, with real-life examples. At the halfway point of the year, the event will reflect on what’s gone on in the past six months and considering the learnings to take forward and how to make improvements. By the end of the three days, you’ll be well equipped to take on the second half of the year both on a personal, and professional level. Best of all, this event is free to HFMA members. All registered delegates will have access to all the session on demand for 3 month after the event. Speakers will include: Jo Howarth, CEO of The Happiness Club Max Siegel, LGBTQ+ content creator, activist, educator and speaker. Jennifer Holloway, personal brand specialist and author Helen Hughes, CEO Patient Safety Learning. Download programme Register -
Eventuntil‘Nurses are voting with their feet’, so said a report by the RCN in February of this year, describing the mass exodus of tens of thousands of skilled and experienced nurses. With workforce challenges an indisputable pressure facing the NHS, how can virtual wards be a part of the solution to address these pressures and support future resilience. Join this animated and thought-provoking discussion on “New Ways of Nursing”, chaired by Natasha Phillips, Chief Nursing Information Officer for NHS England, to explore how tech-enabled virtual wards have the potential to enable teams to work in new and innovative ways, release capacity, retain staff and help ICSs meet ambitious targets. Headline discussion points: How virtual wards are addressing workforce capacity issues. Case studies of tech-enabled virtual wards that have improved efficiency and patient outcomes. How virtual wards can offer news ways of engaging with the workforce that enhance wellbeing without compromising patient care. What attendees will learn: How tech enabled virtual wards are addressing NHS capacity issues head-on. How to set up a virtual ward for success and ensure buy-in from all stakeholders. The opportunity present for teams who embrace tech-enabled virtual wards. Register
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EventIt is now clear that hormone pregnancy test Primodos, the epilepsy drug sodium valproate, and that pelvic mesh causes avoidable harm to many thousands of women and children. Yet recognising these potential harms took many years, and it is still the case that the service does not know the identities of all those affected or potentially affected. The main reason is lack of data. Knowing which patients have received which medicines and devices where, and quickly connecting longer-term outcomes, has traditionally been somewhere between impossible and extremely slow and difficult. Unnecessary harm has often been the result. So how can the NHS solve this issue? What do we know about the traditional challenges with traceability in healthcare and the shortcomings of current data collection techniques? How can it be ensured that the right products are being used for the right patient? What approaches and technologies might solve these challenges, ensuring that the right products are being used for the right patient? How could this fit into wider digital transformation work, and resulting data best be used to improve patient safety and outcomes? This HSJ webinar, run in association with GS1 UK, will bring together a small panel to consider the answers to these important questions. Register
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Digital technologies: innovating for change
Patient Safety Learning posted an event in Community Calendar
untilDigital innovations bring many opportunities to transform healthcare services, and to improve people’s health and experiences of care. However, introducing and using technology has continued to prove difficult, and there is still a lot to achieve to deliver on the promise of digital transformation. This event will bring together leading innovators and delegates to network and collectively and creatively develop strategies that enable innovative practice. During this in-person event at The King’s Fund, experts will discuss current innovations – such as, virtual wards, shared care records, remote monitoring, and robotic process automation (RPA) – in the context of the wider health care landscape, and consider how to overcome the barriers people face to implementation. Register -
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10th Annual World Patient Safety, Science & Technology Summit
Sam posted an event in Community Calendar
untilJoin the Patient Safety Movement in celebrating our 10th anniversary summit with world-renowned speakers and panelists discussing the latest challenges and solutions in patient safety. This is a one-of-a-kind opportunity to renew your organisation’s commitment to a culture of safety and make global connections to like-minded individuals working to eliminate preventable patient and healthcare worker harm. Attendees include patient safety experts, clinicians, healthcare administrators, government officials, representatives from MedTech and Biotech industries, patients and patient advocates, academicians, and policymakers. Speakers include: President William J. Clinton. The 42nd President of the United States. The William J. Clinton Foundation focuses on community service programs of community service addressing global issues of health care, education, clean energy and environment, job training, and entrepreneurship in under-developed countries. The Right Honourable Jeremy Hunt. Chancellor of the Exchequer, United Kingdom. His ministerial role as the government’s chief financial minister carries responsibilities regarding fiscal policy, monetary policy, and work of the Treasury. Tedros Adhanom Ghebreyesus. Director-General of World Health Organization, recognized globally as a health scholar, advocate and diplomat leveraging his experience in research, operations, and leadership in emergency responses. Joe Kiani. Founder & Immediate Past Chairman of the Patient Safety Movement Foundation Founder. Chairman & Chief Executive Officer of Masimo Corporation Donald M. Berwick, President Emeritus and Senior Fellow at the Institute for Healthcare Improvement, an organization he co-founded and led as President and CEO for 19 years. He is one of the nation’s leading authorities on health care quality and improvement. Jannicke Mellin-Olsen, Governance Board Member of the Patient Safety Movement Foundation and Past President of the World Federation of Societies of Anaesthesiologists known for her dedication to organizational work. The first Norwegian female physician to complete her voluntary military services. Currently an anesthesiologist for the Norwegian Healthcare System. Anthony Staines, Patient Safety Program Director at the Fédération des hôpitaux Vaudois in Switzerland and Deputy Editor of the International Journal for Quality in Health Care. Author of a doctoral dissertation on the impact of hospital quality improvement programs on clinical outcomes. Sir Liam Donaldson, Founder and Chair of the World Alliance for Patient Safety and Professor of Public Health of Faculty of Epidemiology & Population Health for London School of Hygiene and Tropical Medicine. Neelam Dhingra, Unit Head of the World Health Organization Patient Safety Flagship: A Decade of Patient Safety 2020-2030. Peter Pronovost, Chief Quality & Clinical Transformation Officer and Veale Distinguished Chair in Leadership and Clinical Transformation at the University Hospitals. Stephanie Mercado, Chief Executive Officer of the National Association for Healthcare Quality. Michelle Schreiber, Director of the Quality Measurement and Value-Based Incentives Group, Centers for Medicare and Medicaid Services. Konrad Reinhart, Senior Professor for Sepsis Awareness and Advocacy, Charité, Berlin, Founding President of the Global Sepsis Alliance, Chair of the Sepsis Foundation. Peter Ziese, Chief Medical Officer and Head of Medical Strategy & Innovation, PHILIPS. Francisco Valero-Cuevas, Professor of Biomedical Engineering, Aerospace and Mechanical Engineering, Electrical and Computer Engineering, Computer Science, and Biokinesiology and Physical Therapy, University of Southern California. Further information
