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Found 457 results
  1. Content Article
    A joint National Patient Safety Alert has been issued by NHS Improvement and NHS England national patient safety team, Royal College of General Practitioners, Royal College of Physicians and Society for Endocrinology, regarding the introduction of a new Steroid Emergency Card to support the early recognition and treatment of adrenal crisis in adults.
  2. Content Article
    This article from Perlin et al. discusses how a 173-hospital system used technology as a strategy to reduce sepsis-related mortality system-wide by real-time dissemination of basic laboratory and clinical data to alert teams to patients exhibiting signs of sepsis risk.
  3. Content Article
    The Care Quality Commission (CQC) inspected 65 services that provides solely cosmetic surgery and/or hair transplant surgery. This represents just under two thirds of those currently registered. Professor Ted Baker, CQC’s Chief Inspector of Hospitals has written to all independent cosmetic surgery providers. His letter highlights these emerging concerns and clarifies the standards of patient care that CQC expect and patients deserve. It also reminds providers of their responsibility to deliver safe and effective services.
  4. Content Article
    In this article, published by Refinery 29, author Sarah Graham talks about gender bias in healthcare and the risk to patient safety.
  5. Content Article
    This report, from the Healthcare Safety Investigation Branch (HSIB), provides insight into a current safety risk that was identified on a referral. The referral was about difficulties in identifying clinical deterioration in patients with COVID-19 on general wards. The Royal College of Physicians (RCP) highlighted the issue of rapid deterioration in oxygenation in patients with COVID-19 and how this might relate to the use of early warning scores.
  6. Content Article
    Survive the wards with key information at your fingertips with this top rated app. It provides clear and succinct information to help UK Foundation doctors navigate some of the common clinical scenarios that they'll face on the wards.
  7. Content Article
    This bedside guide, from the Chartered Institute of Ergonomics and Human Factors, is intended for the use of all healthcare staff who are looking after adult patients with tracheostomies. The tasks described should not be attempted by those who have not received training or been deemed as competent in tracheostomy care and management. This guide includes posters, checklists and practical resources to aid the safe care of patients with tracheostomies.
  8. Content Article
    Early clinical experiences have demonstrated the wide spectrum of COVID-19 presentations, including various reports of atypical presentations of COVID-19 and possible mimic conditions. This article, published in the BMJ, summarises the current evidence surrounding atypical presentations of COVID-19 including neurological, cardiovascular, gastrointestinal, otorhinolaryngology and geriatric features. 
  9. Content Article
    Stress urinary incontinence (SUI) is the loss of urine when coughing, laughing, sneezing or exercising. It is a common and distressing condition, with negative impact on quality of life. If conservative treatment, e.g. pelvic floor muscle training, is not successful, the most successful surgical procedures are mid-urethral mesh tape, colposuspension, autologous fascial sling and urethral bulking agent injections.
  10. Content Article
    An increasing number of people with confirmed or suspected COVID-19 are continuing to struggle with prolonged, debilitating and sometimes severe symptoms months later.[1] Many were never admitted to hospital and have instead been trying to manage their symptoms and recovery at home. These patients are sometimes referred to as the ‘long-haulers’ or described as having ‘post-acute’, ‘chronic’ or ‘long-term’ COVID-19. Here, we will use the term ‘Long COVID’. With social distancing restrictions still in place, patients in the UK and across the world have been turning to social media support networks[2] to connect with others who are experiencing similar challenges. These patients have raised very credible concerns about the care they are receiving[3] and the uncertainties they face. Their concerns are revealing many implications for patient safety. We have recently shared on the hub the story of Dr Jake Suett[4], one of the many people experiencing symptoms of Long COVID. When we conclude this article, we will return to his story and highlight the changes that he is calling for. However, first, we will focus on the patient safety aspects of Long COVID, highlighting key areas of concern and action needed (a full list of actions can be found summarised here).
  11. Content Article
    This Primary Care Cancer Toolkit provides a collection of key resources about cancer prevention, diagnosis and care relevant for the primary care setting. It provides links to current guidance, continuing professional development resources, patient information, and information for those involved in commissioning.
  12. Content Article
    There are few validated tools to identify treatment‐related adverse events across cancer care settings. This study seeks to develop oncology‐specific 'triggers' to flag potential adverse events among cancer patients using claims data.
  13. Content Article
    The South Thames Paediatric Network's aim is to enable children within the South Thames region (South London, Kent, Surrey and Sussex) to have access to high-quality specialist paediatric care in the place most suitable to their needs, at the appropriate time with a focus on surgery in children, critical care, long term ventilation and gastroenterology.
  14. Content Article
    Pharmaceutical companies use a variety of abbreviations to denote short- and long-acting medications. Errors involving the administration of these medications are frequently reported.
  15. Content Article
    I have worked in the UK NHS as a hospital pharmacist for 13 years, experiencing a variety of specialities before specialising in cancer and education and, more recently, gastroenterology.  I am also an avid traveller and have witnessed that, while we are globally connected, populations around the world are not as fortunate as we are in the UK for medicine and healthcare access and as a result are dying of very treatable diseases. This fuelled me to enrol on the Global Health Policy post-graduate masters (MSc). On completing my MSc, an opportunity arose to take part in the Global Health Fellowship and so I began working with Zambian colleagues at the University Teaching Hospital (UTH) and University of Zambia (UNZA), Lusaka, via the Brighton-Lusaka health link. This fellowship is a collaborative project between Commonwealth Pharmacists Association (CPA), Tropical Health and Education Trust (THET) and the Fleming Fund and is an avenue for pharmacists to become more involved in global health and improve medicine usage.
  16. Content Article
    The North West London Integration Toolkit is intended to support communities, people and partners as they work towards the shared vision of integrated care. The toolkit is the culmination of over 200 individuals and organisations across North West London coming together to share knowledge and develop ideas as to how to implement whole systems integrated care. The toolkit is a living document and repository of collective learnings. It will evolve and be updated as local areas start to implement their plans and lessons are learned and shared.
  17. Content Article
    Kathleen Sutcliffe is a Bloomberg Distinguished Professor at Johns Hopkins University and the co-author of a forthcoming book Still not safe: patient safety and the middle-managing of American medicine (Oxford University Press).
  18. Content Article
    How offender healthcare is managed in prisons and in the community.
  19. Content Article
    The Care Quality Commission (CGC) is the independent regulator of health and adult social care in England. They make sure that health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.  Independent acute hospitals play an important role in delivering healthcare services in England, providing a range of services, including surgery, diagnostics and medical care. As the independent regulator, the CQC, hold all providers of healthcare to the same standards, regardless of how they are funded. 
  20. Content Article
    The Canterbury Renal Unit is situated at Kent and Canterbury Hospital and provides renal services for the East Kent, Medway and Maidstone areas. There are currently 680 transplant patients currently being followed up. There have been a number of immunosuppression related prescribing errors in the surrounding hospitals. Indeed, one such error occurred in the renal unit itself, when a transplant patient had prednisolone inadvertently withheld resulting in rejection of the kidney. Thus, a group of 12 transplant patients attended a co-production group to discuss the problems and potential solutions.
  21. Content Article
    An insightful blog from a nurse on the frontline. The author of this blog has requested to stay anonymous.
  22. Content Article
    The Institute for Safe Medication Practices (ISMP) is the only US nonprofit organisation devoted entirely to preventing medication errors.  In this short video, produced by ISMP in partnership with the Temple University School of Pharmacy, experts discuss current medication safety concerns and offer practical error prevention recommendations.
  23. Content Article
    Patient Safety Learning speaks to sepsis survivor, Dave Carson, and his wife, Margaret Carson, who tell us how things have improved and what more still needs to be done for sepsis.
  24. Content Article
    Sepsis is the immune system’s overreaction to an infection. Normally, our immune system helps fight infections – but sometimes it attacks our body’s own organs and tissues. We do not yet know why the body reacts this way, which is what makes sepsis so dangerous; if Sepsis isn’t treated immediately, it can result in organ failure and death. Yet with early diagnosis, it can be treated with antibiotics.
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