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Found 30 results
  1. Content Article
    He looks at the following claims: “The NHS has has plenty of money pumped into it by this Government and well above inflation.” “We are funded as well, if not better than many/most systems now, so resource is not an excuse” "This Government has recruited X thousand additional nurses and Y thousand additional doctors” “We need to move towards a European style social insurance based model as those systems have better outcomes and no other country has copied the NHS” “The NHS wastes far too much money on useless, overpaid managers and people in non-jobs” “People should take more responsibility for their own health so we can become a wellness service not an illness service" The NHS is in need of root and branch reform but always resists it." Ten point plan to tackle the problems faced by the NHS Train enough staff at home to meet future workforce needs Have a proper short, medium and long term workforce plan for health and social care Treat existing staff better and more flexibly to help retention and morale Use ethical immigration policy to attract and keep key workforce groups who trained overseas or come here for lower paid but vital care work Reverse the cuts in bed capacity and invest more in capital expenditure on buildings, facilities, equipment and functioning IT Come up with a long term sustainable plan for social care funding and provision, reverse the cuts and plan for future rises in care needs Invest properly in public health and prevention policy – addressing wider determinants of preventable ill health across the life course, health inequalities and inequalities in access to healthcare and ensure that health is a key part of all public policy making Accept that this focus on prevention does involve state intervention in key areas around housing, education, food, drink, obesity, smoking and mental health. Level with the public about what can realistically be expected in terms of access, wait time, staffing and the time it will take to recover from the disruption caused by covid. Better to under promise and over deliver rather than vice versa Restore annual funding increases to the NHS to at least the historic average
  2. Content Article
    Sabra Klein is deeply aware that sex matters. During her PhD research at Johns Hopkins University, Klein learned how sex hormones can influence the brain and behaviour. “I naively thought: Everybody knows hormones can affect lots of physiological processes—our metabolism, our heart, our bone density. It must be affecting the immune system,” she says. But when she graduated in 1998, she struggled to convince others that sex differences in the immune system were a worthy topic for her postdoctoral research. She ultimately found a postdoctoral position in the lab of one of her thesis committee members. And in the years since, as she has established a lab of her own at the university’s Bloomberg School of Public Health, she has painstakingly made the case that sex—defined by biological attributes such as our sex chromosomes, sex hormones, and reproductive tissues—really does influence immune responses. Through her research, Klein has helped spearhead a shift in immunology, a field that long thought sex differences didn’t matter. Historically, most trials enrolled only males, resulting in uncounted—and likely uncountable—consequences for public health and medicine. The practice has, for example, caused women to be denied a potentially lifesaving HIV therapy and left them likely to endure worse side effects from drugs and vaccines when given the same dose as men. Men and women don’t experience infectious or autoimmune diseases in the same way. Women are nine times more likely to get lupus than men, and they have been hospitalized at higher rates for some flu strains. Meanwhile, men are significantly more likely to get tuberculosis and to die of Covid-19 than women. Further reading Medicines, research and female hormones: a dangerous knowledge gap Gender bias: A threat to women’s health
  3. Content Article
    There are a number of categories of cognitive bias described in more detail in these guidelines: Expectation bias, also known as experimenter’s bias, where the expectation of what an individual will find affects what is actually found. Confirmation bias is closely related to expectation bias, whereby people test hypotheses by looking for confirming evidence rather than for potentially conflicting evidence. Anchoring effects or focalism are closely related to both of the above and occur when an individual relies too heavily on an initial piece of information when making subsequent judgements, which are then interpreted on the basis of the anchor. Contextual bias is where someone has other information aside from that being considered, which influences (either consciously or subconsciously) the outcome of the consideration. Role effects are where scientists identify themselves within adversarial judicial systems as part of either the prosecution or defence teams. This may introduce subconscious bias that can influence decisions, especially where some ambiguity exists. Motivational bias occurs where, for example, motivational influence on decision making results in information consistent with a favoured conclusion tending to be subject to a lower level of scrutiny than information that may support a less favoured outcome. Reconstructive effects can occur when people rely on memory rather than taking contemporaneous notes. In this case people tend subsequently to fill in gaps with what they believe should have happened, and so may be influenced by protocol requirements when recalling events some time later from memory.
  4. Content Article
    Policy highlights • For universal health coverage, “leave no one behind” means that countries should prepare equitable and gender-responsive health systems that consider the interaction of gender with wider dimensions of inequality, such as wealth, ethnicity, education, geographic location and sociocultural factors and implement them within a human rights framework. • Countries must consider the health inequities within and across groups and geographic areas, and learn how gender norms, unequal power relations and discrimination based on sexual and gender orientation impede access to health services. National health plans should consider equity and gender-related barriers. The opening times, staff composition and location of health facilities should be considered from an equity perspective, and services should be age and culturally appropriate. • Multisectoral cooperation is essential for reducing health inequities since some factors influencing disease burdens and barriers to access lie outside the reach of the health sector. Multisectoral involvement and coordination should be integrated in national health plans. Engaging civil society organisations and the public in decision-making and feedback is essential. • An equity, gender and human rights perspective in developing social health protection schemes is needed to address the differential risks experienced by people across the life course and to assist people in avoiding or coping with the financial costs of treating illnesses. Social health protection schemes should consider the health care needs of marginalised groups and incorporate mechanisms to remove the access barriers they face. • Effective, equitable and cost-efficient services can be delivered only when based on evidence. Further research using mixed methods – and quantitative and qualitative data – is needed to understand the mechanisms behind gender and equity barriers, which can vary by setting and population group. • Indicators for monitoring progress towards universal health coverage should enable monitoring progress for particular groups. At a minimum, indicators should be dis-aggregated by sex and age. Further dis-aggregation by ethnicity, migration status, wealth, education and geographic location is essential to identify and tailor interventions to reach groups living in situations of greatest vulnerability.
  5. Content Article
    This paper from the British Medical Journal, describes specific examples of HFE-based interventions for patient safety. Studies show that HFE can be used in a variety of domains.
  6. Content Article
    The second edition takes a more practical approach with coverage of methods, interventions and applications and a greater range of domains such as medication safety, surgery, anaesthesia, and infection prevention. New topics include: work schedules error recovery telemedicine workflow analysis simulation health information technology development and design patient safety management. Reflecting developments and advances in the five years since the first edition, the book explores medical technology and telemedicine and puts a special emphasis on the contributions of human factors and ergonomics to the improvement of patient safety and quality of care. In order to take patient safety to the next level, collaboration between human factors professionals and health care providers must occur. This book brings both groups closer to achieving that goal.
  7. Content Article
    This study from Schultz et al., published in the The Canadian Journal of Hospital Pharmacy, clearly shows hat abbreviations currently used by manufacturers to differentiate short- and long-acting medications are problematic. Furthermore, it has highlighted the potential consequences of using non-intuitive abbreviations to differentiate medications with different release rates. The study demonstrates how evidence-based research at the local level, along with feedback and input from front-line staff, can be used to address longstanding problems. Although no strategy can eliminate all errors involving medications with different release rates, this study generated evidence-based solutions that were subsequently implemented to minimise potential errors through more intuitive labelling of medications. The findings from this evaluation are applicable to other organisations seeking to reduce the risk of errors related to medication abbreviations and should also be considered by pharmaceutical companies.
  8. Content Article
    This issue of Hindsight includes articles on: Malicious compliance by Sidney Dekker Can we ever imagine how work is done? by Erik Hollnagel Safety is in the eye of the beholder by Florence-Marie Jegoux, Ludovic Mieusset and Sébastien Follet I wouldn't have done what they did by Martin Bromiley
  9. Content Article
    Why is there more chance we'll believe something if it's in a bold type face? Why are judges more likely to deny parole before lunch? Why do we assume a good-looking person will be more competent? The answer lies in the two ways we make choices: fast, intuitive thinking, and slow, rational thinking. This book reveals how our minds are tripped up by error and prejudice (even when we think we are being logical), and gives you practical techniques for slower, smarter thinking. It will enable to you make better decisions at work, at home and in everything you do.
  10. Content Article
    Drawing on a dizzying array of case studies and real-world examples, together with cutting-edge research on marginal gains, creativity and grit, Matthew Syed tells the inside story of how success really happens - and how we cannot grow unless we are prepared to learn from our mistakes.
  11. Content Article
    In this blog, Steven questions: Are we reducing the human to ‘human error’? Are we reducing the human to a faulty information processing machine? Are we reducing the human to emotional aberrations? Are we reducing human involvement in socio-technical systems?
  12. News Article
    Research shows black women are at a 40% higher risk of pregnancy loss than white women. It is an urgent problem, which the Royal College of Obstetricians and Gynaecologists says needs greater attention, with many complex reasons driving this higher risk. These include a lack of quality research involving all ethnicities - but RCOG head Dr Edward Morris says implicit racial bias is also affecting some women's experience of care. Isabel Gomes Obasi and her husband, Paulson, from Coventry, are expecting a baby boy in March. They are extremely anxious as almost a year ago their baby boy Andre died four months into Isabel's pregnancy. Giving birth to Andre was extremely traumatic, Isabel says, but how she was treated when in severe pain and bleeding, in the days before her loss, made the experience worse. "We knew something was wrong, so we went into hospital and waited five hours to be seen by a doctor," she says. "I remember being laughed at by one of the nurses, who said, 'Just go home. Why do you keep coming in?'" Isabel was checked over and told the baby was fine but says her intuition and pain were belittled and ignored. Within 48 hours of going home, Isabel began bleeding heavily. There is little doctors can do at this relatively early stage of pregnancy to save a baby's life. But the feeling of not being listened to has stayed with Isabel ever since. "I just shut down," she says. "The experience made me anxious and depressive, if not suicidal." Asked why she was not listened to, she said: "The colour of my skin," the attitude of some staff was: "'You have black skin - you are not from here - you can wait.'" Dr Morris says it is "unacceptable" women belonging to ethnic minorities face worse outcomes than white women - especially in maternity care. "Implicit racial bias from medical staff can hinder consultations and negatively influence treatment options," he says. This can stop some women engaging with healthcare. Read full story Source: BBC News, 8 February 2022
  13. Content Article
    ECRI's top 10 list of patient safety concerns: Staffing shortages. COVID-19 effects on healthcare workers’ mental health. Bias and racism in addressing patient safety. Vaccine coverage gaps and errors. Cognitive biases and diagnostic error. Nonventilator healthcare-associated pneumonia. Human factors in operationalizing telehealth. International supply chain disruptions. Products subject to emergency use authorisation. Telemetry monitoring.