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News ArticleStudent paramedics are missing out on learning how to save lives because they are wasting hours in ambulances outside A&E instead of attending calls, it has been revealed. The College of Paramedics and ambulance directors say the hold-ups mean trainees are missing vital on-the-job experience, leading to fears over the safety of patients. Will Boughton, of the College of Paramedics Trustee for Professional Standards, said handover delays had become a problem for trainees’ development and exposure to real-life experience, meaning training had become “unpredictable”. If steps w
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Loss of 25,000 NHS beds caused ‘serious patient safety crisis’, finds report
Patient Safety Learning posted a news article in News
The NHS has lost almost 25,000 beds across the UK in the last decade, according to a damning report says the fall has led to a sharp rise in waiting times for A&E, ambulances and operations. The Royal College of Emergency Medicine said the huge loss of beds since 2010-11 was causing “real patient harm” and a “serious patient safety crisis”. At least 13,000 more beds are urgently needed, it added, in order to tackle “unsafe” bed occupancy levels and “grim” waiting times for emergency care and handover delays outside hospitals. Patients are increasingly “distressed” by long waitin -
EventUnsafe medication practices and medication errors are a leading cause of injury and avoidable harm in health care systems across the world. WHO Patient Safety Flagship has initiated a series of monthly webinars on the topic of “WHO Global Patient Safety Challenge: Medication Without Harm”,. The main objective of the webinar series is support implementation of this WHO Global Patient Safety Challenge: Medication Without Harm at the country level. Considering the huge burden of medication-related harm, Medication Safety has also been selected as the theme for World Patient Safety Day 2022.
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News Article
Ambulance service will collapse by August, predicts its nursing director
Patient Safety Learning posted a news article in News
A struggling ambulance trust could face a ‘Titanic moment’ and collapse entirely this summer if the region’s worsening problems with hospital handover delays are not taken more seriously, its nursing director has told HSJ. Mark Docherty, of West Midlands Ambulance Service (WMAS), said patients were “dying every day” from avoidable causes created by ambulance delays and that he could not understand why NHS England and the Care Quality Commission were “not all over” the issue. He revealed that handover delays at the region’s hospitals were the worst ever recorded, that rising numbers o -
News Article
Patient waited 24 hours in ambulance for A&E
Patient Safety Learning posted a news article in News
Nearly 600 patients waited 10 hours or more in the back of an ambulance to be transferred into emergency departments last month – with one taking 24 hours, HSJ can reveal. The 24-hour wait was the longest handover delay recorded in the past year, and probably ever, according to information released by ambulance trust chief executives. In May last year the longest recorded rate was seven hours. This has risen steadily during the year to hit 24 hours in April. In March a patient in the West Midlands had to wait 23 hours. The figures also show 11,000 patients waited more than three -
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Struggling system asks NHSE for help with ambulance handovers
Patient Safety Learning posted a news article in News
Health leaders in Lincolnshire have admitted they do not have a ‘robust’ response to managing the risks posed by ambulance handover delays and poor response times. The system’s acute provider, United Lincolnshire Hospitals Trust (ULHT), was consistently among the trusts accounting for the highest proportion of ambulance delays over winter. In a document submitted to NHS England, the county’s integrated care system said: “While the system has good visibility of the level of risk across the system, and there are discussions about this on daily system calls, it is recognised that the sy -
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Ambulance chief calls out acute trust over ‘lack of action’ on handover delays
Patient Safety Learning posted a news article in News
An ambulance service has raised concerns over the record number of ‘hours lost’ to handover delays at an acute hospital on its patch, which it says is happening despite the number of arrivals being at its lowest level in seven years. West Midlands Ambulance Service University Foundation Trust has said the situation at Royal Stoke Hospital presents a “significant risk to patient safety”, but “we don’t currently see actions being taken that are reducing this risk”. It comes amid rising frustrations from ambulance chiefs around the country at a perceived lack of support from acute hospi -
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Stroke and heart patients routinely waiting over an hour for ambulance
Patient Safety Learning posted a news article in News
Stroke and heart attack victims are now routinely waiting more than an hour for an ambulance, after a further fall in performance in recent weeks, and with hospital handover delays hitting a new high point, HSJ reveals. Figures for ambulance performance this week, seen by HSJ, showed average response times for category two calls at more than 70 minutes for successive days. 3,000 patients may have suffered “severe harm” from delays in February, ambulance chief executives say. Several well-placed sources in the sector said response times had deteriorated further this month, and t -
News Article
NHSE wants ‘urgent’ meetings over ambulance handovers risk
Patient Safety Learning posted a news article in News
NHS England and the Care Quality Commission have asked systems with large numbers of ambulance handover delays to urgently hold a meeting to try to fix the problem by “balancing the risks” of long 999 waiting times. The request was made in an email to chief executives, which warned the service was “in a difficult position with all parts of the urgent and emergency care pathway under considerable strain… most acutely in ambulance response times which in turn is linked to challenges in handing patients over to emergency departments”. The NHSE headed letter was signed by its chief opera -
Content ArticleThe investigation identified the following learning points that could potentially offer benefits at a national level: The correct identification of patients relies on staff checking patient details and therefore will not always occur effectively. There may be opportunities for further engineered or technological barriers to help mitigate the risk of incorrect identification. The investigation recognises that a single hospital trust may receive patients from multiple ambulance trusts, and ambulances from a single ambulance trust may attend several hospital trusts. Pathways and pro
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Content ArticleKey findings Improving patient safety culture (PSC) is a significant priority for OECD countries as they work to improve healthcare quality and safety—a goal that has increased in importance as countries have faced new safety concerns connected to the COVID-19 pandemic. Findings from benchmarking work in PSC show that there is significant room for improvement. Across included survey findings from OECD countries, only 46% of surveyed health workers believe that important patient care information is transferred across hospital units and during shift changes. Just two-in-
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Hospital at Night Summit: Improving out of hours care in hospitals
Patient Safety Learning posted a calendar event in Community Calendar
This Hospital at Night Summit focuses on out of hours care in hospitals delivering high quality safe care at night. Through national updates, networking opportunities and case studies this conference provides a practical guide to delivering a high quality hospital at night, and moving forward during and beyond the Covid-19 pandemic. The conference will also focus on improving staff well-being at night and reducing fatigue. Attending this conference will enable you to: Network with colleagues who are working to improve Hospital at Night Practice Learn from developments as a r -
Content ArticleLearn about the West of England AHSN's current managing deterioration projects: RESTORE2 COVID Oximetry @home and COVID virtual wards Recommended Summary Plan for Emergency Care and Treatment – ReSPECT The West of England Learning Disabilities Collaborative Safer Care through NEWS2 (National Early Warning Score)
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News Article
160,000 risk harm each year from ambulance handover delays
Patient Safety Learning posted a news article in News
Ambulance handover delays could harm 160,000 patients a year, 12,000 of them severely, according to a structured clinical review of cases by service bosses earlier this year. The Association of Ambulance Chief Executives examined a sample of 470 cases where handover to A&E was delayed for an hour or more on 4 January this year. The review, whose findings were shared with HSJ, involved every mainland ambulance service in England. It found that 85% of those who waited more than an hour suffered potential harm, with nine per cent potentially severely harmed. Extrapolated acros -
News Article
Ambulance trust reveals patient’s death amid handover delays row
Patient Safety Learning posted a news article in News
An ambulance trust has highlighted the death of a woman which it says was due to “being delayed on the back of an ambulance”, just two days after it warned that lives were ‘at risk’ from long handovers. West Midlands Ambulance Service University Foundation Trust’s board papers this month reveal the woman in her 90s — who has not been named — was taken to hospital because a severe nose bleed would not stop. Its clinical quality board paper says the “patient story” showed ”how a patient being delayed on the back of an ambulance resulted in significant deterioration and ultimately the d -
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Royal Pharmaceutical Society: Ward round checklist example
Claire Cox posted an article in Handover
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Content ArticleKey learning points The difference between handovers and huddles. Benefits of effective clinical handovers and the role of huddles in promoting safety. Top tips for implementing huddles. Standardising handovers and huddles.
