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Showing results for tags 'Patient safety / risk management leads'.
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Content Article
Research shows that poor handover in hospitals puts patients at risk of severe harm
Anonymous posted an article in Handover
Handover in hospitals is the cause of frequent and severe harm to patients, according to new research* by digital health platform, CAREFUL. Many patients are suffering because handover is poorly controlled and under-recognised as a source of clinical risk. Handover is the transfer of responsibility and crucial patient information between practitioners and teams. Handover takes place when shifts change and when patients are transferred between departments or outside of the hospital into another care setting. This is a time when staff are under pressure and when mistakes can happen – as the- Posted
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Community Post
As someone who works with NHS and actually as a Mental Health and Physical Health patient I've experienced discrimination and out right assault by the police whilst in hospital and ended up under S136 for no valid reason. Although I was assaulted with handcuffs being thrown over the bed rail, breaking my wrist I think. Still not had my mangled wrist xrayed 2 months on. Nothing worse than being in a vulnerable situation and bullies absolutely thrive on people in vulnerable positions. Their bosses think they're wonderful and so kind but they are in a position of power so of course th- Posted
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Content Article
An estimated 237 million medication errors occur in the NHS in England every year. In March 2017, the World Health Organisation launched its third global patient safety challenge, ‘Medications without harm’, with the aim of reducing severe avoidable medication-related harm by 50% in five years. Medicines safety is a key focus of the CQC's regulatory work with trusts, aligning with its ‘Safety through learning’ strategy and commitment to help reduce avoidable harm. Between May and July 2021, the CQC carried out a review of medication safety in 95% of England’s NHS trusts. They spoke w- Posted
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- Pandemic
- Medication
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Content Article
Last Friday I joined the Patient Safety Management Network where the topic of discussion was AARs – what was already known, what wasn’t, how people are implementing AARs, the benefits they’re seeing and what more is needed to help people share their experiences and useful ‘how to’ resources. Here I’ll briefly summarise this valuable discussion and the insights shared by members of the Network, which included both Patient Safety Managers and Assistant Directors of Patient Safety and Quality, with a wide range of professional backgrounds and knowledge in the topic. This is ahead of Judy Wa- Posted
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- After action review
- Action plan
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News Article
‘A bleak picture’: Nurse vacancies increase across English NHS
Patient-Safety-Learning posted a news article in News
New data from NHS Digital on the latest vacancy statistics shows as of June 2021 there were 38,952 registered nurse vacancies across the health service, with the Royal College of Nursing saying news of worsening nurse shortages should “stun” ministers into taking action. RCN England director, Patricia Marquis, has said: “As health and care services head into what will be a very difficult winter, this should stun ministers to address the rising number of nursing vacancies and prevent further risk to patient care. After the pressures from the last 18 months we also know that many experienc -
News Article
NHS blood test tube shortage: Doctors 'facing difficult choices'
Patient-Safety-Learning posted a news article in News
Doctors have warned GPs are having to make difficult choices about which patients get blood tests because of the ongoing shortage of test tubes, describing it as a "perilous" situation. Due to the shortages, the NHS in England and Wales have told surgeries and hospitals to temporarily stop some blood testing, which includes tests for fertility, allergies and pre-diabetes. One woman, Alison Webb, has said she cannot have her yearly thyroid and cholesterol checked due to the shortages - and her tests are already overdue by four months. A Department of Health and Social Care spokesperson sai -
News Article
Private ambulance firm deregistered by CQC
Patient-Safety-Learning posted a news article in News
A private ambulance company, KFA Medical, which provided patient transport services for the NHS has been deregistered by the Care Quality Commission over concerns for patient safety. Concerns included lack of basic training and Disclosure and Barring Service checks on employees were not up to date or had not been carried out and when looking at four staff files none had current basic life support training. Sarah Dronsfield, the CQC’s head of hospital inspection, said: “We have been working with the provider since their suspension in January, however when we carried out this inspection, w -
News Article
Police raised multiple concerns to regulator about hospital
Patient-Safety-Learning posted a news article in News
Police raised concerns to the Care Quality Commission over the care at a private hospital, run by Cygnet Health Care, after being called eight times by a patient, a report has revealed. The CQC has now placed the hospital, which provides care for female patients with learning difficulties, in special measures and rated it inadequate. The CQC report, published today, said: “Staff we spoke with said they were trained in how to use de-escalation techniques. However, two told us they were anxious as a team about using restraint. As a result, police were being regularly called to respond -
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News Article
Worcestershire NHS managers knew cancers missed due to X-ray backlog
Patient-Safety-Learning posted a news article in News
According to reports, senior managers at an NHS trust knew up to 30 cancers may have gone undetected two years before an official probe into a backlog of thousands of X-rays. Although the Care Quality Commission (CQC) and Healthwatch made investigations in 2016, neither one were told of potential harm to patients. The backlog was publicly exposed by Ken Hall, who approached the Care Quality Commission in 2016, where it then identified 11,000 X-rays had not been processed, but was subsequently struck off after allegations of fraud. "These go through a rigorous quality assurance proce -
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News Article
According to Elizabeth Cotton, of Cardiff Metropolitan University, an expert in mental health at work, more than four in 10 – 41 per cent – of therapists working for the NHS’s talking treatments programme had been asked to manipulate data about patients’ progress. This was done in order to to improve the scheme’s apparent achievement rates, although NHS chiefs insist patients’ views are recorded when therapists are not present. Read full story. Source: The Independent, 26 August 2021 -
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News Article
On 10 August NHS England issued guidance for healthcare workers, including medical directors and GPs, in the light of global shortages of blood tube products, now, doctors have raised concerns about the effects that a shortage of blood tubes in England will have on patient care and the NHS, which already faces backlogs. Read full story (paywalled). Source: BMJ, 24 August 2021 -
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Moving A&E patients to other departments has ‘high mishap rate’
Patient-Safety-Learning posted a news article in News
The authors of a new study in Australia, published in the Emergency Medicine Journal, have said moving emergency care patients to other hospital departments by wheelchair or trolley is prone to a high rate of mishaps, with nearly 40% leading to incidents. The study, which took place at Austin Hospital, a teaching hospital in the Melbourne suburb of Heidelberg, also found endotracheal tubes, ventilator hoses, and arterial lines were also associated with high mishap rates. “Risk events are common and some result in harm. Risk factors include a high equipment number, transport to a war