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Found 247 results
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    When things go wrong in health and social care, there can be significant consequences for patients, staff, and leaders. But, too often, the voices of people who use services and their families have gone unheard, while staff have feared being blamed for mistakes that result from systemic failings or human error. So how can health and social care leaders at all levels create a just culture, where mistakes lead to learning? And how can organisations take accountability for learning and improving after something goes wrong? The King’s Fund is co-hosting this virtual conference in partner
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    It has been reported that people in quarantine due to having flown in from overseas, were denied medical treatment when they needed it. Among them, included a baby needing urgent treatment and was stopped from going to Accident and Emergency and a man who had suffered a heart attack. In what has been described as a breach of the law, people quarantined in the hotels in the London area were denied basic facilities and medical treatment. After legal intervention, the government has issued an order to release certain individuals from the hotel after it was found their health was impact
  10. News Article
    From 1974 to 1987, children from Treloar's College, a boarding school for children with physical disabilities, were offered treatment for haemophilia. However, more than 120 children were given contaminated drug which infected many with HIV and viral hepatitis, with at least 72 having died as a result. Treloar's College had a specialist NHS haemophilia centre on site, however, the blood plasma used to make the drug had been imported from overseas. Only 32 out of the 122 children with haemophilia are still alive today. It is hoped that the public inquiry may shed some lig
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    Related content in this series Introductory blog: Improving patient safety through high reliability Video conversation: The importance of culture in achieving high reliability in healthcare
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    A trust’s gastroenterology service was ‘in a very poor state with significant risks to patient safety’ and had poor teamworking which “blighted” the service, an external review found. The problems in the service at Salisbury Foundation Trust, Wiltshire, were so severe that the Royal College of Physicians suggested it should consider transferring key services such as management of GI bleeds and the care of hepatology patients to other hospitals. The service was struggling with poor staffing which had led to increased reliance on a partnership with University Hospital Southampton Found
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    A woman was subjected to an unnecessary invasive procedure in an NHS outpatient clinic after she was confused for another patient, a safety watchdog has found. The Healthcare Safety Investigation Branch has called for a review of how the NHS can avoid the mishap happening again after investigating the case of a 39-year-old woman who was subjected to an unnecessary cervical examination. HSIB said a better system was needed as the number of outpatient appointments has increased from 54 million to 94 million during the last 10 years with many clinics carrying out more invasive procedure
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    The Care Quality Commission may in future be notified when ‘secretive’ external reviews have looked at patient safety issues within trusts. Last summer, HSJ revealed guidance for trusts to publish summaries of royal colleges’ reviews was being widely ignored, with some even failing to inform the CQC. A recent BBC Panorama programme has again raised the issue, with Academy of Medical Royal Colleges chair Helen Stokes-Lampard saying she was “dismayed” the body’s guidance was not being followed. But she has now told HSJ of “advanced discussions” with the CQC about changes which wou
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    A second “mutilated” patient left with life-changing injuries after botched hospital surgery has described how she was left in urine-soaked bed sheets for days by nurses who called her lazy when she was unable to get out of bed. Lucy Wilson told The Independent she believes she would have been better looked after at a veterinary practice compared to the level of care she received from nurses at Norfolk and Norwich Hospital Trust in January last year. She was one of three patients harmed by surgeon Camilo Valero in the same week and almost died after Dr Valero and other staff failed t
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    An online trend that involves using tiny magnets as fake tongue piercings has led the NHS to call for them to be banned amid people swallowing them. Ingesting more than one of them can be life-threatening and cause significant damage within hours. In England, 65 children have required urgent surgery after swallowing magnets in the last three years. The NHS issued a patient safety alert earlier this month and is now calling for the small metal balls to be banned. It said the "neodymium or 'super strong' rare-earth magnets are sold as toys, decorative items and fake piercings
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    Serious patient safety concerns have been raised about a third major specialty at a struggling acute trust, with inspectors also flagging wider leadership issues. The Care Quality Commission (CQC) has issued an immediate warning notice in relation to the stroke service at University Hospitals of Morecambe Bay Foundation Trust, following an inspection earlier this month. A full report will be published later this year, but the immediate issues have been outlined within various documents published ahead of the trust’s board meeting on 26 May. According to a summary within the pape
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    An NHS trust has been urged to publish the full findings of an independent review of its services after it released a heavily redacted report. University Hospitals Sussex has refused to reveal the recommendations made after a review by the Royal College of Surgeons in 2019. A patients' group said the findings should be "in the public domain". The trust said the review of its neurosurgery department "did not highlight any safety concerns". The review was discovered as part of a BBC Panorama investigation into unpublished patient safety reports. A heavily edited report was re
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    The analysis found three broad themes of patient safety risks: access to care and transitions of care communication and decision making checking. From these investigations, HSIB has made 85 safety recommendations to national healthcare organisations and other relevant bodies. These fall broadly into 6 themes concerning: identification of safety hazards management of safety risks monitoring of safety performance management of improvement efforts training and education communication of safety issues. This review will also explore the
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