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Found 251 results
  1. Content Article
    The World Health Assembly (WHA) in May 2019 adopted a resolution, ‘Global action on patient safety’, to give priority to patient safety as an essential foundational step in building, designing, operating and evaluating the performance of all healthcare systems. The resolution asked the Director General of WHO to formulate a Global Patient Safety Action Plan in consultation with Member States and a wide range of partners and other organisations. This Action Plan was formally adopted at WHA on the 28 May 2021 and provides a 10-year roadmap and actions to work towards its vision of a world
  2. News Article
    NICE will speed up patients’ access to the latest and most effective treatments, and dynamic guideline recommendations will be put in the hands of healthcare professionals more quickly under plans unveiled by NICE in its 5-year strategy launched on Monday (19 April 2021). NICE will transform key elements of its approach to ensure efficiency and speed while maintaining robust, trusted methods. The COVID-19 pandemic has reaffirmed the need to place science and evidence at the heart of health and care decision making and improve outcomes for all patients across the healthcare system.
  3. News Article
    New guidance from health officials on the treatment of chronic pain could be devastating for women already struggling to get doctors to take their pain seriously, write Sarah Graham, The guidelines, published last week by the National Institute for Health and Care Excellence (NICE), say that patients suffering from chronic pain that has no known underlying cause (known as chronic primary pain) should not be prescribed painkillers. Instead, it suggests, these patients should be offered exercise, antidepressants, talking therapies and acupuncture. This has huge implications for the fu
  4. News Article
    A previously secret report into children’s services at a scandal-hit NHS hospital has revealed concerns over the safety of services including care of seriously ill babies were raised with managers back in 2015. A report by the Royal College of Paediatrics and Child Health (RCPCH) raised serious concerns over children’s services at East Kent Hospitals University Trust in 2015 including senior consultants refusing to work beyond 5pm and a shortage of nurses and junior doctors. It also found the neonatal intensive care unit was being staffed by general paediatric doctors instead of spec
  5. Content Article
    Key findings The evidence shows a significant decline in maternal mental health during the pandemic: The pandemic has posed mental health challenges for women during pregnancy and early motherhood. The impact has been unequal. Perinatal mental health services had worrying gaps even before the crisis. Informal support has been detrimentally impacted. Changes to labour and birth because of the pandemic have increased stress and anxiety. Concern for infants and babies has increased stress and anxiety.There have been missed opportunities for understanding /
  6. Content Article
    HSIB recommendations HSIB recommends that NHS England and NHS Improvement revise the Ambulance Clinical Quality Indicator: Clinical Outcomes for ST-elevation myocardial infarction to reflect each element of the call to balloon response and review this indicator alongside the critical time standards workstream. HSIB recommends that the Association of Ambulance Chief Executives, working with the College of Paramedics and cardiology specialists, produces a position statement on the use of pre-hospital thrombolysis by paramedics. HSIB recommends that NHS England and NHS Improvemen
  7. News Article
    Endometriosis care across the UK needs urgent improvement and diagnosis times need to be cut in half, a report by MPs says. It found an average wait for a diagnosis was eight years and that has not improved in more than a decade. Endometriosis affects one in 10 women in the UK and causes debilitating pain, very heavy periods and infertility. Nadine Dorries, minister for women's health, said awareness was increasing but there was still a long way to go. More than 10,000 people took part in the All-Party Political Group inquiry which found that 58% of people visited the GP more th
  8. News Article
    The Royal College of GPs has called for an independent review of the link between poor Care Quality Commission (CQC) inspection ratings and the ethnicity of GP partners. The college called for the regulator to commission the work in particular for those rated “requires improvement” and “inadequate” over the past five years, including practices which have since closed down. This will assess “if there is an association between the outcomes of inspections and ethnicity or country of qualification of the GP partners”, according to the RCGP. In addition, the RCGP wants to work with the re
  9. News Article
    Pregabalin may be associated with serious breathing problems in patients with compromised respiratory systems, according to a drug safety alert from the medicines regulator. Elderly patients, patients with neurological disease, renal impairment and those who are taking antidepressant medication are also at increased risk of breathing problems from the drug, the Medicines Healthcare Regulatory Agency (MHRA) said (18 February). Pregabalin is a medication that has increasingly been prescribed to treat chronic pain, however, it is also used to treat epilepsy, fibromyalgia, restless leg s
  10. Content Article
    The report sets out seven themes identified by the review and charts the safety risks for pregnant women that emerged as the NHS adapted to respond to COVID-19. It describes the circumstances and pathways of care for the 19 women where some of the risks identified in the theme areas may have contributed to the outcome for those women. The review also highlighted that the ‘system factors’ identified in the maternal reviews were seen across the NHS and have been or are being addressed in other HSIB investigations. The seven themes are: Unprecedented demand for telephone health advice
  11. Content Article
    In May 2019, the World Health Assembly recognised patient safety as a key health priority, acknowledging the need to “take concerted action to reduce patient harm in healthcare settings”.[1] They asked the World Health Organization (WHO) to formulate an action plan to help improve patient safety, resulting in the first draft Global Patient Safety Action Plan 2021-2030, published for consultation in August 2020.[2] Patient Safety Learning is pleased to have contributed to the development of this global initiative, with our Chief Executive, Helen Hughes, having attended the initial consulta
  12. News Article
    Failures to follow national guidelines to prevent group B Strep infections in newborn babies is leading to a postcode lottery of care and opportunities to stop deadly infections being missed, a new report has found. Nearly 90% of hospitals in the UK are not using the recommended test for GBS carriage – which costs around £11- despite clear guidance issued by the Royal College of Obstetricians and Gynaecologists (RCOG) and Public Health England (PHE) that the test can significantly decrease false-negative results. Group B Strep is the UK’s most common cause of severe infection in newborn b
  13. Content Article
    Group B Strep Support recommends that: All NHS Trusts/Boards adopt and implement the Royal College of Obstetricians & Gynaecologists’ Green-top guideline on group B Strep promptly. All pregnant women are provided with a high-quality information leaflet on group B Strep as a routine part of their antenatal care. Pregnant women who had a positive test result for group B Strep in a previous pregnancy are offered the option of testing for group B Strep in the current pregnancy, or of being treated as a carrier this pregnancy. Where pregnant women are offered testing for
  14. Content Article
    In August last year, WHO published the first draft Global Patient Safety Action Plan 2021-2030.[1] It outlined the scale of the patient safety challenge we face globally, with WHO estimating that unsafe care is one of the 10 leading causes of death and disability worldwide.[2] The Action Plan set out a goal of achieving the maximum possible reduction in avoidable harm as a result of unsafe care, accompanied by actions required from WHO, governments, healthcare organisations and key stakeholders over 2021-2030 to help achieve this. We responded to WHO with our feedback.[3] As part of its o
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