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Found 200 results
  1. Content Article
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    Aims of this article To recognise the reasons why medicines-related harm remains an issue To refresh your knowledge of the aims of medicines optimisation To identify potential strategies that you could use in your area of practice to reduce the risk of medicines-related harm Key points Most adverse drug reactions are due to known side effects, and are predictable, dose-dependent and potentially preventable The shift from medicines management to the patient-focused outcomes of medicines optimisation means increased engagement in pharmacotherapeutics for all healt
  5. Content Article
    Sodium valporate carries a number of risks to the health of a developing fetus such as birth defects and problems with development and learning. The VSIG are working to reduce usage by 50% by 2023 and are supporting the implementation of the recommendations of the Independent Medicines and Medical Devices Safety (IMMDS) Review, published in July 2020.
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    NHS hospitals have been advised to protect all staff wearing PPE during the warmer weather amid concerns the higher temperatures could increase the risk of heat stress. A letter from Public Health England sent across GP surgeries, pharmacies and hospitals, have recommended that staff wearing PPE should be given regular breaks and have a buddy system so that signs of heat stress can be spotted early on. The letter describes how PPE may need to be changed more frequently which may increase demand. Symptoms of heat stress are similar to heat exhaustion and the necessary actions
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    Play video The key topics covered in this video are as follows: Why is high-reliability important in addressing avoidable harm? (at 4 mins 25 secs). How culture impacts on the implementation and use of incident reporting solutions (at 8 mins). How incident reporting rates have changed during the pandemic (at 14 mins 25 secs). Positive reporting and learning from success (at 16 mins 25 secs). The role of Board members and non-executive directors understanding of incident reporting and risk management (at 22 mins 50 secs). Considering the importance of B
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  13. Event
    COVID-19 has been incredibly stressful—personally and professionally—and has profoundly affected everyone in healthcare, including those of us in patient safety, quality, and risk management. Join this Patient Safety Association's virtual round table to decompress and share your experiences. Some of your colleagues have offered to discuss their coping strategies, and please feel free to do the same. Resources from professionals trained to handle stress will be provided. Register
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    The gap was illustrated through an investigation that focused on a case of wrong tooth extraction. Wrong tooth extraction was categorised as a Never Event and therefore HSIB sought to understand the ‘barriers’ that exist in the pathway of care for wrong tooth extraction. The report identifies that while there are controls in place to prevent wrong tooth extraction, they invariably rely on staff to be effective and should not be regarded as ‘strong systemic protective’ barriers. The investigation went further to examine the differences in how the NHS defines and assures barriers in compari
  16. Event
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    COVID-19 has been incredibly stressful—personally and professionally—and has profoundly affected everyone in healthcare, including those of us in patient safety, quality, and risk management. Grab a cup of coffee or tea and join this virtual round table to decompress and share your experiences. Some of your colleagues have offered to discuss their coping strategies, and please feel free to do the same. We will also be providing resources from professionals trained to handle stress. Register
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    "Many voices are not heard in British mental health care (and beyond), significant flaws are overlooked. If you are not satisfied with the status quo or just curious, follow us!" Here's a sample of some of the podcasts: Episode 33 - Basaglia's International Legacy: From Asylum to Community... review Episode 8 - Lived experience in Trieste, a mental health system without psychiatric hospitals, with Marilena and Arturo Episode 25 - Clinical Psychology vs Psychotherapy in Italy and the UK Episode 18 - The Trieste model cannot be exported to the UK because... let's un
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  21. News Article
    The Care Quality Commission (CQC) has ordered ‘significant improvements’ from a mental health trust which has been criticised over the deaths of vulnerable patients. The watchdog has warned Tees, Esk and Wear Valleys Foundation Trust (TEWV FT) it has “serious concerns” about risk management processes at its inpatient wards following inspections of three of its hospitals in January. It follows a string of severe problems in child and adolescent services run by the trust. In a formal letter and a separate warning notice to TEWV FT, the CQC ordered the trust to carry out “significant i
  22. Content Article
    The survey tool contains: Four implementation ratings to assess risk reduction strategies for safe storage and selection. Practical examples of risk reduction strategies. An action plan to inform quality improvement.
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