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Found 292 results
  1. Content Article
    Patient Safety Learning has designed a set of unique Patient Safety Standards and support tools that can help organisations not only establish clearly defined safety aims and goals, but also demonstrate their achievement. Our 'Organisational Snapshot' is an easily implemented diagnostic focused on our patient safety Foundations and Aims and cross-referenced to our full Standards. Using a mix of one-on-one interviews and workshops with a small number of selected individuals, our 'Snapshot' can quickly identify: Where your strengths and weaknesses are on patient safety. Where your focus should be on patient safety improvement. How to create or update a strategic plan and goals reflecting the diagnostic. If you need or want to undertake a more detailed assessment against our Standards.
  2. Content Article
    This study examines the variability in how different anaesthesia providers approach patient care, to provide insight into the source and necessity of variations in practice, the implications of different individual preferences and the subsequent consequences on approaches to safety that emphasise standardisation. The authors argue that the differences in how anaesthesia providers approach their work call into question whether ‘standardisation’ is always the best approach to improve safety in anaesthesia. They state that this work reinforces the idea that it is the humans in the system, with their flexibility and expertise, who are the primary source of everyday safety.
  3. Content Article
    In December 2024, the General Medical Council (GMC) will start regulating physician associates (PAs) and anaesthesia associates (AAs). The GMC have developed proposed rules, standards and guidance setting out how they will regulate these professions. They have also developed draft principles that will inform the content of decision-making guidance that will apply to doctors as well as to PAs and AAs from December 2024. This consultation is about those rules, standards and guidance and those principles. It is not about who should regulate PAs and AAs. This consultation asks for your comments on the General Medical Council's proposed rules, standards and guidance that set out how they will regulate anaesthesia associates (AAs) and physician associates (PAs). The consultation is open from 26 March to 11.59pm on 20 May 2024. 
  4. News Article
    Government’s standards watchdog has launched a review into accountability in public bodies, warning that problems are too often not dealt with quickly and effectively. Over the next few months, the Committee on Standards in Public Life will look at “where public bodies should focus their attention to maximise the likelihood of problems being uncovered and addressed before issues escalate and lives are damaged”. In a letter to the prime minister about the review, CSPL chair Doug Chalmers said the committee had been “struck by how, when failures occur within public institutions, it repeatedly seems to be the case that indicators of emerging issues were present, but missed, with the result that the window to respond appropriately, before problems escalate, has often also been missed”. In its announcement of the review, CSPL said it had seen “several examples of major failures within public institutions” in recent years where “opportunities were missed to address issues before they escalated”. “We are asking, when things go wrong in public bodies, why does it take so long for problems to be recognised and the leadership to respond appropriately and, most importantly, what needs to change?” Rather than reinvestigating previous incidents, the committee will look at how to encourage more effective accountability within public bodies “so that problems are addressed before catastrophic failure”, Chalmers said. As part of the review, CSPL has opened a consultation today inviting members of the public to submit evidence on why public bodies might fail to act quickly when problems arise, along with suggestions on how to tackle problems better and examples of good practice. The consultation closes on 14 June. Read full story Source: Civil Service World, 25 March 2024
  5. Content Article
    These principles underpin how NHS services must approach concerns that are raised by staff, students and volunteers about health services.
  6. Content Article
    The Government is in the process of reforming the way that health and care professionals are regulated. It is planning to change the legislation for 9 out of the 10 healthcare professional regulators that the Professional Standards Authority (PSA) oversees, giving them a range of new powers and allowing them to operate in a very different way. The changes the Government intends to roll out will give regulators greater freedom to decide how they operate, including introducing the flexibility to set and amend their own rules. There will also be changes to regulators’ powers and governance arrangements. The changes will also create an entirely new process for handling fitness to practise (the process by which concerns about healthcare professionals are dealt with). The PSA support the reforms to healthcare professional regulation but have also identified certain risks that may arise from the new ways of working. PSA has developed guidance that they are now consulting on. The presentation slides attached are from a recent PSA roundtable and give further information on the changes, PSA guidance and the consultation. PSA are seeking views from everybody with an interest in healthcare professional regulation, including patients, the public, registrants, regulators, professional bodies and employers. The consultation is open until 5.00 pm on Monday 15 April 2024.
  7. Content Article
    The National Safety Standards for Invasive Procedures (NatSSIPs) 2 are intended to help share learning and best practice to support multidisciplinary teams and organisations to deliver safer care. This two-page summary document, published by the Centre for Perioperative Care, provides a concise overview of NatSSIPs for anyone who does interventional procedures and the teams who support them.
  8. Content Article
    As the USA's largest health insurer, the Centers for Medicare & Medicaid Services (CMS) has established quality standards, metrics, and programmes to improve healthcare not just for the 170 million individuals supported by its programmes, but for all Americans. The 2024 National Impact Assessment of CMS Quality Measures Report (Impact Assessment Report) assesses the quality and efficiency impact of measures endorsed by the consensus-based entity and used by CMS.
  9. News Article
    A new CMS report reveals disparities in care quality and patient safety within US hospitals before and during the pandemic, finding "a large proportion of measures had worse than expected performance." CMS released its 2024 National Impact Assessment Feb. 28, which is released every three years and evaluates the measures used in 26 CMS quality and value-based incentive payment programs. This edition of the report compares quality measure scores pre-COVID-19 with hospitals' results in 2020 and 2021, the initial years of the COVID-19 public health emergency. Here are eight findings from the 72-page assessment: 1. During 2020 and 2021, a large proportion of measures had worse than expected performance, including significant worsening of key patient safety metrics. 2. Half or more of the performance measures in five priorities had worse results in 2021 than expected from the 2016–2019 baseline. Priorities with the highest proportions of worse-than-expected results in 2021 were wellness and prevention (69%), behavioural health (55%), safety (54%), chronic conditions (52%), and seamless care coordination (50%). 3. Specific to safety, standardised infection ratios worsened significantly in hospitals for central line–associated bloodstream infections (94% worse), MRSA (55% worse) and CAUTI (34% worse). Before the Covid-19 PHE (2015–2019), 34,455 fewer healthcare-associated infections (HAIs) were reported in acute care settings. 4. More than 35% of measures in two priorities had better results in 2021 than expected from 2016–2019 baseline trends. Those priorities are seamless care coordination (50%) and affordability and efficiency (38%). 5. Specific to affordability and efficiency, emergency department visits for home health patients fared 1.4 percentage points better, and acute care hospitalization in the first 60 days of home health in 2021 was 1.5 percentage points better. 6. Accountable entities with the highest proportions of worse than expected results in 2021 were clinicians (64%), accountable care organizations (54%), and acute care facilities (54%). 7. Wellness and prevention had the highest percentage of measures showing health equity disparities; notable examples include pneumococcal and influenza vaccinations among racial and ethnic groups. 8. Comparison racial and ethnic groups fared worse than the White reference group on 40 of 45 (88.9%) affordability and efficiency measures and 32 of 41 (78%) chronic conditions measures. For example, disparities were recorded for Black or African American patients in 32, or 71%, of the affordability and efficiency measures, mostly related to readmissions. Read full story Source: Becker Hospital Review, 29 February 2024
  10. News Article
    NHS board members must speak up against discrimination, challenge others constructively and help foster a safe culture, under a new NHS England assessment framework. The new leadership competency framework, published today, sets out six domains which board members are required to assess themselves against as part of an annual “fitness” appraisal. Each domain (see below) contains competencies directors must exhibit, such as: Speak up against any form of racism, discrimination, bullying, aggression, sexual misconduct or violence, even when [they] might be the only voice; Challenge constructively, speaking up when [they] see actions and behaviours which are inappropriate and lead to staff or people using services feeling unsafe, or staff or people being excluded in any way or treated unfairly; and Ensure there is a safe culture of speaking up for [their] workforce. Each competency statement gives board members a multiple choice to assess themselves against, ranging from “almost always” to “no chance to demonstrate”. Organisations have been told to incorporate the six competency domains into role descriptions from 1 April, and use them as part of board member appraisals. Read full story (paywalled) Source: HSJ, 28 February 2024
  11. Content Article
    This framework is for chairs, chief executives and all board members in NHS systems and providers, as well as serving as a guide for aspiring leaders of the future. It is designed to: support the appointment of diverse, skilled and proficient leaders support the delivery of high-quality, equitable care and the best outcomes for patients, service users, communities and our workforce help organisations to develop and appraise all board members support individual board members to self-assess against the six competency domains and identify development needs.
  12. Content Article
    Good medical practice sets out the principles, values, and standards of care and professional behaviour expected of all medical professionals registered with the General Medical Council (GMC). Using social media as a medical professional builds on Good medical practice to provide more detail on our expectations of medical professionals in this area. The professional standards describe good practice, and not every departure from them will be considered serious. You must use your professional judgement to apply the standards to your day-to-day practice.
  13. Content Article
    This is an independent review commissioned by NHS England, chaired by Siobhan Melia, Chief Executive, Sussex Community NHS Foundation Trust, to support the improvement of the culture within the ambulance service. The review considers the prevailing culture within ambulance trusts in England. It considers the core factors impacting cultural norms and offers actionable recommendations for improvement. Based on insights from key stakeholders, this review has identified six key recommendations to improve the culture in ambulance trusts.
  14. Content Article
    This infographic is a visual representation of the WHO Emergency Care System Framework, designed to support policy-makers wishing to assess or strengthen national emergency care systems. It is the result of global consultations with policy-makers and emergency care providers and provides a reference framework to: characterise system capacity. set planning and funding priorities. establish monitoring and evaluation strategies.
  15. Event
    Join the webinar to find out how the community sector can implement the National Safety and Quality Mental Health Standards for Community Managed Organisations (NSQMHCMO Standards). The Australian Commission on Safety and Quality in Health Care is releasing a range of practical resources to support CMO service providers, consumers and carers, and accrediting agencies to implement the NSQMHCMO Standards. Accreditation to the NSQMHCMO Standards begins 1 July 2024. Register now to find out about what the Standards mean for you and how you can prepare for the accreditation process. Register
  16. Content Article
    "Our #health system in the UK is in a mess. It has failed to modernise (by this I mean to become fully accountable to #patients and the public, and truly patient-led). Instead, the system has become more and more hierarchical, bureaucratic and crony ridden, mostly as a result of constant meddling and pointless reorganisations instigated by politicians. All political parties in government for the past 30 years have had a hand in this decline." This is my view? What is yours? A new Inquiry gives us all an opportunity to have our say. I am proud to have worked in and for the NHS for most of my working life; proud to have been trained in the #NHS and proud of the work being carried out by clinical teams today. Great work which has benefited patients, often not because of the leadership but despite of the leadership. I'm retired so I can say what I like. If I were working and said anything even vaguely like criticism, however constructive it was, I would be out of a job and my career would be blighted for life. I'm speaking from experience here, unfortunately. I urge everyone to respond to the consultation (link below). In your response think forensically and write it as a statement of truth. Acknowledge the successes and areas that have delivered safe and effective services. If you are being critical give examples and say if it is an opinion or back up what you say with evidence. If we work together across boundaries we can develop a truly patient-led NHS.
  17. Content Article
    The Royal College of Physicians of Edinburgh has released a statement on their position on the specific role of the physician associate.
  18. Content Article
    The 2021 UK NHS Getting It Right First Time report recommended that a significant proportion of native tissue vaginal prolapse operations should be undertaken as day-case procedures. The evidence for perioperative care, options for anaesthesia and outcomes of day-case vaginal prolapse surgery is limited. This study aimed to establish current practice amongst UK gynaecologists and explore perceived barriers to implementing day-case surgery for pelvic organ prolapse.
  19. Content Article
    This article provides an overview of the proposed Patient Safety Structural Measure on the Centers for Medicare and Medicaid Services (CMS) list of Measures Under Consideration (MUC) 2023 and summarises the public comment submitted by Patient Safety Learning on this.
  20. Content Article
    The Belmont Report was written by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Commission, created as a result of the National Research Act of 1974, was charged with identifying the basic ethical principles that should underlie the conduct of biomedical and behavioral research involving human subjects and developing guidelines to assure that such research is conducted in accordance with those principles. Informed by monthly discussions that spanned nearly four years and an intensive four days of deliberation in 1976, the Commission published the Belmont Report, which identifies basic ethical principles and guidelines that address ethical issues arising from the conduct of research with human subjects.
  21. Content Article
    Health and social care standards have been widely adopted as a quality improvement intervention. Standards are typically made up of evidence-based statements that describe safe, high-quality, person-centred care as an outcome or process of care delivery. They involve stakeholders at multiple levels and multiple activities across diverse services. As such, challenges exist with their implementation. Existing literature relating to standards has focused on accreditation and regulation programmes and there is limited evidence to inform implementation strategies specifically tailored to support the implementation of standards. This systematic review aimed to identify and describe the most frequently reported enablers and barriers to implementing (inter)nationally endorsed standards, in order to inform the selection of strategies that can optimise their implementation.
  22. Content Article
    In this blog, Patient Safety Learning’s Chief Executive Helen Hughes reflects on the charity’s work and some of the key patient safety developments in the past 12 months and looks ahead to 2024.
  23. Content Article
    This World Health Organization (WHO) resource is for all health workers, as well as other professionals working in the field of infection prevention and control (IPC). It will help you carry out a situational analysis, track progress and understand how to make improvements to IPC at the national and facility levels, in accordance with validated WHO standards and implementation materials. All the WHO tools and resources are freely available for use by all.
  24. Content Article
    In a two-part blog for the hub, Dawn Stott, Business Consultant and former CEO of the Association for Perioperative Practice (AfPP), talks about the strategies that can help you develop cultural change in your organisation. In part one, Dawn set out the steps to develop a programme of change to support you to achieve good solutions. In part two, Dawn gives you tips on how to assess the culture of your organisation and establish a programme of standardisation.
  25. Event
    This conference focuses on developing systems and processes for locally driven ward and unit accreditation for quality. These approaches can be used as a tool to encouraging ownership of continuous quality improvement at ward, unit or service level, reduce variation and increase staff pride and team working within their practise. Through practical case studies of organisations that have successfully introduced locally driven ward and unit accreditation systems the conference will provide practical guide to implementing systems, and improving staff engagement in driving forwards improvement for the benefit of patients, service users and communities. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/virtual-online-courses/ward-accreditation-for-quality-conference or email kerry@hc-uk.org.uk. hub members receive a 20% discount. Email info@pslhub.org for discount code. Follow this conference on Twitter @HCUK_Clare #wardaccreditation
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