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News Article
Surgeons told not to discuss lack of PPE
Patient Safety Learning posted a news article in News
Dozens of surgeons have reported being told by the NHS employer to stop discussing shortages of personal protective equipment (PPE) during the coronavirus crisis. The Confederation of British Surgery (CBS) said almost 70 surgeons working in major hospitals around the country had been warned off discussing a lack of PPE by their trust. A third of surgeons said the supply of PPE was inadequate at their hospital, with many complaining of inconsistent guidance, rationing of supplies and poor quality PPE when it was available. When asked if their concerns were dealt with satisfactorily, nearly a third said they were not addressed, or not effectively. A survey of 650 surgeons by the union found many were now considering changes to the way they worked as a result of the crisis – with more than half, 380, saying they would be avoiding face-to-face meetings with patients in the future. More than 40 surgeons, around 7%, said they were now considering leaving surgery altogether. Read full story Source: The Independent, 10 August 2020 -
News Article
Coronavirus (COVID-19) Infection Survey pilot: England, 24 July 2020
Clive Flashman posted a news article in News
Initial data from the COVID-19 Infection Survey. This survey is being delivered in partnership with IQVIA, Oxford University and UK Biocentre. Full article here Table of contents in the report: 1. Main points 2. Number of people in England who had COVID-19 3. Regional analysis 4. Incidence rate 5. Test sensitivity and specificity 6. COVID-19 Infection Survey data 7. Collaboration 8. Glossary 9. Measuring the data 10. Strengths and limitations 11. Related links -
Content ArticleKey findings: 44% of respondents are not confident in their hospital’s ability to provide planned surgery safely while managing COVID-19 demand during future surges. Nearly two-thirds of respondents (64%) have, to some extent during the last month, suffered mental distress because of additional work related stress due to COVID-19. Nearly nine in ten trainees (89%) strongly agree that the pandemic is affecting their training opportunities, career and professional development. Key recommendations: NHS Improvement should publish a new People Plan, with the investment and teeth needed to support staff welfare and wellbeing, build resilience and address inequality. NHS Improvement should identify, train and maintain the skills of cross-specialty ‘reservists’ who can support COVID-19 surges, and escalation plans should rapidly be made, with the support of the Medical Royal Colleges. The Government should make a commitment to additional, and sustainable, investment in the resources, facilities and staff needed to support a return to pre-COVID-19 activity. Hospitals and trusts may need to cohort specialist surgery on a regional basis; and there is merit in a ‘clean hospital’ approach. Other locations for managing planned surgery or COVID-19 care should be considered, with sufficient resources that are separate from those within the NHS. Efforts should be made to support hospitals in ensuring that sufficient numbers of anaesthetic, theatre, perioperative care and ward staff are free to return to their routine work activities. A transparent, flexible, approach to re-scheduling assessments and teaching should be developed, with clear guidance on how missed learning opportunities will be delivered.
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News ArticleThere has been a sharp rise in the number of nurses considering quitting the profession compared to this time last year, suggest results from a new survey. The research also found that “existing tensions” among the workforce appeared to have been “exacerbated” by the COVID-19 crisis. The survey findings feature in a new report published by Royal College of Nursing and cover the views of almost 42,000 of its members across the UK and Channel Islands. Of those who responded to the survey, 36% of nurses were thinking of leaving the profession, an increase from 27% reported in a similar piece of research carried out at the end of last year. When considering the reasons for quitting, 61% of staff indicated that the level of pay was the “main driver”, while others said they were dissatisfied with the way nursing staff had been treated during the pandemic (44%). Meanwhile, 43% of nurses cited low staffing levels and 42% a lack of management support as key reasons for wanting to leave nursing. Read full story Source: Nursing Times, 17 July 2020
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News Article
Hospital ratings often depend more on nice rooms than on health care
Patient Safety Learning posted a news article in News
A study of 50,000 patients throughout the United States showed that those who were the most satisfied with their care (the top quartile) were 26% more likely to be dead six months later than patients who gave lower ratings to their care. The study, “The Cost of Satisfaction,” appeared in JAMA Internal Medicine. The researchers looked at Centers for Medicare and Medicaid Services (CMS) hospital data and patient surveys at more than 3,000 US hospitals over three years. The hospitals where fewer patients died had only a 2% point edge in patient satisfaction over the others. Cristobal Young, associate professor of sociology at Cornell University and lead author of the study, calls it “the halo effect of hospitality.” Young found that what mattered most to patients in ratings were the compassion of nurses and amenities like good food and quiet rooms. It’s why hospital managers are being recruited from the service industry and we’re seeing greeters in the lobby and premium TV channels in rooms, he says. Patients tend to value what they see and understand, but that can be limited, Young continues. They give hospitals good cleanliness ratings when they observe waste baskets are emptied and sheets are changed. “They can’t see a virus or tell you how clean the room is in ways that matter,” he says. Read full story Source: 4 July 2020, Washington Post -
News Article
Third of frail hospital leavers in England find post-discharge care lacking
Patient Safety Learning posted a news article in News
Problems with hospital discharges in England, highlighted in the largest annual patient survey, reinforce the need for greater integration between health and social care, the sector regulator has said. The Care Quality Commission inpatient survey found that a majority of patients were positive about their hospital care but a significant minority experienced problems on discharge. A third of respondents who were frail said the care and support they expected when they left hospital was not available when they needed it. Three in 10 frail people said they had not had discussions with staff about the need for further health and social care services they might require post-discharge. Four in 10 of all patients surveyed left hospital without printed or written information about what they should or should not do after discharge, and the same proportion said their discharge was delayed. Read full story Source: The Guardian, 2 July 2020 -
Content ArticleKey findings Most questions on the theme of being treated in a respectful and dignified manner continued a trend of sustained improvement over the last 3-6 years. Results show communication between staff and patients before and after operations is improving. Patients continue to report positively when asked about the cleanliness of the hospital environment, the choice of food available to them and hydration. Confidence in doctors and nurses also remains high this year. However, this year’s results indicate that there are areas in need of improvement: Patients consistently reported less positive experiences for the themes of: communication at the point of discharge and consideration of the support they will need after leaving hospital. Results for information sharing in relation to medicines, including: explaining the purpose, being told about possible side effects and being given written or printed information all declined this year. The percentage of people experiencing shortages in nursing staff remains high. Certain groups of patients consistently reported poorer experiences of their time in hospital, including patients with dementia or Alzheimer’s, younger patients (aged 16 to 35) and patients who were admitted in an emergency.
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News Article
Short surveys will support better connected social care and health services
Patient Safety Learning posted a news article in News
The Professional Record Standards Body would like you to take part in two surveys about the information that should be shared between health and social care. The project aims to improve connections between different services, to allow people better access to the personalised care and wellbeing support they need. They’ve also produced an easy read version for anyone who has difficulty reading, which can be found here. -
News Article
Coronavirus: Five things a COVID-19 symptom-tracking app tells us
Clive Flashman posted a news article in News
The UK's scientists have been trying to trace COVID-19's path through the population ever since the coronavirus arrived on British shores. In what is thought to be the largest study of its kind in the world, an app developed by King's College London (KCL) and technology company Zoe, which tracks symptoms of the disease, has been downloaded more than three million times in the UK. Not to be confused with the government's contact-tracing app, the COVID-19 Symptom Study app allows users to report daily whether they feel healthy, and record any symptoms. The scientists have been using the data to estimate how the virus may have travelled through the population. Read full story Source: BBC News, 23 May 2020 -
Content ArticleKey findings 1. We are in a public health crisis, but only our community connects it to underlying deficiencies with the healthcare system. The coronavirus pandemic is top of mind for everyone we polled, including those in our community and the general public. However, not surprisingly, our community has a much broader concern over access and availability of healthcare, at more than double than the general public. This is chiefly due to misgivings our community feels about how well the healthcare system serves patients on a range of areas, from safety to putting patients first to being generally accessible. 2. Bringing healthcare workers into patient safety meets the moment and expands the coalition Due to the pandemic, healthcare worker health has become a top concern. Now is the time to bring medical professionals into the patient safety conversation as they rank as one of the most important groups of people we should be caring for today. Utilizing this moment to bring them into the conversation as part of patient safety can help mobilize the public and our community in ways we haven’t seen previously 3. The community strives for preventing all medical error, not just that which leads to harm Even though medical error is a pervasive issue, there is optimism that error can be prevented and that we can make that change happen. Among our community 80% believe all or three-quarters of medical error can be prevented. 4. The patient safety movement needs to carry forth a message to the broader public for why incentivizing best practices leads to better outcomes and system-wide improvements in safety Our community believes providing incentives to organizations and people that practice good patient safety (51%) is more impactful than holding organizations accountable through punitive action (41%). This is flipped from the general public, where a majority say the better way of reducing harm is holding individual organization and people accountable.
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Content ArticleKey benefits of tool Raises the profile of Health & Safety – engages the workforce to talk about health and safety issues. Captures sensitive information – participants respond anonymously. Enables active management of health and safety - allows companies to highlight both areas of concern and good practice. Provides a baseline measure - can help you evaluate whether health and safety initiatives have had the desired effects on performance. Key features Generates paper and HTML versions of the questionnaire. Quick wizard guides the user through easy set up to produce the survey. The survey can be tailored towards the organisation, for example by incorporating the company logo and supporting Management statement and by tailoring terminology within the SCT statements. Allows for up to 9 demographic questions and an additional 6 open questions. The software automatically analyses the data to produce a series of charts and also allows detailed filtering to further interrogate your findings
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News Article
UK poll finds young people's mental health hit by coronavirus
Patient Safety Learning posted a news article in News
More than 80% of young people with a history of mental ill health have found their conditions have worsened since the coronavirus crisis began in the UK, a survey has found. In a study by the mental health charity YoungMinds, 2,111 people aged under 25, who had a history of mental health needs, were asked how the pandemic had affected them. Of the 83% who said the pandemic had made their mental health worse, 32% said it had made it “much worse” and 51% said it had made it “a bit worse”. Among the respondents who were accessing mental health support leading up to the crisis – including from the NHS, school and university counsellors, charities, helplines and private providers – 74% said they were still receiving support and 26% said they were unable to access support. Emma Thomas, the chief executive of YoungMinds, said the pandemic was a “human tragedy that will continue to alter the lives of everyone in our society. The results of this survey show just how big an impact this has had, and will continue to have, on the mental health of young people.” Read full story Source: Guardian, 31 March 2020 -
Content Article
COVID symptom tracker app
Claire Cox posted an article in Good practice and useful resources
Take 1-minute to self-report daily, even if you are well. Help scientists identify: high-risk areas in the UK who is most at risk, by better understanding symptoms linked to underlying health conditions how fast the virus is spreading in your area. -
Content Article
National NHS staff survey 2019 results
Patient Safety Learning posted an article in Culture
Key findings 59.7% think their organisation treats staff who are involved in an error, near miss or incident fairly. This is a 1 percentage point improvement since 2018 (58.3%) and continues a positive trend since 2015 (52.2%). 71.1% think their organisation takes action to ensure that reported errors, near misses or incidents do not happen again. 73.8 think their organisation acts on concerns raised by patients / service users (2018: 73.4%). 61.1% gives them feedback about changes made in response to reported errors, near misses and incidents (q17d) This is a 1 percentage point improvement since 2018 (60.0%) and continues an upward trend since 2015 (54.1%). 71.7% would feel secure raising concerns about unsafe clinical practice. This is a 1 percentage point increase since 2018 (70.7%). 59.8% were confident that their organisation would address their concern .This has continued an upward trend since 2017 (57.6%).- Posted
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News Article
NHS Staff Survey 2019
Patient Safety Learning posted a news article in News
Today the results of the National NHS Staff Survey 2019 are out. This is of the largest workforce surveys in the world with 300 NHS organisations taking part, including 229 trusts. It asks NHS staff in England about their experiences of working for their respective NHS organisations. The results found that 59.7% of staff think their organisation treats staff who are involved in an error, near miss or incident fairly. While an improvement on recent years (52.2% in 2015) work is needed to move from a blame culture to one that encourages and supports incident reporting. It also found that 73.8% of staff think their organisation acts on concerns raised by patients/service users. It is vital that patients are engaged for patient safety during their care and there is clear research evidence that active patient engagement helps to reduce unsafe care. Patient Safety Learning has recently launched a new blog series on the hub to develop our understanding of the needs of patients, families and staff when things go wrong and looking at how these needs may be best met. -
News Article
Report reveals the impact of Freedom to Speak Up
Patient Safety Learning posted a news article in News
A new report published by the National Guardian’s Office reveals that the perception of the speaking up culture in health is improving. An annual survey, conducted by the National Guardian’s Office, asked Freedom to Speak Up Guardians, and those in a supporting role, about how speaking up is being implemented in their organisation. The results reveal details about the network’s demographics and their perceptions of the impact of their role. Headlines from the survey include a measure of whether those in speaking up roles think their work is making a difference, with 76 per cent agreeing or strongly agreeing – compared to 68 per cent last year. They also reported that awareness of the guardian role is improving. “It’s really important we listen to guardians in order to understand the impact Freedom to Speak Up is making,” said Dr Henrietta Hughes OBE, National Guardian for the NHS. “The report we are publishing today will help organisations better understand how to work with their guardians to improve their speaking up cultures.” Read full story Source: National Freedom to Speak Up, 30 January 2020 -
Content Article
Freedom to Speak Up Guardian survey 2019
Patient Safety Learning posted an article in Speak Up Guardians
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Content ArticleThe analysis identified six stages of the second victim journey. chaos and accident response intrusive reflections restoring personal integrity obtaining emotional first aid moving on. The authors defined the characteristics and typical questions second victims are desperate to have answered during these stages. Several reported that involvement in improvement work or patient safety advocacy helped them to once again enjoy their work. The authors conclude that institutional programmes could be developed to successfully screen at-risk professionals immediately after an event, and appropriate support could be deployed to expedite recovery and mitigate adverse career outcomes.
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Content ArticleKey findings The study findings suggest that the designation of a NE as a NE is dependent on the individual/type of NE and that NEs were reportedly rare. Although GPs were more likely to disagree with the NE label for the more frequently occurring NEs, this was not in proportion to their increased frequency of occurrence. Most GPs remained unconvinced that the risk can be eliminated for any of the NEs. GPs do, however, seem to take the actual and potential occurrence of such events seriously given that 99% stated an intention to undertake a significant event analysis after a NE. Opinions varied widely with some GPs commenting that the risk of serious harm was extremely low, whereas other GPs suggested that the NE should be more stringent. Some GPs felt that the NE description was placing a burden of responsibility on them that was not intended by the description of the NE; for example, that they should be responsible for the actions of a laboratory or the ambulance service. There were differences in opinion about the level of responsibility a GP should take for the actions of non-medical staff.
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News Article
Health NHS patient feedback is not being used to improve services, report warns
Patient Safety Learning posted a news article in News
The NHS is spending millions of pounds encouraging patients to give feedback but the information gained is not being used effectively to improve services, experts have warned. Widespread collection of patient comments is often “disjointed and standalone” from efforts to improve the quality of care, according to a study by the National Institute for Health Research (NIHR). Nine separate studies of how hospitals collect and use feedback were analysed. They showed that while thousands of patients give hospitals their comments, their reports are often reduced to simple numbers – and in many cases, the NHS lacks the ability to analyse and act on the results. The research found the NHS had a “managerial focus on bad experiences” meaning positive comments on what went well were “overlooked”. The NIHR report said: “A lot of resource and energy goes into collecting feedback data but less into analysing it in ways that can lead to change, or into sharing the feedback with staff who see patients on a day-to-day basis. NHS England's chief nurse, Ruth May, said: "Listening to patient experience is key to understanding our NHS and there is more that that we can hear to improve it. This research gives insight into how data can be analysed and used by frontline staff to make changes that patients tell us are needed." Read full story Source: 13 January 2020 -
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