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Patient Safety Learning

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    National Mental Health Nurse Directors Forum: National policy template on supportive observation and engagement (July 2018, v.2)

    in Mental health

    Posted

    I can't find that document anymore on NHSE's website. They have a page of resources here:

    NHS England » Mental health nursing

    And a contact england.mhworksteams@nhs.net that might be able to help you.

    There's also the National Mental Health & Learning Disability Nurse Directors Forum, I don't know if they have something similar?

    MHForum

    If you do find it, please let us know and we'll update the page.

    Thanks

    Sam

    0

    Digital-only prescription requests: An elderly woman sent round the houses

    in Digital health and care service provision

    Posted

    An email sent to Patient Safety Learning. The sender wishes to remain anonymous.

    "I am a patient in the Heart Failure Clinic at a London hospital.  I am also a patient at a GP surgery which is a mere ten minutes from hospital.  Yet, their computers cannot communicate with each other as they are different hospital trusts.  Ridiculous. Therefore, my GP rarely knows about my clinic meetings in Cardiology, does not know the meds if they are altered, etc. etc.  I do not get reports, or test results, either. A cloud of darkness. 

    I asked PALS to send some test results to my GP surgery and they did, but I think it is a one-off. I had (have) to keep ringing the nurse specialist helpline or the Consultant's secretary for information.  Meantime, messages from MyChart arrived in droves, all telling me my appointment letters and test results were there, awaiting me.  However, when  I logged in (numerous times) - there was never anything at all. No letters, test results, zilch, nothing.

    I, finally, managed to cancel the not-working MyChart. I have multiple medical problems and am 90 years old.  Fortunately, I can work my computer, use the telephone and get to appointments.  However, it is stressful and tiring to have to be ever alert because there is an accident waiting to happen.  Software is not new.  Computers arrived in the eighties. Who are the idiots who put these systems together but forgot to hook them up?"

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    HSJ podcast: Long-COVID care cannot be delayed any longer (19 November 2020)

    in Patient recovery

    Posted

    @Dr Charles Shepherd Thank you for sharing these resources and tips with us. We've added your guide to our Learn library so others can use it: https://www.pslhub.org/learn/coronavirus-covid19/tips/me-association-post-covid-19-fatigue-postlong-covid-19-syndromes-and-post-covid-mecsf-september-2020-r3623/

    I've also linked this comment to our community conversation on long covid: 

    Please do share any other resources you have on long covid and also on ME/CFS or if you would like to write a blog on this we'd be happy to post it on the hub. 

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    We all want a culture of speaking up, don’t we? So, why isn’t it happening?

    in Bullying and fear

    Posted

    Dr Rick Fraser asked us to post his response to this blog:

    Good to hear about the work you are doing.

    An open/transparent culture of speaking up is something I am really interested in for so many important reasons - I have found the IHI model of safe, reliable and effective care is enormously helpful in linking patient safety and culture.

    When an organisation has a culture where psychological safety is clearly evident then staff, patients, family & others all feel able to speak up and raise concerns as & when they occur. The organisational response is crucial and needs to be absolutely linked to patient safety as that cannot be disputed and is always the common ground we look for when trying to connect across systems and with others eg staff.

    An authentic, consistent approach that is humane, proportionate and transparent is crucial and must be led from the Board all the way through the organisation. Included in this humane approach are kindness, forgiveness, fallibility and equality. Some of these will come naturally and others have to be nurtured within individuals and the organisation. Some may criticise and call it 'woolly' or 'fluffy' however when the evidence can link all of these culture based approaches patient safety and outcomes then there can be no dispute.

    That’s what is so elegant about the IHI model (below) as it links all these aspects of the system together and allows for development of culture & learning system and then ongoing monitoring from Board to Ward. As a Dr this makes perfect sense as it combines the science/evidence with the learning system/culture to ensure patient care is optimal and safe every time.

    Dr Rick Fraser, Chief Medical Officer 

    2119843567_IHIframework.jpg.503870b5498c076522cfc1d1a041346a.jpg

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