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Patient Safety Learning

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Everything posted by Patient Safety Learning

  1. Content Article
    The COVID-19 crisis has created a watershed moment for the NHS, demanding a reappraisal of how essential services are delivered to the public. Even prior to COVID-19, the NHS recognised a pressing need to rethink healthcare using user-centred design principles, based on populations, not organisations. With the advent of the pandemic that pressing need has become an operational imperative. Digital capability has been and will continue to be a key part of transformation, but will only work when aligned with reforms in other key enablers such as financial flow, workforce planning and regulation. Many industries have already made the shift to enabling collaboration and innovation through more agile models of delivery by embracing technologies like artificial intelligence (AI), internet of things (IoT) and/or flexible and secure forms of (multi) cloud storage. Health, on the other hand, until now has introduced new technologies with the objective of improving existing pathways and service delivery models. There is now an opportunity to reimagine healthcare, driving true transformation enabled by digital capabilities.
  2. Community Post
    See tweet below from Dr Jake Suett on sharing information on Long-covid:
  3. Content Article
    Between 6 May and 17 August 2020, the Patients Association asked patients about their experiences during the first wave of the COVID-19 pandemic in an online survey.
  4. Event
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    As the NHS recovers from the first wave of the COVID-19 crisis, many organisations and health systems are not seeking to return to their pre-Covid ways of working. Instead, they are using the ‘reset and recovery’ phase as an opportunity to transform and enhance patient care whilst locking-in efficiencies and operational improvements. This transformation is seen as essential by many as the NHS prepares for ‘Winter Pressures’, builds resilience for any future Covid waves and, importantly, manages the backlog of elective procedures. The pace and extent of disruptive transformation driven by the Covid crisis would have been unimaginable at the turn of the year. Since the pandemic erupted, organisations and networks across the NHS have implemented, almost overnight, many transformation initiatives that have been in planning stages for months or years. It has also necessitated a radical redesign of many ways of working. These changes have led to a fundamental rethink of both the speed and level of change that is possible. Despite all of these pressures it is recognised that the speed and level of change must be implemented in a managed and phased way. This webinar will highlight: The challenges the NHS faces. How solutions to those challenges have been designed – by listening to what the NHS needs. How the NHS has successfully implemented the solutions (hearing success stories from the NHS itself). The importance of embedding transformation and new ways of working for the future. This webinar is applicable to a wide range of NHS personnel, including Clinicians, Operational Staff and Patient Groups. Registration
  5. Event
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    Hanan L'Estrange-Snowdon, Picker's Insight Manager, is hosting a discussion about the care experiences of people living with cancer. Hanan is joined by Chris Graham, Picker's CEO; Ruth Hendy, Lead Cancer Nurse at UHBW and Sue Kernaghan, Cancer Patient Representative. The conversation will cover: The Cancer Patient Experience Survey (CPES). How University Hospitals Bristol and Weston are working to improve patient care. How to effectively engage patient groups. This webinar will give you a deeper understanding of the CPES survey, enabling you to use the results more effectively. There will be insights into best practice to take back to your organisation and an understanding of how to engage with your patients. Register
  6. Content Article
    In this Virtual Event held by the Patient Safety Movement for World Patient Safety Day 2020, over 50 speakers share their heart-wrenching and heroic stories of survival and loss as well as their professional and personal experiences that will help educate and inspire you to unite for safe care. If you missed the event you can now view the recording of it.
  7. Content Article
    At Mersey Care NHS Foundation Trust, care and compassion is at the heart of everything they do. Their ambition is to deliver perfect care to become the world’s leading organisation in holistic health and well being. They strive to work side by side with their colleagues, the people who use our services, carers and families, and the communities they serve. The Mersey Care Staff Charter has been updated collaboratively and it highlights what is expected of their staff in supporting our Just and Learning Culture and what their staff can expect from the Trust in return.
  8. Content Article
    Sarah Seddon's son (Thomas) was stillborn in May 2017. The lack of candour following Thomas’ death and the conduct of the serious incident investigation impacted significantly on Sarah and her family. The local investigation was followed by a Fitness to Practise (FtP) investigation where Sarah experienced how damaging, dehumanising and traumatic FtP processes can be for patients who are required to be witnesses. Here she reflects on the impact of being a witness in a Fitness to Practise (FtP) hearing had on her.
  9. Content Article
    Sarah Scobie, Deputy Director of Research at the Nuffield Trust, looks at the continued high numbers of people dying at home, even as hospital deaths return to close-to-average levels, and discusses what reasons might lie behind the continued high numbers of home deaths since the onset of the pandemic. Whatever the reasons for the greater number of deaths at home, a third more people are now dying at home than prior to the pandemic. Although it is widely thought that many people prefer to die at home, this shift presents a significant challenge for community health and care services to deliver high quality care for patients, and to support families at the end of life. 
  10. Content Article
    ISO 45001, Occupational health and safety management systems – Requirements with guidance for use, is the world’s first International Standard for occupational health and safety (OH&S). It provides a framework to increase safety, reduce workplace risks and enhance health and well-being at work, enabling an organisation to proactively improve its OH&S performance
  11. Content Article
    This revised edition of one of HSE's most popular guides is mainly for leaders, owners and line managers. It will particularly help those who need to put in place or oversee their organisation's health and safety arrangements. The advice may also help workers and their representatives, as well as health and safety practitioners and training providers.
  12. Content Article
    This guidance from the Department of Health and Social Care (DHSC) sets out: key messages to assist with planning and preparation in the context of the COVID-19 pandemic so that local procedures can be put in place to minimise risk and provide the best possible support to people in supported living settings. safe systems of working including, social distancing, respiratory and hand hygiene and enhanced cleaning. how infection prevention and control (IPC) and personal protective equipment (PPE) applies to supported living settings.
  13. Content Article
    All health workers require knowledge and skills to protect themselves and others from the occupational risks they encounter, so that they can work safely and effectively. This course consists of five sections in response to these needs: Introduction Module 1: Infectious risks to health and safety Module 2: Physical risks to health and safety Module 3: Psychosocial risks to health and safety Module 4: Basic occupational health and safety in health services. The target audience for this course is health workers, incident managers, supervisors and administrators who make policies and protocols for their health facilities.
  14. Content Article
    This checklist is the first step in identifying and prioritizing areas of action for improving the protection of health and safety of health workers in line with WHO–ILO Global Framework for National Occupational Health Programmes for Health Workers. It is designed to be filled out in discussion with management, responsible officers for occupational health, environmental health, infection prevention and control, human resources and representatives of workers in the health facility. This participatory approach will provide a variety of perspectives and a more comprehensive basis for identifying the existing preventive measures, possible problems and solutions for continuous improvement. Using this checklist to begin this process will give you an overview of areas where you can propose to take action and help you determine what to prioritize. These priorities guide you in planning for improvements.
  15. Content Article
    Myalgic encephalomyelitis (ME)/chronic fatigue syndrome (CFS) is characterised by persistent and disabling fatigue, exercise intolerance, cognitive difficulty, and musculoskeletal/joint pain. Post-exertional malaise is a worsening of these symptoms after a physical or mental exertion and is considered a central feature of the illness. Scant observations in the available literature provide qualitative assessments of post-exertional malaise in patients with myalgic encephalomyelitis/chronic fatigue syndrome. To enhance our understanding, Stussman et al. formed focus groups and listened to patients’ experiences to better understand post-extertional malaise. The authors found that the experience of post-exertional malaise in ME/CFS varies greatly between individuals and leads to a diminished quality of life. ME/CFS patients describe post-exertional malaise as all-encompassing with symptoms affecting every part of the body, difficult to predict or manage, and requiring complete bedrest to fully or partially recover. Given the extensive variability in patients, further research identifying subtypes of post-exertional malaise could lead to better targeted therapeutic options. 
  16. Content Article
    Journey behind the front lines of the coronavirus pandemic with Northwell Health, New York’s largest health system. What was it like at the epicenter, inside the health system that cared for more COVID-19 patients than any other in the United States? Leading through a pandemic: The inside story of lhumanity, innovation and lessons during the COVID-19 crisis takes readers inside Northwell Health, New York’s largest health system. From the C-suite to the front lines, the book reports on groundwork that positioned Northwell as uniquely prepared for the pandemic.
  17. Content Article
    To provide support and advice to women it is important that healthcare professionals understand the changes that women face at the time of their menopause and the issues related to improving health after menopause. This updated publication from the Royal College of Nursing (RCN) aims to help health care professionals gain awareness of the menopause and the safety and efficacy of modern therapy options available. This publication is endorsed by the British Menopause Society.
  18. Content Article
    The COVID-19 pandemic is a traumatic event for many, particularly those in the caring professions. Experts are predicting a significant “second curve” of mental health problems among both healthcare workers and the public related to prolonged social isolation, loss of economic opportunity, grief from losing loved ones, among other causes. While there has been no shortage of resources and recommendations designed to help healthcare workers manage stress during the pandemic, there’s a tendency to place the burden on the individual. At a minimum, it is important that remedies acknowledge the shared responsibility of the healthcare system for creating the conditions for fear, anxiety, and burnout in the first place. In an effort to streamline, provide sensemaking, and support care teams during this critical time, the Institute for Healthcare Improvement (IHI) synthesised themes from several key publications, expert interviews, and five years of experience gained by partnering with health systems around the world to address staff well-being and joy in work. Three key areas to focus on have emerged, along with specific actions healthcare leaders can take to support their workforce and address the more immediate and longer-term effects of the pandemic.
  19. Content Article
    Do you ever see someone trapped into making a human error? Bad human engineering caused an error likely situation. Perhaps there was a precursor to the error – somethings that could be recognised?
  20. Content Article
    When crises happen, staff health and social services rise to the challenge. No-one knew exactly what the impact of the new coronavirus, COVID-19, would be but it was clear that everyone would be required to adopt new and different ways of working. Here is the story behind Healthcare Improvement Scotland's new National Wellbeing Hub website which is part of a network of support provided for all health and social care staff wherever they work in Scotland, and unpaid carers, that helps people look after themselves. The Hub complements other national support initiatives such as the National Helpline, and those provided at local level by NHS boards, health and social care partnerships and local authorities.
  21. Content Article
    Healthcare organisations are committed to the safety of the patients receiving care, treatment, and services. Healthcare organisations are also committed to the safety of those who serve those patients – healthcare workers, whether they be nurses, physicians, medical technicians, pharmacists, lab workers, housekeeping staff. This new book from The Joint Commission pulls together a collection of checklists to keep those healthcare workers safe from chemical and physical hazards, infectious agents, workplace violence, ergonomic problems, work-related stress, and more. The checklists are built upon authoritative guidelines from OSHA, NIOSH, CDC, and others and are intended to simplify healthcare worker safety. Most of the checklists are intended for use by health care workers themselves, depending upon their clinical or other responsibilities. Some of the checklists are intended for management to ensure that policies, procedures, and resources are in place to ensure health care worker safety in all areas of the organization. All of the checklists are straightforward and easy to use and understand and cover the key areas of risk for healthcare workers. Each section of checklists is introduced by compelling statistics that show how dangerous working in the health care environment can be, without proper precautions. The checklists provide the procedures or must-do activities to ensure that health care workers are as safe as can be.  Sample pages
  22. Content Article
    Chris Maddocks has dementia and on 28 July, after suddenly becoming unwell, she was admitted to her local hospital. She shares her experience of being in hospital and explains how small things can become much bigger for someone living with dementia. She hopes by sharing that this will help others who may be admitted in the future.
  23. Content Article
    This blog from Samrina Bhatti, Manager, and Karen Taylor Director, Deloitte Centre for Health Solutions, celebrates World Patient Safety Day 2020 by exploring how the safety of health workers, is a priority for patient safety.
  24. Content Article
    The COVID-19 pandemic has had one of the biggest effects on work-as-done in healthcare in living memory. So what might we learn about work from the perspectives of frontline workers? Steven Shorrock asked a variety of practitioners to give a short answer – whatever came to mind. The themes that emerge centre around people, their activities, their contexts, and their tools. Many insights concerned the varieties of human work, goal conflicts, design, training, communication, teamwork, social capital, leadership, organisational hierarchy, problem solving and innovation, and – generally – change. Steven Shorrock is an interdisciplinary humanistic, systems and design practitioner interested in human work from multiple perspectives.
  25. Content Article
    If you’re a mental health professional helping frontline healthcare workers who are providing care to people affected by COVID 19, Professor Neil Greenberg, from Kings College London, offers three important things to think about: How do you prevent staff from developing mental health difficulties? How do you find out really early on in order that you can provide simple interventions? How do you provide treatment for people who unfortunately do go on and develop mental health difficulties?
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