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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. Content Article
    This report by the Institute of Global Health Innovation at Imperial College London highlights the opportunities and barriers for artificial intelligence to improve the health of the UK’s minority ethnic groups. It outlines the urgent need to address issues such as biased algorithms, poor data collection and a lack of diversity in research and development, in order to prevent a worsening of health inequalities experienced by minority ethnic groups.
  2. Content Article
    This study in the Journal of Patient Safety aimed to assess the impact of a pro forma that standardises medical record-keeping on ward rounds. The pro forma was developed by analysing notes entered in patient charts and comparing them with standards set out by the Royal College of Surgeons of Ireland and England, as well as Medical Council guidelines from the two countries. The authors found that the pro forma improved compliance of ward round notes when compared with internationally recognised guidelines, with no additional time required during ward rounds.
  3. Content Article
    The RCM Podcast is a podcast by the Royal College of Midwives focusing on the work the RCM is doing with and on behalf of its midwife and maternity support worker members. In this episode, Gemma Murphy talks to midwife Vlora Purchase from Greenwich and Lewisham NHS Trust and safeguarding midwife Wendy Warrington from Pennine Care NHS Foundation, to gain insight into the important work they do. Gemma also catches up with RCM staff who developed a new RCM position statement on supporting women with severe and multiple disadvantage during pregnancy.
  4. Content Article
    The Engage with Impact Toolkit was designed to help organisations evaluate the impact of their patient, family and caregiver engagement programs and activities. It was developed in Canada by a Working Group of patient, family and caregiver partners, health system researchers, engagement leads and government personnel, led by Dr Julia Abelson and the Public and Patient Engagement Collaborative at McMaster University. The Toolkit has been developed as a series of five modules, each of which includes background information, tasks to complete, resources and other support.
  5. Content Article
    The National Comparative Audit of Blood Transfusion (NCABT) is a programme of clinical audits which looks at the use and administration of blood and blood components in NHS and independent hospitals in England. Blood services in Northern Ireland, Scotland and Wales are also invited to take part. The audit aims to provide evidence that blood is being ordered and used appropriately and administered safely, and to highlight where practice is deviating from guidelines and may cause patients harm. The latest audit took place in 2021, and previous audits are also available to download on this page.
  6. Content Article
    This article by the National Institute for Health Research (NIHR) summarises recent evidence about the information and support pregnant women need to make decisions about their maternity care, and any interventions they may need. It discusses the following areas: The importance of continuity of carer and personalised care in maternity services Women need clear information and better access to mental health care Helping women with complicated pregnancies make informed decisions about their care Supporting shared decision-making when there are problems with the baby
  7. Content Article
    Healthcare is recognised as a high-risk industry, involving complex systems, vulnerable individuals, and constantly evolving clinical treatments and healthcare products. This is the recording of a webinar hosted by NHS Supply Chain which looked at key patient safety issues in the NHS. It includes examples of learning related to patient safety and assurance priorities for safe healthcare products and services. Speaker panel: Helen Hughes, Chief Executive of Patient Safety Learning Tracey Cammish, NHS Supply Chain Heather Tierney-Moore OBE, NHS Supply Chain Dave Fassam, Healthcare Safety Investigation Branch (HSIB)
  8. Event
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    All healthcare professionals have a responsibility to make every contact count in informing and encouraging pregnant women to get vaccinated against Covid-19. On 2 March Professor Jacqueline Dunkley-Bent, Chief Midwife for England, is hosting a second masterclass for midwives and other interested NHS professionals, to give objective advice on vaccination, based on the best available evidence. Join national experts from the UKHSA, MHRA, NHSEI, RCM and more for talks on: the risks of Covid-19 infection in pregnancy. the science behind vaccination; common questions and concerns. what midwives and other professionals can do to safeguard women, parents and babies from Covid-19. There will also be an opportunity to raise questions and concerns in a Q&A with our expert panel. Please register to attend by 5pm on Tuesday 1 March.
  9. Content Article
    This report by Bliss, the UK’s leading charity for babies born premature or sick, found that young parents are often underprepared and under-supported when their babies are in neonatal care. Research by Bliss found that more than half of young parents felt they were not as involved in caregiving or decision-making as they wanted to be when their baby was born premature or sick. It also highlighted contradictory messages that young mothers are given throughout their pregnancy that their youth will be a protective factor, despite an increased risk of prematurity and neonatal mortality for babies born to mothers aged under 20. This myth leaves many young parents feeling unprepared, enhancing their feelings of shock and disbelief if their babies are born unwell.
  10. Event
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    Yorkshire & Humber AHSN are hosting the latest in our Bridging the Gap series that are designed to help healthtech innovators work with the NHS. If you are a healthtech SME, start-up, scale-up or clinical entrepreneur then our Bridging the Gap events are designed with you in mind. We aim to give you a better understanding of how The AHSN Network and our national and regional partners can support your development and growth to ensure that your innovation is market ready and help you navigate the complexities of working with the NHS. This edition of Bridging the Gap will focus on the vital role digital innovation can play in the NHS's post-pandemic recovery. We will bring together experts from across The AHSN Network and health and care system to guide, support and advise you. Attending Bridging the Gap will enable you to: Get an insight from senior system leaders into the current and future challenges and priorities for NHS and social care organisations Understand how the AHSN Network and other national bodies can help and support you with their knowledge and expertise to accelerate the progress of your innovation into practice Learn about some of the common challenges and mistakes innovators make and hear from other companies who have successfully navigated the process There will be extended networking time incorporated into the agenda to give you the chance to meet and talk to some of the individuals and organisations who will be speaking and exhibiting at the event. Due to the limited number of places we have available at this event we are only able to provide one delegate pass per organisation in order to allow as many innovator companies as possible to join us. Register One to One meetings There will be a limited number of places available for delegates to have a one to one meetings with one of The AHSN Network's Commercial Directors. If this is something you would be interested in please let us know when you complete the event registration form. Please be aware that we may need to contact you for more information about your business in order to help us select those who can benefit most from this service.
  11. Content Article
    This investigation by the Healthcare Safety Investigation Branch (HSIB) explores the prescription of oral paracetamol in adult inpatients who, on admission to hospital, have low bodyweight (less than 50kg). Paracetamol is a common painkiller often used as first-line management for mild to moderate pain. Although it is safe if taken at the right dose, paracetamol in large amounts is toxic to the liver and therefore the maximum dose must never be exceeded. As its 'reference case', the investigation used the case of Dora, an 83-year-old woman who weighed less than 50kg on admission and lost further weight in hospital. While in hospital, Dora was prescribed oral paracetamol 1g four times a day and towards the end of her admission, she developed multiorgan failure due to sepsis and was diagnosed with paracetamol-induced liver toxicity.
  12. Content Article
    This campaign by the independent statutory body Healthwatch aims to help make sure more people get healthcare information in the way they need it. Patients need clear, accessible information in order to make informed decisions about their health and care. The Accessible Information Standard gives disabled people and people with a sensory loss the legal right to get health and social care information they can understand and communications support if they need it. 'Your Care, Your Way' is asking whether the standard is being delivered by services, and whether it goes far enough. The campaign aims to: Find out how well health and care services are delivering the Accessible Information Standard. Make sure that, if the standard covers you, you know your rights. Find out who else has problems understanding information about their healthcare and needs to be covered by the standard.
  13. Content Article
    The Safer Healthcare and Biosafety Network (SHBN) is seeking input from occupational health managers based in the UK to support the establishment of a new annual UK national database of blood and body fluid exposures in healthcare workers.
  14. Content Article
    This article in BMJ Quality and Safety looks back at how the patient safety movement has developed over the last two decades. It argues that although the aim of the movement is to change systems, in reality this has not happened on a wide scale. The authors suggest that if we are to make quantitative improvements to patient safety, the next stage of the patient safety movement needs to prioritise substantive, system-wide change.
  15. Content Article
    This is the second in our new series of Patient Safety Spotlight interviews, where we talk to different people about their role and what motivates them to make health and social care safer. Marie talks about her campaign for justice for families affected by hormone pregnancy tests, why she is passionate about reforming medicines regulation and the important role patient campaigners play in improving patient safety.
  16. Content Article
    This blog for the British Medical Association (BMA) by Tim Tomkin looks at growing frustration among doctors that the national guidelines concerning the use of respirators in Covid-19 infection control are still not robust enough, and do not fulfil legal health and safety obligations. He highlights examples of trusts that have led the way in implementing robust personal protective equipment (PPE) policies to protect staff, and research that demonstrates that the use of FFP3 masks reduces infection rates in staff on Covid-19 wards. He calls for more to be done to provide adequate PPE for staff across the health service, including GPs.
  17. Event
    Never Events and serious Incidents are a cause for concern and anxiety when reported in an organisation. They require investigation and official reporting to the Care Quality Commision (CQC). The end result should be a process of open multidisciplinary analysis and discussion led by the Clinical Governance team that results in learning for the organisation. This process can be difficult and sensitive when harm is identified and errors attributed to processes and individual staff. In this webinar, we welcome representatives from the CQC and the National Orthopaedic Alliance (NOA) to discuss learning from never events and serious incidents. Register
  18. Content Article
    This report by the user-led non-profit organisation Shaping Our Lives examines the results of a 2021 survey that explored people’s experiences of service user involvement. This research shows the current picture of involvement and explores the barriers that deaf and disabled people face when wanting to share their lived experience. The report contains recommendations for organisations that want to run truly inclusive, meaningful involvement to shape and improve their services.
  19. Content Article
    The Covid-19 pandemic has had a significant impact on people’s mental health, and the knock-on effect is putting services and organisations under considerable pressure. In this briefing for the NHS Confederation, Paula Lavis outlines the case for change in mental health services and makes recommendations on how to address the increasing post-pandemic demand. The briefing covers the following areas: Increased severity of mental health problems linked to the pandemic The wider social context The case for change: Prevention and easy access to mental health support, Funding, Workforce Viewpoint and recommendations
  20. Event
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    The Royal College of Midwives education and research conference 2022 - Ensuring every voice is heard: promoting inclusivity in education, research and midwifery care This exciting annual conference is aimed at all those involved or interested in midwifery education and research and the overall theme is promoting inclusivity in research and education. The conference is free for RCM members and £75 plus an admin fee for non-RCM members. The objectives of the conference are to: Give a platform to midwifery researchers and educators to highlight their work and spread understanding of their findings and of good practice Provide an opportunity for midwifery researchers and educators, those aspiring to be researchers and educators and others working in the maternity field to build their professional networks Enable those attending to learn about the latest evidence and innovations in midwifery education and research, particularly in relation to promoting inclusivity and reducing inequalities in midwifery education, research and practice. The conference has shared plenary sessions which include both education and research and breakout parallel sessions that focus on either education or research. The conference will have both invited speakers and those who have submitted an abstract that has been accepted for presentation. There will also be panel discussions for audience Q&As and practical workshops on literature searching and writing for publication. Overall conference themes The contribution of midwifery education and research to reducing inequalities and improving inclusion in maternity care, Hearing lesser heard voices to improve education, research and practice, Embedding the future midwife standards in education, research and practice Supporting the mental health of midwives, maternity staff, educators, student midwives and the women and families we serve. Book a place
  21. Content Article
    The Collaboration for Change is a group of two UK universities, nine community organisations and two small and medium size enterprises, who have conducted research on how to improve vaccine uptake among ethnic minority groups. This report outlines the results of a co-produced research study by the Collaboration for Change that combines research, evidence and lived experience to understand and improve vaccine uptake in ethnic minority communities. The report highlights the following factors influencing vaccine uptake: Using trusted messengers to encourage vaccine uptake may be a useful strategy to increase uptake in communities with low vaccination rates A lack of trust in the organisations and individuals encouraging vaccine uptake impacts vaccine uptake across many ethnic minority communities People are less likely to accept the offer of vaccination if little culturally and linguistically appropriate information is available to them, especially when their concerns are not covered Alongside the report, the Collaboration for Change has produced some recommended strategies to improve vaccine confidence and uptake.
  22. Content Article
    In this interview for Healthcare IT News, Jennifer Ball, Director of Virtual Care at Saint Luke's Health System in Kansas City talks about the benefits of virtual nursing units, and what training and support is needed to set one up.
  23. Content Article
    The Healthy Data e-consultation is a joint initiative run by the Belgian project 'Towards the development of a national health data platform' (AHEAD) and the European initiative 'Towards a European Health Data Space' (TEHDAS). Its aims are: to listen to citizens and patients’ views on health data secondary use and sharing, and on the role that they would like to play in the management and use of their health data. to increase citizen awareness, engagement and empowerment on the topic, so that everyone can develop informed opinions and take an active role in the use of their health data.  Anyone can sign up and share their views on the following questions: What should your health data be used for? Under which conditions should your health data be used? How would you like to be informed and involved in the reuse of your health data? What other ideas do you have on health data reuse?
  24. Content Article
    In this article for the Maternity & Midwifery Forum, Kirstin Webster, NMPA Neonatal Clinical Fellow, describes the role of the National Maternity and Perinatal Audit. She presents results from research using the audit’s data on births during the major period of the pandemic, and the recent audit report of the effects of ethnicity and socio-economic deprivation on maternity and perinatal care. She highlights inequalities in outcomes and joins the call to investigate the causes of these disparities.
  25. Content Article
    This briefing by NHS Supply Chain looks at shared learning on patient safety, and how collaborative working is enabling better assurance and safety for healthcare products and services. The briefing covers these topics: The role of NHS Supply Chain in patient safety Safety specifications for safer products System-level join up Human factors and just culture Case studies Overview of system partners Conclusion
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