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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. Event
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    Healthwatch is hosting this event to launch the Your Care, Your Way campaign, which calls for improved accountability and implementation of the Accessible Information Standard (AIS). Healthwatch England has joined forces with a coalition of user-led national organisations to highlight how the NHS and social care fail to support people's accessible communication needs. By law, all publicly funded health and social care providers must fully comply with the AIS and ensure people are given information about their health and care in accessible formats. New research by Healthwatch England and partner organisations has shown this is not happening, with many services overlooking people's needs and failing to provide the right support. At this webinar, you will hear: A summary of Healthwatch England's recent research findings on accessible information, drawing on Freedom of Information requests submitted to 200 NHS provider trusts and over 6,000 people's experiences shared with Healthwatch Survey data on staff and public experiences of the AIS from a coalition of user-led charities, including RNIB, SignHealth and RNID, and user-led perspectives on how to improve implementation Information about NHS England's ongoing review of the AIS, developing conclusions from the review, and opportunities to contribute A perspective from an NHS Trust on the barriers to implementing the AIS and overcoming them We welcome questions from the audience and contributions towards the end of the webinar, as well as a discussion about how you and your organisations can get involved in supporting the campaign. This event is for staff working in NHS and social care services, service providers, ICS leaders, voluntary sector and professionals. Register This event is being run by: Urte Macikene, Policy and External Affairs Manager, Healthwatch England. Healthwatch England sits on the Accessible Information Standard Review Programme Board. Malcolm Pearce, Senior Manager, North of England Commissioning Support, Malcolm led the Rapid Review of British Sign Language on behalf of NHS E/I and is currently supporting the review of the Accessible Information Standard Mike Wordingham, Policy and Campaigns Officer, RNIB (Royal National Institute of Blind People) A speaker from an NHS Trust about their experience of implementing the AIS (TBC)
  2. Content Article
    It is easy to underestimate people’s health literacy needs, because those needs can be hidden or people can be reluctant to admit that they haven’t understood the information they have been given. This toolkit by The Health Literacy Place contains a range of resources to help healthcare professionals better understand and meet the health literacy needs of their patients.
  3. Content Article
    This study in Risk Management and Healthcare Policy aimed to explore healthcare workers’ perceptions of patient safety culture at primary healthcare centres in the Eastern Province of Saudi Arabia, and the factors that influence them. It also aimed to identify the challenges of adopting patient safety culture in these centres. The study findings highlight a number of areas for improvement, particularly in relation to event reporting, non-punitive responses, and openness in communication. The authors highlight that error reporting should not just be considered a means of learning from mistakes, but should also be considered the first step towards preventing injury and improving patient safety. They highlight the need to eliminate three crucial elements associated with errors - blame, fear, and silence - in order to build a safety culture.
  4. Content Article
    In this blog for National Voices, Sue Brown, CEO of the Arthritis and Musculoskeletal Alliance, argues that using the word 'elective' when referring to elective surgery is misleading, and downplays the seriousness of waiting for a long time for treatment or surgery. She looks at the impact of waiting too long for surgery such as joint replacement on the lives of patients. Intense, long term pain and loss of mobility can lead to deteriorating mental health, isolation from friends and family and job loss, among other things. Patients needs support while they wait for surgery, and Sue outlines what she believes is needed to support patients who have had community and secondary care delayed: Design support with those with lived experience – ask what is important to them. Use the things we know can help, like social prescribing and health coaching – individual or group personal support. Use the voluntary and community sector who have a wealth of experience in supporting long term condition management – people need to know they are not alone and get support from others in the same situation.
  5. Content Article
    Barbara Young fell downstairs at her home at 11.30am on 15 July 2021, sustaining multiple injuries including fractures of her ribs, spine and skull. Her family immediately called the emergency services and informed the ambulance call handlers that she had fallen downstairs, was not fully conscious and had sustained an apparently severe head injury. An ambulance subsequently arrived at 2.26pm and she was taken to hospital where, due to her reduced mobility, she developed pneumonia. Mrs Young’s conditioned worsened over the coming days and she died on 24 July 2021.  In her report, the Coroner raises concerns about the ambulance waiting time in this case, and more generally about ambulance response times in cases where elderly patients experience falls.
  6. Event
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    The European Alliance for Access to Safe Medicines (EAASM) invites you to join its Parliament roundtable debate entitled “Preventing Medication errors across European hospitals to protect patient safety: Launch of the White Paper on Medication Errors and Traceability” , taking place on 22 March 2022 from 11:30 to 13:30 CET, on Zoom. The EAASM has been coordinating the European Collaborative Action on Medication Errors and Traceability (ECAMET) with the overall objective to markedly reduce medication errors (MEs) at European and national levels, to protect and enhance patient safety and the quality of health care. This event will represent the occasion to officially release a comprehensive White Paper on Medication Errors and Traceability, co-written by the EAASM and the members of the ECAMET Scientific Committee, collecting the results of a pan-European survey on medication errors which acts as a catalyst to understand where improvements can be identified and acted upon, and thus stimulate innovation in the hospital setting via proven digital processes and internal dynamic behavioural changes. Register to attend Please note, this event will take place at 11.30 CET, which is 10.30 GMT
  7. Content Article
    This guide by The Eve Appeal and The Survivors Trust gives information about attending cervical screening for survivors of rape, sexual abuse or assault. It offers tips that may help patients feel more comfortable about their appointment. It is part of the #CheckWithMeFirst campaign to help raise awareness of the challenges survivors of rape, sexual abuse and sexual violence may face when accessing cervical screening.
  8. Content Article
    The #SolvingTogether platform is a place for people to post their ideas on how to recover services, redesign care delivery and address health inequalities.  #SolvingTogether invites colleagues working on elective recovery to contribute their experiences, good practices, ideas, and comments on these challenges before it is opened for contributions more widely. Once #SolvingTogether is fully live, all stakeholders will have the opportunity to contribute and engage through tweet chats and a range of connect sessions.
  9. Content Article
    This analysis by The British Medical Association (BMA) highlights that the health service has a shortage of hospital beds, and that occupancy rates consistently exceed safe levels. It states that bed capacity will be a critical limiting factor in the NHS recovery from the Covid-19 pandemic. The analysis looks at: NHS bed data compared to other countries. bed stocks over time. the impact of Covid-19. safety breaches. intensive care capacity.
  10. Event
    This webinar chaired by Dr Jennifer Dixon, Chief Executive of The Health Foundation and featuring Dr Tim Ferris, NHS England’s Director of Transformation, will explore the next steps for service transformation at scale. Against the backdrop of the recent Wade-Gery review, the data strategy, the forthcoming Goldacre review and AI strategy, the new tech fund to support elective recovery, and a renewed focus on delivering the tech ambitions outlined in the Long Term Plan, how can these be linked to support service transformation better in practice? What will be different this time? Register
  11. Event
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    The National Institute for Health Research (NIHR) is hosting its second virtual symposium showcasing the latest research conducted within the NIHR School for Public Health Research Public Mental Health (PMH) Programme. At the symposium, you will be able to: hear updates on the latest research from across the PMH programme, provide comments and feedback on the findings, ask academic and peer researchers questions about public mental health research, improve your own knowledge of public mental health research, build connections with others interested in public mental health. Audience This event is free to attend and open to anyone interested in public mental health, including members of the Public Mental Health (PMH) Network. Programme This is a one-day event with morning and afternoon sessions that need to be booked separately. Morning session: 10.00am – 12.30pm This session will showcase the work from Phase 2 of the Public Mental Health Programme, which has been focused on evaluating promising approaches (activities, programmes, etc.) for mental health. This programme of work is divided into eight projects: five that explore public mental health in adults, and three projects which explore public mental health in children and young people: Adult mental health projects Co-located services for working-age adults Community interventions for older adults Economic evaluation of public mental health interventions Using big data to understand public mental health interventions and inequalities Public perspectives on inequalities in public mental health Children & young people mental health projects School culture and student mental health: a participatory action research study Qualitative case study examining the links between school culture and student mental health Creating a Health Research Network to improve young people’s mental health and well-being There will be presentations on all eight projects co-facilitated by academic researchers and peer researchers who have worked together throughout this phase of the programme. Afternoon session: 2.00 – 4.30pm The afternoon session will be made up of a series of short presentations showcasing the SPHR public mental health work from: PhD students Public Health Practice Evaluation Scheme (PHPES) Pre-doctoral and Post-doctoral Fellows Our Research Network (ResNet) members A full programme for the event will be made available soon. Inclusion Both the morning and afternoon sessions will include a series of presentations. In the morning session, you will have the opportunity to ask questions after the presentations, in breakout rooms, and in the chat box on Zoom. Your question will then be read by a moderator and either responded to directly in the chat or read out loud and answered. In the afternoon session, presenters will be monitoring the chat and using it to respond directly to any questions. Presentation slides used during the event will be read out loud. This will be through a mixture of live and pre-recorded presentations, which will also be made available to view on the SPHR website after the event. If there are any access requirements you would like us to be aware of, please answer the question when completing your registration form. Any information given regarding personal access requirements will be used to inform access during the event. All information will be kept confidential. Register Morning and afternoon sessions must be booked separately. Please click on the links below to register for these sessions. Morning session Afternoon session Contact Please email publicmentalhealth@ucl.ac.uk if you have any questions.
  12. Content Article
    The UK has fewer acute hospital beds relative to its population than many comparable health systems, and the Covid-19 pandemic has had a significant impact on their availability and use. This article by The King's Fund illustrates long-term trends in hospital beds, using 2019-20 data from before the pandemic as the most recent comparator. However, where data is available for 2020/21, the authors have included this for information and to show the impact of the pandemic.
  13. Content Article
    The NHS Race & Health Observatory (RHO) has published a rapid review into ethnic health inequalities across a range of areas. This report is the first of its kind to analyse the overwhelming evidence of ethnic health inequality through the lens of racism. The NHS has longstanding problems with ethnic inequalities in terms of access to, experiences of, and outcomes of healthcare. These issues are rooted in experiences of structural, institutional and interpersonal racism. The review focussed on priorities set by the RHO relating to ethnic inequalities in: mental healthcare maternal and neonatal healthcare digital access to healthcare genetic testing and genomic medicine the NHS workforce.
  14. Content Article
    Rebecca Romero was 15 years old and had a long history of self-harm and mental health problems. On 19 July 2017 she was found dead at her home, with a ligature around her neck. Rebecca had left Pebble Lodge psychiatric unit for a period of leave on 6 July 2017, but never returned to the unit after her leave. The original plan was to transfer her to an alternative unit, Riverside, but as there were no inpatient or day patient places available, a discharge meeting was held on 14 July where a community care package was put in place. She was under the community team at the time of her death, but had not been seen since her discharge.
  15. Content Article
    In this blog, Stuart Bonar, Public Affairs Advisor at the Royal College of Midwives, looks at the growing midwifery workforce crisis in the UK. For the first time since records began, the number of midwives is falling year-on-year. The impact on those midwives who remain in the NHS is bigger workloads and decreasing wellbeing. The author calls on the government to pay attention to the situation, and suggests that an adequate pay rise for midwives and midwifery assistants should be part of the solution to falling staff numbers.
  16. Event
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    This free virtual conference is hosted by NHS Employers in partnership with The Prince’s Trust and Health Education England. It celebrates the achievements of The Prince’s Trust health and social care programmes, and the opportunities created for the NHS and local communities by recruiting young people into the workforce. It is aimed at staff working at NHS provider organisations with a responsibility for widening participation, equality, diversity and inclusion, recruitment and retention, or any other relevant HR role. Themes Widening participation – reaching young people who may be underrepresented in the workforce. Recruitment – engaging with and preparing young people to enter the workforce. Retention – supporting young people to remain in the workforce. Download the agenda Register to attend
  17. Content Article
    In this interview, Dr Alice Ladur talks about her experience of using the Whose Shoes? approach to increase male partners’ involvement in maternity care in Uganda. Whose Shoes? is a co-production tool that uses a board game to help participants share experiences and reflect on their experiences of services. Alice describes the importance and impact of involving partners and families in antenatal care and highlights the value of adapting interventions to specific cultures and locations.
  18. Content Article
    This free e-learning course by the World Health Organization (WHO) examines the five general steps of inequality monitoring in the context of immunisation programmes. The 'WHO Immunization Agenda 2030: a global strategy to leave no one behind' envisions “a world where everyone, everywhere, at every age, fully benefits from vaccines for good health and well-being.” The course is approximately two hours long and is primarily aimed at monitoring and evaluation officers for immunisation, and people who have basic knowledge and experience working with immunisation data.
  19. Content Article
    This blog for The Kings Fund looks at how chronic excessive workload is damaging staff health, patient care and healthcare workers' long-term ability to provide high-quality and compassionate care for people in their communities. The authors argue that the issue of excessive workload is the major barrier preventing improvements in patient satisfaction, staff retention, financial performance and care outcomes.
  20. Content Article
    This article in Translational and Clinical Pharmacology aims to highlight the need to reconsider current medication dosing strategies in reproductive women. It uses the example of schizophrenia to illustrate how a woman's clinical symptoms can change throughout the ovulatory cycle, leading to fluctuations in medication responses. The authors found that healthcare professionals need to consider hormonal and clinical changes that occur with the menstrual cycle when prescribing treatments. They also call for further research to increase knowledge of the issues and find better treatment strategies in women whose symptoms change with cyclical changes in ovarian hormones. However, they warn that results from such studies should never override the symptoms and treatment responses experienced by individual clinical patients.
  21. Content Article
    This blog in the Health Services Journal (HSJ) looks at the risk posed to clinical care by cyberattacks. A recent HSJ webinar in association with Sophos argued cybersecurity should be the business of everyone in the NHS, and looked at how NHS organisations can tackle the issue. Cyberattacks can cause delays and compromise patient safety and are therefore something that all healthcare staff need to consider. Using helpful language to explain the implications of cyberattacks is key to getting involvement right across the spectrum of management and frontline staff, so that it is not seen as 'an IT issue'.
  22. Content Article
    This study in Patient Education and Counseling aimed to systematically review parental perceptions of shared decision-making (SDM) in neonatology, and identify barriers and facilitators to implementing SDM. The study identified the following key barriers to SDM: Emotional crises experienced in the NICU setting Lack of medical information provided to parents to inform decision-making Inadequate communication of information Poor relationships with caregivers Lack of continuity in care Perceived power imbalances between HCPs and parents. It also identified the following key facilitators for SDM: Clear, honest and compassionate communication of medical information Caring and empathetic caregivers Continuity in care Tailored approaches that reflected parent’s desired level of involvement.
  23. Content Article
    This report by the Health Foundation examines shifts in public attitudes towards health, the NHS and social care caused by the Covid-19 pandemic. It highlights key findings from the first wave of the Health Foundation's new programme of polling research, delivered in partnership with Ipsos, that will track public views on health and social care every six months.
  24. Content Article
    This German study in the journal Implementation Science aimed to evaluate an empirically and theoretically grounded implementation program for shared decision making (SDM) in cancer care. The program included six elements: Training for health care professionals Individual coaching for physicians Patient activation intervention Patient information material/decision aids Revision of quality management documents Reflection on multidisciplinary team meetings. The results showed no statistically significant improvement in SDM uptake and the authors conclude that this may be because of the low reach of the study. They call for further research to understand factors influencing the uptake of SDM in cancer care.
  25. Content Article
    In this blog, Gwen Nightingale and Katherine Merrifield from The Health Foundation highlight measures to tackle health inequalities that they would like to see included in the government's White Paper on health disparities, due to be published in Spring 2022. They argue that significant investment and ambitious policy are needed to tackle differences in health outcomes. They highlight five areas of focus: Tackle the wider determinants of health head on A new, whole-government approach to improving health Policy ideas backed with immediate investment Meaningfully measuring success Learning from the past
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