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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. Content Article
    Shared decision making is a collaborative process in which clinicians and patients consider treatment options based on evidence about their potential benefits and harms, to enable the patient to decide the best course for themselves. The person’s priorities and concerns, wishes, preferences and goals should inform the conversation and the decision made. The Professional Records Standards Body (PRSB) produced this draft standard on shared decision making following widespread consultation and a series of role plays which tested the standard’s usability in practice. It was was developed to align with the GMC guidance on shared decision-making and consent, as well as the NICE guidelines on shared decision-making. The final version of the PRSB standard is due to be released in Summer 2022.
  2. Content Article
    In this article for the Patient Safety Network, the authors highlight ways in which the Covid-19 pandemic initiated drastic modifications to the way in which health services are delivered across care settings, in particular in hospital emergency departments and inpatient units. They examine particular challenges highlighted by patient safety organisations (PSOs), including increases in safety incidents relating to pressure sores, sepsis, infections and communication issues. The article also highlights innovations to support safety that have been developed during the pandemic.
  3. Event
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    Women’s health is one of the most political issues of our time. Much like the rest of society, health systems have been created by men for men – and women have been left to fit around the edges. Despite incredible medical advances across the world for women, they remain infantilised and controlled by patriarchal health systems. PPP’s international report, chaired by Dame Clare Gerada and Dame Lesley Regan, will change this narrative. Join us to round off International Women’s Week on the 11th March 2022 to delve deeper into the report’s findings – as we challenge the status quo and put women back in control of their own bodies. This event has been kindly sponsored by Eli Lilly and Company and MSD. Topics covered during this event: Contraception Abortion Assisted Conception Cervical Cancer Prevention & Treatment Breast Cancer Prevention & Treatment The Inevitability of Womanhood: Menstruation & Menopause Taking a Gendered Lens to Data, Research and Policy Violence Against Women & Girls Agenda 2-2.45pm: Report launch A Women’s Health Agenda: Redressing the Balance is an expose of how we have got it so badly wrong when it comes to women’s health and what can be done to fix it. Globally, we are about to enter the fifth wave of feminism, and yet five movements of activism have not resulted in fundamental societal changes for women’s health. In this first session, report chairs Dame Clare Gerada and Dame Lesley Regan will present the report and dive deeper into its recommendations. 2.50-3.45pm: Why violence against women and girls is a public health issue Violence against women and girls (VAWG) has been a topic of much discussion both within the UK and internationally over the past year – and rightly so. However, VAWG is rarely seen as a public health issue. In a recent study of over 20,000 women, Victim Focus found that 99.7 per cent of this sample had been repeatedly subjected to some form of male violence within the UK. Furthermore, the World Health Organisation ascertains that almost a third of women aged 15-49 report they have been subjected to physical or sexual abuse by an intimate partner. Violence against women is preventable, and the health sector has a crucial role to play in providing healthcare to women subjected to violence. In this session, experts from various disciplines will discuss the health and political issues around VAWG and what needs to be done to address this systemic societal problem. Speakers to be announced. 3:50-4:25pm: Keynote Speaker Our keynote speaker will assess the current challenges facing women’s health within both the international and UK context. Covid-19 is not a gender-neutral disease, and its burdens continue to fall most heavily on women. Similarly the climate crisis is most keenly felt by women across the world and poses huge health challenges. Our keynote speaker will discuss how 2022 can build on past activism to change the trajectory facing women’s health. Keynote to be announced. 4.25-4.30pm: Chair’s Close 4.30-6.00pm: Networking Drinks Register for this event
  4. Event
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    At the launch of Public Policy Projects' first international women’s health report, this webinar will examine how societies have got it so badly wrong when it comes to inequalities within women’s health, and what can be done to fix it. Join us as we present alongside the UN’s Commission on the Status of Women where we will be launching PPP’s first international women’s health report A Woman’s Health Agenda: Redressing the Balance. The reproductive challenges faced by a white woman in the UK are vastly different to her Punjabi counterpart in Pakistan. Equally, the challenge of cervical cancer for women in China is different to the one faced by women in Germany. However, the need to ensure contextualised and appropriate healthcare is provided is applicable to women everywhere. In this event, we will disseminate the report’s findings and discuss the applicability of its recommendations in different global societies. Topics covered during this event: Contraception Abortion Assisted Conception Cervical Cancer Prevention & Treatment Breast Cancer Prevention & Treatment The Inevitability of Womanhood: Menstruation & Menopause Taking a Gendered Lens to Data, Research and Policy Violence Against Women & Girls Register for the webinar
  5. Content Article
    In this podcast, Gill Phillips speaks to Nadia Leake and Rachel Collum, parents of premature babies who had long stays in neonatal care after birth, about the importance of Family Integrated Care. Gill developed Whose Shoes?® as a tool to allow people to 'walk in other people's shoes'. Through a wide range of scenarios and topics, Whose Shoes?® helps groups explore many of the concerns, challenges and opportunities facing the different groups affected by the transformation of health and social care.
  6. Content Article
    This article in The Lancet Haematology examines the impact of having different anaemia thresholds for men and for women at different life stages. It challenges the data that current medical assumptions are based on, arguing that they have been extrapolated from healthy, predominantly white populations that are not representative of real-world populations. The authors look at the arguments that has been used to determine sex-based differences in haemoglobin concentrations, and argue that there is limited evidence to justify having different anaemia thresholds for men and women. They suggest that removing sex-specific reference ranges for haemoglobin and ferritin may improve the health of women and their offspring.
  7. Content Article
    In this article for Forbes, Dana Brownlee looks at individuals who are promoting inclusion in healthcare in practical, tangible ways. She looks at the work of Nigerian medical illustrator Chidiebere Ibe, who is depicting black skin in his medical illustrations, and of Toby Meisenheimer, who developed a business selling plasters of different skin tones. She highlights the importance of individuals who disrupt the norms of healthcare to make it more representative of the populations it serves. She also talks about the dangers to patient safety caused by lack of representation, particularly in fields such as dermatology that rely on images of skin for accurate diagnosis.
  8. Content Article
    The National Early Inflammatory Arthritis Audit (NEIAA) aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments in England and Wales. This NEIAA report presents data describing the association between ethnicity, experience of care and clinician and patient-reported outcomes. It found that Black, Asian and ethnic minority patients were less likely to achieve remission at three months (30% compared to 37%) and were more likely to report symptoms of anxiety or depression compared to white patients (33% compared to 30%), despite faster referrals and assessments than white patients.
  9. Content Article
    This report by Muscular Dystrophy UK looks at the impact of the Covid-19 pandemic on people living with muscle-wasting conditions, according to the results of a survey conducted in Scotland. It is estimated that more than 6,000 people in Scotland live with a muscle-wasting condition and require access to a range of specialist appointments and clinicians to meet their complex care needs.
  10. Content Article
    This report of a roundtable held by the Arthritis and Musculoskeletal Alliance (ARMA) highlights inequalities in relation to the prevalence of, and access to treatment for musculoskeletal conditions (MSKs). MSKs include a broad range of health conditions affecting the bones, joints, muscles and spine, as well as rarer autoimmune conditions such as lupus. Their incidence is correlated with deprivation, age, sex and ethnicity.
  11. Content Article
    This study in the British Journal of General Practice aimed to examine the relationship between empathy and patient-reported satisfaction, consultation quality, and patients’ trust in their physicians. It also sought to determine whether this relationship is moderated by a physician’s gender. The authors found that doctors self-reported more gender differences in measures of empathy than were observed in external measures, which included a facial recognition test, observations and a Synchrony of Vocal Mean Fundamental Frequencies (SVMFF), which measures vocally coded emotional arousal. SVMFF significantly predicted all patient outcomes, and could be used as a cost-effective proxy for relational quality.
  12. Content Article
    Many asylum seekers struggle to access healthcare when they come to the UK due to the extensive paperwork needed to register with primary care and other services. Many new arrivals have complex health needs for which current NHS healthcare systems struggle to offer appropriate care, exacerbating the trauma already experienced by many of these vulnerable people and families. In this article for The BMJ, the authors look at how how a model response to this issue was developed during the Covid-19 pandemic.
  13. Content Article
    In this article for The BMJ, Ingrid Torjesen looks at new data from Japan that suggest patients with the omicron variant of Covid-19 shed virus for longer after symptoms emerge, than with other Covid-19 variants. This has a potentially significant impact on hopes of shortening the period of isolation for people testing positive. The article examines new evidence from Japan that suggests that with omicron, the peak of virus shedding may be two or three days later than with other variants. It also looks at the relative value of self-isolation in the UK while omicron is circulating so widely in the community, with up to two-thirds of cases now undetected by testing.
  14. Content Article
    The National Care Forum (NCF) represents not-for-profit organisations providing care and support services to adults in the UK. The NCF conducted a survey of its members over a five day period from 5-10 January 2022, considering the impact of the Covid-19 Omicron variant. Its results highlighted increased pressure faced by the care sector in this period, with staff absence being compounded by existing high vacancy rates and difficulties and delays with testing.
  15. Content Article
    In this blog, Debbie Ivanova, Deputy Chief Inspector — People with a learning disability and autistic people, and Jemima Burnage, Deputy Chief Inspector and Mental Health Lead, update on progress since the Care Quality Commission’s (CQC) 'Out of Sight' report published in October 2020. Their blog discusses the findings of the authors' 'Restraint, segregation and seclusion review: Progress report' published in December 2021.
  16. Content Article
    Prisons and Probation Ombudsman (PPO) Sue McAllister has published the independent investigation into the death of a baby (Baby B) at HMP Styal on 18 June 2020. The PPO was concerned that there were missed opportunities to identify the urgent clinical attention that Ms B, the baby’s mother, needed during that evening. The investigation found gaps in prison nurse training about reproductive health, long-acting reversible contraception and recognition of early labour, and the PPO has made recommendations to remedy these issues in all women’s prisons. View the report
  17. Content Article
    In this second podcast focusing on the Care Quality Commission's (CQC) GP Inequalities Project, Annabelle Stigwood, joint project lead, talks to Dr Faizan Ahmed, National Clinical Advisor at the CQC, and Dr Bola Olowabi, Director - Health Inequalities at NHS England and NHS Improvement. The guests discuss health inequalities and how they impact on the ability of GP practices to do their job. They discuss what we mean by health inequalities, why it's so important to focus on them in health and social care, and the role of providers, systems and regulators in addressing them. Listen to the first episode which introduces the project
  18. Event
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    This free online event showcases two different case studies of coproduction within the system. These regular events shine a light on the art of the possible in relation to co-production and demonstrate what can be achieved when we work together with people with lived experience.  Presenters will showcase their work, co-presented with people with lived experience. One of this month's presentations will be given by Gill Phillips, creator of the Whose Shoes? approach to coproduction, with Florence Wilcock, consultant obstetrician. Reserve your place
  19. Content Article
    In this opinion piece for The BMJ, Partha Kar, consultant endocrinologist and NHS England National Specialty Advisor for Diabetes, looks at the crisis facing primary care in the UK. He highlights that many primary care professionals are feeling burnt out due to the intense pressure and negative attention GPs are currently experiencing. The cost of relying on primary care for the vaccination programme is that treatment for mental health and long term conditions has been neglected. GPs are at the receiving end of patients' frustrations about delays to their care. Partha highlights the need to: prepare well in advance for potential future waves of Covid-19, including by developing a vaccine delivery workforce that is not reliant on primary care. ensure vaccines are distributed to less developed countries, and move away from seeing vaccination as an issue of nationalism. increase funding for primary care in a focused and sustained way.
  20. Content Article
    In this article for The Conversation, the authors discuss their latest research findings regarding Covid-19 transmission, outlining the likelihood of catching Covid-19 in different indoor and outdoor scenarios. They demonstrate that speaking, shouting, singing and heavy exercise all increase the likelihood of transmission, and illustrate the impact of ventilation, face coverings and number of people on the risk of catching the virus. The article includes an table summarising their findings and a link to the Covid-19 Aerosol Transmission Estimator developed by the authors. View the full research paper
  21. Content Article
    In this interview for Woman's Hour, Dr Nisreen Alwan, Associate Professor in Public Health at the University of Southampton, discusses the impact of Long Covid on her own life with presenter Emma Barnett. She also shares insights from research that suggests women, people of working age, people from areas of high social deprivation and frontline health and education workers are more likely to be affected by Long Covid. Dr Alwan talks about the need to manage Long Covid alongside daily activities and highlights new research that demonstrates that vaccines may reduce the incidence of the condition. The interview can be heard at 17:23-25:20 in the recording.
  22. Content Article
    In this blog for Patient Safety Movement, Pranjal Bora, Head of Product Management at Digital Authority Partners, looks at the ways in which digital technologies improve outcomes and safety in healthcare. The blog examines areas in which digital technologies are currently being used, and looks at the potential future uses of AI and other digital technologies.
  23. Content Article
    In this blog for the website Cysters, Kiran Chalke and Hayle Davis share their experiences of accessing gynaecology and reproductive services as a lesbian couple. They describe the barriers they have faced to accessing IVF and highlight disparities in the treatment of heterosexual and same-sex couples on the NHS. They also discuss the impact that bias in the system and from individual healthcare workers has had on both of their experiences of gynaecology treatment. The attitudes of staff and failure to read their notes fully has resulted in the couple feeling uncomfortable in healthcare settings and in treatment delays that have had a real impact on their quality of life.
  24. Content Article
    Mr M was convicted of the murder of a man in October 2017 whilst under the care of the Thomas project in Salford. The Thomas project provides a range of recovery focused services through detox and residential rehabilitation into community-based provision. This is the report of the independent investigation into the care and treatment of mental health service user Mr M.
  25. Content Article
    This analysis from the Nuffield Trust provides facts on staffing and staff shortages in the NHS in England. It provides answers to the following questions: What kinds of staff make up the NHS workforce? How diverse is the NHS workforce? What is the overall shortfall in staff in the NHS? What do the shortages look like within hospital services? What do the shortages look like for staff delivering care close to patients’ homes? What are the implications of these shortfalls? How did we get to this situation? How do we compare to other countries? What is the outlook for the future?
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