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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. Content Article
    This open letter penned by four senior female NHS doctors outlines the issues caused by ongoing misogyny in the medical profession in Wales. They call for real change to ensure that the trainees and medical students of the future do not experience the same harassment, inappropriate comments and bullying from senior colleagues that each of them can recall during their careers. "The four of us have risen to senior leadership positions in our respective specialties. We work in cancer, general practice, psychiatry and HIV medicine. And every single one of us can think of experiences from our own career that at the time we ignored, brushed off, pretended not to hear or not to see–but we saw, we heard, and we still remember."
  2. Content Article
    There is limited guidance on how to effectively promote safety culture in healthcare settings. This systematic review aimed to identify interventions to promote safety culture specifically in oncology settings. The authors concluded that in spite of a growing evidence base describing interventions to promote safety culture in cancer care, definitive recommendations were difficult to make because of heterogeneity in study designs and outcomes. They highlight that implementation of incident learning systems seems to hold most promise.
  3. Content Article
    This leaflet aims to help people with type 1 diabetes decide between the different technologies available to manage diabetes. It contains summaries of devices available and infographics outlining eligibility criteria for continuous glucose monitors (CGM), insulin pumps and hybrid-closed loop systems. Diabetes care is one of the five clinical areas of focus for integrated care boards and partnerships to achieve system change and improve care as part of Core20Plus5 for children and young people with the aim to increase access to real-time continuous glucose monitors and insulin pumps across the most deprived quintiles and from ethnic minority backgrounds.
  4. Content Article
    The Care Quality Commission (CQC) is consulting on its proposed guidance to help providers and other stakeholders understand and meet the new standard on visiting and accompaniment in care homes, hospitals and hospices. The guidance also sets out what people using health and social care services and their families, friends or advocates can expect. The CQC is inviting responses from members of the public, providers, their representatives and other stakeholders.  The consultation closes at midday on 20 February 2024.
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    NHS England’s Worry and Concern Group is looking into how hospitals can make sure the worries and concerns of patients, their family and friends are taken into account by doctors, nurses and other health professionals. This webinar will explore: The work done during the worry and concern pilots The experience of patients and clinicians who took part in the pilot studies How to ensure patient involvement in the design of a nationwide worry and concern programme. Panellists: John Bamford, Patient Safety Partner Kayleigh Griffiths MBE, member of National Worry and Concern Steering Group Jane Murkin, Deputy Director Safety & Improvement – Nursing, NHS England Prof Damian Roland , Honorary Professor of Paediatric Emergency Medicine, University of Leicester John Welch, Consultant Nurse, Critical Care & Critical Care Outreach, University College London Hospitals NHS Foundation Trust. Chief Executive of the Patients Association, Rachel Power, will chair the webinar. This webinar is being held on Zoom and is free to join. Register for the webinar
  6. Content Article
    People with diabetes often encounter stigma in the form of negative social judgments, stereotypes and prejudice, which can adversely affect emotional, mental and physical health, self-care, access to healthcare and social and professional opportunities. On average, four in five adults with diabetes experience diabetes stigma and one in five experience discrimination due to diabetes in healthcare, education, and employment. Diabetes stigma and discrimination are harmful, unacceptable, unethical, and counterproductive. Collective leadership is needed to proactively challenge, and bring an end to, diabetes stigma and discrimination. To help achieve this, an international multidisciplinary expert panel conducted rapid reviews and participated in a three-round Delphi survey process. The group achieved consensus on 25 statements of evidence and 24 statements of recommendations. The consensus is that diabetes stigma is driven primarily by blame, perceptions of burden or sickness, invisibility and fear or disgust.
  7. Content Article
    in this podcast, Mark Doblas, lead clinical practice facilitator at Royal United Hospitals Bath NHS Foundation Trust and Ruby Faruqi, Stay and Thrive matron at Doncaster and Bassetlaw Hospitals NHS Trust, share their first-hand experience of being international recruits to the NHS. They talk about how the #StayAndThrive programme has enabled them to support international recruits in their respective organisations. Simon Littlefield, director of nursing and integrated care at St. Georges, Epsom and St. Helier NHS Trust (GESH) explores the role of leaders in setting a culture that welcomes new international recruits.
  8. Content Article
    TOXBASE is the poisons information database created and maintained by the National Poisons Information Service (NPIS). It should be the first port of call for healthcare professionals seeking poisons information in the UK. NHS facilities can register for free and individual advice on more serious or complex cases is available via the NPIS 24-hour telephone service.
  9. Content Article
    Medication is a common cause of preventable medical harm in paediatric inpatients. This study aimed to examine the sociotechnical system surrounding paediatric medicines management and to identify potential gaps in this system and how these might contribute to adverse drug events (ADEs). The authors advocate the following actions as a result of the insights gained about contributing factors to ADEs: processes to involve parents in the care of their children in hospital. development of skill-mix interventions to ensure appropriate expertise is available where it is needed. modified checking procedures to permit staff to use their skills and judgment effectively and efficiently.
  10. Content Article
    There are around 1.3 billion people in the world with a disability, but in many settings, the understanding of reasonable adjustments among healthcare workers is inadequate to provide the same quality of care for people with disabilities as individuals without disabilities. Inclusive healthcare requires improvements in accessibility and training for healthcare professionals. Some progress is being made and medical education in some countries now includes disability, human rights and reasonable adjustments in education and training. This Lancet article outlines global examples of attempts to improve healthcare workers' understanding of disabilities and inclusion.
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    London inspire Programme (LiP) is a ground-breaking programme which was specifically developed to raise awareness and promote targeted health interventions aimed at reducing disparities faced by Black people in London. This involves working closely with Black Caribbean & African leaders and health professionals, to explore an asset-based approach to mobilising the community and improve health outcomes. This event will be an opportunity to bring together key stakeholders to explore community-based approaches and how health systems could collaborate to create sustained health improvement. The event will celebrate what is working well, share learning, and create opportunities for reflection resulting in a call to action and inclusive leadership to improving the health of Black Londoners. The Summit will feature speakers renowned for their contributions to health equity and advocates with expertise in addressing health disparities within Black communities. A special focus will be given to voices from the Black Caribbean and African community, healthcare professionals, community leaders, researchers, and lived experiences. This diversity of perspectives aims to provide a comprehensive understanding of the challenges and opportunities to reducing health inequalities at system and community levels. Confirmed keynote speakers include: Prof Bola Owolabi Prof Kevin Fenton CBE Dr Marie Gabriel Dr Habib Naqvi OBE Register for the event
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    This online conference hosted by the Royal College of General Practitioners (RCGP) is free of charge to RCGP members and £200 for non-members. Health inequalities are differences in health across the population and between different groups in society that are systematic, unfair and avoidable. General Practice, with its unrivalled access to the heart of communities, has a key role in addressing both causes and consequences of health inequalities in the UK. General Practice is a diverse profession caring for multiple patient populations and the aim of this conference is to move from conversations to actions, improving patient care in these communities. The programme was put together by RCGP Officers, Faculty Education Leads and expert speakers, who are participating throughout the day and will include examples of best practice, relevant guidance and links to useful resources. Learning objectives: Understand the evidence linking ethnicity, protected characteristics, and health outcomes Acknowledge minority patients' perspectives of health and illness Promote the best clinical management within primary care Promote partnerships working with relevant organisations and community assets to improve patient care Areas to be covered: Health inequalities in learning disabilities Health inequalities in South Asian women in the UK Exploring and remediating unconscious bias Tackling health inequalities in African and Caribbean communities Barriers to accessing health services for migrant and ethnic minorities patients Panel discussion: improving screening uptake in minority ethnic groups End of life care and bereavement Pain management in populations with high levels of health inequality Ethnicity and disease Issues affecting the LGBTQIA+ community Keynote Speaker: Professor Kamila Hawthorne MBE, Chair of Council, RCGP Register for the conference
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    This online conference hosted by the Royal College of General Practitioners (RCGP) is free of charge to RCGP members and £200 for non-members. This is the first in a 2-part series of one-day conferences addressing clinical issues arising from health inequalities and demonstrating how GPs can positively influence health inequalities as practitioners and community leaders. Health inequalities are differences in health across the population and between different groups in society that are systematic, unfair and avoidable. General Practice, with its unrivalled access to the heart of communities, has a key role in addressing both causes and consequences of health inequalities in the UK. General Practice is a diverse profession caring for multiple patient populations and the aim of the conference is to move from conversations to actions, improving patient care in these communities. This programme was put together by RCGP Officers, Faculty Education Leads and expert speakers, who are participating throughout the day and will include examples of best practice, relevant guidance and links to useful resources. Learning objectives: Understand the evidence linking ethnicity, protected characteristics, and health outcomes Acknowledge minority patients' perspectives of health and illness Promote the best clinical management within primary care Promote partnerships working with relevant organisations and community assets to improve patient care Areas to be covered: Incorporating health inequalities into training portfolios Migrant health and asylum seekers in hotels Black women with period issues or fertility concerns Health in gypsy and traveller communities Language discrimination Ramadan clinical management Trans health Social prescribing as a tool for tackling health inequalities Mental health Improving the health and well-being for communities in deprived areas Keynote speaker: Dr Margaret Ikpoh, RCGP Vice Chair Professional Development Register for the conference
  14. Content Article
    In the USA, Accreditation Council for Graduate Medical Education (ACGME) work-hour restrictions (WHRs) are intended to improve patient safety by reducing resident doctor fatigue. However, compliance with ACGME WHRs is not universal. This study aimed to identify factors that influence resident doctors' decisions to take a post-call day (PCD) off in line with ACGME WHRs. The authors concluded that as most important influencer of residents’ decisions to take a PCD off was related to feedback from their supervisors, compliance with WHRs can be improved by focusing on the residency program’s safety culture.
  15. Content Article
    This article in The Lancet examines the role of national public health institutes (NPHIs) in dealing with health emergencies in the Eastern Mediterranean region. NPHIs are science-based organisations or networks concerned with public health functions in countries. The Covid-19 pandemic highlighted the importance of NPHIs and their potential in future emergency preparedness and response (EPR). A 2022 global review acknowledged the contribution of more than 13 NPHIs in the Eastern Mediterranean region during the pandemic and called for more clarity on the future role of NPHIs in EPR. These NPHIs have different governance models, organisational mandates, capacities and links within national and global systems—and this complexity raises questions about how they should best be engaged in EPR.
  16. Content Article
    Contemporary general practice includes many kinds of remote encounter. The rise in telephone, video and online communication for triage and clinical care requires clinicians and support staff to be trained, both individually and as teams, but evidence-based competencies have not previously been produced for general practice. This study aimed to identify training needs, core competencies and learning methods for staff providing remote encounters.
  17. Content Article
    Patients treated and transported by Helicopter Emergency Medical Services (HEMS) are prone to both flight and medical hazards, but incident reporting differs substantially between flight organisations and healthcare, and the extent of patient safety incidents is still unclear. This study in the Journal of Patient Safety is based on in-depth interviews with eight experienced Norwegian HEMS physicians from four different bases from February to July 2020. The study aimed to explore the physicians’ experience with incident reporting and their perceived areas of risk in HEMS. The authors concluded that sparse, informal and fragmented incident reporting provides a poor overview of patient safety risks in HEMS. A focus on organisational factors and system responsibility is needed to further improve patient safety in HEMS, alongside research on environmental and contextual factors.
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    This breakfast with Professor Bola Owolabi will look at taking a practical, whole system approach to action on health inequalities. Helping system leaders to understand their role in addressing health inequalities. Differentiating between health inequalities, often determined by long-term social and economic issues – and healthcare inequalities in relation to access and outcomes from NHS services. Practicalities for ICSs in enabling core20PLUS5 vision and having tangible impact on health inequalities. The role of business in addressing health inequalities and broader corporate responsibility. Creating actionable insights from the vast pool of health data available. If you are interested in attending, contact lee.davies@publicpolicyprojects.com
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    PPPs 2024 Cancer Care programme kicks off with this report launch webinar on AI in Imaging Diagnostics. While discussions concerning artificial intelligence (AI) have come to dominate public discourse since the launch of ChatGPT last year, in healthcare, AI has been the subject of intense debate for some time. Many of the key talking points that define the debate in healthcare echo that of its wider implications, namely the unintended consequences of unleashing unregulated algorithms across the sector and the potentially profound implications AI could have upon workforces globally. However, it is perhaps in healthcare where AI stands to make its greatest and most positive impact. Healthcare is a data-rich industry, with the treatment of patients leading to the production of vast amounts of medical records, images, lab results, and numerous other data outputs. This multimodal data can be used to train a wide range of AI systems, leading to the development of new, more targeted drug treatments and diagnostic tools, more personalised care, and a more efficient healthcare system. Join an expert panel as they help to launch PPPs newest report exploring what it takes to begin implementing AI at scale in imaging diagnostics in the NHS. Register for the webinar
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    The Birmingham Integrated Care Delivery Forum is taking place on 9 May 2024. Speakers confirmed so far include: Cathy Elliott, Chair, NHS West Yorkshire ICB Pearse Butler, Chair, NHS South Yorkshire ICB Naomi Eisenstadt, Chair, NHS Northamptonshire ICB Amanda Sullivan, CEO, NHS Nottingham and Nottinghamshire ICB Tapiwa Mtemachani, Director of Transformation and Partnerships, NHS Black Country ICB Dr Ananta Dave, Chief Medical Officer, NHS Black Country ICB The Integrated Care Delivery Forum is free to attend for public sector and third sector organisations. Register for the event
  21. Content Article
    The 2021 UK NHS Getting It Right First Time report recommended that a significant proportion of native tissue vaginal prolapse operations should be undertaken as day-case procedures. The evidence for perioperative care, options for anaesthesia and outcomes of day-case vaginal prolapse surgery is limited. This study aimed to establish current practice amongst UK gynaecologists and explore perceived barriers to implementing day-case surgery for pelvic organ prolapse.
  22. Content Article
    There are limited prospective long-term real-world safety data after faecal microbiota transplantation (FMT). This study reported long-term outcomes of FMT from a population-based FMT registry in Hong Kong. The results demonstrate that FMT has an excellent long-term safety profile and the risk of developing new medical conditions beyond 12 months after FMT is low.
  23. Content Article
    The promise of diagnosing conditions early is an exciting one. But there are fears among some health professionals that more screening might not be entirely helpful. In this programme, the BBC's Health Correspondent Matthew Hill finds out whether screening programmes can really help us live both better and longer lives. He asks whether diagnosing conditions decades before they might affect us causes more harm than good. He also examines what lessons from the past could tell us about the current surge in screening and considers some of the dilemmas it might present us with.
  24. Content Article
    This report by the Institute of Health Equity (IHE) highlights that a million people in 90% of areas in England lived shorter lives than they should have between 2011 and the start of the pandemic. Using several published ONS data sources, calculations were made from the number of excess deaths in the decade from 2011 in England. The report's findings add to evidence about the cumulative impact of regressive funding cuts associated with austerity on the population's health. As a result of austerity, life expectancy failed to increase, and actually fell for women in the 10% of poorest areas, and health inequalities widened.
  25. Content Article
    Ileostomy is a common treatment option for various gastrointestinal conditions. This study in Surgery aimed to examine how receiving care at different facilities might increase the risk of post-discharge complications and readmission following ileostomy. The authors used a national cohort to explore the associations of care fragmentation among ileostomy patients experiencing adverse outcomes and increased hospitalisation.
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