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Sam

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  1. Event
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    AHIMA has helped chart the future of healthcare in the Middle East since 2016. Health information is at the core of every patient interaction and paves the way forward for healthcare transformation. The 2021 AHIMA Middle East conference (formerly AHIMA World Conference) will present solutions to challenges facing HIM Professionals, C-Suite decision makers, innovators and influencers responsible for improving patient outcomes. Attend this event to uncover new ideas, learn from peers and trusted experts, acquire new practices and lead your team to the next level. If you haven't registered yet (since last day for free registration was 17 March) you can still receive a 25% discount. Email info@pslhub.org for discount code. Register
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    A panel discussion set to uncover the secrets for creating a winning business case and managing your stakeholders effectively. Panel, all of whom have a wealth of experience with business cases: Jonathan Hazan, Chairman of Patient Safety Learning Hayley Grafton, CNIO at The Royal Marsden Suraya Quadir, Senior Pharmacist at The Royal Marsden Emma James, Associate Director of Finance - Procurement at Nottingham University Hospitals NHS Trust Register
  3. Content Article
    As part of the NHS family, NHS Supply Chain is prioritising patient and user safety as a core part of their approach to supplying clinical products to the NHS by raising standards and effective partnership working. Jonathan Devereux, Head of Safety and Innovation, heads up a small team focused on driving proactive action on safety complaints, building an innovation pathway and ensuring they drive safety into the agenda for future procurement. In this article for the National Health Executive he explains the work the clinical and product assurance team are doing.
  4. Content Article
    The cornerstone of good general practice has long been recognised as lying in the quality of the relationship between doctor and patient. This focus on the interaction between GP and patient has been further reinforced in recent years by increasing attention on the patient’s experience of healthcare encounters.  However, pleasing the patient is not always consistent with providing good-quality care. GPs are well aware that patients may demand an antibiotic when it is not judged clinically appropriate. The aim of this study from Ashworth et al. was to determine the relationship between antibiotic prescribing in general practice and reported patient satisfaction. The results found that patients were less satisfied in practices with frugal antibiotic prescribing. A cautious approach to antibiotic prescribing may require a trade-off in terms of patient satisfaction.
  5. Content Article
    Global healthcare systems are wrestling with the management of an increase in people requiring care in complicated diseases. Supporting patients with long term chronic conditions such as endometriosis has become an even more difficult task than before the pandemic. One in 10 women are reported to have endometriosis, and it is imperative that this is discussed as part of women’s health. Gayathri Delanerolle lived with endometriosis for over 25 years and has first hand experience of some of the associated problems which she discusses in this BMJ Opinion article,
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    Perspectum has launched the first study to map how COVID-19 impacts the health of multiple organs and identify at-risk features for the virus, with detailed cross-sectional imaging and genetic studies. This study is on the National Institute for Health Research (NIHR) Portfolio. Join COVERSCAN for the next live Q&A webinar. Any questions you'd like answered, send to: Perspectum.Communications@perspectum.com Register for study participant Q&A
  7. Content Article
    Medication reconciliation broadly defined includes both formal and informal processes that involve the comprehensive evaluation of a patient’s medications during each transition of care and change in therapy. The medication reconciliation process is complex, and studies have shown that up to 91% of medication reconciliation errors are clinically significant and 1–2% are serious or potentially life-threatening. The Pennsylvania Patient Safety Reporting System (PA-PSRS) identified 93 serious events related to the medication reconciliation process reported between January 2015 and August 2020.
  8. Event
    This Global Health Compassion Rounds will explore the role and value of compassionate leadership in global health settings and how it can drive quality of care improvements. Register
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    The NHS standards for patient safety investigation recognise a need to better train and professionalise incident investigation in the NHS. Simulation is commonly utilised to improve the technical and non-technical skills of clinical staff in the NHS and forms part of professional investigation training and practise within other safety critical industries. A scoping review has considered what published work exists in commenting on the use of simulation as a training or practical tool in healthcare incident investigation. There may now be opportunities for healthcare incident investigation to learn from clinical colleagues, and professional investigation colleagues in other safety critical industries, to utilise simulation to help professionalise incident investigation in the NHS. Further information
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    A Q Community webinar on Human Factors in paramedic practice. Register
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    To improve care system performance and staff well-being, there needs to be a focus on the cultural context of work. This Q Community webinar will describe the inter-linked concepts of Safety Culture and Safety Climate with a view to: Promote the importance of exploring safety culture in health and social care services. Raisie awareness of barriers to ‘reliably measuring’ care workforce perceptions of safety culture. Introducing discussion cards, adapted for health and social care teams, as a practical, meaningful approach to understanding aspects of safety culture. Information Register
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    What do you need to know to be safe at work? We all have different roles in healthcare to provide clinical care and treatment; support services, maintenance, purchasing, communication and IT support. Some of us are employed to provide specific safety information and advice (e.g. fire safety, infection prevention). This webinar from the Q Community will introduce an accredited learning pathway for everyone. Level 1 (one hour online e-learning) introduces a new way of thinking about safety using Human Factors. Level 2 & 3 introduce more detail and integrate capabilities from the National Patient Safety Syllabus. By Level 3, you could be a Technical Specialist (Healthcare) with the Chartered Institute of Ergonomics & Human Factors. Further information Register
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    This Q Community session: Introduces the concepts and origins of ‘never events’ and ‘zero harm’ as safety interventions. Explores and debates the usefulness of ‘never event’ and ‘zero harm’ initiatives as effective safety management strategies in healthcare. Reflects on and considers alternative approaches to managing risks of serious harm to as low as reasonably practicable. Further information Register
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    The Chartered Institute of Ergonomics and Human Factors (CIEHF) recently published a White Paper on ‘Learning from Adverse Events’. Based on nine principles, the paper presents the basis of what the Institute considers Human Factors good practice in investigating and learning from adverse events. The emphasis on learning, rather than liability, has a number of important implications, not least in the nature of the evidence needed to support decisions and actions. This Q Community webinar will explain the background to the paper and introduce each of the nine principles. The following discussion will consider the extent to which current practice in healthcare compares with CIEHF best practice. Further information Register
  15. News Article
    Women and girls in England are being asked to share their experiences of the health system as part of a government strategy to address inequalities. Ministers say there is "strong evidence" services for female patients need improving. Fertility, maternity and menopause care are among the areas to be discussed. Campaigners say they are "delighted" steps are "finally" being taken to close the so-called "gender health gap". While women in the UK have a longer life expectancy than men, the Department for Health and Social Care says they are spending less of their life in good health. Nadine Dorries, minister for women's health, said: "Women's experiences of healthcare can vary and we want to ensure women are able to access the treatment and services they need. "It's crucial women's voices are at the front and centre of this strategy so we understand their experiences and how to improve their outcomes." Studies suggest gender biases in clinical trials are a contributing factor. Less is also said to be known about many female-specific conditions and how to treat them. Patients have repeatedly reported to the BBC that they have felt overlooked when talking to doctors about conditions like endometriosis or complications following a pelvic mesh repair. Read full story Source: BBC News, 6 March 2021
  16. News Article
    A regulator has admitted “concerns” over the software Babylon Healthcare uses in one of its digital health solutions and is exploring how to address this. The Medicines and Healthcare products Regulatory Authority’s (MHRA) concerns relate to Babylon’s symptom checker “chatbot” tool. This is used by thousands of patients, including those registered with digital primary care practice GP at Hand. Two senior figures within the agency set out the MHRA’s concerns about the tool in a letter, seen by HSJ, which was sent to consultant oncologist David Watkins following a meeting between the parties last October. Dr Watkins has raised doubts over the tool’s safety for several years, including repeatedly documenting alleged flaws in the chatbot through videos posted online. However, last year, Babylon said only 20 of Dr Watkins’ 2,400 tests resulted in “genuine errors” being identified in the software. In the letter, dated 4 December, the MHRA’s clinical director for devices Duncan McPherson and head of software related device technologies Johan Ordish said Dr Watkins’ “concerns are all valid and ones that we share”. In the letter to Dr Watkins, the two MHRA directors also said the regulator is further exploring some of the issues highlighted and the work could “be important as we develop a new regulatory framework for medical devices in the UK”. Read full story (paywalled) Source: HSJ, 4 March 2021
  17. News Article
    Patients with learning disabilities were pushed and dragged across the floor while others had their arms trapped in doors by staff working at a private hospital, the care watchdog has found. The Care Quality Commission said instances of abuse caught on CCTV had now been reported to police and staff working at St John’s House, near Diss in Norfolk, have been suspended. Police have said no further action will be taken. The regulator has rated the home, part of The Priory Group, inadequate and put it into special measures after inspectors found a string of failures at the 49-bed home during an inspection in December. According to the CQC’s report, inspectors reviewed CCTV footage of seven patient safety incidents between August and December last year. This showed “issues such as prolonged use of prone restraint, a patient being dragged across the floor despite attempting to drop their weight, a patient being pushed over and the seclusion room door trapping a patients arm and making contact with a patient’s head when closed”. The report said that although some staff had been suspended the hospital had not reported all the incidents to the police or the local council. It added: “Following CQC raising this as a concern, the provider has now reported incidents to the police, the safeguarding team and has suspended further staff pending investigation.” Read full story Source: The Independent, 5 March 2021
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    The NHS spends £8.3 billion a year treating chronic wounds on an estimated 3.8 million people, according to the recently updated study evaluating the “Burden of Wounds” to the NHS. Costs have increased by 48% in the five years since the study was first published and the overwhelming majority of this burgeoning demand, around 80% of the caseload, impacts on community healthcare. This webinar will explore the “Burden of Wounds” with study author Julian Guest and consider how digital wound management solutions can relieve pressure and improve outcomes. We’ll see case studies from community nurses, hear the patient and staff view through #tvn2gether and the National Wound Care Strategy team will share their long term vision. Chaired by Margaret Kitching MBE, Chief Nurse for NHS England and NHS Improvement’s North East and Yorkshire Region, this conversation brings together leading voices within wound care to discuss new strategies for 2021 and beyond. Register
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    Commissioning and the role that commissioners play is changing. Providers and commissioners are increasingly planning services together, and commissioners are working across health and social care. The old ‘purchaser–provider’ split is blurring and what was once a system based on competition is evolving into a system focused on collaboration. Rather than just delivering health services, innovative commissioners are starting to focus their efforts on improving population health.   In addition to this shift, important proposals for legislative changes have been announced that will change the shape and nature of commissioning, and COVID-19 has both disrupted and inspired thinking and planning around the future of commissioning. Join this virtual conference where experts from The King’s Fund and NHS national bodies will explain key developments in health and care commissioning, trying to assess the different ways commissioning will change in 2021 and beyond. Participants will hear from innovative commissioners who are approaching their role in new ways – including new ways of paying for services and new approaches to joint working across clinical commissioning groups and local authorities. Experts from NHS national bodies will share their insights with the audience. This virtual conference is open for four weeks. The content takes place over four half-days in week two. If you are unable to join all of the sessions, you will have two weeks to catch up on demand. Register
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    We all need care at some point in our lives. And as many as 8.8 million of us are already carers. Despite that, in just two years, the number of older people living with an unmet care need has risen by 19%. Why is our care system so neglected? Our care system was in crisis before the pandemic and remains in crisis now. It'll continue to be in crisis long after we're vaccinated against COVID-19. A system under stress, carers under pressure and those in need of care facing neglect. This is our new normal. Can nothing be done about this? Join our host, Claret Press publisher Katie Isbester PhD, and our three guests, as they grapple with the big issues that affect us all. They will talk with Professor of Sociology Dr Emma Dowling and the Director of UNICARE at UNI Global Union Mark Bergfeld, as well as acclaimed writer, with lived experience of care, Sarah Gray. Register
  21. News Article
    More than a dozen NHS patients have stopped breathing and 40 others suffered serious effects after having powerful anaesthetic drugs mistakenly “flushed” into their systems by unsuspecting NHS staff. In one case a man has been left suffering nightmares and flashbacks after he stopped breathing on a ward when a powerful muscle relaxant used during an earlier procedure paralysed him but left him fully conscious. He only survived because a doctor was on the ward and started mechanically breathing for him. An investigation by the safety watchdog, the Healthcare Safety Investigation Branch (HSIB), found there had been 58 similar incidents in England during a three-year period. The mistakes happen when residual amounts of drugs are left in intravenous lines and cannulas and not “flushed” out after the surgery. When the IV lines are used later by other staff the residual drugs can have a debilitating effect on patients. In a new report HSIB said flushing intravenous lines to remove powerful drugs was a “safety-critical” task but that the process for checking this had been done was not being properly carried out, posing a life-threatening risk to patients. It said the use of a checklist by anaesthetic staff can be overlooked when doctors are busy with other tasks and they fail to engage with the process. Read full story Source: The Independent, 4 March 2021
  22. News Article
    NHS England has ordered an independent review into patient safety and governance concerns at an acute trust which had been resisting calls to take this step, HSJ has learned. The intervention at University Hospitals of Morecambe Bay Foundation Trust comes after pressure from staff and local MPs, who believe more extensive investigation is required into cases of patient harm within the trauma and orthopaedics division. The broad issues were first revealed by HSJ in November, with documents suggesting several patients were harmed after leaders failed to act on multiple concerns being raised about a surgeon. The trust has already commissioned one external review. This reported last year and found the service to be riven by “internecine squabbles”. However, the review was overseen by trust executives and the terms of reference were focused on incident reporting and culture within the department. It is understood that some consultants have since been pushing for further investigation into specific cases where patients were harmed, as well as concerns that managers or clinicians who were accused of failing to tackle the issues have since been promoted to more senior positions. Read full story (paywalled) Source: HSJ, 2 March 2021
  23. News Article
    Hospitals across London are racing to tackle a backlog of tens of thousands of urgent operations that need to be carried out in the coming weeks to prevent patients dying or losing limbs, The Independent has learnt. The slow decline in Covid patient numbers means many hospitals across the capital are warning they will still be relying on extra staff, and “surge” beds opened at the height of the crisis, well into March. NHS bosses have been briefed that across the city there are about 15,000 priority two (P2) patients. These are classed as needing urgent surgery, including for cancer, within 28 days, or they could die or be at risk of losing a limb. But the lack of available operating theatres, nurses and anaesthetists mean the city has a shortfall of more than 500 half-day surgical lists a week. The Independent has spoken with multiple NHS insiders and seen briefing documents detailing the challenges facing the capital’s hospitals, which are expected to last up to 21 March in some areas. One briefing warned: “Hospitals have insufficient capacity to meet urgent elective demand for P2. P2 demand is intended to be seen within 28 days, the surge has occurred for over 28 days. Patients who would normally have been seen are waiting longer than clinically advisable." Read full story Source: The Independent, 25 February 2021
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    There are many sources of variation in healthcare that can affect the flow of patients through care systems. Reducing and managing variation enables systems to become more predictable and easier to manage so allowing improvement of quality and safety. To effect successful service improvements, you need to understand the source of variation and use a range of tools to reduce and manage it. This pandemic has provoked the best of human compassion and solidarity, but those who manage our health systems still face extraordinary challenges responding to COVID-19. Looking beyond the crisis, our collective learning about the effects of the large falls in healthcare use can help inform and intensify efforts to reduce unnecessary care. The aim of this webinar is to build a culture of collaborative working across the healthcare workforce and reduce variation to prevent avoidable harm to patients, enhance healthcare equity, and improve the sustainability of health systems everywhere. Register
  25. Event
    WHO Patient Safety Flagship: A Decade of Patient Safety 2020-2030 is pleased to invite you to the first webinar of Global Patient Safety Webinar Series 2021 introducing the “WHO Patient Safety Incident Reporting and Learning Systems: Technical report and guidance” which was released on 17 September 2020, the World Patient Safety Day. This webinar will present an overview of the technical guidance, and the country experiences on implementing and managing the patient safety incident reporting and learning systems. The Global Patient Safety Network Webinar Series 2021 aim at introducing ongoing activities of WHO Patient Safety Flagship, with the objective of sharing knowledge and experiences on important topics on patient safety. This webinar series is open to everyone who has interest in patient safety. Learning objectives Understand the benefit and challenges in implementing patient safety incident reporting and learning systems. Learn about the WHO technical report and guidance on patient safety incident reporting and learning systems. Consider how to set up patient safety incident reporting and learning systems. Register
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