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Patient_Safety_Learning

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Everything posted by Patient_Safety_Learning

  1. Content Article
    Launched in April 2023 by WHO, the Health Inequality Data Repository contains datasets of disaggregated data covering diverse topics and dimensions of inequality, from a variety of publicly available data sources. It aims to make disaggregated data more accessible and navigable to diverse global audiences. 
  2. Content Article
    In January 2023, the Health and Social Care Select Committee opened an inquiry into Prevention. An interdisciplinary group of six academics, clinicians, and a coroner from the University of Oxford, the University of Birmingham, and London made a submission to that inquiry. They made their submission to the Prevention inquiry after reading and analysing more than 4,000 PFDs and working with coroners and bereaved families, which has highlighted that more must be done in health and social care to learn lessons from preventable deaths. Their full submission has now been published which included a table summarising 12 of their research studies relating to preventable deaths and providing recommendations. We have extracted the table which highlights several patient safety concerns and system safety recommendations.
  3. Content Article
    A patient safety intervention was tested in a 33-ward randomised controlled trial. No statistically significant difference between intervention and control wards was found. Authors of this study, published in BMJ Open, conducted a process evaluation of the trial and their aim in this paper was to understand staff engagement across the 17 intervention wards.
  4. Content Article
    This study, published by Health Expectations, aimed to understand what people were doing during the first wave of the pandemic to protect the safety of their health, and the health of others from COVID‐19, and the resilience of the healthcare system.
  5. Content Article
    Patient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. Authors of this study, published in BMJ Quality & Safety, sought to understand the incidence and nature of patient-reported safety concerns in hospital.
  6. Content Article
    In this blog Paul Whiteing, Chief Executive of AvMA, reflects on the recent report by the House of Commons Women and Equalities Committee on Black maternal health. Paul questions why these racial health disparities, that have long been reported on, have been allowed to continue over many decades and highlights the need for more challenging conversations as to wider root causes.   
  7. Content Article
    The Patient Safety Indicators (PSIs) provide information on potentially avoidable safety events that represent opportunities for improvement in the delivery of care. More specifically, they focus on potential in-hospital complications and adverse events following surgeries, procedures, and childbirth. You can find out more about PSIs and access related resources, on the Agency for Healthcare Research and Quality (AHRQ) website via the link below.
  8. Content Article
    ‘Mum… Do you think if I had a wheelchair, I could go into school sometime? Just for a while?’  There have been many lows since my son, Tarka, got Covid in January 2022 but that moment, 2 nights ago, was the moment that broke my heart.  In this blog, Susanna Stanford talks about how Long Covid has left her 15 year old son incapacitated at times, with continued and worsening symptoms affecting his whole body as well as his ability to get on with his life. Susanna argues that the system is not set up to respond to either new symptoms or deterioration in Long Covid patients.
  9. Content Article
    This national primary care clinical pathway for constipation in children guidance supports clinicians in the prevention and management of constipation in children and young people by providing a clear and standardised approach, based on guidelines from the National Institute for Health and Care Excellence (NICE), the British National Formulary for Children (BNFc) and clinical expert groups. The pathway promotes available resources for clinicians, families and other care providers and ensures they are easily accessible, as well as raises the profile of constipation in children and young people with a learning disability as a factor in adult mortality rates.
  10. Community Post
    Do you volunteer your time in a health or social care setting? Volunteers play an important role in many organisations and have valuable perspectives to share. In support of Volunteers Week (1-7 June) we are asking volunteers to share their safety stories. Perhaps you have ideas around how safety can be improved in your field of work - whether that's in a hospice, hospital, charity or care setting. Or you might have been part of a project that has improved safety and would like to share that with others. You can get involved and share your insights by commenting below or by emailing our team at content@pslhub.org To comment below, simply register first for free. It's quick and easy to do.
  11. Content Article
    According to a recent report by Growth Plus Reports, the global female pelvic implants market was valued at US$ 232.50 billion in 2022 and is expected to surpass US$ 318.58 billion by 2031. Request the full report and find out more via the link below.
  12. Content Article
    Their paper, published in BMJ Quality & Safety, examines a key opportunity for patient engagement—the ward round—and investigates the links between patients’ expressed preference to be involved and their observed level of involvement during subsequent ward rounds. The authors report little relationship between the two, concluding that involvement is affected by a range of contextual factors.
  13. Content Article
    A mixed methods study undertaken July 2014 to February 2015, employing expert discussion, consensus and statistical modelling to identify indicators of quality and safety, establish a set of criteria to inform decisions about which indicators were robust and useful measures, and whether these could be used to identify positive deviants. Published in the Journal of the Royal Society of Medicine.
  14. Content Article
    This article, published in the Annual Review of Sociology, reviews popular talk and scholarship about safety culture.
  15. Content Article
    In this presentation from the AD Awareness Day UK 2018, Dr Emma Redfern and Prof Mark Callaway provide a Masterclass in diagnosing aortic dissection in the emergency setting.
  16. Content Article
    Help raise awareness of Aortic Dissection. Download a free poster, leaflet and screensaver from the THINK AORTA campaign and use them in hospital Emergency Departments, Radiology Departments, Ambulance Stations - anywhere healthcare professionals who might see an Aortic Dissection patient can be found.
  17. Content Article
    In this opinion piece for Trust the Evidence, Carl Heneghan and Tom Jefferson draw on data to argue that a 'smokescreen of safety' has long been used in marketing mesh products.
  18. Content Article
    Pregnancy in women with aortic disease can be high risk. However, the risk can be reduced with the right care and planning. This leaflet developed by Aortic Dissection Awareness UK & Ireland, provides advice and guidance for women with aortic disease who are planning on having a baby.
  19. Content Article
    Medicines cause over 1700 preventable deaths annually in England. Coroners’ Prevention of Future Death reports (PFDs) are produced in response to preventable deaths to facilitate change. The information in PFDs may help reduce medicine-related preventable deaths. Authors of this paper, published in Drug Safety, aimed to identify medicine-related deaths in coroners’ reports and to explore concerns to prevent future deaths.
  20. Content Article
    Aortic Dissection is a catastrophic tear in the main artery carrying blood from the heart to the brain, limbs and vital organs. In this webinar, hosted by THINK AORTA, Dr Stephanie Curtis presents on aortic dissection in pregnancy. We also hear from Haleema Saadia, survivor of an aortic dissection, awareness campaigner and Vice-Chair of the National Patient Association for Aortic Dissection.
  21. Content Article
    This recent cohort study, published in Evidence Based Medicine, investigated ‘the risk of transitioning from acute to prolonged use’ of opioid analgesics in patients undergoing elective surgery. Patients given tramadol or long-acting opioids after discharge were at greater risk of prolonged opioid use than those who were given other short-acting opioids.
  22. Content Article
    These NHS leaflets have been produced to help families and carers of people with a learning disability know the signs of constipation and what to do if you think someone is constipated.
  23. Content Article
    The opioid crisis in the United States (US) is one of the most high-profile public health scandals of the 21st century with millions of people unknowingly becoming dependent on opioids. The United Kingdom (UK) had the world’s highest rate of opioid consumption in 2019, and opiate-related drug poisoning deaths have increased by 388% since 1993 in England and Wales. This article, published in the British Journal of Pain, explores the epidemiological definitions of public health emergencies and epidemics in the context of opioid use, misuse, and mortality in England, to establish whether England is facing an opioid crisis.
  24. Content Article
    Since the 1990s, the prescribing of strong pain medicines called opioids has increased in England and most high-income countries. Oxford researchers review the global and national use of opioids and have developed tools to improve patient safety. The core areas of research and their outputs are highlighted in this article published by the Centre for Evidence Based Medicine.
  25. Content Article
    Deaths from opioids have increased in England and Wales, despite recognition of their harms. Coroners’ Prevention of Future Death reports (PFDs) provide important insights that may enable safer use and avert harms, yet these reports involving opioids have not been synthesised. Authors of this commentary, published in the Journal of the Royal Society of Medicine, therefore aimed to identify opioid-related PFDs and explore concerns expressed by coroners to prevent future deaths.
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