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Patient_Safety_Learning

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Everything posted by Patient_Safety_Learning

  1. News Article
    For the past 16 years, I have run a small community pharmacy in rural west Dorset. My business is older than me – the little yellow-brick building I own is about to turn 235. Right now, I am really concerned about it getting through the next 12 months. In my years as a pharmacist, I have never seen things as bad as they are at the moment. We are going through a period of rampant drug shortages in England, caused by global shortages, the NHS’s insistence on paying unsustainably low prices for medicines and Brexit, among other things, and people are on the brink. Long gone are the days when customers could place a prescription order safe in the knowledge their life-saving medication would arrive the next day. Read full story Source: Guardian, 17 May 2024
  2. Content Article
    The Royal Pharmaceutical Society want to hear from patients and/or their carers about the impact that medicines shortages have had on your lives. They would appreciate you taking the time to tell them of your experiences, by completing the following questionnaire. The questionnaire should take approximately 15-20 minutes to complete.
  3. News Article
    Hundreds of senior doctors have been driven out of their jobs in the NHS after raising concerns about patient safety, a campaign group has claimed. The senior consultants say managers of NHS trusts employ a playbook of “dirty tricks” to sack whistleblowers or force them to move trusts or take early retirement. Justice for Doctors (JFD), which represents 140 whistleblowing doctors, claims some have been forced to sell their homes to pay legal fees, had their careers destroyed and had been pushed to the brink of suicide. Read full story (paywalled) Source: The Times, 16 May 2024
  4. News Article
    Hospitals are struggling to treat more people despite higher funding and extra staff because thousands more patients are stranded on wards with nowhere to go, an internal review has concluded. Read full story (paywalled) Source: The Times, 16 May 2024
  5. Content Article
    This study, published in Human Factors in Healthcare, applied a human factors approach through the Systems Engineering Initiative for Patient Safety (SEIPS) model to inform the design of community cardiac diagnostic services, focusing on workforce design and the potential role of cardiac physiologists. The study setting was a cardiology department at a community hospital. Data were collected through observations, interviews and focus groups. Data were analysed using SEIPS and Thematic Analysis.The analysis revealed three overarching design considerations: (1) Promoting professional growth and autonomy for the cardiac workforce in the community. (2) Focusing on the needs of patients in the community, including accessibility and communication. (3) Facilitating communication across organisational boundaries, particularly between CDCs and General Practitioners (GPs).
  6. News Article
    NHS managers are destroying the careers of whistleblowers who raise concerns about patient safety, a group of medics warns. More than 50 doctors and nurses have told The Telegraph they have been targeted after raising concerns about upwards of 170 patient deaths and nearly 700 cases of poor care. One consultant described it as “the biggest scandal within our country” and said the true number of avoidable deaths was “astronomical”. Read full story (paywalled) Source: Telegraph, 18 May
  7. News Article
    'There are literally thousands of us out there who have suffered just for trying to do the right thing.' Former Consultant Urological Surgeon, Peter Duffy, explains the extent NHS bosses are going to, to silence whistleblowers who are standing up for patient safety. Watch full story Source: GB News Related reading: NHS bosses destroy careers of whistleblowers who stand up to protect patients’ lives - News - Patient Safety Learning - the hub (pslhub.org)
  8. News Article
    Jeremy Hunt will approve final compensation for the victims of the contaminated blood scandal this week after a Sunday Times campaign for justice was backed across the political divide. The chancellor is preparing to unveil a package worth at least £10 billion for those affected by the deadliest man-made disaster in postwar Britain. Tens of thousands of people were treated with disease-ridden blood products from the United States in the 1970s and 80s. Read full story (paywalled) Source: The Times, 19 May
  9. News Article
    Some of the country’s largest trusts could be left without a safety incident reporting system when NHS England removes the existing solution next month, HSJ has learned. NHSE has put around 37 trusts on a “red list” for failing to move to the new learning from patient safety events service. They remain on the historic national reporting and learning system, which national leaders describe as ” liable to irretrievable failure at any time” and plan to shut down in June. NHSE has warned those providers – including University Hospitals Birmingham and University College London Hospitals foundation trusts – that they will be in breach of their licence if they fail to make the switch. Read full story (paywalled) Source: HSJ, 20 May
  10. News Article
    Matthew Sayed argues that, as other nations offered compensation, we dithered and delayed for decades in yet another very British travesty. Read full story Source: The Times, 18 May 2024
  11. Community Post
  12. Content Article
    In an increasingly global healthcare environment, with patients and professionals from many different cultural and linguistic backgrounds, precision in medical document translation is key. Medical documents can range from patient records, patient information leaflets, consent forms, prescriptions, treatment plans to research papers. The translator must have a thorough understanding of the source text and subject matter in order to produce a high-quality target document and ensure patients receive accurate information. But this can come with patient risk, if not done properly. In this blog, Melanie Cole, Translations Coordinator at EIDO Systems International, talks about the challenges, risks and opportunities for using AI in healthcare translation. 
  13. Event
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    The First Do No Harm All Part Parliamentary Group meeting is on 21 May 10-11am via Teams (capacity is up to 1000 people). There will Update on financial redress and Q&A. Speakers: Jason Farrell - Sky journalist behind the documentary Primodos: The secret drug scandal Patient Safety Commissioner - Henrietta Hughes Henrietta will be talking about the report she has written titled "Options for redress for those harmed by valporate and pelvic mesh", following it's publication in February this year. To join the meeting: Meeting ID: 357 367 879 202 Passcode: R8Yos4 Dial in by phone: +44 20 3321 5213 Phone conference ID: 14499851#
  14. Content Article
    In this blog, Dr Henrietta Hughes, Patient Safety Commissioner, talks about the 6th Global Ministerial Health Summit in Santiago, Chile. She reflects on how it was a great opportunity to hear from global partners about progress in patient safety and innovations to embed patient voice.
  15. News Article
    A weight loss injection could reduce the risk of heart attacks and benefit the cardiovascular health of millions of adults across the UK, in what could be the largest medical breakthrough since statins, according to a study. It found that participants taking the medication semaglutide, the active ingredient in brands including Wegovy and Ozempic, had a 20% lower risk of heart attack, stroke, or death due to cardiovascular disease. Read full story Source: Guardian, 14 May 2024
  16. Content Article
    This insightful session was inspired by Louise Roe's blog "Why it made sense at the time: Local rationality questions for healthcare investigations". In this webinar from Maternity and Newborn Safety Investigations (MNSI), participants explored the importance of how questions are asked, the local rationality principle, how the local rationality question tool was developed, putting the tool into practice, and had a Q&A session.
  17. Content Article
    Patient (Lived Experience) Leadership is about those affected by life-changing illness, injury or disability who want to influence change through being equal partners in decision-making. In this monthly expert briefing for Health Service Journal, patient leadership champion David Gilbert picks out the most significant developments in a field of increasing relevance to the NHS. 
  18. News Article
    The government is spending £5.5bn less on health in England than it suggested it would be at this stage, the Institute for Fiscal Studies says. Plans set out in the 2019 election campaign indicated the budget would increase by 3.3% a year above inflation during this Parliament, the IFS said. But despite extra being put in to cover the high inflation seen, spending had risen by only 2.7% a year on average. Read full story Source. BBC News, 14 May 2024
  19. News Article
    An NHS England review has found the proportion of ‘low acuity’ patients attending emergency departments is far smaller than expected. During a trial of new acuity measures at 17 accident and emergency sites, NHSE found the proportion of patients with low acuity was just 4 per cent, when it had expected the figure to be between 20 and 40 per cent. Low acuity cases are those which could often be seen by less specialist services, such as urgent treatment centres. Read full story (paywalled) Source: HSJ, 13 May 2024
  20. Content Article
    Pharmacies in the UK dispense millions of prescription items each year. Since 2021 there have been reports of increasing supply problems affecting medicines. Recent media coverage has highlighted shortages of medicines used to treat diabetes, attention deficit hyperactivity disorder (ADHD) and epilepsy, as well as hormone replacement therapy (HRT) and others. This briefing provides information on the causes and consequences of medicines shortages in the UK and internationally, and the UK Government’s approach to address supply problems.
  21. Content Article
    On 9 January 2024, the All-Party Parliamentary Group (APPG) on Birth Trauma established the first national inquiry in the UK Parliament to investigate the reasons for birth trauma and to develop policy recommendations to reduce the rate of birth trauma. Seven oral evidence sessions took place on consecutive Mondays between 5 February and 18 March 2024 in the House of Commons. The Inquiry was also informed by written submissions which were received following a public call for evidence. The inquiry received more than 1,300 submissions from people who had experienced traumatic birth, as well as nearly 100 submissions from maternity professionals. It also held seven evidence sessions, in which it heard testimony from both parents and experts, including maternity professionals and academics.
  22. Event
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    This is a follow-up Q/A session to Deloitte's successful "Safer Electronic Patient Record Implementation" webinar which took place on 18th April. Join us on May 23rd as our expert panellists, with first-hand experience in large-scale EPR implementations, answer some insightful questions. Don't miss this opportunity to deepen your understanding for a successful EPR Go-Live. Please join on Thursday 23 May 4.30pm - 5.30pm as expert panellists who have extensive real-world experience in large-scale EPR implementations, answer your thought-provoking questions. Just register on this link: https://deloi.tt/3UdjH8v Webinar Host: Dr Karen Kirkham, Chief Medical Officer, Deloitte UK The Speakers: Dr Cormac Breen, Chief Clinical Information Officer, Guy's and St Thomas' NHS Foundation Trust Jacqui Cooper, RN Chief Nursing Information Officer, Health Innovation Manchester Professor Henry Morriss, Chief Clinical Information Officer, Manchester Royal Infirmary, Consultant Emergency and Intensive Care Medicine Dr Afzal Chaudhry, Executive Chief Clinical Information Officer, Epic Frances Cousins, Digital Health Lead, Deloitte UK
  23. News Article
    Patients in part of the East of England are choosing to begin palliative care over cancer treatment because of prohibitive travel times and costs to get to the nearest specialist centre, a local system leader has warned. The Bedfordshire, Luton and Milton Keynes Integrated Care Board CEO said delays to a proposed £400m project, which includes creating “satellite” treatment centres on its patch, was therefore putting lives at risk and widening inequalities. Read full story (paywalled) Source: HSJ, 13 May 2024
  24. Content Article
    Conflicts of interest inherent in industry funding can bias medical research methods, outcomes, reporting and clinical applications. This study, published in Europe PMC, explored the extent of funding provided to American physician researchers studying surgical mesh used to treat uterine prolapse or stress urinary incontinence, and whether that funding was declared by researchers or influenced the ethical integrity of resulting publications in peer reviewed journals.Authors conclude that journal editors' guidelines re declaring conflicts of interest are not being followed. Financial involvement of industry in mesh research is extensive, often undeclared, and may shape the quality of, and conclusions drawn, resulting in overstated benefit and overuse of pelvic mesh in clinical practice.
  25. News Article
    Before Sara Smythe began to disappear, she was thriving. The youngest of four sisters, Sara was born with Down syndrome and lived the life of an active teen. At 13, the Toledo student was heading to middle school and loved soccer and swim practice, took dance and karate classes, and was a Girl Scout. But in 2011, everything changed in a matter of weeks. Sara morphed from a sociable teen to a person who stopped talking and engaging with other people, and, at her worst, had full-blown catatonia. Sara’s doctors were at a loss, but her mother, Eileen Quinn, wasn’t giving up. She embarked on what would become a 13-year quest, harnessing the power of a mother’s love to push the scientific community to pay attention to the mysterious regressions that some young people with Down syndrome were experiencing. Read full story (paywalled) Source: Washington Post, 12 May 2024
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