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Found 1,234 results
  1. Content Article
    In July 2022, HSIB launched a national investigation into the safety risk of clinical investigation booking systems failures. Specifically, the investigation explores the use of paper or hybrid booking systems and the production of appointment letters. This interim bulletin highlights a safety risk identified by the investigation and presents a safety observation for the attention of NHS care providers. Some vital NHS services still use paper-based or hybrid systems, which may have been developed over time and could leave unintended gaps where patients can be lost in the system. The reference case for this investigation is the experience of a patient whose magnetic resonance imaging (MRI) scan was not rescheduled following a cancellation, leading to a delay in the diagnosis of cancer. Hybrid systems were in use, which did not assist staff to keep track of patients. Additionally, the hybrid systems in use did not allow appointment letters in non-English languages to be produced.
  2. Content Article
    In this blog, Judy Walker, Senior Business Consultant at iTS Leadership, describes an After Action Review (AAR) that took place at a large London hospital following the first wave of Covid-19. As part of the AAR, Emergency Department porter Aaron described his experience of the first Covid 19 surge—wheeling large numbers of patients who had died through an empty hospital. Judy describes the value of staff listening to different perspectives as a way to reflect on their own experiences and understand the impact events have on different individuals. She highlights the importance of listening to the process of learning for individuals and teams.
  3. News Article
    In order to avoid risk of having adverse drug reactions capable of prolonging the treatment period in the health facilities in Nigeria, experts have advocated the empowerment of patients to know the drugs being administered on them. The call was made when the Occupational Health and Safety Managers in Nigeria commemorated the Work Patient Safety Day with the National Orthopaedic Hospital Igbobi, NOHI, Speaking at the programme aimed to advocate patient safety to members of staff of the NOHI with the theme: Medication Safety with the slogan ‘MEDICATION WITHOUT HARM’, the Director of Nursing services, NOHI, Mrs Temidayo Rasaq-Oyetola, said where there is no medication safety, patient is at the risk of having adverse reaction that can prolong his or her treatment period. She said: “Patients have the right to know their drugs and seek for clarification when necessary. “Where there is no medication safety, patient is at risk of having adverse reaction that can prolong the treatment period. “Patient’s safety should be every stakeholder’s priority that will lead to delivery of efficient health care and best patient outcome. Also, every health institution should ensure medication safety with series of checks.” Read full story Source: Vanguard, 23 September 2022
  4. News Article
    Mental health professionals have unveiled a "toolkit" to help school nurses support pupils with eating disorders. Bath-based campaigner Hope Virgo developed the strategy with the School and Public Health Nurses Association (Saphna) after a rise in cases. The toolkit aims to equip school nurses with techniques to discuss eating disorders, and also "what not to say". Ms Virgo has called on the government to deal with the backlog those waiting for treatment, which totalled 1,946 at the beginning of March, data from eating disorder charity Beat shows. Sharon White, Saphna's chair, said the organisation had been promoting the toolkit among its members. "We can't solve the huge waiting lists and reduced services, but what we can do is inform ourselves better," she said. The toolkit provides "the hints, the tips, the language, the stock phrases, and importantly, what not to say", Ms White added. The Department of Health and Social Care has been supportive of the scheme, Ms White said, adding it may adopt it as part of its own guidance in future. Read full story Source: BBC News, 17 October 2022 Read a recent blog Hope Virgo wrote for the hub: People with eating disorders should not face stigma in the health system and barriers to accessing support in 2022
  5. Content Article
    This book published by the US Food and Drug Administration (FDA) looks at risk communication—the communication approach used for situations when people need good information to make sound choices. It is distinguished from public affairs (or public relations) communication by its commitment to accuracy and its avoidance of spin. Effective risk communication between healthcare professionals and patients is important to ensure patient safety, and in various chapters of the book, the authors look at how to maximise effective communication in healthcare scenarios.
  6. Content Article
    This video, produced by My Life Choices and NHS Nottingham and Nottinghamshire, encourages patients to ask questions when accessing healthcare.
  7. Content Article
    Earlier this month, 13 leaders shared thoughts in NEJM Catalyst on how healthcare organisations can get more strategic around patient safety and quality improvement - an area that has seen renewed attention after COVID-19-related setbacks. Several themes emerged across leaders' responses, namely the need for more proactive approaches to mitigate risk and intervene, rather than reviewing and assessing harms after they occur.  University Hospitals nurses are leading the charge to do just that by embracing the adoption of artificial intelligence to make daily safety huddles more actionable. Read the full article, published by Becker's Hospital Review via the link below.
  8. Content Article
    Whether beginning a new effort or trying to keep people motivated to better prepare for future hazards, applying risk communication principles will lead to more effective results. This self-guided module introduces seven best practices, numerous techniques, and examples to help you improve your communication efforts. Please note that this training focuses on improving risk communication skills for coastal hazards planning and preparedness, however the principles can be adapted for any setting, including healthcare.
  9. Content Article
    Study into patient attitudes and perspectives related to viewing immediately released test results through an online patient portal. In this survey study of 8139 respondents at four US academic medical centres, 96% of patients preferred receiving immediately released test results online even if their healthcare practitioner had not yet reviewed the result. However a subset of respondents experienced increased worry after receiving abnormal results.
  10. Content Article
    This 'Kindness in healthcare' website is the home for ‘conversation for kindness’, which is a monthly meeting that was set up in the summer of 2020 by a group of colleagues and friends working in healthcare across Sweden, the UK and the USA. The initial purpose of getting together was to have some time together to continue some initial conversations around kindness, and to explore its role at the ‘business end’ of healthcare. As the conversation has developed, interest in this work has grown and it now has contributors from almost 30 different countries across the globe. The monthly virtual call takes place the 3rd Thursday of every month (6-7pm GMT) and its focus is on listening, learning, thinking differently and mobilising for action It's an open culture of sharing of resources, energy and ideas.
  11. Content Article
    Sam Freeman Carney, Health Policy and Improvement Lead at Parkinson's UK, explains how critical it is that people with Parkinson’s get their medication on time and how, on World Parkinson’s Day last year, a group of healthcare professionals who live with Parkinson’s themselves decided to take action.
  12. Content Article
    In this BMJ article, consultant in geriatrics and acute medicine David Oliver describes his experience of being an inpatient in the hospital he works in. He talks about how his three-day admission with respiratory syncytial virus and pneumococcus has given him a better understanding of what patients experience in hospital. He describes how lack of privacy, poor quality food and noise affected him during his stay as an inpatient. He also highlights that although all staff were professional and kind, they were clearly overworked and unable to focus on more 'minor' concerns that patients have.
  13. Content Article
    In this podcast, Care Opinion Chief Executive James Munro speaks to Alex Gillespie and Tom Reader of the Department of Psychological and Behavioural Science at LSE about their research paper 'Online patient feedback as a safety valve: An automated language analysis of unnoticed and unresolved safety incidents'. Their research analysed over 146,000 stories on Care Opinion using an automated machine-learning approach. Key findings included: automated analysis can reliably detect patient safety issues reported by patients. online patient safety concerns are associated with hospital level mortality. staff reported patient safety concerns are not associated with hospital level mortality.
  14. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Lesley talks to us about how personal stories enrich our understanding of data, drive real quality improvement and remind us that healthcare is all about people. She also explains how her own personal experience drives her work to improve healthcare experiences for patients and their families.
  15. Content Article
    This report outlines the results of the Patient Information Forum's (PIF's) 2022 survey and sets out progress made in the crucial areas of health and digital literacy since the Covid-19 pandemic.
  16. Content Article
    The concerns that health and care workers and the public share with the Care Quality Commission (CQC) about health and care services are critical to its work. It is also vital that CQC listens to its own staff. This review explores whether there are areas of culture or process within CQC that need to be improved in relation to listening, learning, and responding to concerns. The review focused on these key areas: Organisational findings Reviewing how well we listen to whistleblowing concerns. Reviewing our Freedom to Speak Up policy. Learning from the tribunal case. Reviewing how we listen to our staff. Reviewing the expectations and experiences of people who raise concerns with us.
  17. Content Article
    This tool from the Parkinson's Association of Ireland allows people with Parkinson's to record their essential medical information in an easy to access format, should they need assistance or medical treatment. It includes: information about the physical symptoms of Parkinson's, including how it affects speech and movement. instructions on how to interact with the person if they are having difficulty communicating. personal details and emergency contacts details of medications and treatments the person is taking.
  18. Content Article
    A key priority for all involved in the development, manufacture and prescription of medicines is safety. To keep patients safe, regulators and pharmaceutical manufacturers have a statutory obligation to provide product information covering the most important instructions on how to take medicines correctly. This report by Kent Surrey Sussex Academic Health Science Network (AHSN) outlines the findings of a project around the accessibility of medication information. Patients, carers, healthcare professionals (HCPs) and senior healthcare system stakeholders were asked what they think about current medicines product information, and if it could be improved using digital solutions.
  19. Content Article
    Can you imagine the distress of going to hospital for an operation and having to return to theatre to have forceps removed because they were left inside your abdomen. Or going in for a left hip operation because of years of agonising pain and waking up to find out they had operated on your good hip. Or having surgery to preserve your ovaries — but they are accidentally removed. Or, worst of all, realising you have had a procedure intended for a different patient. Fanciful stories made up for a TV drama? Sadly not. These were just some of the awful mishaps that occurred in hospitals in England over the space of just ten months. Professor Rob Galloway, writing for the Daily Mail, shares his tips on what patients can you do to protect themselves.
  20. Content Article
    Cincinnati Children’s Hospital Medical Center believes all patients and their families have a right to receive medical information in their preferred language. Andy Schwieter from Cincinnati Children’s shares how his organisation supports the diverse languages of the community they serve through improved communication.
  21. Content Article
    This editorial in BMJ Quality & Safety argues that patients' perceptions of their safety should not be dismissed when measuring healthcare safety. The authors argue that a differentiation between ‘feeling safe’, as defined through patient experience, and ‘being safe’, as defined through observation and evaluation using clinical outcomes selected by quality experts, creates a power differential and dynamic that degrades the role and value of patient experiences as valid patient safety indicators.
  22. Content Article
    In this article, Bevan Brittan Trainee Solicitor Angus Kirkwood draws on his past experience working as a physiotherapist whilst discussing the topic of informed consent in medical practice. Informed consent is a key issue in medical practice. In this article, he briefly consider the law around informed consent and reflects on his previous experience working as a physiotherapist for 7 years to explore the challenges in clinical practice. Angus concludes by providing some practical advice designed to assist practitioners with meeting their legal duties.
  23. Content Article
    Research on maternity care often focuses on factors that prevent good communication and collaboration and rarely includes important stakeholders – parents – as co-researchers. To understand how professionals and parents in Dutch maternity care accomplish constructive communication and collaboration, Korstjens et al. examined their interactions in the clinic, looking for “good practice”.
  24. Content Article
    Nuffield Trust’s fifteenth annual Summit took place in March 2023. These videos feature highlights of the speaker sessions: Diagnosing the NHS Priorities in social care Community and rehabilitation services - the key to easing gridlock? Addressing inequalities in general practice - politics, policy and reality Solving the workforce burnout crisis Improving communication between the NHS and the public Changing the centralised culture of the NHS
  25. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Isabela shares how her experience of losing her baby daughter to avoidable harm in 2006 led to her involvement in patient safety advocacy. She talks to us about the vital role of patient campaigners in driving the movement to reduce avoidable harm, and why we need to shift from patient inclusion to belonging in order to improve patient safety.
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