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Showing results for tags 'Communication'.
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Content ArticleThis article by the Royal College of Obstetricians & Gynaecologists and The My Body Back Project provides tips for healthcare professionals to make cervical cancer screening attendees feel as comfortable as possible during their appointments. Cervical screening can be very daunting for some women, and for those who have experienced sexual violence it can be triggering and cause emotional distress. The article provides the following tips, with more detailed guidance: Communication – language and listening - build trust by listening and acknowledging rather than downplaying any concerns. A sense of calm – how can you can make the environment feel calm and safe? Share control – Consider how you can demonstrate shared control within the consultation and examination. Position – a good position can make all the difference to their comfort and your ability to visualise the cervix. It’s about time…. Offer a double appointment so there is time to check in, build trust and for the woman or person with a cervix to feel ready to be examined.
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News Article
Coroner concerned with Barts NHS trust after woman 'unlawfully killed'
Patient Safety Learning posted a news article in News
Barts Health NHS Trust has been told to take action to prevent future deaths after an elderly woman was unlawfully killed at one of its hospitals. East London acting senior coroner Graeme Irvine sent a report to the trust in which he raised concerns over the death of 78-year-old Surekha Shivalkar in 2018. The report follows an inquest into Mrs Shivalkar's death, which reached a narrative conclusion incorporating a finding of unlawful killing. A Barts spokesperson said the trust had made a number of changes after carrying out an investigation. Mrs Shivalkar underwent hip replacement revision surgery at Newham Hospital on September 28, 2018 in a procedure estimated to last between four and five hours, the coroner wrote. She had a number of serious conditions, including ischaemic heart disease, osteoporosis and chronic obstructive pulmonary disorder. But Mr Irvine said an inaccurate risk of death of less than 5% was given, as no formal risk assessment tool was used. The surgery took longer than seven and a half hours, during which time Mr Irvine said Mrs Shivalkar sustained a "prolonged and dangerous" period of hypotension, or low blood pressure. He said the anaesthetist failed to communicate this to the surgical team and agreed to prolong surgery at the six hour point. Mr Irvine said: "Poor communication between the orthopaedic surgical team and the anaesthetist during surgery led to a collective failure to identify a critically ill patient." Read full story Source: Newham Recorder, 17 January 2022 -
Content ArticleSurekha Shivalkar was a 78-year-old woman who was scheduled for elective total hip replacement revision surgery. Following surgery she suffered a cardiac arrest and subsequently died. The conclusion of the inquest was that died from multi-organ failure and complications arising during anaesthesia and hip revision surgery, which led to hypotension and hypoperfusion in a woman with ischaemic heart and chronic obstructive pulmonary disease. In his report, the Coroner raises concerns about the lack of a use of a formal risk assessment tool prior to her surgery, communication failures between the orthopaedic surgical team and the anaesthetist and the departure of the Senior Consultant surgeon prior to the surgeries conclusion.
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Content Article'What the HealthTech?' is a podcast from Radar Healthcare. A platform for professionals in health and social care to have open discussions on creating change, tackling challenges and making an impact on people’s lives. Each week Radar Healthcare talk to industry leaders, organisations making a difference and their team of experts to share ideas and learnings with you.
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Content ArticleSurgical morbidity and mortality (M&M) meetings have a central function in supporting services to achieve and maintain high standards of care. Throughout the UK, practices provides advice on the following topics: around the structure and content of M&M meetings vary widely and so does their quality. According to Good Surgical Practice, all surgeons should regularly attend morbidity and mortality meetings as a key activity for reviewing the performance of the surgical team and ensuring quality.
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Content ArticleThis study in the British Journal of General Practice aimed to examine the relationship between empathy and patient-reported satisfaction, consultation quality, and patients’ trust in their physicians. It also sought to determine whether this relationship is moderated by a physician’s gender. The authors found that doctors self-reported more gender differences in measures of empathy than were observed in external measures, which included a facial recognition test, observations and a Synchrony of Vocal Mean Fundamental Frequencies (SVMFF), which measures vocally coded emotional arousal. SVMFF significantly predicted all patient outcomes, and could be used as a cost-effective proxy for relational quality.
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Content ArticleIn this episode of BMJ Talk Medicine, we will hear from Victor Montori, the Peruvian-born Mayo Clinic-based doctor who is inciting a non-violent revolution of careful and kind care, of unhurried conversations with patients, built on compassion and solidarity.
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Content Article
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In this blog, Patient Safety Learning’s hub Editor, Samantha Warne, summarises a recent Patient Safety Management Network (PSMN) session she joined to hear from James Munro, Chief Executive of Care Opinion, about how patients are using Care Opinion to share their experiences and how Trusts are using the feedback. -
News ArticleNHS leaders have been accused of downplaying the impact of the Covid crisis and putting hospitals under scrutiny for declaring critical incidents and postponing surgeries. A leaked email urges hospitals to use the “correct terminology” and make NHS leaders aware when declaring their status. Sources said the message was a “thinly veiled threat” and that there was “subtle pressure” amid rapid spread of Omicron. At least 24 trusts have declared critical incidents this week, including one in Northamptonshire on Friday afternoon, while new figures show a 59% rise in staff absences in just seven days. Trusts in London were told hospitals will be scrutinised for declaring a critical incident if there is “doubt” over the decision, according to an internal email sent from NHS England on Wednesday. In light of media coverage, it would be “valuable” to “raise awareness of the key terminology and encourage you to ensure that you are clear ... when considering a declaration,” it said. “National scrutiny on the declaration on incidents has heightened ... and [senior managers] will need to make additional enquiries where there is doubt as to the status of an organisation’s incident.” Shadow health secretary Wes Streeting said: “We know that the NHS is under enormous pressure and it is important that local trusts are able to be honest and open with parliament and the public about the challenges they’re facing. We are increasingly concerned that ministers are more interested in covering up problems than solving them.” Daisy Cooper, the Lib Dem Health spokesperson, said: “This is an insult to every health worker who has given their all, and every patient with cancelled appointments and delayed surgeries. Read full story Source: The Independent, 9 January 2022
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Content Article
In this personal account, hub member Sophie talks about the trauma she experienced after a painful contraceptive device (IUD) fitting, and the impact this has had on her subsequent experience of medical procedures. She argues that damaging narratives around female pain cause harm to patients in multiple ways and have consequences that reach far beyond the initial experience of pain.- Posted
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Content ArticleThis guide by the University of Birmingham's Institute for Mental Health is designed to help young people prepare to talk with their GP about self-harm and suicidal experiences. It contains advice about what to do before, during and after a GP visit.
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Content ArticleThis article in The BMJ discusses the consequences for practising doctors of the 2015 Montgomery v Lanarkshire Case. The case was brought by Nadine Montgomery, a woman with diabetes and of small stature, after she delivered her son vaginally and experienced complications during the birth which resulted in her son having cerebal palsy. Her obstetrician had not disclosed the increased risk of this complication in vaginal delivery, despite Montgomery asking if the baby’s size was a potential problem. The Supreme Court ruling in her favour established that a patient should be told whatever they want to know, not what the doctor thinks they should be told.
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News Article
Fat-shamed by banter at my pregnancy scan
Patient Safety Learning posted a news article in News
A mum-of-four said she felt "fat-shamed" at a pregnancy scan and during follow-up appointments. Alexandra Dodds said her weight was raised at every appointment, and circled with a pen so vigorously in her notes that she wanted to lose them. "It was just kind of jokes, like 'hope you've stopped the Christmas snacks', or 'make sure you've thrown the box of chocolates away'," said Ms Dodds. "I didn't feel like it was said in a spiteful way to try to upset me, it was like banter, but I don't feel like you can banter about that," she added. Baby Brianna was born healthy at home before a midwife could arrive in July, last year. Alexandra said she only felt able to speak out about what she wanted during her pregnancy and labour because of three previous pregnancies. "If I feel any level of shame, that's just a clear indication that I have to talk about it, because it means I'm not the only person and other people will understand," she added. Joint research by Cardiff University and the British Pregnancy Advisory Service (BPAS) found women with higher BMIs felt stigmatised by risk messaging in maternity care. The Wrisk Project, which surveyed more than 7,000 women, looked at how risk is communicated in pregnancy following concerns it didn't always "reflect the evidence base". Clare Murphy, director of BPAS, said the work showed they hadn't got it right. "Pregnant women are often infantilized, and it feels like sometimes decisions are made about them, for them," she said. The Royal College of Midwives (RCM) said care should be based on respect and understanding of women's needs. Read full story Source: BBC News, 3 January 2021 Related resources My ob-gyn kept shaming me for my weight gain during pregnancy - patient video -
Content Article
Animation - What matters to you? (10 May 2021)
Patient-Safety-Learning posted an article in Patient engagement
This short animation looks at the importance of healthcare professionals routinely asking patients, "What matters to you?" Understanding an individual patient's needs, wants and hopes results in empowered patients, improved outcomes and improved relationships between patients and healthcare professionals. -
Content ArticleA shared lingo can create cohesion in “the unit,” but James M Hodgetts and colleagues ask whether this is exclusionary and puts patient safety at risk. They collected the slang terms used by others and ourselves in the intensive care unit (ICU) over six months and collated these terms and expressions (those that can be committed to print) in a mini-dictionary of ICU slang, and some are used in UK medicine more broadly. They hope that the dictionary may be of use and possibly a source of amusement—and that it causes ICU staff and other healthcare workers to reflect on the suitability and inclusivity of the language they use with colleagues.
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Content ArticleIn this podcast, Gill Phillips speaks to Dr Alice Ladur who has used the Whose Shoes?® board game in her PhD project in Uganda, working with men to bring about culture change and improve maternal outcomes. Gill developed Whose Shoes?® as a tool to allow people to 'walk in other people's shoes'. Through a wide range of scenarios and topics, Whose Shoes?® helps groups explore many of the concerns, challenges and opportunities facing the different groups affected by the transformation of health and social care.
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Content ArticleIn a recent survey, the Patient Information Forum asked women how to make information on induction better. Here presented in poster form are the top 5 suggestions from an analysis of 1,200 comments. Read full survey results here.
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Content Article
This is the fourth of a short series of blogs in which we take a look back at our work in five areas of patient safety during 2021. In this blog we consider the need for greater patient engagement to support improvements to patient safety. Throughout our work, Patient Safety Learning seeks to harness the knowledge, insights, enthusiasm and commitment of health and social care organisations, professionals and patients for system-wide change and the reduction of avoidable harm. We believe patient safety is not just another priority; it is a core purpose of health and social care. Patient safety should not be negotiable. -
Content ArticleThe Royal College of Anaesthetists is launching a campaign to prevent future deaths from unrecognised oesophageal intubation following a recently received coroner’s report where an oesophageal intubation took place and was not recognised in time to save the life of the patient. The coroner’s report highlighted the critical importance of human factors in safe anaesthetic practice. In this blog, Matt Bigwood and Chris Frerk discuss how one of the main aims of the campaign is to empower every team member, regardless of position, to be able to speak up if they spot this problem. You can also read more about the campaign here.
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Content Article
4th Learning from Excellence Conference videos (8 October 2021)
Sam posted an article in Improving patient safety
The theme for the 4th Learning from Excellence Community Event was “Being better, together”, reflecting LfE's aspiration to grow as individuals, and as part of a community, through focussing on what works. For this event, LfE partnered with the Civility Saves Lives (CSL) team, who promote the importance of kindness and civility at work and seek to help us to address the times this is lacking in a thoughtful and compassionate way, through their Calling it out with Compassion programme. -
Community Post
Healthcare staff experience of a serious safety incident
Patient-Safety-Learning posted a topic in Patient safety in health and care
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Have you had first-hand experience of a serious safety incident? Were you aware of what support was available following this? What support do you think is needed for staff following a serious safety incident? Patient Safety Learning and SHBN are collaborating with patient safety experts and frontline staff to produce a manual to support staff, provide good practice and ‘how to’ tools to improve staff wellbeing following serious safety incidents. If you work in healthcare we would welcome views on this, by completing our short survey and/or sharing your thoughts below.- Posted
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Content Article
Patient Safety Learning and the Safer Healthcare and Biosafety Network (SHBN) are undertaking a project, working with patient safety experts and frontline staff, to produce a manual to support staff after a serious safety incident. As part of this work, we are asking healthcare staff to complete a short survey relating to experiences of a serious safety incident. -
Content Article
This is the first of a short series of blogs in which we take a look back at our work in five areas of patient safety during 2021. This blog explores how the hub has encouraged collaboration, connection and the sharing of patient safety solutions. Through our work, Patient Safety Learning seeks to harness the knowledge, insights, enthusiasm and commitment of health and social care organisations, professionals and patients for system-wide change and the reduction of avoidable harm. We believe patient safety is not just another priority; it is a core purpose of health and social care. Patient safety should not be negotiable. -
Content ArticleThe importance of employee voice—speaking up and out about concerns—is widely recognised as fundamental to patient safety and quality of care. However, failures of voice continue to occur, often with disastrous consequences.
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Content ArticlePandemic and backlog pressures may make candour more challenging but do not make it any less essential, the panel at a recent HSJ webinar argued.
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