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Showing results for tags 'Communication'.
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Content Article
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Pregnant people receive many public health messages that are intended to guide their decision making; intended to improve outcomes for babies and mothers. However, there is growing concern that messages do not always fully reflect or explain the evidence base underpinning them, and that negotiating the risk landscape can sometimes feel confusing, overwhelming, and disempowering. This may negatively affect women’s experiences of pregnancy and motherhood, and be exacerbated by a wider culture of parenting that tends to blame mothers for all less-than-ideal outcomes in their children. The WRISK Project draws on women’s experiences to understand and improve the development and communication of risk messages in pregnancy. -
Content Article
To err is human, to apologize is hard (JAMA, July 2021)
PatientSafetyLearning Team posted an article in Culture
This article, published in JAMA, tells the story of a 6 year-old boy who was initially misdiagnosed, which led to months of agony. Here, his mother, Thalia Margalit Krakower MD, asks that the medical community shift focus from promoting a false sense of perfection to one that embraces humility enough to apologise as essential to the healing process. "A deep cultural shift is needed in medicine to openly acknowledge and understand that imperfection is part of being human – no one knows everything, makes every diagnosis without delay, answers every patient message, or even delivers an apology just right. It is our humanity that makes us vulnerable to make mistakes and also empowers us to connect and heal." Read the article in full Related content Safety of candour: how protected are apologies in open disclosure? When the Duty of Candour becomes personal by Sarah Seddon Mothers Instinct: Reframing Duty of Candour in our hearts and minds – a blog by Joanne Hughes (15 October 2020) AvMA: Regulating the duty of candour. Requires improvement (October 2018) Barts Health NHS Trust: Duty of Candour training film (April 2016) Nursing and Midwifery Council. Openness and honesty when things go wrong: the professional duty of candour (June 2015) -
Content Article
Patient leaflets (BMJ Best Practice)
PatientSafetyLearning Team posted an article in Patient engagement
These patient leaflets, shared on the BMJ Bets Practice website, aim to provide concise easy to read summaries to reassure patients and carers and help them make informed, shared decisions with healthcare professionals. Search their library of leaflets by condition or treatment by clicking on the link below. -
Content ArticleThis online tool, from the Patient Experience Library, allows you to search by condition and treatment to access information on waiting times at NHS Trusts in England. This data is sourced from NHS England, and is published two months in arrears.
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Content ArticleThis list, produced by the Health and Safety Executive, bullet points the job, person and organisation factors that influence human performance.
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Content ArticleA timeout is an immediate pause by the entire surgical team to confirm the correct patient, procedure and site. This article discusses the use of timeout policy within a dental team prior to invasive or irreversible treatment as a means to improve patient safety, by creating a safe space for team members to express any concerns about procedure verification.
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Content Article
Patient Information Forum (PIF) have launched a new website to help people find trusted health information. The PIF TICK website allows members of the public to see which organisations have the PIF TICK – the UK quality mark for health information – and offers advice on how to find trust health information. -
Content Article
What I never consented to (24 June 2021)
Mark Hughes posted an article in Consent issues
In this blog in the BMJ, Andrés J Lessing considers how consent forms and conversations about care and treatment often do not account for the possibility of incidental findings. The author suggests that incidental findings can be very stressful for patients and that as part of the pre-treatment consent process healthcare professionals could provide a reminder about the likelihood of incidental findings and what might be done to address them. -
Content Article
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More than a million people in the UK are now living with prolonged symptoms of Covid-19,[1] also referred to as Long Covid, including at least 122,000 NHS staff.[2] With many struggling to come to terms with life-changing health challenges, Long Covid is considered by some to be the next pandemic. Good health information has the power to educate, influence and clarify; all of which are critical to effectively responding to public health crises and keeping patients safe. But the absence of good information can leave patients, staff and the wider public feeling confused and unsupported, and can widen health inequalities. In this blog, Patient Safety Learning has identified four key areas where better information could help improve care for those living with Long Covid: Symptoms of Long Covid Long Covid assessment centres Education and awareness Performance and effectiveness. -
Content ArticleThis short video from US-based organisation, Consumer Reports, offers tips for keeping safe while in hospital. Their US-focused survey showed that: Patients who felt they rarely received respect from staff were 2.5 times as likely to experience a medical error Patients who had a friend or family member with them were 16% more likely to say they were respected Patients who felt there were not enough nurses on duty were twice as likely to experience medical error There is a notable connection between patient experience and safety rating of a hospital.
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Content ArticleMyla Deviren had congenital intestinal malrotation and developed a volvulus on 26 August 2015. Her mother checked the NHS Symptom finder on line and the advice was to take her to A&E but she called 111 for advice. The Health Assistant who took the call did not appreciate the significance of key symptoms due to multiplicity of symptoms described at the outset. He passed the caller on a “ warm” transfer to the Clinical Adviser whose initial reaction on hearing that the symptoms included blue lips and breathlessness was to call an ambulance, ignored her instincts and took mum through a series of digital pathways re lesser symptoms. When directly asking about the breathlessness Myla's mum put the phone close to her daughter enabling the Clinical Adviser to hear the rapid breathing herself however they did not appreciate the significance of it and did not call an ambulance. She did however pass the call to the Out Of Hours Nurse who decided that this was a case of gastroenteritis early in the call and did not appreciate the description of a child with worsening signs. Whilst the precise point at which Myla stopped breathing is not known it was sometime between when she was last seen alive approximately 06.00 and then found unresponsive at 08.00 on the 27 August 2015. She was then taken by ambulance to Peterborough City Hospital where, despite attempts at resuscitation, she did not recover a heartbeat and she died. Post mortem revealed small bowel infarction from untreated small intestinal volvulus. It is probable that with earlier transfer to hospital by ambulance and with appropriate treatment Myla would have survived.
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Content ArticleCommunity engagement is an iterative, on-going, long-term investment that is foundational to the work of demonstrating trustworthiness. It’s more than building trust in one project or community interaction, but rather building trust in the organisation and in the system. This guide from the Association of American Medical Colleges is for personal self-reflection or as a tool to help your organisation reflect upon all 10 Principles of Trustworthiness as you engage with your community.
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Content Article
Citizens Online
Patient Safety Learning posted an article in Suggest a useful website
Citizens Online promote an inclusive and equal society, reducing the digital divide by helping organisations and communities ensure the switch to online doesn’t exclude people. To implement successful digital transformation, inclusion and accessibility must sit at the heart of any changes. Citizens Online help to ensure that clients, residents and service users are supported to participate in the digital age, leading to increased take-up of your digital services. -
Content ArticleThis short article describes how maternity and neonatal teams across Herefordshire and Worcestershire Local Maternity and Neonatal System (LMNS) have been using video conferencing technology to drive safety improvements for mothers and babies, thanks to the launch of their new daily digital safety huddles.
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Event
Communications on the maternity frontline
Patient Safety Learning posted an event in Community Calendar
untilIn this webinar from BAME Birthing With Colour, the panel shares their experiences of what communication on the maternity frontline means in practice. They'll discuss what it takes to deliver critical information clearly and sensitively across a range of scenarios - what works and hasn't worked - as well as the tools available to support the clearest of communication and highest quality of care for women, babies and their families. Join the webinar to discuss: The realities of communication on the maternity frontline. Lessons learned and what to watch out for. Cultural sensitivity. Language barriers. Different levels of understanding. How can staff know they have communicated clearly? The tools available and being developed. Register -
Content Article
Working under pressure: Performance infographics
Patient Safety Learning posted an article in Good practice
Core Cognition have produced some helpful infographics for staff working under pressure, including fatigue and cognitive performance, cognitive biases and diagnostic error and8 tools to improve communication under pressure, -
Content ArticleVariation in healthcare processes is widespread in mental health care and can lead to inefficient processes and unnecessarily long inpatient stays. This study in The British Journal of Healthcare Management aimed to identify sources of variation and introduce a huddle intervention to increase system efficiency on a psychiatric inpatient ward in London. The study found that huddles are a useful way to improve staff communication and increase ward efficiency without taking up a significant amount of clinicians' time.
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Content ArticleUnderstanding the issue you want to address in your work, and identifying the difference you want to make, are important first steps for impact measurement and evaluation. Articulating your outcomes (changes or benefits that happen as a result of your work) and impact (broad or longer-term effects of your work) can help you: plan new work communicate the purpose of what you do to current or potential funders and donors decide what information to collect to evaluate your programmes and services. The National Council for Voluntary Organisations (NCVO) provides tools and resources for your organisation to use.
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Content ArticleAs part of the Clinical Human Factors Group (CHFG)'s core mission to promote human factors science in education and training, CHFG have produced a series of E-learning modules for healthcare. These modules seek to encourage the positive actions that create patient safety that are relevant to all staff working in healthcare. We use a human factors and ergonomics perspective to show how human performance and safety are affected by the way we behave, communicate and interact at work. The learning is based around a true story re-created in a new film to show the complexity of how a patient safety incident develops in an everyday scenario. The actors illustrate the subtle behaviours, that we all do some of the time, that give rise to well-documented safety issues, as well as the safety-creating behaviours we want to encourage. The modules reflect items on the NHS England’s Patient Safety Syllabus.
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News Article
Infant mortality in Birmingham 'not openly discussed'
Patient Safety Learning posted a news article in News
Infant mortality is not "openly discussed" among some communities, a charity worker in Birmingham said, as the city attempts to tackle a long-standing problem. For the last decade, Birmingham has had one of the highest rates of infant mortality in England. The city council has set up a taskforce in a bid to halve the number of deaths. It heard rates were highest in deprived areas and among Black, Pakistani, and Bangladeshi heritage families. Shabana Qureshi is the women wellbeing manager for the Ashiana Community Project, a charity which works to improve quality of life for those living in Sparkbrook. Figures from the 2011 census show 87% of its population identified as being from an ethnic group other than White British, with the largest ethnic group being Pakistani. Many of women she works with, she said "don't know how to ask the right questions" and so are "not informed" about issues. Many people in the communities they work with, she said, have low education levels and are more likely to suffer with maternity health issues, but find it difficult to access services. "[Infant mortality] is not something that is discussed openly," she said. "A lot of women live within extended families and are sometimes not aware of the risks, they live with these conditions and health inequalities." She said any services which hope to tackle these problems need to involve communities, and be designed to be relatable, culturally sensitive and maintain trust. Read full story Source: BBC News, 22 April 2021 -
Content Article
Schwartz Rounds publications
Patient Safety Learning posted an article in Research papers
Attached is a list of research papers on Schwartz rounds that you might find useful. -
Content ArticleThe King's Fund report is intended primarily for hospital board members, clinicians and managers in hospitals. We hope that it will contribute to and provide support for their continuous efforts to improve patients’ experience, and that it will also be of interest to patients and their representatives, commissioners and policy-makers. The purpose of the report is to consider how we can improve the patients’ experience of care. The report introduces current debates and dilemmas in relation to patients’ experience of care in hospital, presents our view of the factors that shape that experience, and assesses the evidence to support various interventions that are designed to tackle the problems.
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Content ArticleMore and more appointments are happening online. Healthwatch have put together some tips on how to get the most out of the virtual health and care appointments both for patients and health and care professionals.
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News Article
‘Flurry’ of whistleblowers raise concerns at troubled trust
Patient Safety Learning posted a news article in News
A ‘flurry’ of whistleblowers have raised concerns about the culture within an NHS trust which is grappling with finance and governance problems, its directors were told today. Staff at Cornwall Partnership Foundation Trust have reported a “command and control” culture at the trust, which last week apologised to its employees for overtime payments made to board members for extra hours worked during the first peak of the pandemic. It comes as the trust’s new chair and interim chief executive both pledged to communicate “openly and honestly” with staff. Read full story (paywalled) Source HSJ, 12 April 2021 -
Content Article
Multilingual maternity resources
PatientSafetyLearning Team posted an article in Maternity
This is the Herts and West Essex Local Maternity and Neonatal system multilingual maternity resource padlet. It includes resources in multiple languages including Sign Language an in audio form. The initial concept and content was developed by Charlotte Easton, Better Births Project Midwife at West Hertfordshire Hospitals NHS Trust.
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