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Content ArticleThe Association of Anaesthetists has published two posters highlighting what to do if you see unprofessional behaviours to make hospitals safer for patients and staff.
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Content ArticleMyalgic encephalomyelitis (ME)/chronic fatigue syndrome (CFS) is characterised by persistent and disabling fatigue, exercise intolerance, cognitive difficulty, and musculoskeletal/joint pain. Post-exertional malaise is a worsening of these symptoms after a physical or mental exertion and is considered a central feature of the illness. Scant observations in the available literature provide qualitative assessments of post-exertional malaise in patients with myalgic encephalomyelitis/chronic fatigue syndrome. To enhance our understanding, Stussman et al. formed focus groups and listened to patients’ experiences to better understand post-extertional malaise. The authors found that the experience of post-exertional malaise in ME/CFS varies greatly between individuals and leads to a diminished quality of life. ME/CFS patients describe post-exertional malaise as all-encompassing with symptoms affecting every part of the body, difficult to predict or manage, and requiring complete bedrest to fully or partially recover. Given the extensive variability in patients, further research identifying subtypes of post-exertional malaise could lead to better targeted therapeutic options.
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Content ArticleThe World Health Organization designated September 17 as World Patient Safety Day — a day, every year, to raise awareness of healthcare safety and reiterate its importance. This year the Patient Safety Movement hosted a four-hour virtual event as part of their #uniteforsafecare public awareness campaign. They organised the event to bring the public into the fold as well as unite patients, advocates, health workers and leaders together globally — working to ensure patient and health worker safety internationally. Here are 11 takeaways for the public, patients and their families from the #uniteforsafecare virtual event.
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Content Article
OrphanAnesthesia: Patient Safety Card
Patient Safety Learning posted an article in Rare diseases
OrphanAnesthesia offers a Patient Safety Card for all hospitals, patients, and support groups. The patient or the physician fills in the name of the rare disease to notify the anaesthesiologist/ emergency personnel of the rare disease, and of the recommendation for the anaesthetic management. The card should be given to the anaesthesiologist before anaesthesia. It should be carried by the holder in case of emergency. The OrphanAnaesthesia website is indicated on the card for further information. -
Content ArticleWith the National Learning from Deaths Programme Board stalled, the bereaved families who were to be involved in its work have once again been left harmed and without any answers, write Dr Josephine Ocloo and David Smith in this HSJ article.
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Content ArticleFor some, the day we learned of our rare disease diagnosis is a happy day. Odd, isn’t it? Imagine having your closest friends and family thinking that you are overreacting a bit, or that you are searching for some attention? It might be frustrating! Having a diagnosis can be very important, not only in order to consider medical needs, but sometimes it can also come as proof that something is happening to the body, proof to others that there is something going on. Several people across the globe, with different rare diseases, have shared their story, telling us about needing to be heard and understood.
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Content ArticlePatients with respiratory disease deserve a correct diagnosis and guideline driven care that is standardised, patient focussed and delivered by a healthcare professional with suitable training and experience in a site and timeframe to meet their needs. Sadly, patient groups such as the BLF and Asthma UK have recognised that this is often not the case. The Respiratory Service Framework (RSF) attempts to demonstrate what that excellence is – and how it may be delivered at a population level. Developed by the Primary Care Respiratory Society (PCRS) Service Development Committee, the Respiratory Service Framework helps those looking to design a patient focussed respiratory service working across all sectors of out of hospital care to see the ideal components for a given population of patients. It has been designed to be applicable and helpful to those delivery care at a PCN or ICS level.
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Content ArticleAt the beginning of 2020, before the coronavirus (COVID-19) started spreading, many people had no idea they may own a face mask in their lifetime. Today, almost everyone has one. In the Asian countries where people are used to wearing face masks, many took them in their stride. Questions lingered in other parts of the world as some expressed doubts about the value of face masks and coverings in slowing down the coronavirus spread. As face masks become the new normal in many parts of the world, many different types of masks, including home-made cloth masks, surgical masks, and cone style masks, have become more common. To an ordinary person who has little knowledge about masks, it can be challenging to determine the right mask for adequate protection. Shandong Deqi Intelligent Technology Co.,Ltd, a surgical face mask making company in China, in this article answers some of the most common questions about face masks and face protection. With all the fake news and incorrect information spreading around, they aim to separate fact from myth.
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Content ArticleThe Faculty of Occupational Medicine (FOM) has published guidance for healthcare professionals to assist them in facilitating the return to work of people who are unable to work due to Long-COVID. Follow the link below or download the guidance as a pdf.
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Patient Safety Movement: Story of Pat Denton
Patient Safety Learning posted an article in By patients and public
The story of Pat Denton who died from a surgery site infection after surgery. -
Content ArticleRegina Hoffman, Executive director of Pennsylvania’s Patient Safety Authority and editor-in-chief of Patient Safety, discusses why we need to shift the focus from "whomever-care" to a "people's care" approach. She hopes after the pandemic that the next chapter brings radical change to how we approach patient safety and says we must start by making patient safety a national priority. This is part of a series of blogs from Regina 'The bigger picture'.
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Content Article'Covid Oximetry @home' describes an enhanced package of care for individuals with confirmed (or suspected) COVID-19 who are at risk for future deterioration. NHS England and Improvement wrote to all CCGs and trusts to encourage the development of local CO@H projects. The 'CO@h' package of care involves the remote monitoring of the patient's condition through providing regular contact with a local health care team who will reassess the individuals symptoms (including oxygen saturation levels). This close monitoring enables the individual to remain at their usual place of residence whilst allowing early signs of deterioration to be identified and escalated quickly and appropriately. This material has been designed primarily for use across the South East AHSN network by colleagues within the Wessex AHSN, Kent Surrey Sussex AHSN and Oxford AHSN regions. Colleagues from regions beyond the South East are also very welcome to make use of this toolkit in setting up their own local approaches to remote monitoring.
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Mölnlycke: SSI Risk Reduction Partnership
Patient Safety Learning posted an article in Surgery
Surgical Site Infections (SSIs) are a problem of increasing concern with major implications for both patients and the NHS. Between 2014 – 2019 SSIs, as a percentage of all healthcare associated infections, jumped from 16% 1 to 20%. It is a growing problem, in need of a solution. Mölnlycke has developed the Risk Reduction Partnership is a new initiative that has been specifically designed to combat the problem and potentially help reduce its incidence and impact. -
Content ArticleEngaging with patients is a time-honoured tradition in medicine, and by no means a new concept. A great physician-patient relationship is something that every patient would love to have. Back in the day, the physician was like Marcus Welby – they would visit your house and know all about you and your family. This arrangement was not only great for improving the physician-patient relationship, but also improved health outcomes by providing the most patient-centered care possible. Today, many medical professionals face some new challenges in making that all-important connection. These days, doctors are pressed for time and don’t have that same one-on-one relationship with their patients. While doctors can pull up a chair and speak to the patient at eye level, technology is playing a greater role these days. The increasing role of technology in healthcare has been advantageous in some ways, but has posed new challenges, too. In this blog, David Mayer explores the challenges physicians face.
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Content ArticleThe global coronavirus (COVID-19) pandemic has taken a dramatic toll on virtually all aspects of life, from the economy, to employment, relationships, public health, and personal health. In the United States, more than 200,000 individuals have died of the coronavirus. As of October, hundreds of thousands of Americans are filing unemployment claims each week. For all of us, the pandemic has become a time marked by uncertainty, fear, and grief. According to a survey conducted by the Centers for Disease Control and Prevention (CDC), about 40 percent of US adults reported struggling with mental health or substance use issues. Although much of the general population has admitted to feeling more anxious and depressed during the pandemic, those with substance use and mental health issues face unique challenges.
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Content ArticleThis video from NHS Resolution looks at the criteria that need to be met in order for patient consent to be legally valid. Advice is provided on how to ensure practitioners obtain legally valid consent.
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Content ArticleFor some people, anaesthesia is one of the scariest parts of surgery. Do you wonder about the risks, too? Anesthesiologist Christopher Troianos offers some insights to help separate fact from fiction. He highlights five key points about anesthesia that are sometimes misunderstood or have changed in recent years.
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Content ArticleHow are we ensuring that patient and staff safety is being prioritised during the pandemic? Watch the recording of the 'Leadership for patient safety during COVID-19' webinar that took place on 7 December 2020.
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Rebuilding Shattered Lives
Patient Safety Learning posted an article in Legal matters
People who suffer an injury caused by the negligence of someone else need, and have a right, to rebuild their lives. Going through a personal crisis – whether it is short-term or life-changing – is bad enough without being made to feel ashamed about making a claim. People who have been injured needlessly must have access to justice and the care and support they need on the road to recovery. Injured people deserve our empathy and understanding. As a nation we should be focused on what genuinely injured people need, rather than on myths about their motivation, and misconceptions about the specialist lawyer s who fight for their rights and help put them on the road to recovery. ‘Rebuilding Shattered Lives’ tells the real story of personal injury and of people who need expert support to help them build brighter futures. -
Content ArticleThe early identification of deterioration in suspected COVID-19 patients managed at home enables a more timely clinical intervention, which is likely to translate into improved outcomes. Dr Matt Inada Kim and team undertook an analysis of COVID-19 patients conveyed by ambulance to hospital to investigate how oxygen saturation and measurements of other vital signs correlate to patient outcomes, to ascertain if clinical deterioration can be predicted with simple community physiological monitoring.
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BMJ: Speaking up against bullying in the patient community
Claire Cox posted an article in Bullying and fear
Many of us are aware of school campaigns against bullying, protecting school aged children from harmful experiences that pose life-long lasting effects. Phrases such as “don’t be a bystander” and “stand up” are used to remind us of our obligation to help those who need it. Yet, these efforts rarely continue into our adult lives, and have mainly ignored the devastating effects of bullying on people from all walks of life, including in the patient community. -
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Surgical Outcome Risk Tool v2 (SORT)
Patient Safety Learning posted an article in Surgery
Some patients die after major surgery. Risk prediction tools can help shared decision making with the patient, aiding decisions on whether to operate, how to prepare and use of critical care. An international multi-centre prospective observational cohort study in 274 sites with 22,631 patients compared risk prediction with 30-day mortality. In 88.7% of cases clinicians exclusively used subjective assessment. The best predictions were from the SORT tool combined with clinical assessment. P-POSSUM Surgical Risk Scale, SRS and SORT all over-predicted risk, with SORT performing best. This 10-question SORT model has been updated including clinician assessment and provides an accurate means of predicting perioperative risk. -
Content ArticlePatient advocate Vonda Vaden Bates interviews Brandyn Lau, Assistant Professor of Radiology and Health Sciences Informatics, Johns Hopkins School of Medicine, around the importance of venous thromboembolism (VTE) prophylaxis for hospitalised patients.
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Care Quality Commission: Choosing a baby scanning service
Patient Safety Learning posted an article in Maternity
Ultrasound scans are important for checking the health of you and your baby. There are different types of scanning service and it's important to understand what each type offers. The Care Quality Commission provides some guidelines. -
Content ArticleIn this Episode of the 'This Is Nursing' podcast series, Gavin Portier speaks to Stacey Ward, Capsule Endoscopy Clinical Nurse Specialist from Barnsley Hospital. Capsule Endoscopy is a non invasive way to look inside a patient. Stacey has pioneered a nurse led endoscopy service that she is deeply proud and passionate about. Her vision and drive for the service and improvement to the patient experience and journey is inspiring.
