Mechanical restraint (MR) is used to prevent patients from harming themselves or others during inpatient treatment. The objective of this study was to investigate whether incident MR occurring in the first three days following admission could be predicted based on analysis of electronic health data available after the first hour of admission.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Artificial intelligence (AI) has enormous potential to improve the safety of healthcare, from increasing diagnostic accuracy,1 to optimising treatment planning,2 to forecasting outcomes of care.3 However, integrating AI technologies into the delivery of healthcare is likely to introduce a range of new risks and amplify existing ones. For instance, failures in widely used software have the potential to quickly affect large numbers of patients4; hidden assumptions in underlying data and models can lead to AI systems delivering dangerous recommendations that are insensitive to local care processes,5 6 and opaque AI techniques such as deep learning can make explaining and learning from failure extremely difficult.7 8 To maximise the benefits of AI in healthcare and to build trust among patients and practitioners, it will therefore be essential to robustly govern the risks that AI poses to patient safety.. To read the full article, log in using your NHS OpenAthens details.
Active patient participation in safety pathways has demonstrated benefits in reducing preventable errors, especially in relation to hand hygiene and surgical site marking. The authors sought to examine patient participation in a range of safety-related behaviours as well as factors that influence this, such as gender, education, age and language.. To read the full article, log in using your NHS OpenAthens details.
This study aims to explore and understand factors influencing the decisions of mental health professionals releasing service users from seclusion.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Designed and tested by IHI’s world-renowned safety experts, the Toolkit includes documents on improving teamwork and communication, tools to help you understand the underlying issues that can cause errors, and valuable guidance about how to create and maintain reliable systems. Each of the nine tools includes a short description, instructions, an example, and a blank template.
Krysia Canvin looks at the outcome of a restraint reduction programme (‘REsTRAIN YOURSELF’) to minimise physical restraint in acute mental health services.
This report gives the interim findings from our review of the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism.
Safe staffing and coercive practices are of pressing concern for mental health services. These are inter‐dependent and the relationship is under‐researched.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. The Primary Care Patient Measure of Safety (PC PMOS) is designed to capture patient feedback about the contributing factors to patient safety incidents in primary care. It required further reliability and validity testing to produce a robust tool intended to improve safety in practice.
Open access. Use of physical restraint is a common practice in mental healthcare, but is controversial due to risk of physical and psychological harm to patients and creating ethical dilemmas for care providers. Post-incident review (PIR), that involve patient and care providers after restraints, have been deployed to prevent harm and to reduce restraint use. However, this intervention has an unclear scientific knowledge base. Thus, the aim of this scoping review was to explore the current knowledge of PIR and to assess to what extent PIR can minimize restraint-related use and harm, support care providers in handling professional and ethical dilemmas, and improve the quality of care in mental healthcare.
The University of Southampton report found that hospital wards across the NHS in England are still understaffed and putting patient lives at risk despite new policies coming into force as a result of the 2013 Mid-Staffordshire Inquiry. According to the study, hospitals are facing major challenges in recruiting and retaining registered nurses.
RCN England Director Patricia Marquis said: “It will trouble patients and the public today to hear the experts warn again of the deadly risks being run and that some parts of the NHS have one in five posts vacant, according to this report.”
Professional Psychology: Research and Practice (Apr 11, 2019). DOI:10.1037/pro0000239
Veterans with posttraumatic stress disorder (PTSD) are at elevated risk for engaging in suicidal self-directed violence (S-SDV). Safety Planning has been widely implemented in the Veterans Health Administration to prevent S-SDV; however, limited guidelines exist regarding considerations for Safety Planning with veterans with PTSD. In this article, we discuss clinical considerations to guide health care providers in customizing each step of Safety Planning for veterans with PTSD.. To read the full article, log in using your NHS OpenAthens details.
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We can all remember individual children in whom a deterioration went unrecognised. Sometimes fatally. Our defences were little more than the pearls offered by senior colleagues of grave warning signs: ‘beware grunting in an infant’ or ‘watch out for a tachycardia after the temperature has fallen’. But this advice was unstructured, and children are so different, and their comorbidities so broad, we failed some of them. Paediatric Early Warning Systems (PEWS) are serious attempts to reduce the unacceptable and dangerous variability in this recognition and response process.. To read the full article, log in using your NHS OpenAthens details.
Our latest blog from University Hospitals Bristol NHS Foundation Trust explains why they are linking healthy, safety and wellbeing in their organisation.
The blog shares examples of their joint working initiatives and talks about how working together has had a positive impact and given a boost to their overall wellbeing offer to their workforce.
One of the five overarching principles of the Mental Health Act: Code of Practice is to provide patients with care and treatment which is least restrictive whilst encouraging recovery and promoting independence. However, there is limited research which explores the application of these principles within a medium secure unit. The aims of the research were to explore what are patient’s experiences of least restrictive practices and to what extent do they perceive that least restrictive practices maximise their independence and recovery.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai