Patient Safety for #meded
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Scooped by Nigel Hart
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Hospitals profit when patients develop bloodstream infections

Hospitals profit when patients develop bloodstream infections | Patient Safety for #meded | Scoop.it
Researchers report that hospitals may be reaping enormous income for patients whose hospital stays are complicated by preventable bloodstream infections contracted in their intensive care units.
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Rescooped by AnneMarie Cunningham from Patient Safety Matters
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Autonomy, aviation and #ptsafety (with tweets) · amcunningham

What can the 'miracle on the Hudson' story tell us about autonomy in #ptsafety in healthcare?

Via Anne Marie Cunningham
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Anne Marie Cunningham's curator insight, March 24, 2013 3:50 PM

I am no expert on patient safety but in the past few weeks I have been learning a lot. This storify documents the conversation that started of this latest learning journey.I'm coming across so many good resoiurces that I decided a new scoopit to curate them would be useful.

Rescooped by AnneMarie Cunningham from Patient Safety Matters
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Smart Nursing: Nurse Retention & Patient Safety Improvement... : Clinical Nurse Specialist

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Last year, a new study by the University of Pennsylvania found that poor management of staff, whether a shortage of critical nurses or the inability to foster a collaborative work environment, is leading to significant work-overload and burnout.

The researchers found that if hospitals reduced nursing burnout from 30 percent to 10 percent, 4,160 cases of hospital-acquired infections could be prevented annually, saving $41 million. Earlier, the same set of researchers found that if Pennsylvania enacted and enforced a minimum nurse-to-patient ratio as California has done, as many as 264 surgical deaths could have been prevented in 2010.


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Anne Marie Cunningham's curator insight, March 24, 2013 8:24 PM

There is lots of discussion about mandating nurse-patient ratios in the UK. It seems that this is an issue in the US as well. Will they adopt legislation on this? This short article mentions some of the research which suggests it is a good idea.

Rescooped by AnneMarie Cunningham from Patient Safety Matters
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BBC Two - Horizon, 2013-2014, How to Avoid Mistakes in Surgery

BBC Two - Horizon, 2013-2014, How to Avoid Mistakes in Surgery | Patient Safety for #meded | Scoop.it

What can surgeons learn from other professions about making life or death decisions? 


Via Anne Marie Cunningham
AnneMarie Cunningham's insight:

Unfortunately this is no longer on iPlayer but there are some clips available at thsi link. 

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Anne Marie Cunningham's curator insight, March 24, 2013 8:33 PM

You can watch the video on YouTube now but there is some interesting background here. 

Rescooped by AnneMarie Cunningham from Patient Safety Matters
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Behaviour Change Toolkit — Bradford Institute for Health Research

Behaviour Change Toolkit — Bradford Institute for Health Research | Patient Safety for #meded | Scoop.it

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Anne Marie Cunningham's curator insight, March 24, 2013 7:11 PM

I came across this through Twitter. If you have watched Terry Fairbanks talk you will know that he strongly advocates looking at the system rather than individuals to improve patient safety. It seems to me that the Behaviour Change Toolkit is all about changing the behaviour of individuals. For example, there is a questionnaire about why people refer for xray to conform NG tube placement rather than do pH testing. I would have thought the simplest way to address this would be to ask "Why do you refer for CXR rather than do pH testing?" But there is no room for free text response. All responses are by Likert scale. So if the issue is that people don't know where to get pH tests etc then it will not be discovered by this questionnaire. To me, this seems unlikely to identify local barriers to perform target behaviour at a system level. What do you think? Is our approach to patient safety in the UK still to focussed on individual behaviour? 

Rescooped by AnneMarie Cunningham from Patient Safety Matters
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Was it Really a Miracle on the Hudson? Aviation meets healthcare safety (NPSF, May 2012)

Plenary presentation at National Patient Safety Foundation's 2012 Meeting on May 24, 2012. Jeff Skiles, First Officer of US Airways Flight 1549, and Rollin "...

Via Anne Marie Cunningham
AnneMarie Cunningham's insight:

Watch this! You will not regret spending 75 minutes watching these two experts give a very engaging presentation. One of their core messages is that accountability and patient safety systems should be separated. We truly need a no blame culture. This seems to be slightly more controversial than I first thought.

There are many, many more wonderful insights within this. 

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