By Institute of Health and Social Care Management

The National Institute for Health and Care Excellence has, for the first time, published a guideline on the identification and management of adrenal insufficiency, a rare condition which occurs when the adrenal glands do not produce enough essential hormones – particularly cortisol and aldosterone.We're joined by Dr Helen Simpson, a consultant endo…

Have you ever noticed how admission orders can be corrected, but a faulty discharge is nearly impossible to correct? Today's episode explores fake deaths, inaccurate discharges, and how to begin solving for resurrection errors in healthcare. Key Points: -Fake deaths are common -Computers do not believe in resurrection -Discharges are surprisingly i…

By Institute of Health and Social Care Management

By Institute of Health and Social Care Management

By Institute of Health and Social Care Management

What can a con-man teach us about patient safety? Sometimes normal human reactions are just what is needed to breach protocol and result in harm. Today's episode explores the relationship between the perfect heist and safety culture. Key Points: -Reaction Videos -Dual Auditing -Decoys and False Alarms References: Diaz, Naomi (Nov. 17th, 2022). Why …

By Institute of Health and Social Care Management

Infectious disease fascinates me. When the State of Texas offers a free certification program in pandemic preparedness, including courses in epidemiology and infectious disease, I'm eager to sign up. Tune in to hear some of what I loved, what I didn't love, and why access to this type of knowledge is a great opportunity overall. Key Points: -Public…

By Institute of Health and Social Care Management

By Institute of Health and Social Care Management

Have you noticed how busy the clinic waiting rooms are becoming? As the largest living generation retires from providing care and seeks to receive it, our primary care models are experiencing new challenges. This episode seeks to focus our efforts on an improvement mindset as we manage the surge of patients. Key Points: -Blocking the Door -Black Fr…

By Institute of Health and Social Care Management

By Institute of Health and Social Care Management

Have you ever been asked to sign that you'll pay whatever is "leftover" from your bill -- without knowing the total? This episode uses a risk approach to discuss the expectation that patients must promise to pay to an infinite and undefinable cost, and shares solutions that fit a patient safety model using clear communication and patient-empowered …

By Institute of Health and Social Care Management

Is it possible that one of our top safety interventions could increase the risk of patient harm? Why do some huddles seem so fruitful while others fall short? This episode shares 5 pitfalls of the typical staff huddle with tips on how to improve their productivity without increasing the risk for clinical errors. Key Points: -Reality is not like the…

We're joined by Mark Chapman, director of NICE's HealthTech programme and Verena Stocker, director of Innovation, Research, Life Sciences and Strategy at NHS England to discuss the benefits and opportunities the proposed pathway will offer.Take part in the consultation: https://www.engage.england.nhs.uk/specialised-commissioning/building-an-integra…

Does healthcare improvement sometimes feel like an impossible task? This episode looks at ways to refresh more than the data, but also our outlook and understanding, through an analytical approach. Key Points: -Time to give up? -Human rights applications -Breaking it down References: -World Vision International. (Feb. 9th, 2018). A Stolen Trombone,…

Have you noticed there are a lot of companies diving into primary care and then quickly exiting--or how many of these ventures carry the term "health" in their title rather than "healthcare"? This episode explores the dichotomy of healthcare that treats the sick and health companies that provide primary care for the healthy, including recommendatio…

In this episode, our guests reflect on 25 years of NICE, how the organisation has developed, the impact its had and how it will change to adapt to the challenges of the next 25 years.Guests: NICE CEO Dr Sam Roberts, Chief Medical Officer for England Professor Sir Chris Whitty, MHRA CEO Dame June Raine, Director of Value and Access at Association of…

Have you ever experienced unintended consequences in your efforts to improve healthcare quality? Is there a better way to find solutions to persistent problems? This episode applies the principles of Precision Medicine -- with its individualized, scientific approach -- to the field of healthcare improvement. Key Points: -Viper Reimbursement -Magic …

Following the publication of our new guideline, ovarian cancer: identifying and managing familial and genetic risk, the latest episode of NICETalks focuses on genetic testing and how it can help to identify those most at risk of ovarian cancer. We talk to Ranjit Manchanda, professor of gynaecological oncology, Queen Mary University of London and Ba…

Patient Decision-Making is supposed to be the goal, but just defining it can cause a heated argument. What prevents it from happening, and how can we overcome those barriers? This episode uncovers a missing piece in patient decision-making, and offers recommendations for a solid patient-centered framework. Key Points: -Speak Up campaigns -Obscure l…

This Patient Safety Week, I had the honor of sitting down with healthcare tech and e-iatrogenesis expert Benjamin Cooperman to discuss my toughest questions about digital harm, healthcare cybersecurity, and high reliability organizing (HRO) in the healthcare tech space. He has an extensive background in information technology and HRO consulting in …

The topic of Artificial Intelligence and healthcare tech often prompts polarized responses across the industry. Will AI replace doctors? Will technology alleviate burnout, or worsen it? What do we need most in the development of healthcare innovation? Today's episode shares some cautionary tales as well as tips for success. Key Points: -Decision su…

Nearly 10 years ago, the goal of mandatory electronic documentation was to improve patient engagement, care coordination, research, disparity, and healthcare quality. As we look toward the next wave of requirements for interoperability, this episode reviews our progress toward these goals and shares recommendations for the future. Key Points: -Is d…

Why do some patients prefer to spend $100 on imported frankincense oil than spend the same amount on a clinic visit? What can alternative medicine tell us about measuring patient satisfaction? Today's episode discusses these novel trends. Key Points: -Why essential oils? -Limits of patient satisfaction metrics -The patient's voice References: -“Vap…

In this month's podcast, we speak with Jeanette Kusel, director of NICE Advice and Luella Trickett, director of value and access at the Association of British HealthTech Industries. They outline the benefits and opportunities NICE Advice can provide. Go to: https://www.nice.org.uk/about/what-we-do/life-sciences/nice-advice-service?utm_medium=podcas…

In this episode, the directors of NICE's guidance producing centres reflect on the highlights of 2023. We hear from Mark Chapman, interim director of HealthTech; Helen Knight, director of medicines evaluation; and Professor Jonathan Benger, chief medical officer and interim director of the centre for guidelines.…

Why do healthcare professionals shy away from working in scenic rural areas, even when they are offered the comfort of broadband internet and affordable housing? Today's episode addresses the two reasons why doctors and nurses avoid rural health and how innovators around the world are solving those problems. Key Points: -The new Netropolis -Rwanda'…

What is the greatest risk to your organization and how can you tell? What does a "good" solution look like? Today's episode shares how to use a risk assessment to identify hot spots in your organization and innovate for the best solutions. Key Points: -Relative risk? -Scoring Risks -Discussing solutions References: -Fox, Andrea (May 31, 2023). Flor…

Are there trails blazed outside the system’s parameters that frustrate planners? This episode discusses “desire paths” in sidewalk design as an example for surgical staffing, and looks at how AI could help us get a better understanding of employee behavior and trends. What will we find if we stop to listen to the footfalls of our healthcare communi…

More than 10,000 virtual ward beds will be used by the NHS in England this winter to care for people with an acute respiratory infections.To learn more about the benefits and opportunities of introducing a virtual ward, or hospital at home service, our guests are Mark Salmon, programme director in the Science, Evidence, and Analytics Directorate at…

Have you noticed that physicians are doing a lot more clerical work these days, staying late to answer email and sit on the phone? Does your organization require a graduate degree for simple data entry jobs? Today's episode talks about Eduflation, the cost of down-skilling our experts, and ways to measure and prove our value to an organization. Key…

Why are roles so vague today? What does quiet quitting say about our processes? What organizational improvement could remedy the cause of quiet quitting? Today's episode dives into the world of job descriptions, organizational goals and quiet quitting from a process perspective with solutions based on solid improvement principles. Key Points: -Job …

It is estimated that there are around 85,000 strokes every year in England, with over 1 million people currently living with its long-term effects. We catch up with Jon Brown, chair of the independent committee and Professor Stephen Hill, lay member on the committee about NICE’s updated guidance on stroke rehabilitation.…

This Healthcare Quality Week, I had the honor of sitting down with esteemed High Reliability Organizing (HRO) expert Craig Clapper to discuss my toughest questions about patient safety and quality improvement. He has a background in nuclear engineering and an emphasis in good humor, resulting in a conversation that was both compassionate and though…

By 2034, the Baby Boomers will leave the workplace: We will have more demand for healthcare than the supply of workers. What can we do to manage this demographic cliff? Today's episode provides practical examples and workforce solutions for organizations of any size. Key Points: -Clinicians as alarms -Demographic Brain Drain -Shared Results and Opp…

We’re proposing changes to how we select topics for guidance production. This is to ensure we focus on what matters most to the health and care system.In this month’s podcast, we hear from Professor Jonathan Benger, NICE's chief medical officer, and Dr Jeanette Dickson, chair of council at the Academy of Medical Royal Colleges, about how this will …

Communication in healthcare can be a real challenge. Today's episode explores patient needs, the speaker-audience relationship, jargon, and misinformation in healthcare. Key Points: -Health education is tricky -Jargon is not patient-centered -Nuance and clarity References: -Leonard SA, Main EK, Scott KA, Profit J, Carmichael SL (2019). Racial and e…

We’re making some changes to how we evaluate medicines to help get new treatments to patients quicker. In this month's podcast, we hear from Jenniffer Prescott, programme director within NICE's Centre for Health Technology Evaluation and Victoria Jordan from The Association of the British Pharmaceutical Industry about our new approach.…

On 10 July NHS England published proposals for establishing an antimicrobial products subscription model for products that offer exceptional value to patients and the NHS. This builds on a recent pilot project that we co-led which paid companies a fixed annual fee for antimicrobials based on their value to the NHS, rather than the volume used. We s…

We speak with Meindert Boysen, NICE's head of international affairs, and Dr Nicole Mittmann, vice president of scientific evidence, methodologies and resources at CADTH - Canada's drug and health technology agency. They discuss the global partnerships that are enabling NICE to remain at the forefront of guidance development methodology.…

Following Mental Health Awareness Week, we hear about 4 NICE-approved digital technologies that can help children and young people with mild to moderate symptoms of anxiety or low mood. Our guests are Sarah Byron, NICE's programme director for devices, diagnostics and digital, and Lily Tang, deputy director of digital investment strategy at NHS Eng…

As part of Bowel Cancer Awareness Month, we chat with 2 members of our colorectal cancer guideline committee. We're joined by Justin Davies, a consultant colorectal surgeon, and Julie Hepburn, a patient who has had colorectal cancer. They discuss the warning signs and symptoms, available treatments and their involvement in guideline development.…

Chief executive Dr Sam Roberts outlines her priorities for NICE by National Institute of Health and Care Excellence (NICE)By National Institute of Health and Care Excellence (NICE)

In this episode we discuss urinary tract infections (UTI's) and the publication of NICE' new quality standard. The guests are: Dr Tessa Lewis, a GP and specialist committee member on NICE's independent quality standards committee, and we speak to a patient about their experiences of dealing with recurrent UTIs in their early adulthood to find out w…

In this episode we discuss the role NICE plays in patient safety. The guests are: Professor Kevin Harris, senior responsible office for patient safety at NICE, and clinical advisor to the Interventional Procedures Programme and Professor Jane Blazeby, Professor of Surgery at University of Bristol.By National Institute of Health and Care Excellence (NICE)

Reducing health inequalities is part of NICE’s DNA. We offer evidence-based recommendations to help improve the health of communities.The equitable implementation of NICE recommendations ensures that care provided is effective, makes efficient use of resources and reduces inequalities and unwarranted variation.Taking part in this episode is NICE ch…