Publications by authors named "T S Purchase"

Introduction: Around 1 in 20 patients experience avoidable healthcare-associated harm worldwide. Despite longstanding concerns, there is insufficient information available about the safety of healthcare for prisoners. To address this, this study will investigate the scale and nature of avoidable healthcare-associated harm for prisoners in England.

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Article Synopsis
  • The COVID-19 pandemic disrupted healthcare delivery, making it crucial to understand how adaptations caused unintended patient harm and to improve incident reporting systems.
  • The study employed a mixed-methods approach to analyze and compare patient safety incidents from the UK and France, focusing on the effectiveness of the Patient Safety (PISA) classification system during the pandemic.
  • Five main themes emerged from the analysis, highlighting the importance of varied perspectives on safety concerns, the relevance of existing frameworks, data interpretation influenced by study objectives, recognition of enduring patient issues, and the significance of the data collection timeframe for context.
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Introduction: Healthcare-associated harm is an international public health issue. Children are particularly vulnerable to this with 15%-35% of hospitalised children experiencing harm during medical care. While many factors increase the risk of adverse events, such as children's dependency on others to recognise illness, children have a unique protective factor in the form of their family, who are often well placed to detect and prevent unsafe care.

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Objectives: Prisoners use healthcare services three times more frequently than the general population with poorer health outcomes. Their distinct healthcare needs often pose challenges to safe healthcare provision. This study aimed to characterise patient safety incidents reported in prisons to guide practice improvement and identify health policy priorities.

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Background: Reducing avoidable healthcare-associated harm is a global health priority. Progress in evaluating the burden and aetiology of avoidable harm in prisons is limited compared with other healthcare sectors. To address this gap, this study aimed to develop a definition of avoidable harm to facilitate future epidemiological studies in prisons.

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