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Patient safety 5 – The impact of healthcare inequality on patient safety

Release Date: 02/07/2024

RCPCH Podcasts

In this final episode of our podcast series on the changing climate, this mountainous country is seeing extreme temperature fluctuations, landslides and air pollution, endangering communities and impacting healthcare. But, there are some lessons around adaptation, as our guests who work or have volunteered in Nepal explain. Dr Bernadette O’Hare hosts a fascinating and wide-ranging conversation with Dr Jamun Singh, a Nepalese paediatrician, and Dr Rashmi D’Souza, a UK-based paediatrician and Heather Watson, a UK-based paediatric nurse, who volunteered with Dr Singh in our Global Links...

Child health and climate change: Canada

RCPCH Podcasts

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Child health and climate change: Uganda

RCPCH Podcasts

Less predictable weather in the past several years in this east African country have made it increasingly difficult to grow crops, leading to food shortages and skyrocketing prices. There are broader consequences for children's health, too, as Eva Odongpiny, a pharmacist in Uganda, discusses with us. These include an increased vulnerability to diseases like HIV and cholera, air pollution and water scarcity. This is the first episode in our three-part series on the impacts of climate change on children's health around the word. Host, Dr Bernadette O’Hare, chair of the international workstream...

Patient safety 5 – The impact of healthcare inequality on patient safety

RCPCH Podcasts

Health inequalities are widening in paediatrics. Those that are more disadvantaged experience more safety issues whilst in health care. If we can make our healthcare systems more equitable for the children and young people we can for, they will be safer in our care. In episode 5 of our series on paediatric patient safety, we speak with Dr Helen Stewart, Dr Cian Wade and Dr Mimi Malhotra to explore how patient safety and health inequalities are inextricably linked. Tackling healthcare inequalities can improve safety and vice versa. Dr Stewart shares her knowledge and experience as...

Patient safety 4 - Involving children, young people and their families in making healthcare safer

RCPCH Podcasts

It is imperative that children and young people are central to the co-design and co-production of our patient safety improvement interventions. In this episode, we speak with Dr Jane Runnacles, consultant paediatrician at St. George's Hospital, and Dr Victoria Dublon, paediatric diabetes consultant at the Royal Free Hospital. Both are champions of improvement work that puts the young person and their needs first. As Jane and Victoria describe, involving children, young people and their families in improvement work improves the experience and outcome for all involved. There are fantastic...

Patient safety 3 - How do we improve how we learn from harm?

RCPCH Podcasts

It is not enough just to collect data on harm occurring to children in healthcare settings. We need the data to be robust, comparable across the NHS and for it to be transformed into effective, meaningful changes in outcome. In episode 3 of our series on paediatric patient safety, we speak with Dr Damian Roland, a paediatric emergency medicine clinician scientist and head of service for the Children's Emergency Department at Leicester Royal Infirmary. As Damian discusses on the podcast, in order to learn from harm and prevent it occurring again we need to collect data and investigate what is...

Patient safety 2 - If we are psychologically safe, children are safer in our care

RCPCH Podcasts

Psychological safety in healthcare settings is the condition in which you feel included, safe to learn, safe to contribute and safe to challenge the status quo - without fear of being embarrassed, marginalised or punished. And it's an essential foundation in building a safety culture. Individually, feeling psychologically safe improves performance and innovation, while feeling unsafe reduces productivity and harms retention. In a highly productive team, it is about feeling safe to take risks, to learn from each other and to feel resilient and able to tackle the difficult and varying challenges...

Patient safety 1 - How can we build a culture of safety in paediatric healthcare?

RCPCH Podcasts

Healthcare is inherently risky and so as child health professionals we need to make patient safety a priority in all our actions. We need to think about safety all the time. In episode 1 of our series on paediatric patient safety, we speak with Dr Peter Lachman, who develops and delivers programmes for clinical leaders in quality improvement at the Royal College of Physicians in Dublin. As Peter explains on the podcast, we healthcare professionals need to know patient safety theory - but, more importantly, we need to know how to apply it, drive improvement and create a workplace culture...

The state of digital child health today - an interview with Professor Sam Shah

RCPCH Podcasts

Richard Burley, Executive Director of Digital talks with Professor Shah about how digital technology can support child health, and how paediatricians can embrace it - with a dose of healthy scepticism. Professor Sam Shah is Chief Medical Strategy Officer at men's health company, Numan, and Honorary Lecturer at University College London's Global Business School for Health. He spoke at RCPCH Conference 2023 with a session titled, 'Could healthcare technology address the challenges in child health? Richard Burley here at the College was fortunate to be in the audience and invited Sam to discuss...

Shift the dial on climate change and health inequalities

RCPCH Podcasts

Climate change poses an existential risk to child health and is exacerbating health inequalities. But, paediatricians can play an important role in sharing information and advocating for action. Dr Helen Stewart and Dr Alex Lemaigre introduce the College’s new toolkit for paediatricians. Our first tool helps you understand how climate change impacts on children and young people’s health and exacerbates health inequalities. And our second equips you to influence climate change policy locally, regionally and nationally. Alex and Helen talk about why paediatricians have a role in addressing...

More Episodes

In episode 5 of our series on paediatric patient safety, we speak with Dr Helen Stewart, Dr Cian Wade and Dr Mimi Malhotra to explore how patient safety and health inequalities are inextricably linked. Tackling healthcare inequalities can improve safety and vice versa.

Dr Stewart shares her knowledge and experience as the RCPCH Officer for Health Improvement as to how our children are impacted by health inequalities. Dr Wade and Dr Malhotra discuss their BMJ paper, Action on patient safety can reduce health inequalities, and explore some of the improvement avenues that are available to clinicians and service providers.

Thank you for listening.

Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber, RCPCH Head of Quality Improvement | Produced by 18Sixty

Please be advised that this podcast series contains stories relating to child death and harm. All views, thoughts and opinions expressed belong to the guests and not necessarily to their employer, linked organisations or RCPCH.

Download transcript (PDF)

About the Patient Safety series

As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings.

We hope you will be entertained, educated and energised to make strides in improving the safety of the children that you care for.

The RCPCH Patient Safety Portal has lots of resources, including a wealth of learning about paediatric patient safety. The RCPCH health inequalities programme of work can be found on our key topics pages.

It is imperative to turn this knowledge into action through improvement activities.

About the speakers

Dr Helen Stewart is a Consultant in Paediatric Emergency Medicine at Sheffield Children’s Hospital. She also has an interest in public health and health inequalities, which has led to her becoming the Officer for Health Improvement at RCPCH.
Dr Cian Wade completed a National Medical Director Clinical Fellowship with NHS England. He is a Fulbright Scholar who recently completed a Master of Public Health at Harvard University and now consults for health systems and healthcare providers.
Dr Mimi Malhotra completed a National Medical Director Clinical Fellowship with the Health Foundation. Dr Malhotra continues to work as a respiratory trainee in London with ab honorary clinical lectureship at UCL.

Topics/organisations/papers referenced in this episode

TOPICS