-
Mark Davis started following Claire Cox
-
Ahmed Ammar started following Claire Cox
-
Conducting a systems review of pressure ulcers in the intensive care unit
Content ArticlePressure ulcers within the intensive care unit (ICU) have long been recognised as a persistent and complex patient safety issue. Critically ill patients are particularly vulnerable due to immobility, compromised perfusion (the process of blood delivery to the tissues), nutritional deficits and the presence of invasive medical devices.[1] Despite the implementation of prevention protocols, pressure ulcers continue to occur, suggesting that the problem extends beyond individual clinical actions and into the broader healthcare system.[2] Recent UK-based studies have reinforced this view. For example, a national prevalence study found that pressure ulcers remain common in critical care, with medical device-related injuries accounting for a significant proportion.[3] Similarly, Health Innovation East highlighted the variability in outcomes across NHS settings, underscoring the need for system-wide approaches tailored to local contexts.[4] In this blog, Patient Safety Learning's Associate Director Claire Cox shares how she adopted a systems approach using the Systems Engineering Initiative for Patient Safety (SEIPS) model to review pressure ulcers.
-
- SEIPS in action
-
Development of a competency framework for healthcare safety investigators: An E-Delphi study (21 February 2026)
A37df0329c58e64eb7d3bda15685a024Claire Cox commented on Patient Safety Learning's article in Methodology and guidance: How to do an investigationHi Bobi, This was the first competency framework of its kind at present. There my be more work needed to get this adopted by the NHS - however it is a start. I think it could form part of a JD for investigators? Claire
-
Patient barcode scanning in NHS hospitals: safety, snags and workarounds. A nurse’s perspective
A37df0329c58e64eb7d3bda15685a024hi @Just Paul Happy to have a conversation - please email me - [email protected] and we can arrange a time. Claire
- Patient barcode scanning in NHS hospitals: safety, snags and workarounds. A nurse’s perspective
-
Claire Cox started following PSIRF information/ advice
-
PSIRF information/ advice
Community PostHi Gemma, Very happy to help. I chair the Patient Safety Management Network - which I hope you have become a member of as we can support you with questions like this. Feel free to email me and I can talk you through PSII, templates and anything else inbetween [email protected] Clairre
-
-
Reflections on a clinical shift: "After 20 years of nursing, this is one of the worst shifts I have ever completed"
A37df0329c58e64eb7d3bda15685a024This gave me so much anxiety reading this. How we have got to this state is beyond me. How is this ok? How can we change this ? My heart goes out to this nurse and the thousands of others that work in these awful conditions.
-
Gosia Campbell started following Claire Cox
-
GemmaA started following Claire Cox
-
Tom Rose started following Claire Cox
-
The voices of the patient safety frontline – the Patient Safety Management Network two years on
Content ArticleThe Patient Safety Management Network (PSMN), created in June 2021, is an innovative voluntary network for patient safety managers and everyone working in patient safety. Claire Cox, Quality Patient Safety Lead, King's College Hospital NHS Foundation Trust, looks at how the Network has evolved over the last two years, its achievements and its aims going forward.
- Putting the writing on the wall: Explaining work as imagined vs work as done (by Claire Cox)
-
Putting the writing on the wall: Explaining work as imagined vs work as done (by Claire Cox)
Content ArticleClaire Cox, Patient Safety Lead at Kings College Hospital NHS Foundation Trust, shares a recent technique she used to explain the difference between 'work as imagined' and 'work as done'. Claire's example (a pathway for a patient coming to A&E, who also has a mental health issue) highlights the safety risks of competing guidance and the importance of co-production moving forward.
-
Patient Safety Journal
Content ArticleThe latest issue of the Patient Safety Journal is now out. US patient safety journal brought to you by the Patient Safety Authority, an independent agency of the Commonwealth of Pennsylvania. Each issue publishes original, peer-reviewed research and data analyses and also gives patients a voice. It's mission is to give clinicians, administrators and patients the information they need to prevent harm and improve safety.
-
Patient Safety Management Network – the time is now (25 October 2021)
Content ArticleIn this blog, Claire Cox, Quality Improvement and Patient Safety Manager at Guys and St Thomas' Hospital NHS Foundation Trust, explains why and how she developed the Patient Safety Management Network. She looks at why the network is needed, what it has achieved so far, its aims for the future and how patient safety managers can get involved.
-
Staff access to water while on shift
Community PostYears ago I remember never being allowed a drink at the desk. It was against infection control is what I was told. however I do remember breaking the rules and then promptly spilling the drink across the keyboard 🤦🏼♀️ As an outreach nurse , we are travellers around the hospital. I know where all the water stations are in each department - the trouble is that there are sometimes a lack of cups. Disposable cups are not environmentally friendly , however if you are a HCP that moves around wards you can’t always take a bottle with you - especially if you are running to an emergency. If you are based on the wards , the culture where I work is that you are able to have a bottle at the desk. working on COVID wards , regular breaks were taken as hydration was much more focussed on than ever before. Not sure who controls the heating in all hospitals, but turning that off in the summer would help!!
-
Quality improvement from the dining room table
Content ArticleSince her last blog for the hub, Claire has moved away from clinical practice as a critical care outreach nurse and has entered the world of patient safety management in a new Trust. Coming out of a second lockdown, Claire reflects on how her experiences working in the NHS are very different from the first lockdown back in March 2020 and the difficulties she's facing doing quality improvement from home.
-
‘Psychological safety’ at work improves productivity - here are 4 ways to get it, according to a Harvard expert
Content ArticleA concept called “psychological safety” is especially crucial to a team’s success, according to Amy Edmondson, professor of leadership and management at the Harvard Business School. Psychological safety describes “a workplace where one feels that one’s voice is welcome with bad news, questions, concerns, half-baked ideas and even mistakes,” Edmondson tells CNBC Make It. People should feel like they can ask questions, raise concerns and pitch ideas without undue repercussions. This article gives a good introduction to what psychological safety is and how to achieve it in the work place.