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Claire Cox

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Everything posted by Claire Cox

  1. Content Article
    'I am a junior doctor. It is 4 a.m. I have run arrest calls, treated life-threatening bleeding, held the hand of a young woman dying of cancer, scuttled down miles of dim corridors wanting to sob with sheer exhaustion, forgotten to eat, forgotten to drink, drawn on every fibre of strength that I possess to keep my patients safe from harm.' How does it feel to be spat out of medical school into a world of pain, loss and trauma that you feel wholly ill-equipped to handle? To be a medical novice who makes decisions which - if you get them wrong - might forever alter, or end, a person's life? To toughen up the hard way, through repeated exposure to life-and-death situations, until you are finally a match for them? In this heartfelt, deeply personal account of life as a junior doctor in today's health service, former television journalist turned doctor, Rachel Clarke, captures the extraordinary realities of ordinary life on the NHS front line. From the historic junior doctor strikes of 2016 to the 'humanitarian crisis' declared by the Red Cross, the overstretched health service is on the precipice, calling for junior doctors to draw on extraordinary reserves of what compelled them into medicine in the first place - and the value the NHS can least afford to lose - kindness.
  2. Content Article
    Each year more people die in health care accidents than in road accidents. Increasingly complex medical treatments and overstretched health systems create more opportunities for things to go wrong, and they do. Patient safety is now a major regulatory issue around the world, and Australia has been at its leading edge. Self-regulation by professional and industry groups is now widely regarded as insufficient, and government is stepping in. In Patient Safety First leading experts survey the governance of clinical care. Framed within a theory of responsive regulation, core regulatory approaches to patient safety are analysed for their effectiveness, including information systems, corporate and public institution governance models, the design of safe systems, the role of medical boards, open disclosure and public inquiries. Patient Safety First includes chapters by Bruce Barraclough, John Braithwaite, Stephen Duckett and Ian Freckleton SC. It is essential reading for all medical and legal professionals working in patient safety as well as readers in public health, health policy and governance.
  3. Content Article
    Do you know the science behind what works and doesn’t work when it comes to keeping people safe in your organisation? Dr Drew Rae and Dr David Provan from the Safety Science Innovation Lab at Griffith University as they break down the latest safety research and provide you with practical management tips.
  4. Content Article
    At its heart, Appreciative Inquiry (AI) is about the search for the best in people, their organisations, and the strengths-filled world around them. It is the art and practice of asking questions that strengthen a system’s capacity to heighten positive potential, (Stavros et. al (2015) Appreciative Inquiry: Organisation Development and the Strengths Revolution). In this area you will find useful resources relating to the aspect covered below. 
  5. Content Article
    The Health Service Journal (HSJ) Health Check investigates what’s going on at East Kent Hospitals University Foundation Trust – an organisation which has seen well over its fair share of COVID-related deaths since the start of June.  In this podcast, the HSJ discuss the leadership challenges faced by the trust over many years, its ongoing maternity scandal, and how its persisting battle with coronavirus doesn’t fit with the new national narrative of recovery. Featuring Alison Moore, Annabelle Collins and Alastair Mclellan.
  6. Content Article
    In this blog, David Provan discusses the impact asking questions as safety professionals gleans more insight and improves engagement with staff rather then 'telling' them how to improve safety. David is Managing Director Forge Works, Adjunct Fellow Griffith University and host of The Safety of Work podcast.
  7. Content Article
    How work gets done in complex healthcare systems is ethically important. When healthcare professionals and other staff are pressured to improvise, fix structural problems, or comply with competing policies, the uncertainty and distress they experience have potential consequences for patients, families, colleagues, and the system itself. This book presents a new theory of healthcare ethics that is grounded in the nature of healthcare work and how it is shaped by the ever-changing conditions of complex systems, in particular, problems of safety and harm. By exploring workarounds and other improvised practices in complex healthcare systems that are difficult for professionals to talk about openly, yet have unclear effects, including their value or risk to patients, this book offers a realistic look at our changing healthcare system and how we can improve the way we manage moral problems arising in the care of the sick. Berlinger argues that healthcare ethics in complex and changing healthcare systems should reflect the moral complexity of healthcare work, analyse common ethical challenges with reference to behaviours and pressures driven by the system itself and support opportunities for healthcare professionals and staff at all levels to reflect on the problems they face and to take part in social change. The book's chapters include frameworks for looking at ethical challenges in healthcare as problems of safety and harm with consequences for patients. Are Workarounds Ethical? is designed to support clinician education in medicine, nursing, and interdisciplinary contexts and recommend methods for integrating ethics, safety, and justice in practice.
  8. Content Article
    Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating healthcare organisations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission evaluates and accredits more than 22,000 healthcare organisations and programmes in the United States. The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them. The goals are to: Identify individuals served correctly Use medicines safely Prevent infection Identify individuals served safety risks.
  9. Content Article
    Recently there have been several incidents relating to allergens in hospital food reported. The consistent themes are lack of information and/or communication regarding food allergens present in the food and/or details of the patient’s known food allergy. This alert contains actions for providers to take.
  10. Content Article
    The Safe Anaesthesia Liaison Group (SALG)'s quarterly patient safety updates contain important learning from incidents reported to the National Reporting and Learning System (NRLS). The Royal College of Anaesthetists (RCoA) and the Association of Anaesthetists would like to bring these safety updates to the attention of as many anaesthetists and their teams as possible. 
  11. Content Article
    The purpose of this study, published in the European Journal of Hospital Pharmacy, was to ascertain the views, beliefs and attitudes of hospital staff to incorrect penicillin allergy records in order to determine healthcare worker motivation for the implementation of a penicillin de-labelling antibiotic stewardship intervention at the study hospital. Findings showed that virtually all staff in this study, had encountered patients who believed themselves to be penicillin allergic, but felt the patient’s belief to be erroneous. Therefore, a penicillin allergy de-labelling intervention might be of benefit to ensure that patients who were not allergic were able to have the correct antibiotic.
  12. Content Article
    See how incivility affects all of us in the NHS and how that can impact patient safety.  Join the staff of Epsom and St Helier University Hospitals NHS Trust on their journey as they reflect on the real-life effects of both incivility and active kindness.  This video was devised, filmed and produced by the Elena Power Simulation Centre.
  13. Content Article
    SLIPPS (Shared LearnIng from Practice to improve Patient Safety) is a 3 year Erasmus+ funded Patient Safety education project. The project will: draw on the real experiences of health/social care students in practice placements  utilise these experiences as the basis for a range of educational resources set up an international patient safety education network build an international open access virtual learning centre for international, multi-professional learning about patient safety Who is involved? 7 Higher Education institutions 5 Health and/or social care providers 5 European countries (UK, Finland, Spain, Italy and Norway)
  14. Content Article
    In healthcare systems safety needs to be conceived in a relational as well as a regulatory framework, with resilience being understood as the interplay between both elements. This presentation from the Australian Institute of Health Innovation, critically appraises how harm is understood and responded to within the New Zealand health system and the potential contribution of restorative responses. A major and internationally unprecedented project, that employed a restorative approach to address the harm caused to patients and professionals by the use of surgical mesh in New Zealand (NZ), is used to illustrate the case for change.
  15. Content Article
    Good foot health and care play an important role in improving overall health and wellbeing of the general population. However, the observations of nurses and podiatrists suggest that people experiencing homelessness, particularly rough sleepers, experience worse foot health than the wider population.  This guidance, from the Queens Nursing Institute, was developed in partnership with podiatrists with experience of working with people who are homeless, and is intended as a resource for community nurses and allied health professionals. It can be used as a reference by others with an interest in the health of people who are homeless, such as hostel staff, day-centre staff and support workers. 
  16. Content Article
    Microsoft teamed up with staff at Great Ormond Street Hospital for Sick Children to recreate the hospital in minecraft so that children visiting have a 'virtual tour' before arriving.
  17. Content Article
    Leeds Hospital NHS Trust has developed a range of patient leaflets. These leaflets inform patients and relatives about the changes to their care and different processes during the pandemic.
  18. Content Article
    This 53-page document provides guidance for engaging stakeholders in reviewing and providing feedback to the investigator on specific areas of concern before a research project is implemented. The objective is to strengthen research proposals. The process involves a community engagement studio, which operates like a focus group but with key differences. This model and toolkit were developed by the Meharry-Vanderbilt Community Engaged Research Core, a program of the Vanderbilt Institute for Clinical and Translational Research.
  19. Content Article
    In this edition of the Royal College of Anaesthetists bulletin, articles include: psychological consequences of COVID-19 a shift in incident reporting sleep and exhaustion.
  20. Content Article
    This bedside guide, from the Chartered Institute of Ergonomics and Human Factors, is intended for the use of all healthcare staff who are looking after adult patients with tracheostomies. The tasks described should not be attempted by those who have not received training or been deemed as competent in tracheostomy care and management. This guide includes posters, checklists and practical resources to aid the safe care of patients with tracheostomies.
  21. Content Article
    In this short video, Dr Michael Kaufmann discusses five fundamentals of civility and how to be civil in a healthcare workplace.  Dr Michael Kaufmann is a Consultant in physician health and addiction medicine and Medical Director of the Physician Workplace Support Program (PWSP).
  22. Community Post
    @gbeswick you might be interested in these resources for BAME staff Claire
  23. Content Article
    Following the first confirmed case of COVID-19 in Pennsylvania, facilities began submitting patient safety reports to the Pennsylvania Patient Safety Reporting System related to management of this emerging infection. Events in the analysis most often took place in the Emergency Department, on a Medical/Surgical Unit, or in the Intensive Care Unit. This is a study of 343 Event Reports From 71 Hospitals in Pennsylvania. The table within this document outlines the factors associated with patient safety concerns within COVID-19.
  24. Content Article
    In this issue of Patient Experience you can find topics discussed by the people who are living inside the health and care systems and are sharing their stories.
  25. Content Article
    Double checking medication administration in hospitals is often standard practice, particularly for high-risk drugs, yet its effectiveness in reducing medication administration errors (MAEs) and improving patient outcomes remains unclear. This systematic review of studies, published in BMJ Quality & Safety, evaluates evidence of the effectiveness of double checking to reduce MAEs.
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