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Claire Cox

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  1. Content Article
    The Intensive Care Society is delighted to share their wellbeing resource pack developed with Dr Julie Highfield, Clinical Psychologist. The poster series aims to improve our understanding of psychological wellbeing at work, the impact reduced wellbeing can have and what we can do in response, and includes tips for dealing with extraordinary situations such as COVID-19 and everyday working in critical care.  These resources prompts the reader(s) to consider: tips for approaching self-care how to manage personal wellbeing what we can do to improve our workplace when to ask for help. How to use these posters Ideally the posters should not be used in isolation, but alongside other initiatives. You could set up a staff wellbeing board, where all the posters are available together for staff to view, or you could place copies of the posters around the unit in staff areas, where staff can read them freely.
  2. Content Article
    In this blog, psychotherapist Donna Butler gives practical advice on how to keep your mental health in good shape during periods of self isolation and worrying times.  Donna is an Integrative psychotherapist, having trained at Brighton & Sussex Universities and the Institute for Arts in Therapy and Education in London, where she gained a Masters in Psychotherapy.
  3. Content Article
    A short video to show you how to have a video consultation with your GP surgery after receiving an invitation via text message.  Increased use of telephone and video consultations is expected during the current COVID-19 situation. In this video, the AccuRX (https://www.accurx.com/) system is being used. The system and process used by other practices may vary. A link to this video can be sent to a patient's phone by the surgery when a video appointment is booked so that they can prepare themselves for their video consultation.
  4. Content Article
    This dashboard produced by Public Health England provides daily updates of all cases, recovery rates and deaths of coronavirus in the UK.
  5. Content Article
    This is a collection of articles, news and alerts on coronavirus published on Medscape.
  6. Content Article
    NHS Inform is Scotland's national health information service. They have produced this web page to help inform the public on what do do and how to repsond to the coronavirus crisis.
  7. Content Article
    As the International Organisation for Public-Private Cooperation, the World Economic Forum, acting as partner to the World Health Organization, is mobilising all stakeholders to protect lives and livelihoods. The dramatic spread of COVID-19 has disrupted lives, livelihoods, communities and businesses worldwide. All stakeholders, especially global business, must urgently come together to minimise its impact on public health and limit its potential for further disruption to lives and economies around the world.   But the sum of many individual actions will not add up to a sufficient response. Only coordinated action by business, combined with global, multi stakeholder cooperation – at exceptional scale and speed – can potentially mitigate the risk and impact of this unprecedented crisis.  The spread of COVID-19 demands global cooperation among governments, international organisations and the business community. This multistakeholder cooperation is at the centre of the World Economic Forum’s mission. The new COVID Action Platform will focus on three priorities: Galvanise the global business community for collective action. Protect people’s livelihoods and facilitate business continuity. Mobilise cooperation and business support for the COVID-19 response.
  8. Content Article
    Johnathan Occleshaw is a Hepatitis C Coordinator for the North West region. In this article, on the Care, Grow, Live website, he explains how the Integrated Recovery Service in Halton micro-eliminated hepatitis C. Change Grow Live’s Integrated Recovery Service in Halton has confirmed the successful 'micro-elimination' of the virus. To achieve micro-elimination the Recovery Service had to: ensure that 100% of the people who use the services are offered a Hepatitis C test ensure that 90% of those people offered a test were tested support 75% of the people diagnosed with Hepatitis C to start treatment.
  9. Content Article
    This guidance for the public was developed by 'Doctors of the World'. It has been written in 16 different languages: English Vietnamese Turkish Spanish Portuguese Pashto Mandarin Kurdish Hindi French farsi Dari Bengali Arabic Albanian. It includes information on: symptoms advice on staying at home when and how to contact 111 advice on your immigration status how to stop the spread of the virus.
  10. Content Article
    The National Audit of Inpatient Falls (NAIF) has a new approach which focuses on the continuous audit of the care and management of patients who sustain a hip fracture in an inpatient setting. The new process involves the identification of inpatient hip fractures by the National Hip Fracture Database (NHFD). This first report of the continuous NAIF focuses on patients in England and Wales who sustained an isolated hip fracture (IHF) between January and August 2019. Data on organisational policy and practice with respect to inpatient fall prevention and management were collected via a facilities audit, and the data from 2018 NHFD were explored to identify differences between IHF and non-IHF processes and outcomes. The report shows that mortality at 30 days is twice as high in IHF compared to non-IHF. Analysis of the 2018 NHFD data indicates that there is a delay in time to surgery, as well as worse outcomes relating to post-operative mobility, delirium and length of stay. The report also found high participation levels with full participation from Welsh health boards, very high participation from English acute trusts, and high engagement from English community trusts. An impressive proportion of English mental health trusts registered, despite no previous involvement with NAIF. The submission of cases was also excellent, with almost total completion of data collection. You can download the report here. Please note you will be prompted to register your details so you can receive updates. You may skip the registration process if you prefer.
  11. Content Article
    This infographic developed by the World Heath Organization, pictures how to put on and take off personal protective equipment safely.
  12. Content Article
    ECRI Institute's Top 10 Patient Safety Concerns for 2020 features new topics, with an emphasis on concerns that have the biggest potential impact on patient health across all care settings. However, the number one topic on this year's list is one revisited from 2019: missed and delayed diagnoses. ECRI’s list of patient safety concerns for 2020: 1. Missed and delayed diagnoses—Diagnostic errors are very common. Missed and delayed diagnoses can result in patient suffering, adverse outcomes, and death. 2. Maternal health across the continuum—Approximately 700 women die from childbirth-related complications each year in the U.S. More than half of these deaths are preventable. 3. Early recognition of behavioural health needs—Stigmatisation, fear, and inadequate resources can lead to negative outcomes when working with behavioural health patients. 4. Responding to and learning from device problems—Incidents involving medical devices or equipment can occur in any setting where they might be found, including ageing services, physician and dental practices, and ambulatory surgery. 5. Device cleaning, disinfection, and sterilisation—Sterile processing failures can lead to surgical site infections, which have a 3% mortality rate and an associated annual cost of $3.3 billion. 6. Standardising safety across the system—Policies and education must align across care settings to ensure patient safety. 7. Patient matching in the EHR—Organisations should consistently use standard patient identifier conventions, attributes, and formats in all patient encounters. 8. Antimicrobial stewardship—Over prescribing of antibiotics throughout all care settings contributes to antimicrobial resistance. 9. Overrides of Automated Dispensing Cabinets (ADC)—Overrides to remove medications before pharmacist review and approval lead to dangerous and deadly consequences for patients. 10. Fragmentation across care settings—Communication breakdowns result in readmissions, missed diagnoses, medication errors, delayed treatment, duplicative testing and procedures, and dissatisfaction.
  13. Content Article
    Kidney Care UK has been working with medical colleagues and partners on information and advice about COVID-19 specifically for people with kidney disease. Their web page contains guidance for kidney patients and also information on the action that NHS renal services are taking during this outbreak. Further guidance is being developed for those on dialysis; those with a transplant; those with renal diseases who depend on immunosuppressant medication; those with declining kidney function; and those with chronic kidney disease. At the moment your current treatment plans will not change. However, advice is being updated on a daily basis so please do refer back to Kidney Care UK's page as it will be updated in response to any developments.
  14. Content Article
    In this short video, anaesthetic staff at Brighton and Sussex University Hospital demonstrates how to put on and take off the power hood safely. These hoods are used by staff who are caring with patients who are either high risk or have tested positive for COVID 19.
  15. Content Article
    Brighton and Sussex University Hospitals Trusts Anaesthetic Department has produced this video demonstrating how to 'don' (put on) and 'doff' (take off) PPE pre- and post-intubation of a high risk/infected patient with COVID-19.
  16. Content Article
    As part of Patient Safety Awareness Week 2020, the Royal College of Pathologists have released three videos. In these videos, trainees discuss error scenarios and how we can foster a positive culture of learning from those mistakes.   Speakers include Dr Mathew Clark, Miss Laura Whitehouse and Dr Hamed Sharaf.
  17. Content Article
    James Munro, Chief Executive of Care Opinion, argues that there is extraordinary, yet untapped value in patient feedback which is not being recognised in current policy and practice. His blog follows the launch of the National Institute of Healthcare Research's (NIHR) themed review on using patient feedback to improve care.  Gathering feedback from people who use health services sounds like a simple and straightforward matter. Doesn’t everyone love feedback? The NIHR themed review Improving Care by Using Patient Feedback highlights that this is a topic beset by complexity, uncertainty and disagreement. It’s also an area which can provoke strong emotions both from those offering feedback, such as: “why isn’t anyone listening?” and those receiving it: “why am I being attacked when I work so hard?”.
  18. Content Article
    The Coroners and Justice Act 2009 allows a coroner to issue a Regulation 28 report to an individual, organisations, local authorities or government departments and their agencies where the coroner believes that action should be taken to prevent further deaths. Eileen Pollard died of a myocardial infarction. This coroners report was due to concerns raised by the patient numerous times around the call bell either not being near the patient or not working. This regulation 28 is around testing of patient call bells in care homes. Questions: Have you got a system for checking call bells where you work? Are the call bells always in reach of the patient?
  19. Content Article
    As part of Patient Safety Awareness Week 2020, the Royal College of Pathologists speak to Professor Peter Johnston about preventing patient harm in laboratory settings.
  20. Content Article
    This interview with intensivist and CEO of the the UK Sepsis Trust, Ron Daniels, shown on the Victoria Derbyshire programme, states the '... the UK cannot increase its ICU capacity "rapidly enough" to deal with levels of coronavirus patients'' Fears are growing for the safety of patients who will be contracting the virus, some of who will need intensive care, but there is not enough beds or trained staff to care for them appropriately.
  21. Content Article
    This web page is updated regularly on what the health and social care system across the UK has done to tackle the coronavirus (COVID-19) outbreak and what it plans to do next.
  22. Content Article
    The World Health Organization has produced a factsheet about patient safety, what it is and the burden of harm. Key facts The occurrence of adverse events due to unsafe care is likely 1 of the 10 leading causes of death and disability in the world. In high-income countries, it is estimated that one in every 10 patients is harmed while receiving hospital care. The harm can be caused by a range of adverse events, with nearly 50% of them being preventable. Each year, 134 million adverse events occur in hospitals in low- and middle-income countries (LMICs), due to unsafe care, resulting in 2.6 million deaths. Another study has estimated that around two-thirds of all adverse events resulting from unsafe care, and the years lost to disability and death (known as disability adjusted life years, or DALYs) occur in LMICs. Globally, as many as 4 in 10 patients are harmed in primary and outpatient health care. Up to 80% of harm is preventable. The most detrimental errors are related to diagnosis, prescription and the use of medicines. In OECD countries, 15% of total hospital activity and expenditure is a direct result of adverse events. Investments in reducing patient harm can lead to significant financial savings, and more importantly better patient outcomes. An example of prevention is engaging patients, if done well, it can reduce the burden of harm by up to 15%.
  23. Content Article
    This website gives up to date, rolling information about the ongoing viral crisis.
  24. Content Article
    Medical errors are the third leading cause of death in the United States. Putting patients first — listening to their own and their families’ concerns — can help eliminate medical errors altogether. A patient-centric approach encourages patients to communicate their ‘gut feelings’ when something seems wrong, thereby working to end the pervasive and dangerous culture of silence and fear in hospitals. In a blog in the Patient Safety Movement newsletter, James Titcombe talks about his son's death and how speaking out can save lives.
  25. Content Article
    An initiative to raise standards of asthma care in a prison setting has lessons for the management and care of people with asthma in other healthcare settings. This article is published in the Nursing Times. You can register for guest access which gives you 1 week’s unrestricted access to nursingtimes.net.

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