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Claire Cox

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Everything posted by Claire Cox

  1. Content Article
    Karen Sanders, Senior Staff Nurse at North Bristol NHS Trust, describes the moral challenges of working in a busy Emergency Department.
  2. Content Article
    Patient-centeredness is central to healthcare. Hospitals should address patients’ unique needs to improve safety and quality. Patient engagement in healthcare, which may help prevent adverse events, can be approached as an independent patient safety practice (PSP) or as part of a multifactorial PSP.  This systematic review by Berger et al., published in BMJ Quality & Safety, examines how interventions encouraging this engagement have been implemented in controlled trials. It found that while patient engagement in safety is appealing, there is insufficient high-quality evidence informing real-world implementation. Further work is needed to evaluate the effectiveness of interventions on patient and family engagement and clarify the added benefit of incorporating engagement in multifaceted approaches to improve patient safety endpoints. In addition, strategies to assess and overcome barriers to patients’ willingness to actively engage in their care should be investigated.
  3. Community Post
    Hi @Alex Entwisle what about putting the essay up on here so we can see - or tell us a brief synopsis of it
  4. Community Post
    @Danielle Haupt and @Luke Brown and @Emma Richardson what are you doing in your hospitals?
  5. Content Article
    People should not be given medicines without their knowledge if they have the mental capacity to make decisions about their treatment and care. This guide from the National Institute for Healthcare Excellence (NICE) and Social Care Institute for Excellence (SCIE) is aimed at care home managers or anyone providing medicines support in care homes.
  6. Content Article
    Created by nurses at Guy's and St Thomas' to raise awareness of dementia among staff, Barbara's Story is a series of six films which have changed attitudes to dementia in hospitals across the world. The film here tells the story of how and why Barbara's Story was made and includes a condensed version of all six episodes.  
  7. Content Article
    Matthew’s story provides a compelling case for improving ambulance handover times, and for changing the behaviours and cultures that contribute to unnecessary waits for patients.
  8. Content Article
    Kathryn recalls her personal experience of temporary paralysis and respiratory arrest after residual anaesthetic drugs were not flushed from her lines and cannulae following surgery. The video supports the Patient Safety Alert 'Confirming removal or flushing of lines and cannulae after procedures' issued by NHS Improvement in November 2017. More recently, the Healthcare Safety Investigation Branch (HSIB) have carried out an investigation looking at the risks to patients when intravenous (IV) drugs are retained in cannulae and extension lines and made a series of recommendations.
  9. Content Article
    In his blog, Dr Rob Hackett explains how new ideas, concepts or practices can spread within a community by using the 'Diffusion of Innovation' theory'. He also discusses the barriers hindering change.
  10. Content Article
    A great animated video brought to you by No More Throw Away People – voiced by Brian Blessed, this tale of blobs and squares paints an accurate picture of how co-production matters. This short animation shows why its vitally important to engage and include our patients and service users in clinical system design.  It explains simply what may happen if we don't listen to all parts of our system to make care safer.
  11. Content Article
    Professor Alison Leary, Chair of Healthcare & Workforce Modelling, London South Bank University, delivers the James Reason lecture at the 2018 HSJ Patient Safety Congress on work force and safety and discusses the complexity of demand.
  12. Content Article
    Alison Phillips tells HSJ her story and why she's campaigning for the deteriorating patient and safety.
  13. Content Article
    This research project from Oikonomou et al. sought to map out the regulatory landscape for patient safety in the English NHS. Results were published in BMJ Open.
  14. Content Article
    This infographic was produced by Matthew Bowker, a junior doctor from Newcastle Upon Tyne. Fifty per cent of older people have asymptomatic bacteraemia in their urine. This infographic advises when to dip urine in older adults. Produced with guidance from the Scottish Intercollegiate Guidelines Network (SIGN).
  15. Content Article
    Blog from Mark Hellaby, an Operating Department Practitioner (ODP) and currently leading a regional simulation team for Health Education England, on the effect interruptions can have. Distractions in healthcare are common. Interruptions when clinicians are completing complex tasks are familiar. This is a time when mistakes can be made. Mark led a session around distraction and cognition which allowed him over the day to start to draw together the discussions into some type of working model on how to reduce distractions.
  16. Content Article
    React to Red Skin is a pressure ulcer prevention campaign that is committed to educating as many people as possible about the dangers of pressure ulcers and the simple steps that can be take to avoid them.   The prevention of avoidable pressure ulcers in the community is one of the biggest challenges that care organisations face - a challenge which currently costs the NHS and care organisations in the UK around £6.5 billion per year. Pressure ulcers affect around 700,000 people in the UK every year and many of these will develop whilst an individual is being cared for in a formal care setting (hospital, nursing home or care home). Many pressure ulcers are avoidable if simple knowledge is provided and preventative best practice is followed. Hear three stories from patients who have been affected by pressure ulcers.
  17. Content Article
    See the South West Academic Health Science Network's video from the Institute for Healthcare Improvement (IHI) Patient Safety Officer Training. This training was held over a week for clinical and non clinical staff to understand patient safety and what role they can play.
  18. Content Article
    The DPSIMS (Patient Safety Incident Management System) project offers an opportunity to use modern technology to improve the health service for patients and carers, healthcare staff, NHS organisations, and decision-makers, so that time and energy can be invested in the right things: working to reduce harm.
  19. Content Article
    The continuing evidence of preventable deaths due to medical error has led to recent calls to improve measurement of safety in hospitals. Don Berwick et al., in a paper published in the Annals of Internal Medicine, argue that electronic health records (EHRs), which have been broadly adopted, offer the opportunity to measure all causes of harm in real time, and in the whole patient population — with minimal need for additional resources — allowing for robust measurement of patient safety and prompt intervention to reduce or mitigate harm.
  20. Content Article
    National safety standards for invasive procedures (NatSSIPs), published by NHS England in 2015, recommend the creation and implementation of local safety standards for all invasive procedures. This includes procedures undertaken outside a hospital environment, such as surgical procedures undertaken by dentists. In order to implement a local safety standard for invasive procedures (LocSSIP) for oral surgery procedures at a large London teaching hospital, a clean sheet redesign of our service was carried out based on a bottom up model of transformation, using a 'diagnose, design and implement' strategy. In an article  published in the British Dental Journal, three lead consultants in oral surgery based at Kings College, London, discuss creating local safety standards for invasive procedures.
  21. Content Article
    The first global experts’ consultation for the development of the WHO Leaders Guide on Patient Safety and Quality of Care in Service Delivery took place 20-21 March 2014. Over 25 experts from around the world in the areas of health care management, financing, patient safety and quality of care gathered at WHO to address the global need for strengthening leadership capacity to deliver safe and quality health services. A draft Leadership Competencies Framework on Patient Safety and Quality of Care was developed by WHO through a literature search and analysis of findings, which was debated by participating experts and formed the basis for: technical discussions during the consultation; agreement on the competencies necessary for enhancing leaders’ capacity to prioritize and direct the delivery of safe and quality health services; agreement on the learning topics/chapters and content of the Leaders’ Guide.
  22. Content Article
    Healthier Lancashire and South Cumbria is the name of a partnership of organisations working together to improve services and help the 1.7 million people in Lancashire and South Cumbria live longer, healthier lives. In this video, Linda Vernon, Digital Leader for Empower, speaks about what social prescribing involves.
  23. Content Article
    This guide is aimed at patients and carers who may be undertaking a social care assessment. Written by the National Institute for Health and Care Excellence (NICE) and Social Care Institute for Excellence (SCIE).
  24. Content Article
    Jane Hulme, District Nurse Team Leader, Jenny Hurst, Deputy Nursing Director, and Debbie Caulfield, Caseload Holder from Liverpool Community Health (LCH), explain how they initiated a safety huddle in a community setting.
  25. Content Article
    Frailty is a distinctive health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. Around 10% of people aged over 65 years have frailty, rising to between a quarter and a half of those aged over 85 years. Older people living with frailty are at risk of adverse outcomes such as dramatic changes in their physical and mental well being after an apparently minor event which challenges their health, such as an infection or new medication. The Rockwood Frailty scale is a tool to aid clinicians in assessing frailty in adults.
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