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Claire Cox

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Everything posted by Claire Cox

  1. Content Article
    I have been honest in my blogs during the pandemic. I have been apprehensive, scared and, at times, excited to work in the pandemic. So why do I feel so low at this moment? I am experiencing feelings that I have not had before. I have thoughts of leaving nursing. Surely, I can’t be the only one? Why now? Why am I feeling like this? This blog is to explore why this might be.
  2. Content Article
    The Chartered Institute of Ergonomics and Human Factors (CIEHF) presents advice from the experts. Consultant Anaesthetist Michael Moneypenny discusses how Human Factors experts can help NHS staff cope with fatigue, while Professor Kristy Sanderson discusses the risks and tactics. Both the President and the Chief Executive of the CIEHF offer their expert opinion in this short podcast aimed at frontline workers.
  3. Content Article
    As the NHS takes it's first steps out of lockdown, the safety of the workplaces is crucial. Kim McAllister spoke to three experts in psychology, human factors and ergonomics to discuss the physical, emotional, psychological and cognitive issues around returning to work safely. This podcast, from the Chartered Institute of Ergonomics and Human Factors Group offers advice to employers and employees alike.
  4. Content Article
    Safety Differently are a safety news site, crafted by professionals and enthusiasts from various industries around the globe. They share innovative and critical safety ideas to empower a community of change-makers to make an impact and do safety differently.
  5. Content Article
    'When problems occur we hunt for a single root cause, that one broken piece or person to hold accountable. Our analyses of complex system breakdowns remains linear, componential and reductive.' This is evident in healthcare. Barry O’Reilly is a business advisor, entrepreneur and author who has pioneered the intersection of business model innovation, product development, organisational design and culture transformation. In this blog he discusses the 'drift into failure', i.e. we had the warning signs but accepted them as the norm.
  6. Content Article
    If a nasogastric tube (NGT) has been misplaced into the respiratory tract and this is not detected before fluids, feed or medication are given, death or severe harm can be caused. The consequences are even more likely to be fatal for patients who are already critically ill. Most nasogastric ‘Never Events’ of feeding into the respiratory tract through a misplaced tube continue to arise from misinterpretation of x-rays by staff who had not been given training in the ‘four criteria’ technique and were unaware that relying on the position of the tube tip alone on a radiograph can be a fatal error. 
  7. Content Article Comment
    Thanks Eve, looks like I am in your stage 2 category. All the positives to look at are great, but what I dont want is praise or grand gestures from our leadership team What I would like is to feel valued. I hear that some Trusts are taking away the wellbeing hubs, the free tea and coffee and free parking. That to me suggests that they only valued us when they needed all hands on deck.....now not so much. Simple steps to value our wellbeing is a start.
  8. Content Article
    The results of Digital Health Intelligence’s first survey of CNIO Network members provides a ’state of the nation’ insight into nursing and allied health professional leadership in healthcare IT. This webinar offers a chance to learn about some of the key findings of the survey and to hear from senior nursing figures on their thoughts about what it means for where we go next.
  9. Content Article
    This blog has been written for the Health Foundation and looks at the impact COVID 19 has had on patients with long term condions.
  10. Content Article
    The current COVID-19 pandemic has necessitated the redeployment of NHS staff to acute-facing specialties, meaning that care of dying people is being provided by those who may not have much experience in this area. This report published by Future Healthcare Journal, details how a plan, do, study, act (PDSA) approach was taken to implementing improved, standardised multidisciplinary documentation of individualised care and review for people who are in the last hours or days of life, both before and during the COVID-19 pandemic. The documentation and training produced is subject to ongoing review via the specialist palliative care team's continuously updated hospital deaths dashboard, which evaluates the care of patients who have died in the trust. It is hoped that sharing the experiences and outcomes of this process will help other trusts to develop their own pathways and improve the care of dying people through this difficult time and beyond.
  11. Content Article
    The COVID-19 pandemic is challenging the Canadian emergency departments (EDs) in unparalleled ways. As part of the frontline response, EDs have had to adapt to the unique clinical difficulties associated with the constant threat of COVID-19, developing protocols and pathways in the setting of limited and evolving information. In addition to the disruption of routine clinical care practices, an underlying perception of danger has resulted in a challenging clinical environment in which to make time-sensitive, high-stakes decisions. This has created an urgent need for targeted and adaptive training for all members of the emergency medicine healthcare team. The following commentary, published here by the Cambridge University Press, reflects the perspective of four emergency medicine simulation educators during the Canadian response to COVID-19.
  12. Content Article
    The prone position is defined as lying in a horizontal position with the front of the body facing downwards. Its use with critically ill patients with respiratory compromise is known to improve short-term oxygenation and lung compliance. The desired outcome of prone positioning is to improve lung perfusion and oxygenation in patients who are in the early stages of pneumonia or who have an acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) which is common in COVID–19 patients. One of the most common complications of nursing patients in the prone position is the occurrence of pressure ulcers. Pressure ulcers are likely to occur as patients are repositioned far less frequently once in prone (generally only after 16 hours) and also the patient may develop significant facial oedema. It is important therefore to take precautions to reduce the risk of pressure ulcers when preparing for and caring for the patient in the prone position. This NHS guidance promotes good skin care during prone positioning. 
  13. Content Article
    Several factors can compromise patient safety, such as ineffective teamwork, failed organisational processes and the physical and psychological overload of health professionals. Studies about associations between burnout and patient safety have shown different outcomes. In this paper, published by Medicina (Kaunas), a team in Brazil analysed twenty-one studies, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses and it is associated with external factors such as: high workload, long journeys and ineffective interpersonal relationships.
  14. Content Article
    There have been about 1,500 deaths in police custody since 1990, and about one third of those who died were from black and minority ethnic backgrounds.
  15. Content Article
    We all can experience mental health problems, whatever our background or walk of life. But the risk of experiencing mental ill-health is not equally distributed across our society. Those who face the greatest disadvantages in life also face the greatest risk to their mental health. The distribution of infections and deaths during the COVID-19 pandemic, the lockdown and associated measures, and the longer-term socioeconomic impact are likely to reproduce and intensify the financial inequalities that contribute towards the increased prevalence and unequal distribution of mental ill-health.
  16. Community Post
    Do you have a patient safety newsletter in your Trust? It would be very interesting for others to see how your is set out and the content. Here is one from Cardiff and Vale.
  17. Content Article
    Lt Col Chris Gibson, MBE, Specialist Leadership Adviser, Former Lieutenant Colonel, Defence Medical Directorate, gives the keynote address at the Kings Fund event in June 2018, Innovation in health and care: overcoming the barriers to adoption and spread.
  18. Content Article
    Army, Navy and Air Force medical personnel care for Soldiers, Sailors, Airmen, Marines, Coast Guardsmen and all who come in harm's way – on and off the battlefield. This video, in less than 4.5 minutes, provides a glimpse of the unique mission and benefits of military medicine.
  19. Content Article
    The Department of Defence (DoD) Patient Safety Program's Resource Guide was developed to engage, educate and equip readers with products, services, tools and solutions to help ensure the safe delivery of health care in the Military Health System. This comprehensive 18-page guide includes: Training and enrollment information for patient safety champions and facilities interested in teamwork using the  TeamSTEPPS Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based teamwork system designed to improve the quality, safety and efficiency of healthcare. TeamSTEPPS consists of a collection of instructions, materials and tools to help drive a successful teamwork initiative from the initial planning to implementation through to sustainment. The system is designed to improve patient safety using a three-phase approach: Phase I Assessment: Facility determines organisational readiness; Phase II Planning, Training & Implementation: Facility “decides what to do” and “makes it happen;” and Phase III Sustainment: Facility spreads the improvements in teamwork performance, clinical processes and outcomes resulting from the TeamSTEPPS initiative.TeamSTEPPS method. Learning opportunities for commanders, leaders, providers and patients. Information about the measurement and reporting of events that could cause harm to patients and how to apply changes through documented studies. Online DoD PSP and partner resources and publications. An overview of continuing education credit-eligible learning opportunities offered by the DoD PSP.
  20. Content Article
    This toolkit is available by request to the Department of Defence Patient Safety Programme.
  21. Content Article
    Patients have a legal right to know when something goes wrong with their care. But previous research has shown that they do not always get a satisfactory explanation. This article looks at research conducted by University of Leeds and Bradford Institute for Health Research, discusses the difference to what patients want and expect when things goes wrong and the barriers to why healthcare staff do not satisfy their expectations.
  22. Content Article Comment
    Loving the 'Why?' Martin. In healthcare we get so hung up on the 'How did it happen?' rather tackling the more difficult issues of why it happened in the first place. Love your blogs, thank you
  23. Community Post
    Keeping quality improvement going virtually - here’s some top tips from @mattcope16 on twitter - for running virtual process mapping.
  24. Content Article
    While COVID-19 coverage has been saturated with news of clinical cases, deaths, hospital shortages, and financial losses, it seems as though a key population has been excluded from the concern. The youth and young adult population, of all ethnicities and backgrounds, have not had the proper attention to their needs as other groups impacted by COVID-19 have. Particularly, these populations are at risk of severe mental health distress due to COVID-19 related financial, academic, and housing instability.
  25. Content Article
    Telemedicine and telephone-triage may compromise patient safety, particularly if urgency is underestimated. This paper from Haimi et al., published in BMC Medical Informatics and Decision Making, aimed to explore the level of safety of a paediatric telemedicine service, with particular reference to the appropriateness of the medical diagnoses made by the online physicians and the reasonableness of their decisions.
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