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Found 321 results
  1. Content Article
    Superabsorbent polymer gel granules are used to reduce spillage onto bedding and clothing when patients use urine bottles or vomit bowls, or when staff move fluid-filled containers (eg washbowls or bedpans). If the gel granules are put in the mouth, they expand on contact with saliva risking airway obstruction. This National Patient Safety Alert requires any organisation still using these products to protect patients by introducing strict restrictions on their use. 
  2. Content Article
    Transport of patients from the intensive care unit (ICU) to another area of the hospital can pose serious risks if the patient has not been assessed prior to transport. The Department of Critical Care Medicine, Calgary Health Region, experienced two adverse events during transport. A subgroup of the Department's Patient Safety and Adverse Events team developed an ICU patient transport decision scorecard. This tool was tested through Plan-Do-Study-Act cycles and further revised using human factors principles. Staff, especially novice nurses, found the tool extremely useful in determining patient preparedness for transport.
  3. Content Article
    "It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
  4. Content Article
    Information for the Public pre-hospital emergency medicine (PHEM) feedback is a collaboration between the Princess Alexandra Hospital and the services who bring patients to them (ambulances and air ambulance teams) and provide pre-hospital care to those patients.
  5. Content Article
    In this lecture from the PHEM (Pre Hospital Emergency Medicine) Feedback Showcase, Gordon Patterson (Patient Representative for Resuscitation Council UK and Patient Representative for PHEM Feedback) describes his experiences as a patient who experienced an out of hospital cardiac arrest 15 years ago. With him is Jonathan Dermott, the paramedic who was called to rescue him and provide resuscitative care, and who since has benefited from following up the case. He describes the life-changing consequences of his care both as a clinician and educator.
  6. Content Article
    This is the opening lecture of the 2019 PHEM (PreHospital Emergency Medicine) Feedback Showcase event.  It opens with an address from Ms Jacqueline Kelly, Dean of the School of Health and Social Work at the University of Hertfordshire.  It then gives an explanation of what PHEM Feedback is and how it came to exist.
  7. Content Article
    Emergency service workers describe how being on the front line affects their mental health, how they cope with the traumas they see and their advice for colleagues on how to stay mentally fit. Wellbeing staff from the first responder agencies also provide information about the help and support programmes available, including peer support.
  8. 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.
  9. Content Article
    This guideline from the National Institute for Health and Care Excellence (NICE) covers preventing and controlling healthcare-associated infections in children, young people and adults in primary and community care settings. It provides a blueprint for the infection prevention and control precautions that should be applied by everyone involved in delivering NHS care and treatment.
  10. Content Article
    A framework to support ambulance trusts in England to learn from deaths in their care.
  11. Content Article
    Resuscitation in the pre-hospital setting is very challenging. To give the best possible care, teamwork needs to be optimal. Tom Evens, an emergency physician with Londons Air Ambulance and former coach of the Olympic UK rowing team, shows us how performance psychology will help you in providing critical care at the roadside. Presented at the ResusNL Conference 2019.
  12. Content Article
    The Whole System Flow programme has been accepted for presentation at the International Conference of Integrated Care in San Sebastien in April 2019. This poster provides an overview of the programme’s structure and outputs. We will be opening applications in April for the next group of systems to work with on a system pathway that they choose.
  13. Content Article
    Richard Smith is a trained paramedic who now works as Head of Quality and Safety at Addenbrooks Hospital. In this interview with East England Ambulance Service General Broadcast, Richard talks about his recent paper on incident reporting in the ambulance service. He asks if we have a blame and fear-free culture when concerns are raised, the value of feedback and highlights the importance of reporting the positive incidents too.
  14. Content Article
    The Royal College of Anaesthetists (RCoA) and the Difficult Airway Society (DAS) have collaborated to create the video resource Capnography: No Trace = Wrong Place.  Presented by Professor Tim Cook, the video shares the important message that during cardiac arrest, if a capnography trace is completely flat, oesophogeal intubation should be assumed until proven otherwise. 
  15. Content Article
    This US-focused article looks at the evolution of the ambulance service and the methods used to try to ensure that supply meets demand.
  16. Content Article
    These resources, set out by NHS England, give guidance for ambulance trusts on the following: assessment and diagnosis management - suspected coronavirus (COVID-19) cases infection Control discharge COVID-19 patient transport services: requirements and funding.
  17. Content Article
    This guidance set out by Public Health England is for possible cases of COVID-19 where an emergency ambulance response is required.  Content includes: identification of possible cases on-scene clinician precautions personal protective equipment (PPE) patient assessment conveyance and patient handover post conveyance decontamination.
  18. Content Article
    Ben Burke is a Critical Care Paramedic for South East Coast Ambulance Service. He shares with the hub his practical tips when transferring critical care patients via ambulance.
  19. Content Article
    The South Western Ambulance Service (SWASFT) launched a new electronic patient care record (ePCR) with Weston Area Health NHS Trust – an electronic solution designed by paramedics for paramedics. They discuss the background to the project and how the ePCR was designed.
  20. Content Article
    This Healthcare Safety Investigation Branch (HSIB) investigation explores the impact of ambulance delays on the emergency treatment of heart attack. The current preferred model of care in the NHS in England is for patients to receive primary percutaneous coronary intervention (PPCI), a procedure which involves widening a blocked artery and inserting a stent to keep the artery open. The effectiveness of PPCI is dependent on the timescale in which it can be carried out. National figures have identified increasing delays in ambulances taking people with a type of heart attack known as ST-elevation myocardial infarction (STEMI) to hospital so that PPCI can be provided within target timescales. This may lead to worse outcomes for these patients. Alternative treatment using thrombolytic medicine (medicines used to dissolve blood clots) is advised where specific timescales for providing PPCI may not be met. This investigation started after a patient notified HSIB of a delay in an ambulance attending him after suffering a heart attack (STEMI).
  21. Community Post
    During the COVID pandemic, it was clear that Emergency Departments across the UK needed to adapt and quickly, with my trust not exempt from this. We have increased capacity, increased our nursing and doctors on the shop floor, obviously with nurse in charge being responsible for all areas. We have different admission wards in terms of symptoms that the patient has, but also have a different type of flow, which i am getting my head around to be able to share I have seen departments split into 2 and various other ideas coming out from various trusts. Which got me thinking about patient safety and how well this is managed. So.... How is your department responding to the pandemic? Do you have any patient safety initiatives as a result of the response? Is there a long term plan? The reason why i am asking this, is so we can share practice and identify individual trust responses.
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