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Found 1,206 results
  1. Content Article
    Difficult conversations are always needed in healthcare and are important in order to offer informed choice of what treatments will be of benefit to the patient and are important to manage the expectations of patients, families and clinicians. But what is currently happening during the coronavirus pandemic in primary care? What should be best practice? Claire, a clinical outreach nurse, explores this in her latest blog.
  2. Content Article
    The charity, British Association for Immediate Care (BASICS), has launched a wobble line. Free to access for pre-hospital care workers.
  3. Content Article
    Sara Albolina and Giulia Dagliana share the lessons learned from Italy and provide valuable guidance in this podcast shared on the Project Patient Care website. The podcast has been widely circulated among US healthcare provider organisations, patient advocates, and government organisations.
  4. Content Article
    The Clinical Human Factors Group have produced a useful two-page guide to key non-technical behaviours to help clinicians in this emergency. Good team work, leadership and communication – non-technical skills – will give you, patients and colleagues a better chance of staying safe.
  5. Content Article
    A list of guides that help to explain the coronavirus outbreak in an easy read format. Resources include those specifically designed for people with Downs Syndrome and learning disabilities. These guides and posters will help families, care providers and hospital staff communicate messages inclusively. 
  6. Content Article
    In her blog, Carolyn looks at the emotional impact the current coronavirus pandemic is having and why we need empathy for each other. Whether we are nurses, doctors, managers, receptionists, patients, we have the power to make someone else’s day a little worse, or a little better. Let's look after one another.
  7. Content Article
    In this webinar, (filmed on 24 March for the International Society for Quality in Healthcare) Dr Francesco Venneri shares his experience of the response to COVID-19 in Italy from the perspective of his involvement as both a clinical risk manager and as an emergency front line worker. Dr Venneri speaks passionately of how the response was handled, the positive elements, the criticisms, and also how we can learn from COVID-19 by proposing measures that we can apply in the case of future outbreaks.
  8. Content Article
    This white paper explores the significance of safety strategies in healthcare settings and how these practices influence the patient and clinician experience. The Experience of Safety in Healthcare: A Call to Expand Perceptions and Solutions, reflects on the integrated nature of safety and service and how they interact to create the overall experience of patients, families and clinicians.
  9. Content Article
    In a blog published in the Guardian, Kathryn Hearn says the UK government’s treatment of the coronavirus outbreak has in effect written off all of us with health issues. The language used by officials describing the spiralling scenarios risks dehumanising us, and makes us feel we no longer matter, Kathryn explains. NHS England’s latest report on the health of the nation acknowledged that 43% of adults – that’s nearly 20 million people – ­­­are living with at least one long-term health condition. Although not all of those would be directly in danger from Covid-19, there’s still a major section of our society who will be. You’ll know somebody, for sure. Until Monday’s U-turn, the UK government’s policy was to manage rather than to contain the virus - which would have allowed close to a quarter of a million people to die. Allowing Covid-19 to spread throughout the population in the hope of building some “herd immunity” among the youngest, fittest and healthiest "felt irresponsible at best, and callous at worst". 
  10. Content Article
    Sam Cartwright-Hatton and Abby Dunn have put together this useful sheet with tips on how we should talk to our children about COVID-19. The Flourishing Families Clinic is a totally new innovation in the NHS, piloted by Sussex Partnership NHS Foundation Trust. It's a specialist clinic, based in adult mental health services, that supports parents seeking treatment for mild to moderate mental health difficulties.
  11. 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.
  12. Content Article
    In her last blog, topic leader for the hub, Sally Howard, talked about our triggers for a wobble and a few strategies to help as we take forward improvements in our services – building yourself a network, being genuinely curious and looking after yourself on the journey. This blog takes it one step further as she looks at what we can do when we hit a brick wall and offers some powerful strategies for dealing with conflict. An important and timely read, as we all look to support and appreciate each other through these difficult times.
  13. Content Article
    Health Education England has published a set of materials and films which aim to support staff through difficult conversations arising from the COVID-19 outbreak.
  14. Content Article
    The purpose of this document, from the Chartered Institute of Ergonomics and Human Factors, is to provide health and social care teams with advice and guidance on the human-centred design of work procedures such as written instructions, checklists or flow charts during this period of 'crisis management' in response to COVID-19 and to support the design and re-design of care services and new ways of working. Implementation of the guidance will contribute to safer and easier to use procedures, which better support how people work and reduce risks to themselves, patients, carers and others.
  15. Content Article
    Is a focus on wellbeing a ‘nice thing to do’ in organisations, or are there more fundamental arguments? In this article in Hindsight, Suzanne Shale outlines ethical arguments for making wellbeing a priority.
  16. Content Article
    This commentary from Wu et al., in the Annals of Internal Medicine, summarises a triad of strategies used at one organisation to support healthcare workers in times of great stress. The authors suggest leadership focus on resilience, communication that informs and empowers staff, and a multi-component peer-support structure to provide a foundation for institutional wellness.
  17. Content Article
    In this Institute for Healthcare Improvement blog, Derek Feeley discusses how "joy at work" during times of collective stress can nurture a sense of purpose and community that supports staff well-being and reduces burnout. 
  18. Content Article
    This month’s Letter from America shares perspectives on innovation at a personal, team and organisational level in light of the COVID-19 pandemic. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States.
  19. Content Article
    Martin Bromiley, Clinical Human Factors Group, talks to Claire Cox, Critical Care Outreach Nurse and Associate Director at Patient Safety Learning.  In this podcast, Claire talks about the importance of simulation for all, using different scenarios to help raise confidence. She further describes some techniques her team are using to improve performance and safety when treating COVID-19 patients.  Claire has recently written a blog on Human factors and the ad hoc team during the pandemic for the hub.
  20. Content Article
    Having read an article about a critically ill intensive care patient terrified when they couldn’t understand what the healthcare team were saying through their personal protective equipment (PPE), Rachael Grimaldi, an NHS anaesthetist, was inspired to create a simple communication tool: CARDMEDICTM.   Update from Rachael: Since writing this blog, we have been accepted onto The Hill Accelerator Program, run by Oxford University, Oxford University Hospitals NHS Foundation Trust and Oxford Brookes University. We have also been selected to be a part of the Healthcare UK Digital Health Offer for Export for 2020. Healthcare UK is a joint initiative of The Department for International Trade (DIT), The Department of Health and Social Care (DHSC) and NHS England, which promotes the UK healthcare sector to overseas markets. We now have over 30,000 users in over 100 countries, alongside 11,500 app downloads.  Version 2 of the app is out now, with a 'free notes' section so the patient and healthcare staff can communicate directly. Text can either be dictated or typed into the notes box, the language auto-detected and then translated into one of 10 languages available and read aloud to the patient if necessary. We are working on enhancing accessibility through the addition of sign language videos and images / illustrations / makaton signs.  An independent academic evaluation by University of Brighton using simulated patients demonstrated 25% increased confidence in understanding a healthcare worker in PPE with CARDMEDIC than without. Overall, confidence improved by 28% to 95%. Results likely significantly higher for those unwell/communication needs.
  21. Content Article
    This is a step-by-step evidence based guide by University of Oxford is designed to support all healthcare professionals faced with the painful task of contacting relatives by telephone to inform them that a loved one has died.
  22. Content Article
    In her latest blog, Claire, a critical care outreach nurse, reflects on how the 'ad hoc' team has to adapt to the new challenges the coronavirus pandemic brings. She offers insights into the challenges she and her team face and gives examples of potential solutions.
  23. Content Article
    Read the latest episode in a series of podcasts from the Clinical Human Factors Group giving tips from frontline staff working with Covid patients.
  24. Content Article
    This is the YouTube Channel for the UCSF School of Medicine in the USA. Here you are able to listen and watch webinars on the latest 'grand rounds' on COVID-19. These webinars cover: paediatrics shape of the pandemic, digital innovation epidemiology, science & clinical manifestations of COVID-19 research general updates.
  25. Content Article
    When it comes to communication, we rely on language at the expense of the rest of our communication toolbox. However, nonverbal communication is just as important as the words we use.1 In times of the COVID-19 pandemic, the use of face masks has become ubiquitous in many countries. Many facial expressions are the same across cultures, like happiness, sadness, anger and fear and our faces can express emotions without saying a word. Given widespread masking, this nonverbal communication has become increasingly difficult. This paper from Schlögl and Jones in the Journal of the American Geriatiric Society gives practical advice on how to communicate while having to wear a face mask to our most vulnerable patients during the pandemic.
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