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Content Article
‘Think SIM’ for your COVID-19 preparations
Claire Cox posted an article in Guidance
The COVID-19 pandemic has led to a widespread response across the NHS in terms of how staff and the departments and organisations in which they work can help to manage the challenges being faced now and in the coming weeks and months. This includes the need to learn new skills and procedures at short notice, to rehearse the management of complex and potentially hazardous clinical cases in unfamiliar environments, and to be assured that any systems, policies and protocols that are put into action are designed to promote safe, effective care and support staff well-being. There is an important role for simulation as a technique or intervention in this set of unique circumstances, which will be implemented more effectively if integrated and aligned with the many other initiatives aimed at supporting staff and the NHS as a whole.- Posted
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- Simulation
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Content ArticleThe Talking about dying report seeks to offer advice and support for any doctor on holding conversations with patients much earlier after the diagnosis of a progressive or terminal condition, including frailty. The report identified that the timely, honest conversations about their future that patients want are not happening. Yet, these proactive discussions are fundamental to effective clinical management plans, part of being a medical professional and align with the aspirations of the Royal College of Physicians's Future Hospital Commission report. The Talking about dying report begins to highlight and challenge professional reluctance to engage in conversations with patients about uncertainty, treatment ceilings, resuscitation status and death. It offers some ‘mythbusters’ to get physicians thinking and we offer signposts to tools and educational resources to support physicians and other healthcare professionals.
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Content ArticleThis video has been produced by the staff at Guy's and St Thomas' Hospital NHS Foundation Trust. It demonstrates how to prone an intensive care patient. If proning a patient with COVID-19, full personal protective equipment (PPE) will be required by all staff.
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"I'm losing faith in the leadership": an NHS doctor's story
Patient Safety Learning posted an article in Blogs
In this blog published in the Guardian, a doctor on the frontline of the UK coronavirus outbreak talks about how he and others are ‘terrified’ about the lack of protection – and a plan. Working on the infectious diseases ward of a major UK hospital, which has now become the coronavirus ward, or 'red zone', the doctor explains why he is terrified. "I’m seriously considering whether I can keep working as a doctor. I may be OK – I’m young and healthy – but I can’t bear the thought of infecting other patients with a disease that could kill them. And that is the risk, without proper PPE. It’s terrifying; it’s indescribable. This is not seasonal flu. This is a new virus with greater mortality and we know much less about it."- Posted
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- Medicine - Infectious disease
- Staff safety
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Content ArticleEleanor Balme and colleagues in this BMJ article discuss the findings of a review that they have undertaken into the need for, and potential of, resilience training in doctors.
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Content Article"Some weeks ago my main worries were around my GCSEs. Now I hear every day about deaths from COVID-19." Teenager Zoya Aziz's parents are both doctors. In this blog in the Guardian, she gives a frank account of her life at the moment and her fears.
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Content ArticleIn part two of the BMJ Supportive and Palliative Care article, Dr Tavabie and Dr Ball explore the themes from frontline palliative care staff during the pandemic. In the time since their previous article, the news reports of escalating numbers of people dying from the virus, inadequate personal protective Equipment (PPE) provision and continued discussions of an impending ‘peak’ for the outbreak has painted a worrying picture. Further conversations with clinicians working to help patients dying from COVID-19 will hopefully provide readers with a diary and a window into the experiences of people working through the pandemic as the tide rises in the UK. Read part one of this article
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Content ArticleToday we find ourselves in the middle of a pandemic. COVID-19 has swept across the globe with thousands dead, more seriously unwell, and a sense of anxiety and uncertainty within healthcare professions that is unlike anything we have seen. As the course of the viral illness becomes clearer, management guidelines are being produced, including around the topics of supportive and palliative care. To understand the real life implications of working on the front line, Dr Tavabie and Dr Ball, in this BMJ Supportive and Palliative Care article, conducted a series of short structured interviews with clinicians across the UK in a variety of healthcare settings, discussing their experiences and looking for themes arising from the current COVID-19 outbreak. They hope that quotes from these conversations make for an accurate description of our current time, and may be of interest now and in future. Read part two of the article
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Content ArticleRosie Hughes has tested positive for the coronavirus that has killed so many of her patients. In her candid blog, published in the Guardian, she talks about her experiences, fear and the guilt she feels.
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Content ArticleThis 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.
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- ICU/ ITU/ HDU
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BBC Radio 4: The NHS Frontline
Claire Cox posted an article in Good practice and useful resources
Recordings with frontline staff at Bradford Royal Infirmary, taking you behind the scenes on the wards as they plan for the onset of COVID-19 and then cope as the patients arrive. -
Content ArticleThe Resuscitation Council UK issued guidance on how to manage a cardiac arrest in the COVID positive patient. Imperial College Hospital in conjunction with the Imperial College School for Medicine have produced this video to accompany the guidance and shows practically what the process is.
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Content Article"We talk about coronavirus all the time, but it’s often in terms of a bigger picture. I find it hard to make sense of that bigger picture from the frontline. In a crisis of scale I want to tell the story I’ve seen – the story of a pandemic unfolding one person at a time." A blog published in the Guardian by Shaan Sahota, a junior doctor working in London.
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Content ArticleThis is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Dan talks to us about how his experiences as a paediatrician and military doctor have influenced his view of patient safety. He also describes the increasing complexity in healthcare systems and highlights the need for the Government to commit policy and resources to building and sustaining the NHS workforce.
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Content Article“It’s not something we talk about or that everybody experiences to the same degree but I think most of us are affected, be it subconsciously or consciously by antiquated, competitive, hierarchical values. Revered doctors are those that work above and beyond the hours they are paid for, that come in even when they are sick, that prioritise work over their families, over sleep and their own health. Doctors that are kind and compassionate but that don’t allow themselves to be affected by their experiences. Doctors that would go from one cardiac arrest to the next without letting their judgement cloud or their actions falter.” This blog by Dr Natalie Ashburner who is the Doctors Association UK (DAUK) Editor emphasises the importance of doctors speaking up about their mental health.
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Content Article
Health appointment information sheet: Easy read
Claire Cox posted an article in Learning disabilities
This easy read document, from Macintyre, should be used as an aid in helping people to: prepare for their appointment participate in the appointment understand the advice given at the appointment. It can also be presented to the health professional - by using information from One Page Profile, the document serves as an aid for the health professional on how to engage with the person during the appointment.- Posted
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Content ArticleA 24/7 clinical tele-triage service for care homes in Wirral has resulted in an average 66% decrease in the number of NHS 111 calls and a 10% decrease in ambulance conveyances to A&E for care home residents. The service is delivered by all the area’s health and social care partners with funding support from the Innovation Agency. Care homes have been provided with iPads and secure nhs.net email addresses, and staff have been trained to take basic observations and equipped with blood pressure monitors, thermometers, urine dipsticks and oximeters.
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Content ArticleThe Prescribing Safety Assessment (PSA) is a 60-question exam required as part of UK medical training to progress from FY1 to FY2. This independent review into the PSA was commissioned by the Medical Schools Council (MSC) together with the British Pharmacological Society (BPS) in the summer of 2022. It suggests a strategic future direction for the PSA and addresses how the PSA has impacted prescribing assessment and practice for medical students and Foundation Year 1 (FY1) doctors. It is intended to support national decision making about the future of UK prescribing assessment in the context of the imminent introduction of the Medical Licensing Assessment (MLA).
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Content ArticleThis short guide, by the General Medical Council, provides patients with an overview of what they should be able to expect from the doctors providing their care. It is important that patients have clear expectations about the responsibilities and duties of doctors, particularly with regard to patient safety. This web-based resource offers a short, simply written and easily accessible overview that patients can be provided with, outlining the role of doctors in ensuring patient safety. This includes highlighting the importance of patients speaking up if they they safety is being compromised, the responsibility of doctors to report safety incidents, and the role of annual appraisals and peer review in monitoring safety.
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Content ArticleThis review in Medical Decision Making looks at how healthcare organisations might successfully use patient decision aids (PtDAs) to support person-centred care. It aimed to develop context-specific program theories that explain why and how PtDAs are successfully implemented in routine healthcare settings. Based on the results of their review, the authors recommend the following strategies for organisations wishing to embed PtDAs: Co-production of PtDA content and processes (or local adaptation) Training the entire team Preparing and prompting patients to engage, Ensuring senior-level buy-in Measuring to improve
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- Patient engagement
- Treatment
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Content ArticleThis article in The Primary Care Companion for CNS Disorders looks at the impact of the doctor-patient relationship on patient outcomes. It highlights issues that can arise in this relationship, looks at their causes and suggests potential solutions.
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Content ArticleThis study in AIDS and Behavior looked at patient-provider communication in HIV care and the role of shared decision making in improving health outcomes. The authors found that good quality engagement between patients and their healthcare providers was associated with better health-related outcomes. A substantial proportion of patients did not report having good quality engagement and this was associated with significantly poorer outcomes.
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Content ArticleHappy Patient is a three-year project co-funded by the European Union, that seeks to reduce the impact of antimicrobial resistance (AMR) by decreasing the inappropriate use of antibiotics for the management of common community-acquired infection. Up to 25,000 people die every year in Europe as a direct consequence of the misuse of antibiotics, a figure that rises up to 30,000 in the United States (European Centre for Disease Prevention and Control). The Happy Patient Website offers a variety of communication tools for healthcare professionals and patients, including: Leaflet - Viruses or bacteria: What caused your infection? Urinary tract infections: A leaflet for older adults and their families Antibiotics prescription pad 5 myths about urinary tract infections (UTIs) in nursing home residents What you need to know if you have been prescribed an antibiotic
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- Medication
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Content ArticleThe non-profit Patient Information Forum (PIF) has published a new one-page guide to Body Mass Index (BMI). The poster was developed following user engagement sessions with patients and healthcare professionals which highlighted the amount of misinformation surrounding BMI. It is free to download and share and can be used directly by patients or a resource for healthcare professionals. Welcoming the publication of 'BMI – What you need to know', Dr Juhi Tandon said: “As a GP for more than a decade, I still struggle to have the BMI conversation with patients. Discussing someone’s BMI can easily make them feel uncomfortable as they feel like they are being judged. It will be very helpful to share a clear fact sheet to help patients understand more about BMI in a non-judgemental way.”
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Content Article
The Parable of the Blobs and Squares
Claire Cox posted an article in Patient engagement
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.