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Showing results for tags 'Pandemic'.
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Content ArticleRecently, NHS England and NHS Improvement published planning guidance for the year ahead, outlining six priorities for the NHS as it emerges from the pandemic. The guidance strikes a balance between prioritising covid response and recovery efforts and advancing the broader service transformation objectives of the NHS Long Term Plan. With NHS surgical waiting lists now standing at a record 4.6 million, it is not surprising that accelerating the restoration of elective care is one of the priorities. The elective backlog challenge is not a new one for the NHS, but addressing it has acquired a new urgency and scope. Clearing the backlog sustainably and equitably will require the NHS, as the guidance states, “to do things differently.” In this BMJ article, Jugdeep Dhesi and Lisa Plotkin what they think "doing things differently" must include.
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In this webinar discussion, an expert panel discusses the airborne nature of Covid-19, the lack of adequate personal protective equipment (PPE) during the pandemic and continued concerns around unsafe PPE guidance and the impact on both staff and patient safety. The panel includes: Helen Hughes: Chief Executive of Patient Safety Learning Dr David Tomlinson: Consultant Cardiologist, NHS Rachael Moses OBE: Consultant Physiotherapist, NHS Hosted by Dr Asad Khan and produced by Gez Medinger. -
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Scientists around the world have warned of the airborne nature of Covid-19 since the start of the pandemic, but how does this impact on patient safety and what can be done to reduce risk? In this long read blog, GP trainee Lindsay Fraser-Moodie, describes how she witnessed the impact of poor ventilation and inadequate PPE on staff and patient safety while working on a hospital ward during the second UK Covid-19 wave. Lindsay describes how her CEO welcomed her concerns, and the changes that were put in place to reduce the risk of hospital acquired transmission. This article includes a comment from her CEO David Carter, who highlights the challenges of the situation and praises Lindsay for her approach to patient safety.- Posted
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Content ArticleThe Covid-19 pandemic has both laid bare and exacerbated the strain the cancer workforce has been under for many years. When the pandemic hit, some services were forced to pause, whilst others had to quickly adapt and many have still not ‘returned to normal’. Some cancer nurses were also deployed to care around the clock for the half a million people admitted to hospital with coronavirus. The practical and emotional impact of this disruption on people living with cancer has been profound. Macmillan’s new research establishes that cancer nurses are being stretched too thinly, trying to be there at our time of greatest need, and coping with the physical and emotional toll of the pandemic. Cancer and the devastating impact it has on lives should not be forgotten, and neither should our nurses and NHS. In this report, Cancer nursing on the line: why we need urgent investment across the UK, Macmillan is calling for Governments across the UK to invest a total of around £170 million to fund the training costs of creating nearly 4,000 additional cancer nurses required by 2030 to provide the care people need.
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Content ArticleThe surge in the need for invasive ventilation during the covid pandemic has required the provision of intensive care beds in London to be reallocated. NHS England have proposed the formation of a Pan‐London Emergency Cardiac surgery (PLECS) service to provide urgent and emergency cardiac surgery for the whole of London. In this initial report, the Department of Cardiac Surgery, St Bartholomew's Hospital, outline their experience of setting up and delivering a pan‐regional service for the delivery of urgent and emergency cardiac surgery with a focus on maintaining a COVID‐free in‐hospital environment. In doing so, they hope that other regions can use this as a starting point in developing their own region‐specific pathways if the spread of coronavirus necessitates similar measures be put in place across the United Kingdom
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ACLS Training Centre: Resuscitation of COVID-19 patients (14 June 2021)
Anonymous posted an article in Good practice and useful resources
2020/2021 has been challenging for healthcare worker. We went from hearing the rumours of an outbreak of some kind of disease halfway across the world to upwards of 2 million infected and 125,000 dead with little known about the virus. Approximately 12%–19% of those infected will require hospitalisation and 3–6% will become critically ill. These patients are at high risk of cardiac arrest. Even during a pandemic, the care of patients in our healthcare facilities must continue. Resuscitation is especially challenging in the presence of or the assumption of COVID-19. This article from the ACLS Training Center pulls together the recommendations of some of the top experts in resuscitation and infection control in the world. -
Content ArticleThis article written for The Guardian provides an inside look from the University College hospital who allowed access to its new facility and staff to show how the health service is trying to tackle backlogs.
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Long-haulers are fighting for their future
Patient-Safety-Learning posted an article in Coronavirus (COVID-19)
This article by Ed Yong discusses the impact of Long Covid on patients and how for both unvaccinated and vaccinated people, is one of the pandemic’s biggest and least-addressed unknowns. -
Content Article
Airborne transmission of respiratory viruses
Patient-Safety-Learning posted an article in Coronavirus (COVID-19)
In this article Wang et al. review recent advances in understanding airborne transmission gained from studying the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections and other respiratory pathogens. -
Content ArticleThis study looks at the case of a patient who had been fully vaccinated against Covid-19, and despite past infection and receiving booster shots, was found to have been re-infected with the Delta Variant and then the Alpha Variant from a fully vaccinated family member.
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Content ArticleThis opinion piece from The Guardian highlights the vaccine inequalities currently faced by low-income countries. The article discusses the percentage of people who have received the first dose in comparison to those living in richer countries such as the U.K. and U.S.A. and how a more strategic and equitable approach is needed to help ensure the world emerges sustainably from the crisis.
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Content ArticleThis article by Lauren Nicolle discusses the measures that can be taken by both healthcare professionals and the patient to reduce the impact of Covid-19 on the thousands of cancer patients that have had their treatment disrupted.
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Content ArticleThis article discusses how advising and supporting managers/employers in risk management and control is and should have been one of the main preventive roles of occupational health experts, particularly in regards to legal duties on health and safety. In the article, the authors recommend that, as employees have the right to a safe working environment, all appropriate health and safety risk assessments should be carried out, along with published documented input from occupational health experts in addition to gaining employee agreement on Respiratory Protective Equipment (RPE) for aerosol inhalation risk.
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Content ArticleThis research was conducted to explore the relationship between the various types of events that occur in an isolation environment and the associated factors, which may have implications for the likelihood of the event and severity of patient harm. After performing an analysis of event reports submitted by acute care hospitals between January 1 and September 30, 2020, 484 relevant event reports from 94 hospitals for inclusion in our descriptive study (excluding near-miss events) were identified.
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Content ArticleThis episode of HSJ’s Health Check podcast considers concerns raised in Coroners Prevention of Future Deaths reports about the impact of pandemic hospital visiting restrictions on patient care and patient safety.
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Content ArticleScientific and policy bodies’ failure to acknowledge and act on the evidence base for airborne transmission of SARS-CoV-2 in a timely way is both a mystery and a scandal. In this study, Greenhalgh et al. applied theories from Bourdieu to address the question, “How was a partial and partisan scientific account of SARS-CoV-2 transmission constructed and maintained, leading to widespread imposition of infection control policies which de-emphasised airborne transmission?”.
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Content Article
This is the first of two blogs by Patient Safety Learning looking at the key patient safety issues faced by the healthcare system in the UK in tackling the care and treatment backlog created by the Covid-19 pandemic. This blog outlines the scale of the challenge and sets out the key patient safety considerations associated with this. It stresses the need for national and local plans to address the backlog, with an emphasis on patient engagement and placing patient safety at their core. -
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Prevention of Future Deaths report – Azra Hussain
Mark Hughes posted an article in Coroner reports
Azra Hussain died by suicide while a patient at Mary Seacole House, operated and staffed by Birmingham and Solihull Mental Health Foundation Trust. In their report, the Coroner raised patient safety concerns relating to her family being unable to participate in a multidisciplinary team meeting prior to her death due to Covid-19 visiting restrictions. -
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The Untold Heartbreak
Patient-Safety-Learning posted an article in Heart conditions
Covid-19 has had a lasting impact on cardiovascular care since the outbreak began. The British Heart Foundation has predicted that the number of people in England waiting for care and diagnosis could more than double within two years, peaking at around 550, 385 in January 2024 if the NHS doesn't get the funding it needs. In order to provide a stronger and more resilient health system that supports healthcare staff, a cardiovascular strategy for England to support recovery from the Covid-19 pandemic is needed. -
Content ArticleThis article focuses on the importance of integrating "the workplace, the workforce and the individual" in risk assessments during a pandemic and how it warrants highlighting health and safety laws that require "suitable and sufficient" risk assessment, particularly when workers are involved. The authors also discuss aerosol generating procedures and the risk of exposure to workers from main sources of viral aerosols and the need for appropriate workplace risk assessments to help protect staff.
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Content ArticleKishorkumar Patel and Kofi Aning were both treated at the Nightingale Hospital in London in April 2021. In both cases there was a serious incident in which the wrong filter was found to have been used within the breathing systems of their intensive care ventilator.
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Content ArticleThis study, published in the Journal of Advanced Nursing, investigates the processes through which personnel understaffing and expertise understaffing jointly shape near misses among nurses during the Covid-19 pandemic. It looks at survey data collected from 120 nurses in the United States of America working in hospitals during the pandemic. The authors conclude that the challenges created by understaffing of nurses have been amplified by the pandemic. They suggest that understanding the mechanisms through which safety outcomes are affected by understaffing can help healthcare organisations be better prepare for safety challenges that may arise when staffing shortages are experienced.
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Content ArticleThe Health Foundation’s COVID-19 impact inquiry has drawn on a broad range of available evidence to consider two main questions: How were people’s experiences of the pandemic influenced by their pre-existing health and health inequalities? What is the likely impact of actions taken in response to the pandemic on the nation’s health and health inequalities – now and in the future?
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Content ArticleThe findings of this study, published in the Patient Experience Journal, indicate that the policy to allow for visitors, or subjective advocates, individuals with a vested interest in the well-being of the patient, is beneficial not only for the patient, but also in sustaining high quality of care. Recommendations are given for how hospitals might achieve improved quality and safety outcomes even in instances when organisations believe visitation needs to be disallowed or restricted. The results of this study suggest those decisions should be made with great care and in only the most extreme circumstances.
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Content ArticleThe waiting list for elective treatment in the NHS in England has reached an unprecedented level, with one in ten people – over 5.3 million – now waiting for a routine procedure. This report published by Policy Exchange sets out the scale of the challenge, opportunities to reform the existing approach to elective care and their proposed elective care recovery plan.
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