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Found 2,344 results
  1. Content Article
    This video introduces England's 15 Patient Safety Collaboratives (hosted by Academic Health Science Networks) and how they support the NHS Patient Safety Strategy in areas such as COVID-19, managing deteriorating patients, maternal and neonatal safety, medicines safety, mental health and more. Download the slides here
  2. News Article
    Fewer than a quarter of people who develop coronavirus symptoms request a test, new research has suggested. The study into adherence to the UK’s test, trace, and isolate system also found only half of those who had symptoms were fully self-isolating towards the end of January, when the latest data is from. Experts, including from the Public Health England (PHE) behavioural science team at Porton Down in Wiltshire, found that only half of people could identify the main coronavirus symptoms, which include a cough, high temperature and loss of taste or smell. The research – based on responses from more than 53,800 UK adults to surveys across the pandemic – said: “Adherence to each stage of test, trace, and isolate is low but improving slowly.” The most common reasons for not requesting a test were thinking the symptoms were not Covid-related, symptoms had improved or were mild and not having had contact with anyone with Covid-19. Men, younger people and those with young children were less likely to self-isolate, as were those from more working-class backgrounds, people experiencing greater financial hardship, and those working in key sectors. Common reasons for not fully self-isolating included to go to the shops or work, for a medical need other than Covid-19, to care for a vulnerable person, to exercise or meet others, or because symptoms were only mild or got better. Read full story Source: The Independent, 1 April 2021
  3. Content Article
    The COVID-19 pandemic is placing unprecedented pressure on a nursing workforce that is already under considerable mental strain due to an overloaded system. Convergent evidence from the current and previous pandemics indicates that nurses experience the highest levels of psychological distress compared with other health professionals. Nurse leaders face particular challenges in mitigating risk and supporting nursing staff to negotiate moral distress and fatigue during large-scale, sustained crises. This paper from Sriharan et al. aims to (1) synthesise existing literature on COVID-19-related burnout and moral distress among nurses and (2) identify recommendations for nurse leaders to support the psychological needs of nursing staff.
  4. News Article
    Coronavirus tests for patients in mental health hospitals should be couriered to testing labs and prioritised for results to prevent patients being forced to self-isolate for longer than is necessary, according to new guidance. NHS England has told mental health hospitals they need to use dedicated couriers for urgent swabs and tests should be specifically labelled for mental health patients so they can be turned around faster. Health bosses are worried thousands of patients in mental health wards could deteriorate ifare forced to self-isolate in their rooms for longer periods. More than 14,000 patients were being detained in hospital under the Mental Health Act in January 2021, with patients needing to be tested on admission to wards and if they show symptoms. Read full story Source: The Independent, 30 March 2021
  5. News Article
    Today marks the last day that about four million of the most clinically vulnerable people in England and Wales are advised to shield at home. Letters have been sent out to the group in the last few weeks. They are still being advised to keep social contacts at low levels, work from home where possible and stay at a distance from other people. The change comes amid falling Covid cases and hospital admissions. According to NHS Digital, there are 3.8 million shielded patients in England and 130,000 in Wales. Scotland and Northern Ireland are expected to lift their restrictions later in April. People affected by shielding included Rob Smith, from Hull, who has muscular dystrophy. Shielding for more than a year has been a "nightmare", he told BBC Breakfast. "Where I was able to go out, I didn't feel I wanted to. I didn't feel confident to face people again," he said. "I've always been sociable.... It's had a massive impact." Mr Smith now says he feels anxious about the future and believes for many people who have been shielding, it will "take time to get used to being out there again". He is also wary of the risk of mixing with others again. Read full story Source: BBC News, 31 March 2021
  6. Content Article
    UK guidelines recommend that assessment and monitoring of breathless, unwell, or high risk patients with suspected COVID-19 should include pulse oximetry. Guidance published in January 2021 by the World Health Organization includes a provisional recommendation for “use of pulse oximetry monitoring at home as part of a package of care, including patient and provider education and appropriate follow-up. In this BMJ Practice article, Tricia Greenhalgh and colleagues discuss the remote management of COVID-19 using home pulse oximetry.
  7. Content Article
    Brian Button, 78 years old, was admitted to the Royal Sussex County Hospital following a fall but contracted COVID-19 pneumonitis on the Catherine James ward within the Acute Respiratory Unity. Senior coroner for Brighton and Hove, Veronica Hamilton-Deeley, in the coroner's report, said that the ward contained 13 beds and that these beds were not socially distanced. A patient review confirmed this. The Royal Sussex County Hospital has responded.
  8. News Article
    People aged 16 or over who live with immunosuppressed adults should be prioritised for COVID-19 vaccination alongside priority group 6 (people aged 16 to 65 who have a clinical condition that puts them at higher risk), the UK government’s vaccine advisory committee has said. This would include people living in households with an adult who has a weakened immune system, such as those with blood cancer or HIV, or people on immunosuppressive treatment, including chemotherapy, the Joint Committee on Vaccination and Immunisation (JCVI) said. These people are not only more likely to have poorer outcomes after SARS-CoV-2 infection but may not respond as well to the vaccine as others, recent evidence indicates, said the JCVI. The committee said it had made the new recommendation after evidence emerged showing that the covid-19 vaccines may reduce transmission, meaning that vaccinating those around immunosuppressed individuals could help reduce their risk of infection. The JCVI’s chair of COVID-19 immunisations, Wei Shen Lim, said, “The vaccination programme has so far seen high vaccine uptake and very encouraging results on infection rates, hospitalisations, and mortality. Yet we know that the vaccine isn’t as effective in those who are immunosuppressed. Our latest advice will help reduce the risk of infection in those who may not be able to fully benefit from being vaccinated themselves.” Read full story Source: BMJ, 29 March 2021
  9. Content Article
    ECRI Institute's Top 10 patient Safety concerns for 2021 report highlights patient safety concerns across the continuum of care because patient safety strategies increasingly focus on collaborating with other provider organisations, community agencies, patients or residents, and family members. Each patient safety concern on this list may affect more than one setting and involve a wide range of personnel.
  10. Content Article
    After a decade of austerity, The NHS Long Term Plan was meant to be a turning point for healthcare. However, those plans have been severely disrupted by the coronavirus pandemic. New analysis from the Institute for Public Policy Research shows the scale of the damage done by the pandemic across several major health conditions. It recommends a package of six ambitious changes to ‘build back better’. These policies are designed to do three things. First, they intend to ensure the pandemic does not cause lasting damage to healthcare services for future generations. Second, they look to bring in areas – like social care and public health – that are not covered in The NHS Long Term Plan, but which COVID-19 has harshly reminded us are integral to healthcare. Third, they look to capture the innovations that occurred during the pandemic.
  11. Content Article
    The Point of Care Foundation have developed Team Time in response to the Coronavirus pandemic. Team Time is a 45-minute reflective practice that is run and facilitated online and provides an opportunity for people taking part to share experiences of their work in health and social care. As with Schwartz Rounds the focus is on participants’ emotional and social response to their work. However, unlike Schwartz Rounds, the audience is limited in size and is intended to be drawn from an area/department of a health/social care site rather than from across the organisation. The audience will comprise colleagues who have ‘common cause with others in a specialty/pathway’ and consider each other colleagues in the work of that area.  Please note that Team Time training is available only to trained Schwartz Rounds facilitators.
  12. News Article
    Tens of thousands of post-operative deaths could be avoided by ensuring patients are given coronavirus vaccines while waiting for elective surgery, a new study suggests. People awaiting surgery around the globe should thus be prioritised for COVID-19 jabs ahead of other groups, according to the research, funded by the National Institute for Health Research (NIHR). Studying data for 141,582 patients from across 1,667 hospitals in 116 countries – including Australia, Brazil, China, India, UAE, the UK and the US, scientists found that between 0.6 and 1.6% of patients have developed coronavirus in the wake of elective surgery. For patients who did contract COVID-19, their risk of death was four to eight times greater than typically seen in the 30 days after surgery. Given the higher risks that surgical patients face, scientists calculate that vaccines are more likely to have a life-saving impact upon pre-operative patients – particularly the over-70s and cancer patients – than among the general population. The researchers estimated that – in order to save one life in the course of a year – 351 people aged over 70 facing cancer surgery required vaccination. This figure rises to 1,840 among over-70s in general. “Pre-operative vaccination could support a safe restart of elective surgery by significantly reducing the risk of Covid-19 complications in patients and preventing tens of thousands of Covid-19-related post-operative deaths,” said co-lead author Aneel Bhangu, from the University of Birmingham. Read full story Source: The Independent, 25 March 2021
  13. News Article
    Many doctors from black, Asian and minority ethnic backgrounds say key risk assessments have still not taken place, or have not been acted on. About 40% of UK doctors in the UK are from BAME backgrounds, yet 95% of the medics who have died from coronavirus were from minority backgrounds. The NHS said last June that its trusts should offer risk assessments to staff, but hundreds told a poll for BBC News that they were still awaiting assessments or action. Of 2,000 doctors who responded, 328 said their risks hadn't been assessed at all, while 519 said they had had a risk assessment but no action had been taken. Another 658 said some action had been taken, with just 383 reporting their risks had been considered in detail and action put into place to mitigate them. One of those who responded was Dr Temi Olonisakin, a junior doctor in London who has Type 1 diabetes. She had her risk assessment early on in the pandemic. "It was as comprehensive as a side A4 paper can be," she says. "I think for a lot of people it felt more like a tick-box exercise, and one that could be used to say: 'We've done what we need to do to make people feel safe' - but I'm not sure in reality that's how people felt." Read full story Source: BBC News, 26 March 2021
  14. News Article
    More than 40,600 people have been likely infected with coronavirus while being treated in hospital in England for another reason, raising concerns about the NHS’s inability to protect them. In one in five hospitals at least a fifth of all patients found to have the virus caught it while an inpatient. North Devon district hospital in Barnstaple had the highest rate of such cases among acute trusts in England at 31%. NHS England figures also reveal stark regional differences in patients’ risk of catching the virus that causes COVID-19 during their stay. Just under a fifth (19%) of those in hospital in the north-west became infected while an inpatient, almost double the 11% rate in London hospitals. Hull University teaching hospitals trust and Lancashire teaching hospitals trust had the joint second highest rate of patients – 28% – who became infected while under their care. The former has had 626 such cases while the latter has had 486. However, the big differences in hospitals’ size and the number of patients they admit mean that the rate of hospital-acquired infection is a more accurate reflection of the success of their efforts to stop transmission of the potentially lethal virus. Doctors and hospitals claim that many of the infections were caused by the NHS’s lack of beds and limitations posed by some hospitals being old, cramped and poorly ventilated, as well as health service bosses’ decision that hospitals should keep providing normal care while the second wave of Covid was unfolding, despite the potential danger to those receiving non-Covid care. “These heartbreaking figures show how patients and NHS staff have been abysmally let down by the failure to suppress the virus ahead of and during the second wave,” said Layla Moran MP, the chair of the all-party parliamentary group on coronavirus. Read full story Source: The Guardian, 26 March 2021
  15. News Article
    The CQC will consider equality and human rights policy issues that have arisen from the COVID-19 pandemic under an agreement with the Equality and Human Rights Commission (EHRC). In a statement published on the new memorandum of understanding (MoU), the CQC and the EHRC confirmed they will work together on five ‘key areas of focus’. These also include looking at how leadership can reduce inequalities in patients’ access to – and outcomes from care – in local areas, and ‘collaborating for better leadership on equality for staff working in the NHS and social care’, the regulator said. In a separate blog on the agreement, Ted Baker, CQC’s chief inspector for hospitals, said: ‘We will continue to work together to respond to the equality and human rights issues that have arisen from the COVID-19 pandemic. This includes the EHRC contributing to our work on use of DNACPR and CQC supporting the dissemination of key findings relating to health and social care from EHRC key reports and briefings.’ The memorandum, which applies to all providers regulated by the CQC, also outlines how both organisations will share information on human rights issues. Read full story Source: Management in Practice, 15 March 2021
  16. News Article
    Doctors and nurses were absent from crucial meetings about oxygen supplies to hospital wards in the run up to the coronavirus crisis, a safety watchdog has warned. At one hospital trust, which was forced to declare a major incident during the second wave of the crisis, doctors had not attended the hospital’s medical gas committee (MGC) since 2014. The Healthcare Safety Investigation Branch (HSIB) said it had discovered a similar lack of input at other NHS trusts and also warned that none of the urgent alerts and guidance from NHS England ahead of the Covid surge had been discussed at the committee. HSIB has launched an investigation into the failure of oxygen piping systems during the Covid surge after a number of hospitals were forced to declare major incidents and divert patients to other hospitals. Read full story Source: The Independent, 24 March 2021
  17. Content Article
    Healthcare workers are among the heroes of the pandemic. One year in, many of us are experiencing stress, fatigue, and grief. But this can pale in comparison to the toll faced by those caring for the sick and dying on a daily basis. On the latest episode of The Dose, we listen to the stories of one group of frontline health workers: nurses. Often dealing with inadequate PPE and staff shortages, nurses are putting their own lives at risk — and many are experiencing burnout and exhaustion. In this podcast, guest, Mary Wakefield, takes us on a journey from rural hospitals to clinics in underserved areas, all through the eyes of nurses.
  18. Content Article
    On Thursday 18 March, the G20 Health and Development Partnership in collaboration with RLDatix held an Online Panel Discussion for the launch of the International Patient Safety Report: ‘The Overlooked Pandemic – How to Transform Patient Safety and Save Healthcare Systems’.
  19. Content Article
    Infographic for patients from the International Society of Pharmacovigilance (ISoP) on vaccine safety. This infographic is already available in Italian, Arabic and Spanish. If translation is required, please email: administration@isoponline.org
  20. News Article
    A pregnant nurse who died with COVID-19 felt "pressurised" to return to work despite being "very worried" for her health, an inquest heard. Mary Agyeiwaa Agyapong, 28, died after giving birth at Luton and Dunstable Hospital, where she also worked. Her widower Ernest Boateng told the inquest that "due to high demand at the hospital she had to continue working". A senior colleague said she had no knowledge of Ms Agyapong being pressured to return or remain at work. The inquest in Bedfordshire heard Ms Agyapong was signed off on 12 March 2020, initially for back problems, and died on 12 April. She was admitted to hospital with breathing problems on 5 April and discharged the same day. Giving evidence, Mr Boateng said: "Mary continued to work during this time [the start of the coronavirus outbreak], but she was very concerned about the situation involving Covid-19, so much so that when she came home from work she would take her clothes off at the front door and take a shower immediately." "She was very worried about bringing Covid into the home." Mr Boateng told the inquest his wife had worked "on some COVID-19 wards". "I wanted her to stay at home," said Mr Boateng. "But due to high demand at the hospital, she had to continue working. She tried to reassure me that everything would be OK but I could understand she was anxious and panicking deep down." Read full story Source: BBC News, 23 March 2021
  21. News Article
    Long delays for coronavirus patients to get through to NHS 111 call handlers while other seriously ill patients were told to stay at home have prompted a safety watchdog to launch an investigation of the phone triage service. The Healthcare Safety Investigation Branch (HSIB) has launched an inquiry into the handling of coronavirus calls by NHS 111 – the first port of call for patients when they become unwell. During the pandemic the NHS 111 service set up a dedicated COVID-19 Clinical Assessment Service (CCAS) but concerns over the safety of advice given to patients saw nurses and non-medical staff stopped from taking patient calls in August last year. Now concerns from a number of patients and families have led the independent HSIB to launch a review of the service and to identify any learning and improvements. HSIB told The Independent the investigation was at an early stage and it was not yet certain of any direct link to patient harm. It said the number of patient cases could grow but that it had initial family concerns related to difficulties getting through to NHS 111, long delays in getting clinical call backs after an initial triage call and concerns that some patients were told to stay at home when they were seriously ill. Read full story Source: The Independent, 23 March 2021
  22. News Article
    The Covid pandemic is casting a wide shadow over the nation’s health, according to new data revealing a dramatic drop in urgent referrals for suspected cancers in England, and a plummeting quality of life among patients awaiting hip and knee surgery in the UK. The crisis has caused huge disruption to healthcare services: in November NHS England revealed that the number of people waiting more than a year for surgery had reached its highest level since 2008, while patients have reported that their procedures, from cancer surgery to hip replacements, have been repeatedly cancelled. It has also been linked to a fall in MRI and CT scans, while among other consequences breast screening programmes were paused last year. Experts have warned the pandemic may also have led to people avoiding GPs and hospitals, meaning they may have missed out on crucial care. Now an analysis of NHS England data by Cancer Research UK has found that the number of people urgently referred for suspected lung cancer fell by 34% between March 2020 and January 2021 compared with the same time period in 2019/2020 – adjusted for working days. That, they say, equates to about 20,300 fewer people being urgently referred. Declines were also found for other suspected cancers including urological cancer and gynaecological cancer, with about 51,000 fewer patients urgently referred for the former, a 25% drop, and 19,800 fewer patients urgently referred for the latter, a 10% drop, compared with the year before. Read full story Source: The Guardian, 24 March 2021
  23. Content Article
    The NHS risks losing thousands of nurses, doctors and other key workers in the longer term unless they are given the time and space to recover from the pandemic. Without this, the Government will fail to meet its key manifesto target of recruiting an extra 50,000 nurses, and it will take even longer for the NHS to address the impact of the pandemic on waiting times and other services. The NHS Confederation report warns that staff need to recovery time following the past 12 months. The NHS Confederation, which represents the whole health system, is calling on the Government to act now to avert a staffing crisis in the NHS as the country prepares to emerge from a year of restrictions. With the NHS still facing the threat from coronavirus and a massive backlog of treatment, there is a real risk that exhausted NHS staff may leave their roles unless expectations of their workload mean they are allowed time to recover.
  24. Content Article
    In this personal blog, an NHS volunteer describes her experience of supporting a patient dying in hospital of Covid-19. She highlights the role that volunteers can play in giving compassion and comfort to patients in an overwhelmed health system. She also draws attention to the lack of training she had before taking on the role, and the mental and emotional toll of volunteering in such environments.
  25. News Article
    For the first time, a new linked health data resource covering 54.4 million people – over 96% of the English population – is now available for researchers from across the UK to collaborate in NHS Digital’s secure research environment. This resource will enable vital research to take place into COVID-19 and cardiovascular disease, with the aim of improving treatments and care for patients. This work has been led by the CVD-COVID-UK consortium in partnership with NHS Digital. The new resource links health data from GP records, hospital data, death records, COVID-19 laboratory test data and data on medications dispensed from pharmacies, and is accessible to CVD-COVID-UK consortium researchers in NHS Digital’s Trusted Research Environment (TRE) Service for England. The CVD-COVID-UK consortium is a collaborative group of more than 130 members across 40 institutions working to understand the relationship between COVID-19 and cardiovascular diseases. The consortium is managed by the British Heart Foundation (BHF) Data Science Centre, led by Health Data Research UK. The ability to link different types of health data from almost the entire population of England provides a more complete and accurate picture of the impact of COVID-19 on patients with diseases of the heart and circulation than has been possible before now. It will also provide the data to understand whether patients with COVID-19 are more likely to go on to develop diseases of the heart and circulation, such as heart attack and stroke. Read full story Source: HDRUK, 24 February 2021
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