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Found 81 results
  1. Content Article
    Human factors is a scientific discipline which is used to understand the interacting elements and design of a complex system, aimed at improving system performance and optimising human well-being. This book brings together a range of specialist authors to explore some of the key concepts of human factors related to the field of paramedic practice. The system elements of paramedic practice can include the patient, the paramedic and their colleagues, the environment, the equipment, the tasks, and the processes and procedures of the organisation. The relationships between these components are explored in detail through chapters which cover ‘human error’, systems thinking, human-centred design, interaction with the patient, non-technical skills of individuals and teams, well-being of the paramedic, safety culture and learning from events. This helpful and informative guide provides frontline paramedics and ambulance clinicians with practical advice and knowledge of human factors that will be helpful in supporting safe and effective practice for all involved. It will also be of interest to pre-hospital care professionals who are involved in education, learning from events, procurement and influencing safety culture. Above all, it shows how an understanding and application of human factors principles can enhance system performance and well-being, and ultimately lead to safer patient care.
  2. Content Article
    A memoir of the chaos, intensity and occasional beauty of life as a paramedic. Jake Jones has worked in the UK ambulance service for 10 years: every day, he sees a dozen of the scenes we hope to see only once in a lifetime. Can You Hear Me? - the first thing he says when he arrives on the scene - is a memoir of the chaos, intensity and occasional beauty of life on the front-lines of medicine in the UK. As well as a look into dozens of extraordinary scenes - the hoarder who won't move his collection to let his ailing father leave the house, the blood-soaked man who tries to escape from the ambulance, the life saved by a lucky crew who had been called to see someone else entirely - Can You Hear Me? is an honest examination of the strains and challenges of one of the most demanding and important jobs anyone can do.
  3. Content Article
    Coroners have a statutory duty to issue a Prevention of Further Deaths report to any person or organisation where, in the opinion of the coroner, action should be taken to prevent future deaths.  This coroners report relates to the death of 15 year-old Najeeb Katende and the delay in defibrillation due to the equipment being set to manual mode and not detecting his shockable rhythm. The coroner found that the delay in defibrillating Najeeb significantly reduced his chances of survival.
  4. Content Article
    Emergency care needs fast, effective sharing of information. When clinicians have access to the information they need, they can better ensure safe and high-quality care for patients. To facilitate this, the Professional Record Standards Body (PRSB) has developed a standard for the information that is shared when care is transferred from ambulances to emergency departments. Once implemented, the standard for handover will improve continuity of care, as emergency care will have the information they need available to them on a timely basis. Whichever ambulance service brings the patient to the hospital, there will be a consistent set of information available to the emergency department. It means that patient safety will be improved, because emergency care professionals will know what medications have been administered, what diagnostic tests have been done, whether the patient has any allergies and other important information. Sharing clinical information with emergency care will also support professionals in arranging patient discharge and preventing unnecessary admissions.
  5. Content Article
    Team-targeted rudeness may underlie performance deficiencies, with individuals exposed to rude behaviour being less helpful and cooperative. The objective of this paper, published by The Official Journal of the American Academy of Pediatrics, was to explore the impact of rudeness on the performance of medical teams. In conclusion,  rudeness had adverse consequences on the diagnostic and procedural performance of the neonatal intensive care team members. Information-sharing mediated the adverse effect of rudeness on diagnostic performance, and help-seeking mediated the effect of rudeness on procedural performance.
  6. Content Article
    In Wales, like in England, the government has come under pressure over the poor performance of parts of the service. The Betsi Cadwaladr Health Board is the largest in Wales. It also has the worst A&E waiting times and has been in special measures for three years. Its hospital in Bangor, Ysbyty Gwynedd, serves 193,000 people, from tourists visting Snowdonia to the many retirees who live in North Wales. In this film, Saleyha Ahsan, looks at how the department tries to cope with unrelenting demand for patient space.
  7. Content Article
    Sam Goodhand is a Anaesthetic Registrar who I had the great pleasure in working with in Brighton University Hospitals NHS Trust. He produced these action/prompt cards for health professionals who attend and take part in RSI's. These are great to attach to your ID badge. This ensures you always have one at hand in those tricky situations.
  8. Content Article
    A great  initiative by East Sussex Healthcare NHS Trust to reinforce the importance of basic checks to keep patients from harm when administering medicines.
  9. 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."
  10. Content Article
    This blog highlights: The juxtaposition of how work is carried out by healthcare staff compared to the work that policy makers are 'imagining' healthcare workers are doing. The need for healthcare staff to be part of patient safety solutions.
  11. 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.
  12. 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.
  13. 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.
  14. 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.
  15. Content Article
    This paper from Kneebone et al, published in BMC's Advances in Simulations proposes simulation-based enactment of care as an innovative and fruitful means of engaging patients and clinicians to create collaborative solutions to healthcare issues.
  16. 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.
  17. Content Article
    This interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insights during the coronavirus pandemic. Here Martin interviews an advanced specialist paramedic working in central London with four years' experience of working on the frontline. 
  18. Content Article
    There has never been a wider mix of illnesses and issues seen by the UK ambulance services. There's also never been more different care pathways. It can sometimes be hard to know what the best thing to do is. Choice fatigue, along with patients sometime presenting in the same way as others can lead crews to make some challenging decisions. In this podcast from General Broadcast, some of the patient safety team sit down to talk about what's important when leaving a patient at home and what safety netting needs to be in place. General Broadcast covers the whole of the Ambulance service, from clinical to non-technical skills, from best practice to learning from incidents and more.
  19. 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.
  20. Content Article
    What impact does working on the frontline in healthcare have on your own mental health? How do you cope with the daily traumatic events you see at work and then go home and care for your family? What happens when you start to feel out of control?  In this blog, a paramedic recounts their feelings and fear when things started to get out of control at work and at home, describing the symptoms of 'moral injury', and how talking openly to colleagues, their line-manager and to a counsellor helped them to recover.  
  21. Content Article
    Fatigue is a complex phenomenon that has effects on physical characteristics, cognition, behaviours, and physical and mental health. Paramedicine crosses the boundaries of many high-risk industries, namely medicine, transport and aviation. The effects of fatigue on paramedics need to be explored and considered in order to begin to identify appropriate interventions and management strategies. This article, published in the Irish Journal of Paramedicine, demonstrates that fatigue is associated with increased errors and adverse events, increased chronic disease and injury rates, depression and anxiety, and impaired driving ability. It has suggested that paramedic services and paramedics need to work collaboratively to identify and action appropriate measures to reduce the effects of fatigue on the wellbeing of the workforce and mitigate its effects on clinical performance and safety.
  22. 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.
  23. 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.
  24. Content Article
    Once registered, paramedics must continue to meet the standards of proficiency that are relevant to their scope of practice; the areas of their profession in which they have the knowledge and skills to practise safely and effectively. These standards set out by the Health and Care Professions Council were effective from 1 September 2014.
  25. Content Article
    Dr Esther Murray is a Health Psychologist working at Barts and the London School of Medicine and Dentistry. She has a keen interest in moral injury, the term used when people are witness to shocking or traumatic events that change their outlook on the world. In this podcast, from General Broadcast, the East England Ambulance Service Patient Safety Integration Lead talks to Esther about moral injury and how it can impact ambulance crews, as well as what we can all do to help each other.
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