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Found 999 results
  1. Content Article
    As nurses worldwide feel the pain of prolonged personal protective equipment (PPE) use, we assess the advice on minimising the discomfort caused by masks and visors. Here are some simple tips to prevent skin damage while wearing PPE.
  2. Content Article
    The COVID-19 pandemic is challenging the Canadian emergency departments (EDs) in unparalleled ways. As part of the frontline response, EDs have had to adapt to the unique clinical difficulties associated with the constant threat of COVID-19, developing protocols and pathways in the setting of limited and evolving information. In addition to the disruption of routine clinical care practices, an underlying perception of danger has resulted in a challenging clinical environment in which to make time-sensitive, high-stakes decisions. This has created an urgent need for targeted and adaptive training for all members of the emergency medicine healthcare team. The following commentary, published here by the Cambridge University Press, reflects the perspective of four emergency medicine simulation educators during the Canadian response to COVID-19.
  3. 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. 
  4. Content Article
    No one can say with certainty what the consequences of this pandemic will be in 6 months, let alone 6 years or 60. Some “new normal” may emerge, in which novel systems and assumptions will replace many others long taken for granted. But at this early stage, it is more honest to frame the new, post–COVID-19 normal not as predictions, but as a series of choices. In this article in JAMA, Donald Berwick proposes six properties of care for durable change: tempo, standards, working conditions, proximity, preparedness, and equity.
  5. Content Article
    Clinician well-being is known to play a role in error prevention. This perspective from Dzau et al., published in the New England Journal of Medicine, presents a five-part strategy comprised of organisational and national elements to ensure clinicians are situated to provide safe high-quality care during crisis, such as the coronavirus pandemic, and throughout the course of their careers.
  6. Content Article
    There is evidence of disproportionate mortality and morbidity amongst black, Asian and minority ethnic (BAME) people, including NHS staff, who have contracted COVID-19. The authors of this blog argue that this is not just an equality, diversity and inclusion issue but an urgent medical emergency and we need to act now.They look at how the NHS can support BAME staff through the COVID-19 pandemic and beyond, focusing on: protection of staff engagement with staff representation in decision making rehabilitation and recovery communications and media.  
  7. Content Article
    This page contains guidance for employers on how to carry out risk assessments particularly for vulnerable groups, to understand the specific risks staff members face from exposure to COVID-19 and actions which employers can take to keep staff safe. This includes staff returning to work for the NHS, and existing staff who are potentially more at risk due to their race, age, disability or pregnancy.
  8. Content Article
    Our NHS staff are doing fantastic work to tackle the COVID-19 pandemic and keep essential services going – their hard work and dedication during this difficult time is remarkable. As the NHS Chief Executive Sir Simon Stevens made clear in his letter of 29 April 2020 to NHS chief executives, it is important to remind everyone of the duty – and right – of those who work in the NHS to speak up about anything which gets in the way of patient care and worker wellbeing. Hear what Prerana Issar, the first NHS Chief People Officer, has to say in her blog. See also our hub resources on Whistleblowing and Speak Up Guardians.
  9. Content Article
    A six-minute communication science video how to protect yourself against disinformation during COVID-19.
  10. Content Article
    There are fears around maintaining personal safety whilst ensuring patient safety. Staff need to protect both themselves and their families at home. Equally, it is essential that staff feel supported in identifying risks and the potential for errors with a robust mechanism in place to reduce, eliminate or mitigate such risks. The Human Factors 'Dirty Dozen' is a concept developed by Gordon DuPont. He described elements that can act as precursors to accidents or incidents, or influence people to make mistakes. This webinar, from the Clinical Excellence Commission, looks at ways you can identify risks or 'hot spots' in your area of work and then discuss with your team at handover and huddles and plan strategies to reduce, eliminate or mitigate the risks
  11. Content Article
    Desperate times offer opportunities for the light to come streaming in. Currently, we are seeing that light in the outpouring of support and love for health and care staff across the world during this pandemic. In the UK, a large proportion of those staff come from ethnic minorities and some are dying at a much higher rate than white staff. The same is true in the general population.  The authors of this article, published by the Kings Fund, take a look at the statistics and ask 'what are we to do now?'
  12. Content Article
    From the early stages of the COVID-19 pandemic in the UK, Patient Safety Learning has been working with others in healthcare – from patients and staff to healthcare leaders and politicians – to identify the impact the pandemic is having on non COVID-19 treatment and care, and on patient safety. Recently, Patient Safety Learning hosted a webinar, in partnership with HealthPlusCare, titled ‘Patient safety: Time for questions? Non Covid-19 care and treatment’. The webinar took place on Wednesday 6 May, with a panel consisting of: Professor Maureen Baker CBE, Chair of the Professional Records Standards Body and past Chair of the Royal College of GPs Professor Mike Bewick, Chair of CECOPS and past Deputy Medical Director to Sir Bruce Keogh at NHS England Dr Jane Carthey, Human Factors and Patient Safety Specialist Mike Fairbourn, Chair of ABHI Patient Safety Working Group and BD Country General Manager Dean Russell MP, MP for Watford and member of the Health and Social Care Select Committee Claire Cox, Patient Safety Learning’s Associate Director of Patient Safety and Critical Care Outreach Nurse Helen Hughes, Patient Safety Learning’s Chief Executive We are delighted with the success of the webinar, with 542 participants. Those who attended represented stakeholders from across the health and care system, and were well-engaged, making good use of the chat, Q&A and polls.
  13. Content Article
    As we enter what could be the start of a gradual easing of lockdown restrictions, discussion has turned to how the NHS restarts those services that were stepped down during the peak of the COVID-19 pandemic. In this document, 16 NHS trade unions That is why 16 NHS trade unions are asking UK governments and employers to work with them to deliver their Blueprint for Return, in which they set out 9 key recommendations.
  14. Content Article
    Strengthening a safety culture necessitates interventions that simultaneously enable, enact and elaborate in a way that is attuned to the existing culture. Through a literature review of more than 60 resources, a Patient Safety Culture Bundle has been created and validated through interviews with Canadian thought leaders. The Bundle is based on a set of evidence-based practices that must all be applied in order to deliver good care. All components are required to improve the patient safety culture. The Patient Safety Culture "Bundle" for CEOs and Senior Leaders encompasses key concepts of safety science, implementation science, just culture, psychological safety, staff safety/health, patient and family engagement, disruptive behavior, high reliability/resilience, patient safety measurement, frontline leadership, physician leadership, staff engagement, teamwork/communication, and industry-wide standardisation/alignment.
  15. Content Article
    Patient Safety and Healthcare Improvement at a Glance is an overview of healthcare quality written specifically for students and junior doctors and healthcare professionals. It bridges the gap between the practical and the theoretical to ensure the safety and well-being of patients. Featuring essential step-by-step guides to interpreting and managing risk, quality improvement within clinical specialties, and practice development, this highly visual textbook offers preparation for the increased emphasis on patient safety and quality-driven focus in today's healthcare environment. 
  16. Content Article
    This article from Kemper et al., published in Pediatrics, looks at the national epidemiology of burnout in pediatric residents in the USA. The authors found that the majority of the residents surveyed met burnout criteria. Several identified factors (e.g., stress, sleepiness, medical errors, empathy, CCC, and self-compassion) suggest targets for interventions to reduce burnout in future studies.
  17. Content Article
    A significant number of staff involved in delivering around the clock care in healthcare environments are shift workers.  While patients are outside of the scope of this document, they are reliant on a workforce dedicated to providing out-of-hours care. Shift work has many benefits for the employee. It allows employees to condense their working time to improve work-life balance and to manage carer responsibilities for instance. However, poorly designed shift patterns, aligned with poor sleep patterns and environmental factors can have a detrimental impact on employee health and patient outcomes. Poorly managed shift patterns can, for example, increase sickness absence rates, presenteeism, increased at work errors and patient safety incidents, and associated costs. Therefore, it is important to ensure that safeguards are put in place to support safe working practice around shift working.
  18. Content Article
    It’s the little ripples from management that make a huge impact on safety for staff. If we don’t look after our staff, we won’t have anyone to safeguard our patients. It’s simple really! This going home checklist helps remind staff how important it is to look after their own mental health and well-being.
  19. Content Article
    Amandip Sidhu is a Learn Not Blame member and pharmacist. Tragically, Amandip lost his brother, a respected Consultant Cardiologist, to suicide. In this heartbreaking and powerful guest blog for Doctors Association UK (DAUK) and the Compassionate Culture campaign, Amandip reflects on the “just get on with it” attitude of the NHS, and how we must move to kinder NHS that treats it’s staff with much needed compassion.
  20. Content Article
    The UK IPC Guidance has been updated. This takes into account the latest assessment of the scientific evidence, and also the feedback from local providers on the ongoing impact on capacity that IPC measures are having.
  21. Content Article
    This report, published by the Association of Anaesthetists, gives recommendations based on clinical experiences of managing patients throughout Italy. In particular, the authors describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non‐technical aspects of caring for patients diagnosed with coronavirus disease 2019. 
  22. Content Article
    Blog from Ken Spearpoint on the aerosol generating procedures in cardiopulmonary resuscitation in Covid-19 patients. Ken is a Lecturer in Post Graduate Medicine at the University of Hertfordshire and critical care nurse for the match day medical team at Millwall FC,
  23. Content Article
    During the covid-19 pandemic trainees may be asked to work in unfamiliar environments. Abi Rimmer asks experts how doctors can deal with the change
  24. Content Article
    This article was published by Medigram, for chief medical officers and chief operating officers of hospitals and health systems to review with their infectious disease teams and chief executive officers. It looks at key lessons and strategies for preventing COVID-19 transmission within hospitals, including Personal Protective Equipment (PPE) standards, workflows, infrastructure. and workforce management. The content is based on the response to COVID-19 on South Korea. 
  25. Content Article
    This free course from the World Health Organization includes content on clinical management of patients with a severe acute respiratory infection. It is intended for clinicians who are working in intensive care units (ICUs) in low and middle-income countries and managing adult and paediatric patients with severe forms of acute respiratory infection (SARI), including severe pneumonia, acute respiratory distress syndrome (ARDS), sepsis and septic shock. It is a hands-on practical guide to be used by healthcare professionals involved in clinical care management during outbreaks of influenza virus (seasonal) human infection due avian influenza virus (H5N1, H7N9), MERS-CoV, COVID-19 or other emerging respiratory viral epidemics. Learning objectives: By the end of this course, participants should possess some of the necessary tools that can be used to care for the critically ill patient from hospital entry to hospital discharge. Course duration: Approximately 10 hours. Target audience: This course is intended for clinicians who are working in intensive care units (ICUs) in low and middle-income countries.
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