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Content Article
COVID-19: Safe PPE poster (March 2020)
Claire Cox posted an article in Good practice and useful resources
This is an easy to understand infographic about correct PPE to wear during the Coronavirus crisis.- Posted
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- PPE (personal Protective Equipment)
- Virus
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News Article
UK government must recognise care workers are on the coronavirus frontline too
Patient Safety Learning posted a news article in News
Social care has a vital part to play in the fight against Covid-19, but without proper support more lives will be put at risk, says Vic Rayner, Executive Director of the National Care Forum. "We are working round the clock to keep the people we care for safe and happy and to protect our staff. We know the COVID-19 situation is moving fast – but the care sector can only effectively play its part with more direct support from the government." Social care providers, like many across the country, are working hard to prepare for the escalation of COVID-19. This includes refresher training on infection control, robust measures to ensure any visitors to care services are safe to enter, planning for how to keep going in the face of significant workforce shortages, and ensuring the people they care for and their staff are kept safe and well. However, it is clear that social care is in urgent need of help, more directly and more quickly, to meet the needs of the most vulnerable, or to ensure that their staff are adequately protected. The issue of protection is never far from care providers’ minds, and the lack of personal protective equipment (PPE) for care staff remains a pressing problem. Read full story Source: The Guardian, 20 March 2020- Posted
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Content ArticleWritten by Benjamin W. Starnes, MD (professor and chief) and Niten Singh, MD (professor and associate chief) in the division of vascular surgery at the University of Washington, Seattle. This letter, published in Vascular Specialist, provides statistical and personal insight into how coronovirus is playing out for hospitals, and the measures they are having to put in place to deal with overwhelmed services.
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Content Article
World at war: The journey continues
Carol Menashy posted an article in Blogs
I'd like to share with you how SISOS is supporting staff at The Royal Free Trust during the coronavirus pandemic.- Posted
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- Medicine - Infectious disease
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Content ArticleSouth London and Maudsley NHS Foundation Trust and St Guy's and St Thomas' NHS Foundation Trust have put together this occupational health advice for their staff based on current published advice from Public Health England.
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Content ArticleNHS staff are asking the same questions as everyone else about coronavirus. How deadly is it? How do we protect ourselves? Are the government’s tactics right? And how will the health service cope when – and it is when – it leaves large numbers of people seriously ill, many fighting for their lives? A senior consultant at a leading hospital for respiratory conditions such as pneumonia and cystic fibrosis talks to the Observer about his concerns.
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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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Content ArticleThis study from Stevenson and Farmer concludes that underneath the stigma that surrounds mental health and prevents open discussion on the subject, the UK faces a significant mental health challenge at work. They start from the position that the correct way to view mental health is that we all have it and we fluctuate between thriving, struggling and being ill and possibly off work. People with poor mental health, including common mental health problems and severe mental illness, can be in any of these groups. An individual can have a serious mental health problem but – with the right support – can still be thriving at work.
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News Article
NHS staff ‘can access covid-19 testing’, government insists
Patient Safety Learning posted a news article in News
NHS staff are to be given access to testing for covid-19, the government said this morning, but it remains unclear how the policy will be applied. A Department of Health and Social Care spokesman said at lunchtime: “Our testing regime is set up to provide for those who need tests the most. This includes key workers, such as NHS staff. We will set out more details shortly.” It remains unclear how this will be applied. The announcement follows concerns from healthcare professionals they are not being tested for the virus, even if they had been exposed to infected patients. Read full story (paywalled) Source: HSJ, 17 March 2020- Posted
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- Medicine - Infectious disease
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Content Article
"Toilet paper and ventilators" – preparing for the unknown
Claire Cox posted an article in Blogs
I am going to write a series of blogs about my situation: what I'm seeing, my thoughts and my fears on the coronavirus, personally and professionally. I am a critical care outreach nurse one day a week and for the rest of the time I work non-clinically for the charity Patient Safety Learning. My personal situation will not be unlike many. I have worries just like you – money, job, health, kids, elderly relatives (my parents will kill me for saying that!), food… It is important to capture our stories, no matter who you are or what you do. The impact of the coronavirus is widespread. It is affecting our daily lives and our future.- Posted
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News Article
Coronavirus: GPs prepare for NHS's 'biggest crisis'
Patient Safety Learning posted a news article in News
As coronavirus spreads widely across the UK, many of those who fall sick may seek treatment at their GP's surgery. But are family doctors ready to deal with a wave of patients, prevent the spread of the disease and protect the most vulnerable? "This is a massive crisis, probably the biggest crisis the NHS has ever had to face," says Prof Martin Marshall, an east London GP who is also chair of the Royal College of General Practitioners' council. He says not enough has been done yet to prepare family doctors for the epidemic, although he adds: "We need to be a little bit understanding of the pressures that the whole system is under." As the virus circulates in the community, he says we need "urgent action" to protect healthcare workers, give them the information they need and provide technology to allow for more consultations by phone or the internet. Given the pressures the NHS will be under, Prof Marshall says it is vital that doctors and nurses are not taken out of action for seven days of isolation unnecessarily. "We're not saying that health professionals are more important than patients, we're saying that health professionals have a responsibility," he says. "We therefore need to keep them as healthy as possible and we need to get them back into the workforce as quickly as possible. So we're asking that health professionals are tested early." Read full story Source: BBC News, 16 March 2020- Posted
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Content Article
Intensive Care Society: Wellbeing resource library
Claire Cox posted an article in Mental health
The Intensive Care Society is delighted to share their wellbeing resource pack developed with Dr Julie Highfield, Clinical Psychologist. The poster series aims to improve our understanding of psychological wellbeing at work, the impact reduced wellbeing can have and what we can do in response, and includes tips for dealing with extraordinary situations such as COVID-19 and everyday working in critical care.- Posted
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- Mental health
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News Article
Majority of GPs do not have sufficient coronavirus protective equipment
Patient Safety Learning posted a news article in News
Two out of five GPs have still not received any personal protective equipment (PPE) against coronavirus, a Pulse survey suggests. The poll of over 400 GPs saw 41% of respondents say they have not received any PPE, while a further 32% said they had not received enough. Just 15% of GPs said they have sufficient PPE, with the remainder unsure. This comes despite NHS England promising last week that it would ship PPE free of charge to practices. The Welsh Government made the same announcement this week, while in Scotland health boards should be distributing PPE. A GP who has received no proper equipment, Dr Kate Digby, in Cirencester, said she feels "woefully underprepared". She told Pulse: "I'm becoming increasingly concerned at the lack of resources being provided for frontline primary care". Read full story Source: Pulse, 2 March 2020- Posted
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- Medicine - Infectious disease
- Health hazards
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Content ArticleThis is the first edition of guidance on infection prevention and control (IPC) strategies for use when infection with a novel coronavirus (2019-nCoV) is suspected. It has been adapted from WHO’s Infection prevention and control during health care for probable or confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, based on current knowledge of the situation in China and other countries where cases were identified and experiences with severe acute respiratory syndrome (SARS)-CoV and MERS-CoV.
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News Article
What front line staff are worried about
Patient Safety Learning posted a news article in News
Frontline medics are juggling fears about a lack of beds, a crisis in staffing and worries about their own personal safety as the threat of a large-scale coronavirus outbreak looms, HuffPost UK has learned. With public health officials warning that, in the worst-case scenario, up to 80% of the UK population could be infected with coronavirus, NHS staff said such a scenario would be a “disaster” for the health service. Meanwhile, medics working in the community have warned they are not getting consistent advice on how to protect their own health. Dr Punam Krishan, a GP in Glasgow, told HuffPost UK that while the NHS deals with thousands of cases of cold, flu and norovirus each year, the threat of Covid-19 is still worrying. “Obviously as frontline workers we are most at risk,” she said. “So I’m not going to lie, yes – it does provoke anxiety. Particularly because the signs don’t show immediately – there’s an incubation period that’s up to 14 days.” This means that someone who has unknowingly been in contact with a coronavirus patient and is not yet showing symptoms of the virus could come into the practice. That thought “can trigger a bit of panic”, Krishan said. Read full story Source: HuffPost UK, 11 March 2020 Are you concerned? Do you feel prepared? Join in our online hub poll -
Content ArticleThis infographic developed by the World Heath Organization, pictures how to put on and take off personal protective equipment safely.
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- Staff safety
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Content ArticleIn this short video, anaesthetic staff at Brighton and Sussex University Hospital demonstrates how to put on and take off the power hood safely. These hoods are used by staff who are caring with patients who are either high risk or have tested positive for COVID 19.
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- Influenza / pneumonia
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Content Article
Brighton Anaesthesia FFP3 Donning & Doffing
Claire Cox posted an article in Good practice and useful resources
Brighton and Sussex University Hospitals Trusts Anaesthetic Department has produced this video demonstrating how to 'don' (put on) and 'doff' (take off) PPE pre- and post-intubation of a high risk/infected patient with COVID-19.- Posted
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Content ArticleStrengthening 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.
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News ArticleFollowing a doctor’s suicide, a petition is calling for the GMC to take responsibility for the wellbeing of those under its investigation. Read full story (paywalled) Source: Pulse, 25 February 2020
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Content ArticleThis 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.
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News Article
Abusive NHS patients to be banned from receiving non-emergency care
Patient Safety Learning posted a news article in News
Patients who abuse NHS staff will be banned from receiving non-emergency care as new figures show more than one in four NHS staff have experienced harassment, bullying or abuse from patients, relatives or members of the public. The annual survey of more than 560,000 NHS workers found one in seven staff (15%) had experienced physical violence in the last 12 months while 40,000 staff (7.2%) had faced some form of discrimination during 2019 – an increase from 5.8% in 2015. A total of 13% of staff reported being bullied, harassed or abused by their own manager in the past 12 months and almost a fifth (19%) said they had experienced abuse from colleagues. The health secretary Matt Hancock has written to staff condemning the abuse and warning assaults on NHS workers will not be tolerated. Under new plans NHS England said that from April NHS hospitals will be able to bar patients who inflict discriminatory or harassing behaviour on staff from receiving non-emergency care. Previously, individual NHS organisations could only refuse services to patients if they were aggressive or violent. Hospitals will be required to act reasonably and take into account the mental health of the patient or member of the public. Read full story Source: The Independent, 19 February 2020- Posted
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Content ArticleA 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.
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News Article
Fast response to terror attacks saves lives. UK medics should not be held back
Patient Safety Learning posted a news article in News
The Streatham terrorist attack has again highlighted one of the most difficult decisions the emergency services face – deciding when it is safe to treat wounded people. In the aftermath of the stabbings by Sudesh Amman, a passer-by who helped a man lying on the pavement bleeding claimed ambulance crews took 30 minutes to arrive. The London Ambulance Service (LAS) said the first medics arrived in four minutes, but waited at the assigned rendezvous point until the Metropolitan police confirmed it was safe to move in. Last summer, the inquest into the London Bridge attack heard it took three hours for paramedics to reach some of the wounded. Prompt treatment might have saved the life of French chef Sebastian Belanger, who received CPR from members of the public and police officers for half an hour. A LAS debriefing revealed paramedics’ frustration at not being deployed sooner. A group of UK and international experts in delivering medical care during terrorist attacks have highlighted alternative approaches in the BMJ. In Paris in 2015, the integration of doctors with specialist police teams enabled about 100 wounded people in the Bataclan concert hall to be triaged and evacuated 30 minutes before the terrorists were killed. The experts writing in the BMJ believe the UK approach would have delayed any medical care reaching these victims for three hours. These are perilously hard judgment calls. Policymakers and commanders on the scene have to balance the likelihood that long delays in intervening will lead to more victims dying from their injuries against the increased risk to the lives of medical staff who are potentially putting themselves in the line of fire by entering the so-called 'hot zone'. First responders themselves need to be at the forefront of this debate. As the people who have the experience, face the risks and want more than anyone to save as many lives as possible, their leadership and insights are vital. In the wake of the Streatham attack the government is looking at everything from sentencing policy to deradicalisation. Deciding how best to save the wounded needs equal priority in the response to terrorism. Read full story Source: The Guardian, 7 February 2020 -
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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