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Found 196 results
  1. Content Article
    This letter, published by the BMJ, is written by a group of doctors affected by persisting symptoms of suspected or confirmed COVID-19. Their aim is to share their insights from both personal experience of the illness and their perspective as physicians. In the letter they call for a number of principles to be used so that the best possible outcomes can be achieved for all people affected by persisting symptoms of COVID-19. These principles fall under three categories: Research and surveillance Clinical services Patient involvement Access to services.
  2. Content Article
    This article, by Nisreen Alwan, argues that defining and measuring recovery from COVID-19 should be more sophisticated than checking for hospital discharge, or testing negative for active infection or positive for antibodies. She highlights the number of previously healthy people with persistent symptoms such as chest heaviness, breathlessness, muscle pains, palpitations and fatigue, which prevent them from resuming work or physical or caring activities.
  3. Content Article
    This article from Ashton et al. outlines how one health system in the United States sought to make antibody testing available to staff as a strategy to decrease anxiety and improve sense making around the crisis.
  4. Content Article
    Regularly updated data from GOV.UK on tests processed and testing capacity in the UK.
  5. Content Article
    This poster by University Hospitals Birmingham NHS Foundation Trust, gives an overview on the different types of test for COVID-19 for patients and the general public. It explains the differences between the antigen PCR test and the antibody test.
  6. Content Article
    The government has unveiled a COVID-19 test and trace strategy for England, but it wasted valuable time in recognising what needed to be done after the lockdown was imposed and has been playing catch up ever since writes Chris Ham in a BMJ Opinion article. Chris says responding effectively to COVID-19 requires a blend of national and local leadership. Tragically, the government has been slow to recognise this, no more so than in plans to resume community testing and contact tracing as the lockdown is relaxed. These plans are essential to identify further outbreaks when they occur and to contain their impact. The challenge now is to ensure that every area of England has effective arrangements in place ahead of further relaxations of the lockdown in June. These arrangements must involve people being able to access tests in convenient locations, including their own homes, and for tests to be analysed rapidly. Agreement is needed on sharing test results with GPs and contact tracing staff to enable effective follow up.
  7. Content Article
    The number of people accessing COVID-19 testing in the UK continues to increase. Health Secretary, Matt Hancock recently announced, that anyone over the age of five years old who is showing symptoms is eligible for a test [1]. However, there are concerns that the rate of ‘false negative’ test results could be as high as 30% and a significant number of people are wrongly being told they do not have the virus [2]. This could be due to the particularly difficult nature of obtaining the swab, which requires someone to take a sample from the very back of the mouth or deep from inside the nose.  “Swabbing patients using the correct technique is paramount in ensuring an accurate result.  Nasal swabs need to be taken from far back in the nasal pharynx and is often uncomfortable for the patient.  By simply swabbing the inside of the nasal passage is not deep enough to verify that the virus is present. I am unsure that all clinical staff have been taught the correct way to swab patients.” Claire Cox, Intensive Care Outreach Nurse. Members of the public are now able to request self-testing kits to do at home if they are experiencing symptoms. If clinicians like Claire are finding the test challenging to perform on others, it is likely that patients could struggle to swab deep enough into their own nasal pharynx (7-8cm). There is a risk that as the number of people testing themselves increases, so too will the rate of false negative results.  Testing is a key element of the UK’s COVID-19 infection control strategy [3]. A high, and potentially rising, rate of false negative results means that a significant number of people could be carrying the virus, wrongly reassured they are not infectious. In this blog, we look at some of the associated safety risks. 
  8. Content Article
    The following blog was shared by a patient who wished to remain anonymous. In this account, they explain why they felt they were treated differently when they presented with symptoms of Covid-19 due to their mental health difficulties. They also describe how receiving a false negative test result caused further harm to their mental health.
  9. Content Article
    The Care Quality Commission (CQC) has published the first of what will be a regular series of insight documents intended to highlight COVID-19 related pressures on the sectors that CQC regulates.   This document draws on information gathered through direct feedback from staff and people receiving care, regular data collection from services who provide care for people in their own homes, and insight from providers and partners.   The information collected from these sources is being used to understand the wider impact of COVID-19, to share regular updates with local, regional, and national system partners and the Department of Health and Social Care, and to highlight any emerging trends and issues.
  10. Content Article
    The following account was shared with Patient Safety Learning by a patient called Sarah. She describes her experience of attending hospital with symptoms of COVID-19 and expresses concerns that she could have infected NHS staff due to a negative test result which later turned out to be inaccurate.
  11. Content Article
    The British public have been offered alternating periods of lockdown and relaxation of restrictions as part of the COVID-19 lockdown exit strategy. Extended periods of lockdown will increase economic and social damage, and each relaxation will almost certainly trigger a further epidemic wave of deaths. These cycles will kill tens of thousands, perhaps hundreds of thousands, of people before a vaccine becomes available, with the most disadvantaged groups experiencing the greatest suffering. There is an alternative strategy: universal repeated testing. The authors of this article published in The Lancet recommend evaluation of weekly severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antigen testing of the whole population in an entire city as a demonstration site (preferably several towns and cities, if possible), with strict household quarantine after a positive test. Quarantine would end when all residents of the household test negative at the same time; everyone else in the city can resume normal life, if they choose to.
  12. 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.
  13. Content Article
    Sara Albolina and Giulia Dagliana share the lessons learned from Italy and provide valuable guidance in this podcast shared on the Project Patient Care website. The podcast has been widely circulated among US healthcare provider organisations, patient advocates, and government organisations.
  14. Content Article
    This infographic designed by the team at Greater Glasgow and Clyde NHS, Scotland, sets out what to look out for and the clinical evaluation and treatment of COVID-19.
  15. Content Article
    The government's plan to rebuild the UK for a world with COVID-19. Inevitably, parts of this plan will adapt as we learn more about the virus. The government will set up ‘dedicated team’ to look for innovative ways for the NHS to continue treating people for coronavirus, while also providing care for non-covid health issues. It outlines a phased recovery approach and the roadmap to lift restrictions step by step.
  16. Content Article
    These guidance materials show how to use a COVID-19 swab testing kit. A significant number of results have shown as 'false negatives'. It is therefore important to follow the techniques described in these guidelines so that inaccurate results decrease and transmission rates can be reduced.
  17. Content Article
    Rosie Hughes has tested positive for the coronavirus that has killed so many of her patients. In her candid blog, published in the Guardian, she talks about her experiences, fear and the guilt she feels.
  18. Content Article
    THIS Institute at the University of Cambridge has undertaken a rapid response project to develop an ethical framework for COVID-19 testing for NHS workers. It sought to identify and characterise the ethical considerations likely to be important to the testing programme, while recognising the tension between different values and goals. The project was guided by an expert group and by an online consultation exercise held between 27 May and 8 June 2020 to characterise the range and diversity of views on this topic. The 93 participants in the consultation included NHS workers in clinical and non-clinical roles, NHS senior leaders, policy-makers, and relevant experts. The project report emphasises that getting the COVID-19 swab testing programme for NHS workers right is crucial to support staff and patient safety and broader public health. It also recognises that COVID-19 does not affect all population groups equally. People who are socio-economically disadvantaged or members of Black, Asian and Minority Ethnic (BAME) groups may face distinctive issues in relation to testing.
  19. Content Article
    Following Jeremy Hunt’s appointment as chancellor, HSJ is now hosting the Patient Safety Watch newsletter, written by Patient Safety Watch trustee James Titcombe.  Read the latest newsletter: Patient Safety Watch: What can be done to improve duty of candour?
  20. Community Post
    During the COVID pandemic, it was clear that Emergency Departments across the UK needed to adapt and quickly, with my trust not exempt from this. We have increased capacity, increased our nursing and doctors on the shop floor, obviously with nurse in charge being responsible for all areas. We have different admission wards in terms of symptoms that the patient has, but also have a different type of flow, which i am getting my head around to be able to share I have seen departments split into 2 and various other ideas coming out from various trusts. Which got me thinking about patient safety and how well this is managed. So.... How is your department responding to the pandemic? Do you have any patient safety initiatives as a result of the response? Is there a long term plan? The reason why i am asking this, is so we can share practice and identify individual trust responses.
  21. Community Post
    HOW SAFE ARE OUR GP PRACTICES during covid-19? For the health care professionals, their patients, and families of patients? I'm a 65-yr old diabetic needing routine B12 injections. My GP tells me to turn up as normal so I don't develop neurological problems. I don't think anyone in the practice has been tested for covid-19. I'm refusing to turn up since I suspect the GP practice to be a covid-19 hot-spot. I don't want to transmit this virus to my frail, elderly asthmatic husband who's undergone cancer treatment and a lot of surgery. I've persuaded the GP to give me a precription for oral B12. Have I done the right thing? How can I help GPs and patients in far worse dilemmas than mine?
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