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Content Article
When the doctor Is a Covid ‘Long Hauler’
Patient Safety Learning posted an article in Blogs
Coronavirus may leave patients with a condition called POTS that makes the heart rate soar after even the mildest activities. Shannon Gulliver Caspersen is a physician in the US who contracted what was initially a fairly mild case of COVID-19 in early March. Seven months later, she remains substantially debilitated, with profound exhaustion and a heart rate that goes into the stratosphere with even the tiniest bits of exertion, such as pouring a bowl of cereal or making a bed. In this article in the New York Times, Shannon discusses her experience of long covid and her diagnosis of postural orthostatic tachycardia syndrome (POTS) and her concerns on how much disability we will accumulate by the end of this pandemic. -
Content Article
The National Institute for Health and Care Excellence (NICE), is developing the COVID-19 guideline: management of the long-term effects of COVID-19. The final scoping document and associated project papers are now available. -
Content ArticleHealthcare workers and their families account for 17% of hospital admissions for COVID-19 in the working age population (18-65 years), finds new research published in the BMJ. Shah et al. assessed the risk of hospital admission for COVID-19 among patient facing and non-patient facing healthcare workers and their household members. The study revealed that healthcare workers in patient-facing roles were around three times more likely to be hospitalised with the virus than the general population. The authors call for an urgent focus on how COVID-19 spreads around hospitals to prevent a similar toll in future waves of the pandemic. They also call for hospitals to consider re-deploying staff with vulnerable family members away from high-risk zones.
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Content ArticleThis Healthcare Safety Investigation Branch (HSIB) report charts a four-month patient safety investigation that was launched following concern that patients were contracting COVID-19 after being admitted to hospital. The report references data presented to SAGE in mid-May that suggested around 20% of patients were reporting symptoms seven days after admission. The aim of the investigation was to understand the factors that could contribute to the risk of transmission, how the NHS operates to reduce that risk and where there may be opportunities to reduce that risk even further. The investigation represented the voices of those working across the health service, from strategic national planners to hospital porters. It also captured experiences of patients and families, providing further insight into the challenges of managing the transmission of COVID-19.
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Content ArticleThis is a rapid evidence check from New South Wales Government, Australia, seeking to answer the question: What are the medium and long-term health sequelae of COVID-19 infection among survivors?
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Content ArticleA new report from Healthwatch and the British Red Cross looks at how well the new hospital discharge policy is working for patients, carers and healthcare professionals. In March 2020, the Government introduced a new hospital discharge policy to help the NHS free up beds by getting people out of hospital quickly. This meant anyone who may need out-of-hospital support to help them recover would now have their needs assessed after being discharged, rather than in hospital. How has the new policy affected people's experience of leaving hospital? Healthwatch and the British Red Cross spoke to over 500 patients and carers and conducted 47 in-depth interviews with health and care professionals involved in the hospital discharge process. The research shows significant numbers of people are not receiving follow-up support after being discharged from hospital under new policy, leading to unmet needs.
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Content Articlein recent months we’ve seen increasing attention paid to people with ‘long COVID’, whose symptoms were not serious enough to land them in hospital yet have persisted for many weeks or months. This long-term illness is frustrating and debilitating for those who are affected, with the potential to have a significant impact on wider society. But it hasn’t been clear how many people are suffering from long COVID or who is most at risk. The latest analysis of data from thousands of users of the COVID Symptom Study app from ZOE, published as a preprint, shows that one in 20 people are likely to suffer from COVID-19 symptoms lasting more than 8 weeks.
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Content ArticleThis image highlights that no single intervention is perfect at preventing the spread of a respiratory virus. However, multiple layers of protective approaches will improve success. Based on the Swiss Cheese Model of Accident Causation by James Reason, this is an adapted version which has been developed by virologist Ian Mackay and colleagues from the University of Queensland. Join the Patient Safety Learning community and sign up to the hub for free. As a member, you’ll be able to join the conversation, get early access to events and receive regular news and updates about patient and staff safety.
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Content ArticleAs a second wave of COVID-19 infections is underway in the UK, Sarah Scobie answers some key questions on how mortality figures are collected and measured during the pandemic. How do the numbers relate to the daily figures reported, and are all the extra deaths due to the coronavirus?
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Content ArticleMiranda Davies considers the difficult issue of the NHS's ability to get hold of basic drugs for patients who need them - and how the pandemic may be affecting this.
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Content ArticleThe Care Quality Commission (CQC) insight reports are designed to help everyone involved in health and social care to work together to learn from the COVID-19 pandemic. This report looks at infection prevention and control and provider collaboration reviews.
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Content ArticleThis article explains what herd immunity is and what the World Health Organization (WHO)'s position is on herd immunity as a way of fighting COVID-19.
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Content ArticleThe past several months have shown that most people hospitalized with COVID-19 will get better. As inspiring as it is to see these patients breathe on their own and converse with their loved ones again, we are learning that many will leave the hospital still quite ill and in need of further care. But little has been published to offer a detailed demographic picture of those being discharged from our nation’s hospitals and the types of community-based care and monitoring that will be needed to keep them on the road to recovery. Dr. Francis Collins takes a look at the current research.
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Content ArticlePatient Safety Movement's Dr Donna Prosser, CCO, and Dr Edward Kelley, Director of Integrated Health Services Department at World Health Organization (WHO) Headquarters, Geneva, give a COVID-19 update in this video. Topics discussed include the current climate of the COVID-19 pandemic broken down by region, influenza season amidst COVID-19, the reopening of schools across the globe, and Dr Kelley's speculations on how we will be able to overcome this crisis in the upcoming future.
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Content ArticleDr John Campbell, a retired A&E nurse, discusses the research and evidence on the long-term health consequences of COVID-19 in this video.
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Content ArticlePost-intensive care syndrome (PICS) is a nonspecific syndrome that results from physical, mental, and emotional stresses associated with critical illness and treatment in intensive care units (ICUs). Common features include neuromuscular weakness from immobility, cognitive impairment from sedation, and anxiety, depression, post-traumatic stress syndrome (PTSD), and, as we are learning, additional sequelae for COVID-19 survivors. Symptoms can manifest or persist weeks, months, or years after patient discharge. This eBook from ECRI provides an overview of PICS, the common danger signs health providers and family members should be able to identify, and its potential long term negative effects. Learn about strategies like creating an ICU diary to help mitigate risks, in addition to understanding other recommendations to consider to protect the safety and well-being of patients during their recovery.
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Content ArticleECRI position paper looking at post-intensive care syndrome (PICS) after covid. PICS, a nonspecific syndrome that results from physical, mental, and emotional stresses associated with critical illness and treatment in intensive care units.
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Content ArticleIn a crisis, normal processes must often be modified to ensure that the best possible care is provided while ensuring the safety of patients and personnel despite limited resources. ECRI has collated resources that include preparation checklists, patient handling checklists, equipment lists, lists of alternative suppliers, recommendations for patient care equipment such as ventilators, and recommendations for infection control.
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Content ArticleAn ECRI position paper from Jeffrey T. Oristaglio and Jonathan R. Treadwell looking at the role of diagnostic testing in combating COVID-19.
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Content ArticleReports of 'Long-COVID' are rising but little is known about prevalence, risk factors, or whether it is possible to predict a protracted course early in the disease.
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Content Article
Long COVID film: Hands. Face. Space.
PatientSafetyLearning Team posted an article in Patient recovery
This short film, produced by the Department of Health and Social Care, highlights the persisting symptoms many are experiencing following a COVID-19 infection. It includes patients of varying ages talking about the health struggles they continue to face months after contracting the virus. They urge viewers to take precautions to keep everyone safe. -
Content ArticleThe Patient Information Forum ran a survey on covid choices. It asked how people are balancing the need to have new or ongoing health conditions treated and managed versus the risks of contracting COVID-19. The aim of the survey was to identify the factors important to patients’ decision-making. This will help charities and the NHS produce the information patients need to make crucial decisions about health and well-being.
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Content ArticleGuy's and St Thomas' has shared a downloadable version of the 'Big 5'.
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Content ArticleClift et al. have developed a new risk prediction tool that estimates a person’s chance of hospitalisation and death from COVID-19. The algorithm, which was constructed using data from more than eight million people across England, uses key factors such as age, ethnicity and body mass index to help identify individuals in the UK at risk of developing severe illness.
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Content ArticleSince the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the number of cases of coronavirus disease (COVID-19) in the United States has exponentially increased. Identifying and monitoring individuals with COVID-19 and individuals who have been exposed to the disease is critical to prevent transmission. Traditional contact tracing mechanisms are not structured on the scale needed to address this pandemic. As businesses reopen, institutions and agencies not traditionally engaged in disease prevention are being tasked with ensuring public safety. Systems to support organisations facing these new challenges are critically needed. Most currently available symptom trackers use a direct-to-consumer approach and use personal identifiers, which raises privacy concerns. Kassaye et al. developed a monitoring and reporting system for COVID-19 to support institutions conducting monitoring activities without compromising privacy.
