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Found 2,339 results
  1. Content Article
    The theme of this Issue of Hindsight is ‘Wellbeing’, which has an undeniable link to safe operations, though this is not often spoken about. This Issue coincides with the COVID-19 pandemic. The authors of the articles in this Issue were considering wellbeing in the context of aviation, and other industries. But the articles touch on topics that are deeply relevant to the pandemic. The spread of the virus and its effect on our everyday lives has brought the biological, psychological, social, environmental, and economic aspects of wellbeing into clear view in a way we have never seen before.
  2. Content Article
    Patient Safety Learning interviews a critical care outreach nurse from America to find out the challenges frontline teams are facing during the coronavirus pandemic.
  3. Content Article
    The purpose of this document is to provide designers and manufacturers of ventilators with overarching advice and guidance on the key themes for consideration and specific Human Factors and Ergonomic (HFE) issues in a period of “crisis management” requiring rapid design and production.
  4. News Article
    Hundreds of ventilators the UK government bought from China to relieve a major shortage are the wrong type and could kill patients, senior doctors have warned in a newly uncovered letter. The medical staff behind the letter say the devices were designed for use in ambulances rather than hospitals, had an "unreliable" oxygen supply and were of "basic" quality. Seen by Sky News' partner organisation NBC, the document also claims the ventilators cannot be cleaned properly, are an unfamiliar design and come with a confusing instruction manual. Cabinet Office minister Michael Gove triumphantly announced the arrival of "300 ventilators from China" to help treat COVID-19 patients on 4 April. But the letter of warning from doctors was issued just nine days later. "We believe that if used, significant patient harm, including death, is likely," it says. Read full story Source: Sky News, 30 April 2020
  5. News Article
    Experts have raised fears that high-risk pregnancies may be missed due to the coronavirus pandemic, leading to a potential rise in stillbirths and neonatal deaths. During a session of Westminster’s Health and Social Care Committee, Gill Walton, the Chief Executive of the Royal College of Midwives, said there was a “fear” among pregnant women presenting themselves to maternity services during the COVID-19 outbreak. Former health secretary Jeremy Hunt, who chairs the committee, said one of the most important elements of maternity safety was to identify higher-risk pregnancies early “so that interventions can be made to prevent stillbirths, complications, or even the death of a baby”. Mr Hunt added the President of the Royal College of Obstetricians, Dr Edward Morris, had told him he is “worried that some higher-risk pregnancies may be being missed” because of fewer face-to-face appointments and missed scans. Asked whether she shared that concern, Ms Walton told MPs: “I do share that concern. Some of that is related to the fear of the pregnant population and presenting to maternity services during the pandemic." "That fear then prevents them sometimes just picking up the phone to call their midwife to say that may be concerned about not feeling well, or that they’ve got reduced foetal movements.” Read full story Source: The Independent, 1 May 2020
  6. Content Article
    Standard operating procedure on how to run a safe and effective medicines reuse scheme in a care home or hospice during the coronavirus outbreak.
  7. Content Article
    These instructions are for patients who have been advised to undertake 'conscious proning'. Proning is the medical term for lying on your tummy or front. Proning has been proved to help with breathing in patient who have coronavirus.
  8. News Article
    Death rates from coronavirus in the most deprived parts of England are more than double than in less deprived areas, according to new figures that show London is the worst-hit part of the country. The mortality rate for the most deprived areas for March and early April was 55.1 deaths per 100,000 population – compared with 25.3 deaths per 100,000 in the least deprived areas, according to the Office for National Statistics (ONS). The statistics show London has by far the highest mortality rate, with 85.7 deaths per 100,000 persons. This was found to be “statistically significantly higher” than any other region – almost double the next highest rate. Read full story Source: The Independent, 1 May 2020
  9. Content Article
    The COVID-19 pandemic is an unprecedented challenge for society. Supporting the mental health of medical staff and affiliated healthcare workers (staff) is a critical part of the public health response. This paper from Walton et al., published in the European Heart Journal, details the effects on staff and addresses some of the organisational, team and individual considerations for supporting staff (pragmatically) during this pandemic. Leaders at all levels of healthcare organisations may find this a valuable resource.
  10. News Article
    Hospital leaders have launched a strident attack on the government’s coronavirus testing strategy, as it became clear that the target of 100,000 daily tests by 30 April would be comprehensively missed. NHS Providers, which represents foundation trusts in England, rounded on ministers for “a series of frequent tactical announcements” to expand testing criteria, and dismissed the 100,000 target as a “red herring” that distracted from their failures. Just 33,000 people were tested for COVID-19 in the latest 24-hour period – a record high for a single day – according to official figures. Dominic Raab, the first secretary of state, said that more than 52,000 tests were carried out, but this total is apparently bolstered by 19,000 retests. Test capacity was now more than 73,000 a day, he said – still considerably below the target set by the health secretary, Matt Hancock, at the start of April. Read full story Source: The Guardian, 30 April 2020
  11. Content Article
    In part two of the BMJ Supportive and Palliative Care article, Dr Tavabie and Dr Ball explore the themes from frontline palliative care staff during the pandemic. In the time since their previous article, the news reports of escalating numbers of people dying from the virus, inadequate personal protective Equipment (PPE) provision and continued discussions of an impending ‘peak’ for the outbreak has painted a worrying picture. Further conversations with clinicians working to help patients dying from COVID-19 will hopefully provide readers with a diary and a window into the experiences of people working through the pandemic as the tide rises in the UK. Read part one of this article  
  12. Content Article
    Letter to the Chief executives of all NHS trusts and foundation trusts, CCG Accountable Officers, GP practices and primary care networks, providers of community health services and NHS 111 providers from the NHS Chief Executive, Simon Stevens, and Chief Operating Officer, Amanda Pritchard, on the second phase of NHS response to COVID-19.
  13. Content Article
    Today we find ourselves in the middle of a pandemic. COVID-19 has swept across the globe with thousands dead, more seriously unwell, and a sense of anxiety and uncertainty within healthcare professions that is unlike anything we have seen. As the course of the viral illness becomes clearer, management guidelines are being produced, including around the topics of supportive and palliative care. To understand the real life implications of working on the front line, Dr Tavabie and Dr Ball, in this BMJ Supportive and Palliative Care article, conducted a series of short structured interviews with clinicians across the UK in a variety of healthcare settings, discussing their experiences and looking for themes arising from the current COVID-19 outbreak. They hope that quotes from these conversations make for an accurate description of our current time, and may be of interest now and in future. Read part two of the article
  14. Content Article
    COVID-19 has led to hospitals suspending cancer treatment and deterred some from seeking care. Alan Mayberry, 67, was diagnosed with oesophageal cancer in January and was due to have four treatments and then surgery to remove the cancer. Unfortunately due to the coronavirus pandemic Alan's operation in early May has been cancelled because beds in the intensive care unit are in short supply. Read Alan's story (published in The Guardian).
  15. News Article
    Inquests into coronavirus deaths among NHS workers should avoid examining systemic failures in provision of personal protective equipment (PPE), coroners have been told, in a move described by Labour as “very worrying”. The chief coroner for England and Wales, Mark Lucraft QC, has issued guidance that “an inquest would not be a satisfactory means of deciding whether adequate general policies and arrangements were in place for provision of PPE to healthcare workers”. Lucraft said that “if there were reason to suspect that some human failure contributed to the person being infected with the virus”, an inquest may be required. The coroner “may need to consider whether any failures of precautions in a particular workplace caused the deceased to contract the virus and so contributed to death”. But he added: “An inquest is not the right forum for addressing concerns about high-level government or public policy.” Labour warned the advice could limit the scope of investigations into the impact of PPE shortages on frontline staff who have died from COVID-19. “I am very worried that an impression is being given that coroners will never investigate whether a failure to provide PPE led to the death of a key worker,” said Lord Falconer, the shadow attorney general. “This guidance may have an unduly restricting effect on the width of inquests arising out of Covid-19-related deaths.” Read full story Source: The Guardian, 29 April 2020
  16. News Article
    The government is under pressure to go further on measures to relax rules on powerful painkillers such as morphine to prevent patients suffering “unnecessary pain and distress in the last days of their lives”. On Tuesday the health secretary, Matt Hancock, announced staff in care homes and hospices would be allowed to “re-use” controlled drugs such as morphine and midazolam, with medication prescribed for one patient used for another where there is an immediate need. But the Home Office today confirmed to The Independent that it had no plans to extend the rules to the care of patients in their own homes – a restriction experts and charities have warned could leave people suffering at the end of their lives. The government announced the changes following concerns over the supply of drugs. The Royal College of GPs (RCGP) welcomed the changes announced by Mr Hancock, calling them “a significant step forward”, but added: “This only applies to patients living in care home and hospice settings, so there is still work to be done to ensure patients living in their own homes have appropriate access to necessary medication in a timely way.” Last week the RCGP wrote to home secretary Priti Patel warning that people were suffering unnecessarily due to problems accessing drugs. Read full story Source: The Independent, 30 April 2020
  17. News Article
    NHS staff from black, Asian and minority ethnic (BAME) backgrounds should be “risk-assessed” and possibly moved away from patient-facing roles during the coronavirus crisis, according to official guidance. A letter from NHS England acknowledges UK data showing these workers are being “disproportionately affected by Covid-19” and urges health trusts to make “appropriate arrangements”. Public Health England has been asked to look into the issue by the Department of Health, the letter from NHS chief executive Sir Simon Stevens and chief operating officer Amanda Pritchard said. “In advance of their report and guidance, on a precautionary basis we recommend employers should risk assess staff at a potentially greater risk and make appropriate arrangements accordingly,” he added. This could mean BAME health workers being relocated away from patient-facing roles or ensuring they are adequately fitted with personal protective equipment (PPE). Read full story Source: The Independent, 30 April 2020
  18. News Article
    There is growing concern that standard personal protective equipment (PPE), which often has a unisex design, doesn't always fit women properly. The Department of Health said the kit is designed to protect "both genders". However, healthcare workers are saying that even the smallest sizes are too big for some women - who make up 77% of the NHS workforce, according to NHS Digital figures from 2018. If it is too big it can be less effective in providing a complete barrier to the virus. "PPE is designed to be unisex and offer protection for both genders, although some products are available in different sizes to enable fit to both small and larger frames," said the Department of Health, in a statement. But the Royal College of Nursing has described "one-size-fits-all" personal protective equipment as "problematic" and "restrictive" when it can be worn for up to 12 hours during shifts. PPE includes gloves, masks, gowns and face shields. "Nurses can find it very difficult to treat patients if this equipment is so uncomfortable it makes them hot and unwell," said Rose Gallagher, professional lead for infection prevention and control. Read full story Source: BBC News, 29 April 2020
  19. News Article
    People needing hospital treatment for coronavirus are as likely to die as those with Ebola, claim UK researchers. The warning comes as the largest study in Europe showed at least a third of hospital patients with COVID-19 die. The disease is mild for most and can be treated at home, but scientists said people needed to realise how dangerous the infection could be. Obesity, ageing and being male greatly increase the risk of death, according to the data from 166 British hospitals. Medical details on nearly 17,000 coronavirus patients in England, Wales and Scotland have been analysed and it shows that 49% survived and were discharged, 33% have died and 17% were still being treated. "Some people persist in believing that Covid-19 is no worse than a bad dose of flu - they are gravely mistaken," said Calum Semple, the Chief Investigator on the trial, and a Professor in Child Health and Outbreak Medicine at the University of Liverpool. "The crude case fatality rate for people who are admitted to hospital with severe Covid-19 is 35% to 40%, which is similar to that for people admitted to hospital with Ebola. People need to hear this and get it into their heads... this is an incredibly dangerous disease." Read full story Source: BBC News, 29 April 2020
  20. Content Article
    The lack of funding in social care doesn’t only mean that services are unable to meet demand – there is also under-investment in data and analytics. Laura Schlepper explains why social care data matters and what would help to increase its potential.
  21. News Article
    The rising death toll from coronavirus is never far from the headlines, but hidden behind the daily figures is what public health experts refer to as the "parallel epidemic". This is the wider impact on people's health that is the result of dealing with a pandemic. UK chief medical adviser Prof Chris Witty has been referring to this with increasing frequency during the daily briefings, speaking about the "indirect" costs of coronavirus. But what is it, and how significant could it be? Routine treatments, such as hip and knee replacements, were cancelled across the UK. This alone will have a significant impact on people's lives, though it is unlikely to kill anyone. However, the pandemic has also had a knock-on effect on emergency care. Data collected by Public Health England from a sample of A&E departments in England shows attendances have halved since the pandemic started. The trend has prompted NHS leaders to urge patients to come forward for treatment. Cancer screening has been suspended in Wales, Scotland and Northern Ireland and drastically cut back in England. But it is not only an issue for cancer patients, people with chronic conditions like diabetes or kidney disease may face trying to manage their conditions remotely without the regular face-to-face contact they would have with health professionals. The pandemic is also the 'perfect storm' for mental health. The full impact could take years to unravel. Read full story Source: BBC News, 29 April 2020
  22. News Article
    An overflow system has been added to NHS 111 to help deal with the “huge increase” in calls during the coronavirus pandemic. People displaying coronavirus symptoms who are contacting 111 either via telephone or online are now being diverted to the overspill system, freeing up space for non-covid related enquiries. The tool has been developed by software company Advanced — alongside NHSX, NHS England and NHS Improvement — for its patient management system Adastra, which is used by 80% of NHS 111 providers in England. The overspill add on, which started being rolled out earlier this month, can be accessed by clinicians who are working from home, including those who have been redeployed in the NHS, as well as those in 111 call centres. Ric Thompson, managing director of health and care at Advanced, said the new queuing extension was developed to handle the “huge increase in the number of calls to 111 but also the need to bring back many thousands of retired clinicians”. Read full story Source: HSJ, 29 April 2020
  23. News Article
    The coronavirus pandemic could lead to almost 18,000 more deaths from cancer in England over the next year and there could also be a 20% spike in fatalities of newly diagnosed cancer patients, according to research by University College London (UCL) and DATA-CAN, the Health Data Research Hub for Cancer. The figures stem from real-time hospital data for urgent cancer referrals and chemotherapy attendances, which have experienced a 76% and 60% fall, respectively. Professor Peter Johnson, the NHS Clinical Director for Cancer, has urged people to not hesitate in seeking help or being checked after worrying research showed nearly half of the public have concerns about seeking help. Moreover, the poll by Portland revealed 1 in 10 people would not contact their GP even if they discovered a lump or a new mole that remained for a week or more. Read full story Source: BBC News, 28 April 2020
  24. Content Article
    Martin Bromiley, Clinical Human Factors Group, talks to Claire Cox, Critical Care Outreach Nurse and Associate Director at Patient Safety Learning.  In this podcast, Claire talks about the importance of simulation for all, using different scenarios to help raise confidence. She further describes some techniques her team are using to improve performance and safety when treating COVID-19 patients.  Claire has recently written a blog on Human factors and the ad hoc team during the pandemic for the hub.
  25. Content Article
    The Health and Care Professions Council highlight the work health and care colleagues are doing during the coronavirus pandemic through a series of blogs on their website. The first two are from Stewart Mears, a locum operating department practitioner currently working at University Hospitals Coventry and Warwickshire NHS Trust, and Rachael Moses, Chief Allied Health Professional Lead at NHS Nightingale London.
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