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Found 112 results
  1. Content Article
    In this BMJ Opinion article, Helen McKeown talks asks why the menopause is still a taboo topic when it comes to the well being of healthcare colleagues and argues more could be done to help staff.
  2. Content Article
    The COVID-19 pandemic has changed most lives internationally. Households have shifted, balancing financial concerns and anxieties about the health of family and friends with the trials and responsibilities of childcare. During this pandemic it became clear that while many were struggling with the same issues, a series of shared stories could help the wellbeing of frontline NHS staff who might feel isolated and alone. The following voices are not unique to Guy’s and St Thomas’ NHS Foundation Trust, anaesthesia or healthcare in the UK, but they were selected from the department to represent some of many healthcare workers who have taken on new professional roles as well as radically different ways of working and living.
  3. Content Article
    This second comprehensive edition of these Principles is to help public authorities, industry and communities worldwide anticipate accidents involving hazardous substances resulting from technological and natural disasters, as well as sabotage. It addresses the following issues: preventing the occurrence of chemical accidents and near-misses; preparing for accidents through emergency planning, public communication, etc.; responding to accidents and minimising their adverse effects; and following-up to accidents, regarding clean-up, reporting and investigation.
  4. Content Article
    Army, Navy and Air Force medical personnel care for Soldiers, Sailors, Airmen, Marines, Coast Guardsmen and all who come in harm's way – on and off the battlefield. This video, in less than 4.5 minutes, provides a glimpse of the unique mission and benefits of military medicine.
  5. 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
  6. Content Article
    During the COVID-19 pandemic it is important to reduce the variation in individual ward/service/organisational practices and try as much as possible to adopt a shared, safe standard for staff looking after ward patients. SPACES (Sharing Patient Assessments Cuts Exposure for Staff) is a standardised approach to the management of ward care. It is based on the principles of 'maximum patient contact, minimum staff exposure'. SPACES can help keep staff safe and reduce PPE use. It is for everyone working on a ward with suspected or proven COVID-19 cases, and particularly for multi-professional teams. Attached is more information and a poster for the ward area.
  7. Content Article
    As well as designing specific products, ergonomists and human factors specialists can help understand how the space within which we work can be best designed. This can help encourage effective communication in a workplace, as well as considering the comfort of all those present.  The Chartered Institute for Ergonomics and Human Factors have come together with stakeholders involved in the care of neonates to design a space that is safe for newborn babies and staff that care for them.
  8. Content Article
    Free online mental health and emotional wellbeing services have been set up to support frontline workers.  Frontline19 was set up by a small team of experienced pyschotherapists as a crisis response to the COVID-19 epidemic. They are working in partnership with Helpforce and are guided by a steering committee of industry professionals. If you are a frontline worker directly affected by COVID-19 and you need support to help you through this difficult time, please register for more info. Its quick, easy and absolutely free of charge.
  9. Content Article
    Health Education England (HEE) has created this accelerated preceptorship guide, for use with newly qualified practitioners (NQPs) and Health Care Professionals (HCP's) on the NMC Covid-19 temporary register in response to the COVID-19 pandemic. The guidance is focused on how health and care organisations pan-London can support newly qualified practitioners (NQPs) and health care professionals (HCPs) on the Covid-19 temporary register. This is a fast-changing and emerging situation and guidance may be subject to further development. Therefore, these principles should be used in conjunction with advice and guidance from the regulatory councils (e.g. Nursing and Midwifery Council (NMC), the royal colleges, trade unions and national HEE guidance.
  10. Content Article
    This interview with intensivist and CEO of the the UK Sepsis Trust, Ron Daniels, shown on the Victoria Derbyshire programme, states the '... the UK cannot increase its ICU capacity "rapidly enough" to deal with levels of coronavirus patients'' Fears are growing for the safety of patients who will be contracting the virus, some of who will need intensive care, but there is not enough beds or trained staff to care for them appropriately.
  11. News Article
    The health service lacks the beds, staffing and resources to cope with a serious outbreak of the coronavirus, The Independent has been told by senior doctors and nurses. NHS staff from across the country warned hospitals are already unable to cope, with patients being looked after in spill-over wards and waiting hours for a bed, with one doctor saying it was already a “one in, one out mentality” for intensive care. Other staff reported delays in lab tests, rationing of protective masks and equipment, and a lack of isolation areas for suspected coronavirus patients. Suggestions from the Health Secretary Matt Hancock that the NHS would use “home ventilation kits”, and that an extra 5,000 intensive care beds could be created, were labelled “fanciful” by the chair of the British Association of Critical Care Nurses today. Nicki Credland said: “If you already have a system running at 100 per cent capacity, the idea you can get a significant amount of additional beds is just not realistic. There simply aren’t enough beds for them. We will need to make difficult decisions about which patients are going to be admitted to intensive care." Read full story Source: The Independent, 5 March 2020
  12. Content Article
    The Association for Anaesthetists have produced some 'top tips' for night shift workers. What tips do you have to keep you feeling well overnight?
  13. Content Article
    Presentation from WHO's 'A Decade of Patient Safety 2020-2030: Formulating Global Patient Safety Action Plan' patient safety meeting in Geneva.
  14. News Article
    An advanced nurse practitioner working in primary care services at Grimsby Hospital has called on the hospital senior leadership to ‘see for themselves how unsafe it is’. The nurse, who has penned a letter to bosses at Northern Lincolnshire and Goole NHS Foundation Trust says they are having “worst experience to date” in their career and fears somebody will die unnecessarily unless something is urgently done. “I have never in my whole career seen patients hanging off trolleys, vomiting down corridors, having ECGs down corridors, patients desperate for the toilet, desperate for a drink. Basic human care is not being given safely or adequately," says the nurse. Hospital bosses say they are taking the letter seriously and are investigating. Earlier this month it was revealed that some hospitals were being forced to deploy ‘corridor nurses’ in a bid to maintain patient safety while dealing with unprecedented demand. Dr Peter Reading, Chief Executive, said: “I can confirm we have received this email and that the hospital and North East Lincolnshire CCG are taking these concerns seriously. The person who raised the concerns with us has been contacted and informed that we are jointly investigating what they have told us. Read full story Source: Nursing Notes, 22 January 2020
  15. Content Article
    In July 2017, the Royal College of Surgeons of Edinburgh published a number of critical recommendations to government to greatly improve safety in the delivery of surgical treatment and patient care, with seven recommendations for best practice. The RCSEd surveyed opinions from a cross-section of the UK surgical workforce - from trainees to consultants - which highlighted broad inefficiencies on the frontline which impact the working environment and the delivery of a safe service. The report notes factors adversely affecting morale, including a lack of team structure, poor communication, high stress levels, and limited training opportunities. The report also records how staff, at times, feel diverted away from the patient-centred care they strive to deliver because of administrative and IT issues, and believe that being more innovative and efficient with existing resources could make a positive difference.
  16. Content Article
    The management of occupational health, safety and wellbeing is now central to the effective running of the NHS. There is strong evidence linking patient safety, patient experiences and the quality of care with the safety, health and wellbeing of the workforce. The Boorman review into the health and wellbeing of the NHS workforce clearly illustrates this link. However, looking after the health and wellbeing of staff is far more than supporting staff to develop health lifestyles: there is a legal duty to protect the health and safety of staff as detailed in the NHS Constitution. The NHS Staff Council’s Health, Safety and Wellbeing Partnership Group (HSWPG) have developed these standards through national partnership working to support NHS organisations in meeting their legal duties to protect staff from injury and illness.
  17. Content Article
    In The Silo Effect, the author uses an anthropological lens to explore how individuals, teams and whole organisations often work in silos of thought, process and product. With examples drawn from a range of fascinating areas - the New York Fire Department and Facebook to the Bank of England and Sony - these narratives illustrate not just how foolishly people can behave when they are mastered by silos but also how the brightest institutions and individuals can master them.
  18. Content Article
    'Hospitals should remove any barriers to doctors eating and drinking during the working day'. As healthcare providers, it’s easy to forget to look after ourselves at work. We know that taking breaks and eating and drinking regularly is a critical component of being “optimised,” helping to sustain our energy, concentration and performance, and reduce the risk of human error. Yet, for many, the realities of working in busy, modern hospitals get in the way. Medicine is a demanding profession, with days often starting early and finishing late and many fall into the habit of forgetting to take regular breaks, not drinking enough fluids, or missing meals. If we want to improve staff wellbeing and reduce the risk of errors, we need to change this.
  19. News Article
    A hospital accused of bullying its staff is facing new claims that it failed to act on a leading doctor’s warning about a potentially fatal failure to monitor vulnerable patients, the Guardian newspaper can reveal. Dr Jonathan Boyle, the UK’s top vascular surgeon, had warned West Suffolk NHS trust that patients at risk of dying from burst aneurysms were not being safely monitored. An IT glitch meant that patients were not followed up to see how soon they would need potentially life-saving surgery. A doctor at the trust, however, says it initially repeatedly refused to take any action, raising further questions about its management. The trust initially suggested the problem was the result of senior doctors not keeping up with emails, but later accepted its IT systems were at fault. The hospital was forced to recognise that patients were potentially put at risk and took action only after a whistleblower alerted the NHS regulator. Read full story Source: The Guardian, 5 January 2020
  20. News Article
    IT systems in the NHS are so outdated that staff have to log in to up to 15 different systems to do their jobs. Doctors can find themselves using different logins for everything from ordering x-rays and getting lab results to accessing A&E records and rotas. The government in England said it was looking to streamline the systems as part of an IT upgrade. Around £40 million is being set aside to help hospitals and clinics introduce single-system logins in the next year. Alder Hey in Liverpool is one of a number of hospitals which have already done this, and found it reduced time spent logging in from one minute 45 seconds to just 10 seconds. With almost 5,000 logins per day, it saved over 130 hours of staff time a day, to focus on patient care. Health Secretary Matt Hancock said it was time to "get the basics right". "It is frankly ridiculous how much time our doctors and nurses waste logging on to multiple systems. Too often outdated technology slows down and frustrates staff." British Medical Association leader Dr Chaand Nagpaul said logging on to multiple systems did waste time. But he said on its own this move would not solve all the problems, pointing out that many of the IT systems themselves were "antiquated" and needed upgrading. Read full story Source: BBC News, 4 January 2020
  21. Content Article
    Imperial College Hospital NHS Trust have launched their new falls safety improvement video to highlight the importance of safe mobility in hospital. Watch the video and join the conversation on Twitter. 
  22. Content Article
    In this blog published in the New York Times, Theresa Brown explains why American healthcare has become one giant workaround.  "The nurses were hiding drugs above a ceiling tile in the hospital — not because they were secreting away narcotics, but because the hospital pharmacy was slow, and they didn’t want patients to have to wait." These 'work arounds ' pose a significant patient safety risk. What work around problems do you have in your department? Theresa Brown is a clinical faculty member at the University of Pittsburgh School of Nursing.
  23. Content Article
    In this article in The Guardian, a junior doctor tells us how a small act of kindness from her patient kept her going.
  24. Content Article
    Frontline staff are being told to work harder, discharge more patients, be quicker, be more efficient, but are also expected to innovate and give safer care. Where can we find the time to innovate? The time to discuss and implement new ideas? One nurse gives her thoughts in this insightful blog.
  25. Content Article
    Clinician burnout has been well-documented and is at record highs. The same issues that drive burnout also diminish joy in work for the healthcare workforce. Healthcare leaders need to understand what factors are diminishing joy in work, nurture their workforce, and address the issues that drive burnout and sap joy in work. The most joyful, productive, engaged staff feel both physically and psychologically safe, appreciate the meaning and purpose of their work, have some choice and control over their time, experience camaraderie with others at work, and perceive their work life to be fair and equitable. There are proven methods for creating a positive work environment that creates these conditions and ensures the commitment to deliver high-quality care to patients, even in stressful times.
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