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Found 49 results
  1. Content Article
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    The Manchester Triage System is a clinical risk management tool used by clinicians worldwide to enable them to safely manage patient flow when clinical need far exceeds capacity. The MTS is now an integrated series of tools used in the following domain: Emergency triage: Emergency departments. Telephone triage and advice: Urgent care desks. Pathfinder: Paramedic ambulances. Nursing and residential triage: Nursing and residential homes. SAFE pathways: Community-based HCPs. The 5 triage tools all share: A reductive methodology identifying life threa
  4. Content Article
    HSIB recommendations HSIB recommends that NHS England and NHS Improvement revise the Ambulance Clinical Quality Indicator: Clinical Outcomes for ST-elevation myocardial infarction to reflect each element of the call to balloon response and review this indicator alongside the critical time standards workstream. HSIB recommends that the Association of Ambulance Chief Executives, working with the College of Paramedics and cardiology specialists, produces a position statement on the use of pre-hospital thrombolysis by paramedics. HSIB recommends that NHS England and NHS Improvemen
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    NHS Pathways telephone triage system is a clinical decision support system (CDSS) supporting the remote assessment of callers to urgent and emergency services. It is used in the following settings: NHS 111 999 Integrated Urgent Care Clinical Assessment Services NHS 111 Online To assist in the management of patients presenting to urgent care or emergency departments (Reception Point). The system is owned by the Department for Health and Social Care, commissioned by NHSx and delivered by NHS Digital.
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    The link below will take you to all of the associated resources on the THIS.institute website including: Video: Managing obstetric emergencies in women with suspected or confirmed COVID-19 COVID-19: Five key goals in managing an obstetric emergency Downloadable poster of the five key goals.
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    Key points: Student paramedic practice, especially in the placement environment, mirrors human factors seen post registration, but also has its own unique set which require further research. The relationship between student and mentoring paramedics is a unique and important human factor in student development. Many clinicians may not feel prepared or willing to undertake a mentorship role. More training and support for mentoring paramedics would be of benefit. Emotional stresses faced by students when they initially encounter emotive aspects of the placement environment
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    In an editorial for the World Journal of Surgery, Gogalniceanu et al. describe five concepts that can help surgical institutions adapt and create a crisis control plan in dynamic circumstances: Command Communications Capacity and resource management Contingency planning Clinical knowledge
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    What’s the worst thing you have ever seen? For those that work on the frontline in healthcare you may have heard this question asked many times… usually by friends or people you meet when you are trying to relax outside of work. They often want to hear some awful blood and guts story, something unusual being stuck in an unfortunate person’s orifice or a heroic story of a dramatic rescue. We all have something to tell along these lines. Especially when you work in ED, like me. Yep, they are awful episodes, especially for those involved, these awful stories often happen in ED. Car
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    The PRSB have collaborated with the Royal College of Physicians Health Informatics Unit on this project. Clinical leadership was provided by clinicians from the Royal College of Emergency Medicine and the College of Paramedics (CoP). The standard has been developed with the support of professionals and patients. This resource includes: The standard Information model Information model (as Excel spreadsheet) Documentation Ambulance handover standard final report v1.0 Implementation guidance v1.0 Clinical Safety Case Report v0.3 - Currently being approv
  20. News Article
    A three-year-old child died after its desperate mother spent more than an hour on hold to the NHS 111 helpline. The ill child suffered a cardiac arrest at its home and died in hospital, according to details of critical incidents affecting children in London amid the coronavirus crisis. Another case saw a six-month-old die from sepsis and liver failure because the parents feared the child could catch Covid-19 in hospital, the Evening Standard reports. Doctors have raised concerns that parents are not seeking treatment for their children amid the outbreak. Read full story
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    This report features practical solutions from staff. Frontline clinicians attended workshops to help highlight the issues and identify what needs to change to keep services safe when facing surges in demand.
  24. Event
    What do we miss? What do we do about it? An exploration of safety themes and the impact of harm leading to litigation. Promoting an awareness and understanding of Emergency Department claims as well as the cost of claims, both financial and human, to patients and the staff involved. This free training conference is only aimed at Emergency Department (ED) clinical staff and safety, quality and governance leads. Key topics: Reducing claims in ED – What can we do? What do we miss, what do we do about it? Claims relating to nursing care Shared learning – spre
  25. Community Post
    We are looking into introducing a new device to deliver CPAP at ward level into our trust. Currently we use NIPPY machines which can deliver some PEEP when in a selected mode, however the downfall to this is, it can only produce an oxygen concentration of around 50%. Often, the patient groups that require this intervention are on high oxygen requirements and so particularly in the early stages would benefit from a device that could deliver both. I have previously worked with Pulmodyne 02-Max trio which allows up to 90% oxygen and PEEP up to 7.5cmH20. Majority of patients responded ve
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