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Claire Cox

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Everything posted by Claire Cox

  1. Community Post
    https://www.resus.org.uk/dnacpr/do-not-attempt-cpr-model-forms/ You can read the guidance on the forms here. We are supposed to be moving towards the RESPECT document....but the wheels are turning very slowly for adoption. https://www.resus.org.uk/respect/
  2. Content Article Comment
    Hi @Netty Patient safety 'investigators' are rarely seen in the clinical areas. After filing a report myself (numerous times) at no point have I been asked about an incident. Even if it was a serious one. The only one I did get asked about was when it went to a coroners court. Speaking personally, I would like someone to ask me more about the incident as there is usually so much more to it than just the report. We usually don't have much time to fill in every detail. The person filling out the report usually feels strongly that something had gone wrong. They may even have some solutions? I know feedback from reports is also an issue. Often after reporting it goes off into a black hole. We get an automated message stating it has been logged. Then nothing. This feels as if nothing is being done, we don't know the process, we never find out the outcome. It can discourage from reporting again. Being visible may be a start to understanding each others role and processes better? I would like to know how other Trusts deal with feedback from Datix (other reporting systems are available)
  3. Community Post
    It has been in the news of nurses not wanting to perform CPR on patients who were frail and in nursing homes - https://www.nursingtimes.net/roles/care-home-nurses/the-implications-of-an-nmc-caution-for-nurse-who-did-not-perform-cpr-26-06-2017/ written by @Ken Spearpoint. I have heard of a different problem. There was a patient that did not want to be resuscitated, they had a form, it was discussed with them and their family. However, the form was deemed not valid as it was not signed by a consultant with in the 72 hours. The patient subsequently arrested and had to be resuscitated due to the from being 'invalid'. What are your thoughts on this and what can be dont to prevent this from happening ( I'm sure this isn't an isolated case)
  4. Content Article
    The struggle to perform well is universal, but nowhere is this drive to do better more important than in medicine. In his book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. His vivid stories take us to battlefield surgical tents in Iraq, to a polio outbreak in India and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine and recounts the astoundingly contentious history of hand-washing. Finally, he gives a brutally honest insight into life as a practising surgeon. Unflinching but compassionate, Gawande's investigation into medical professionals and their progression from good to great provides a detailed blueprint for success that can be used by everyone.
  5. Content Article
    Organisations should make sure people know the Parliamentary and Health Service Ombudsman (PHSO) is the final stage for complaints that haven’t been resolved through the organisation’s own complaints process. This applies to small NHS organisations like GP and dental practices as well as larger ones like hospitals or government departments. It’s important that people complain to the provider organisation first and give them a chance to respond to their concerns, before they come to the PHSO. But if someone isn’t happy with how the provider organisation has answered their complaint, they need to know they have a right to come to the PHSO with it. Here are some tips to help providers make sure people know when and how to use the PHSO service.
  6. Content Article
    The PRAISe project tests the hypothesis that, together, positive reporting and appreciative inquiry can be used as an intervention to facilitate behavioural change and improvement in the related areas of sepsis management and antimicrobial stewardship.
  7. Content Article
    The PRAISe project tests the hypothesis that, together, positive reporting and appreciative inquiry can be used as an intervention to facilitate behavioural change and improvement in the related areas of sepsis management and antimicrobial stewardship.
  8. Community Post
    Hi Una, This is all new to me. This area of healthcare has been highlighted as an issue by you wonderful ladies. Patient Safety Learning will be assisting you in this campaign. We will be setting out a strategy on how best we can help. First steps will be to find out what is actually going on right now and what the 'best standard' is at the moment - we care capturing your experiences here, on the hub. We will then look to see what standards are also going on right now. It makes very difficult reading, we want to help. Thank you for posting Claire
  9. Content Article
    This paper, published by BMJ Quality & Safety, looks at the global rise in patient complaints which has been accompanied by growing research to effectively analyse complaints for safer, more patient-centric care. Most patients and families complain to improve the quality of healthcare, yet progress has been complicated by a system primarily designed for case-by-case complaint handling.  If healthcare settings are better supported to report, analyse and use complaints data in a standardised manner, complaints could impact on care quality in important ways. This review has established a range of evidence-based, short-term recommendations to achieve this.
  10. Content Article Comment
    What a brilliant idea for the Lary patients - I'm not sure we thought of that! @Emma Richardson that would be great tell all our trachy and lary patients on follow up
  11. Content Article Comment
    Hi @Danielle Haupt! Lovely to hear from you. Thanks for sharing your leaflet - I shall pop it on the main hub so others can find it easily. Call 4 Concern here in Brighton hit a small problem...… the phone. The phone signal kept dropping out - so we have invested in a different phone and answer phone messaging service so that we don't miss calls. @Emma Richardson di a great talk at the senior management board the other day - they loved it!! It would be great if all hospitals had this service wouldn't it! Speak soon, Claire
  12. Content Article
    The UK Standards for Public Involvement are designed to improve the quality and consistency of public involvement in research.  Developed over three years by a UK-wide partnership, the standards are a description of what good public involvement looks like and encourages approaches and behaviours that are the hallmark of good public involvement, such as flexibility, sharing and learning and respect for each other.  The standards are for everyone doing health or social care research and have been tested by over 40 individuals, groups and organisations during a year-long pilot programme. They provide guidance and reassurance for users working towards achieving their own best practice.
  13. Content Article
    In this short video, Professor Martin Green explains why good nutrition in care homes is essential. He explains that screening patients before they come to the care home is a 'must do' rather than a 'nice to have'. This video was made for the National Nutrition awareness week in 2019.
  14. Community Post
    Really sorry to hear this. There must be places that do this procedure well. It would be fantastic to hear about what ‘gold standard’ is and ensure all women have this same standard of care.
  15. Community Post
    *Trigger warning. This post includes personal gynaecological experiences of a traumatic nature. What is your experience of having a hysteroscopy? We would like to hear - good or bad so that we can help campaign for safer, harm free care. You can read Patient Safety Learning's blog about improving hysteroscopy safety here. You'll need to be a hub member to comment below, it's quick and easy to do. You can sign up here.
  16. Content Article
    First, do no harm. Doctors, nurses, and clinicians swear by this code of conduct. Yet, medical errors are made every single day - avoidable mistakes that often cost lives. Inspired by two such mistakes, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Safe Patients, Smart Hospitals shows how Dr. Pronovost started a revolution by creating a simple checklist that standardised a common ICU procedure. His reforms are being implemented in all fifty states of the US and have saved hundreds of lives by cutting hospital-acquired infection rates by 70%. Atul Gawande profiled Dr. Pronovost's reforms in a New Yorker article and his bestselling book The Checklist Manifesto is based upon Dr. Pronovost's success in patient safety. But Safe Patients, Smart Hospitals is the real story: an inspiring, thought-provoking, accessible insider's narrative about how doctors and nurses are improving patient care.
  17. Content Article
    In April 2017, Ian Paterson, a surgeon in the West Midlands, was convicted of wounding with intent, and imprisoned. He had harmed patients in his care. The scale of his malpractice shocked the country. There was outrage too that the healthcare system had not prevented this and kept patients safe. At the time of his trial, Paterson was described as having breached his patients’ trust and abused his power. In December 2017, the Government commissioned this independent Inquiry to investigate Paterson’s malpractice and to make recommendations to improve patient safety. This report presents the Inquiry’s methodology, findings and recommendations. More importantly, it tells the story of the human cost of Paterson’s malpractice and the healthcare system’s failure to stop him, and something of the enduring impact this has had on the lives of so many people.
  18. Content Article
    It is estimated that the average member of the public within the UK will experience one or maybe two traumatic situations in a lifetime – whether that be through witnessing or being involved in an accident, natural disaster, collision, medical episode or traumatic event. Those working in frontline emergency ambulance services however are exposed to distressing and traumatic events on a much more frequent basis. This paper, Published in the Journal of Paramedic Practice, discusses Post Traumatic Stress Disorder (PTSD) among emergency workers, the effects it has on them and what can be done to support them.
  19. Content Article
    “It’s not something we talk about or that everybody experiences to the same degree but I think most of us are affected, be it subconsciously or consciously by antiquated, competitive, hierarchical values. Revered doctors are those that work above and beyond the hours they are paid for, that come in even when they are sick, that prioritise work over their families, over sleep and their own health. Doctors that are kind and compassionate but that don’t allow themselves to be affected by their experiences. Doctors that would go from one cardiac arrest to the next without letting their judgement cloud or their actions falter.”  This blog by Dr Natalie Ashburner who is the Doctors Association UK (DAUK) Editor emphasises the importance of doctors speaking up about their mental health.
  20. Content Article
    This is the second part of Irene Tuffrey-Wijne's (Professor of Intellectual Disability and Palliative Care at St Georges NHS Trust) blogs on end of life care for people with learning disabilities. This time focusing on why it is important. 'End of life care planning is not so much a question of where and how do you want to die? But where and how do you want to live until you die?'
  21. Content Article
    This is part 1 of a series of blogs on end of life care planning and people with learning disabilities. This is a tricky subject as there seems to be confusion on the language. What's the difference between an end of life plan and a funeral plan? Should these plans be for young and old - well and unwell? What does the CQC say? This blog, by Irene Tuffrey-Wijne, Professor of Intellectual Disability and Palliative Care at St Georges NHS Foundation Trust, should give you some of these answers.
  22. Content Article
    Isaac Samuels, co-chair of the National Co-production Advisory Group explains how he can be helped to stay out of hospital and Natasha Burberry, Think Local Act Personal policy advisory gives some hard facts and practical advice.
  23. Content Article
    “Words can invite people in, or keep them out”. Listen to this podcast about why language matters and the impact this has on people who access services (5 mins) with Catriona Moore and Sally Percival, hosted by Linda Doherty from Think Local, Act Personal.
  24. Content Article
    How people are treated following their involvement in a workplace accident can have far reaching implications for both the individual and the organisation. This paper, published by Science Direct, examines the impact the use of retributive justice mechanisms within the accident analysis process have on both the individual and the organisation. It analyses the perceptions of those involved in five accidents where retributive justice mechanisms were used. The study of these cases shows retributive justice mechanisms used as part of the accident analysis process negatively impacts three key areas; (1) the mental health of the individual; (2) organisational learning and; (3) organisational performance. The study also illustrates that the language used as part of the accident analysis has a significant impact upon the perception of the process and the willingness to participate.
  25. Content Article
    In the past 15 years, healthcare has focused primarily on building the technical infrastructure for incident reporting systems: online reporting systems, data collection forms, categorisation schemes and analytical tools. These are all important foundations. But this focus on incident data is also the source of many of our current problems with incident reporting: we collect too much and do too little. Learning depends critically on the less visible social processes of inquiry, investigation and improvement that unfold around incidents. Over the next 15 years we must refocus our efforts and develop more sophisticated infrastructures for investigation, learning and sharing, to ensure that safety incidents are routinely transformed into system wide improvements.
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