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Claire Cox

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Everything posted by Claire Cox

  1. Content Article
    Healthcare is advancing at a quicker rate than ever before. With the introduction of Artificial Intelligence (AI), you can now get a cancerous mole diagnosed with a mobile device. The reliance on technology has never so great. With technology predicted to replace as much as 80 per cent of a physician’s everyday routine, we must question what the new threats posed to patient safety are? This article, written by CFC Underwriting, explains some of the pitfalls of the new technology. CFC is a specialist insurance provider.
  2. Community Post
    I work with @Emma Richardson in the same trust. We have recently gone 24/7 on one of our sites, plus electronic observations. Its amazing what goes on / not goes on at night. Something that I have noticed is the 'culture' of when observations are taken. Traditionally we have taken them at specific times......06:00, 12:00, 16:00, 20:00 . Changing to electronic observations disrupts this routine, quite rightly. The work that @Emma Richardson is doing will highlight what the barriers and enablers are to safer monitoring at night. I'm really interested to find out!
  3. Content Article
    Here Nina Turner, Healthcare Manager at Rochester Prison discusses how she spotted a gap in healthcare for those in prison. She set up a pulmonary rehabilitation and screening programme for those who smoke in prison. This video sets out how they implemented the project.
  4. Content Article
    The prison population of England and Wales is around 86,000 prisoners. This report by the NHS Benchmarking Network summarises the results of an audit that has taken place across Health and Justice Commissioning services, Her Majesty’s Prison and Probation Service (HMPPS) and NHS England Specialised Commissioning to quantify the extent of prisoners waiting for assessment and waiting for transfer to mental health facilities (secure and non-secure services).
  5. Content Article
    The World Health Organization (WHO) works worldwide to promote health, keep the world safe, and serve the vulnerable. Their goal is to ensure that a billion more people have universal health coverage, to protect a billion more people from health emergencies, and provide a further billion people with better health and well-being. The WHO has published ten patient safety facts, also highlighted in the attached infographic.
  6. Content Article
    When working at the sharpest end of healthcare it can get stressful, especially when caring for the most sick patients in the hospital. This poster, spotted in a hospital in the UK, encourages staff to take a few seconds out of their busy day, have a few deep breaths and try to relax.
  7. Content Article
    The Care Quality Commission (CQC) is the independent regulator of health and social care in England. They make sure health and social care services provide people with safe, effective, compassionate, high-quality care and they encourage care services to improve.
  8. Content Article
    This infographic, by patient Jennifer Gilroy, demonstrates what makes patients feel safe and what contributes to them feeling unsafe in a hospital environment.
  9. Content Article
    Transport of patients from the intensive care unit (ICU) to another area of the hospital can pose serious risks if the patient has not been assessed prior to transport. The Department of Critical Care Medicine, Calgary Health Region, experienced two adverse events during transport. A subgroup of the Department's Patient Safety and Adverse Events team developed an ICU patient transport decision scorecard. This tool was tested through Plan-Do-Study-Act cycles and further revised using human factors principles. Staff, especially novice nurses, found the tool extremely useful in determining patient preparedness for transport.
  10. Content Article
    When patients are harmed as a result of the care they receive through Alberta Health Services (AHS), the organisation has a responsibility to understand how the harm happened and, where appropriate, respond to improve the healthcare system. This handbook has been developed to assist and support AHS staff and medical staff to retrospectively review clinical adverse events, hazards and close calls using Systems Analysis Methodologies (SAM). It is not an administrative review of individual healthcare provider performance. Using these methodologies, the complex interactions of all the components within the health system are considered, not the individual contributions of healthcare providers that have or may have led to harm. This creates opportunities to identify vulnerabilities in structures, processes and practices that can be improved and ultimately make care safer.
  11. Content Article
    This report describes the lack of clear roles, responsibilities and accountability for workforce planning and supply in England. In reality, this means that the health and care workforce is not growing in line with increasing population need for health and care services, and there are large numbers of vacant posts throughout the system. This impacts upon patient safety and outcomes, and leads to a challenging working environment for staff. To resolve this, the Royal College of Nursing (RCN) make the case for this to be resolved through legislation, alongside additional investment in the nursing workforce and a national health and care workforce strategy for England. 
  12. Content Article
    Encouraging diversity in the NHS isn’t simply a matter of inclusion, it’s a matter of patient safety, delegates at the Healthcare Excellence Through Technology (HETT) conference have heard.
  13. Content Article
    In their paper 'Managing risk in hazardous conditions: improvisation is not enough', Almaberti and Vincent ask "what strategies we might adopt to protect patients when healthcare systems and organisations are under stress and simply cannot provide the standard of care they aspire to". This is clearly a critical and much overdue question, as many healthcare organisations are in an almost constant state of stress from high workload, personnel shortages, high-complexity patients, new technologies, fragmented and conflicting payment systems, over-regulation, and many other issues. These stressors put mid-level managers and front-line staff in situations where they may compromise their standards and be unable to provide the highest quality care. Such circumstances can contribute to low morale and burn-out. Eric Thomas discusses this further in his Editorial published in BMJ Safety & Quality.
  14. Content Article
    Despite consensus that preventing patient safety events is important, measurement of safety events remains challenging. This is, in part, because they occur relatively infrequently and are not always preventable. There is also no consensus on the ‘best way‘ or the ‘best measure’ of patient safety. Borzecki and Rosen discuss what the 'best' measure for patient safety is in this Editorial published in BMJ Quality and Safety.
  15. Content Article
    This edited book concerns the real practice of human factors and ergonomics (HF/E), conveying the perspectives and experiences of practitioners and other stakeholders in a variety of industrial sectors, organisational settings and working contexts.
  16. Content Article
    In his book, Atul Gawande discusses how today we find ourselves in possession of stupendous know-how, which we willingly place in the hands of the most highly skilled people. However, he notes that avoidable failures are common and the reason is simple: the volume and complexity of our knowledge has exceeded our ability to consistently deliver it - correctly, safely or efficiently. The checklist manifesto shows how the simplest of ideas could transform how we operate in almost any field.
  17. Content Article
    Risk scores are widely used in healthcare, but their development and implementation do not usually involve input from practitioners and service users and carers (SU/C). This study from Dyson et al., published in BMJ Open contributes to the development of The Computer-Aided Risk Score (CARS) by eliciting views of staff and who provided important, often complex, insights to support the development and implementation of CARS to ensure successful implementation in routine clinical practice.
  18. Content Article
    State of Care is the Care Quality Commission (CQC) annual assessment of health care and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve.
  19. Community Post
    Hi @Kirsty Wood we use the trilogy, however we only use it for BiPAP. It does do CPAP but we , as a Trust, have decided that we wont use CPAP as a therapy on the wards. We might start it while we wait for an ITU bed, but not as a long term measure. This machine is great as it is portable, has a good battery life and doesn't require the air port. Patients bring in their own NIPPY from home if they require it, but only on their normal settings. I hope that helps claire
  20. Content Article
    In this article on The People Space, Megan Reitz, professor at Hult International Business School, outlines the TRUTH framework to help individuals, teams and organisations unpick their conversational habits and to both 'speak up' and 'listen up'.
  21. Content Article
    Over the last two decades, safety improvements have flat-lined (as measured in fatalities and serious injury rates, for instance) despite a vast expansion of compliance and bureaucracy. The cost of compliance and bureaucracy can be mind-boggling – up to 10% of GDP, with every person working some 8 weeks per year just to cover the cost of compliance, paperwork and bureaucratic accountability demands. This is non-productive time. It has also stopped progressing safety.
  22. Content Article
    In the heat of the moment it may be difficult to locate the buzzer in an emergency. The PatientSafe Network showcase the implementation of a solution to the problem.
  23. Content Article
    Patient diaries have often been used in the adult intensive care setting. This paper explores the use of diaries with the paediatric population and how this can enhance care and rehabilitation post critical care stay.
  24. Content Article
    Critical care teams frequently have to deal with uncertainty of prognosis and outcome, simultaneously react to changing physiology with resuscitative measures, consider palliative interventions and communicate (with empathy) rapidly changing situations to patients and families during very distressing times. Shared decision-making is regarded as best practice but lack of capacity often precludes this. If more information about patients’ wishes and beliefs were available ICU teams would be better positioned to make Best Interests decisions, enabling individualised care, thereby minimising confusion and conflict due to clear communications about advance care planning.
  25. Content Article
    With people living longer and with multiple chronic conditions, medical care has become more complex and is being offered in diverse settings. Over the last decades, healthcare workers have had to adapt to this changing landscape and continuously learn to improve patient safety. This article from the World Health Organization (WHO) demonstrates that it is not just healthcare workers that need to think about patient safety, it is everyone's business, from cooks to janitors.
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