We are delighted and excited to share some of the great work that has been taking place across Wessex to support the WHO World Patient Safety Day. The objectives of World Patient Safety Day are to increase public awareness and engagement, enhance global understanding, and spur global solidarity and action to promote patient safety.
Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health.
Patient safety and Risk Management in hospitalsAvanti Kulkarni
The presentation is about ensuring the safety of patients by installing controls, preventive techniques and assuring optimal quality of care in the hospital setting.
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.
Simple and Safe Approaches Towards Patient SafetyEhi Iden
A conference presentation on simple approaches and steps in achieving and managing patient safety in health. It talks about team approach, mutual support, just system, leadership commitment, complications of blame game and case study of the popular Kimberly Hiatt story.
Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health.
Patient safety and Risk Management in hospitalsAvanti Kulkarni
The presentation is about ensuring the safety of patients by installing controls, preventive techniques and assuring optimal quality of care in the hospital setting.
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.
Simple and Safe Approaches Towards Patient SafetyEhi Iden
A conference presentation on simple approaches and steps in achieving and managing patient safety in health. It talks about team approach, mutual support, just system, leadership commitment, complications of blame game and case study of the popular Kimberly Hiatt story.
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
Improving Access to Seven Day Services: one size does not fit all NHS Improving Quality
Presentation given by Dr Rob Haigh, Deputy Medical Director and Chief of Medicine, Western Sussex Hospital NHS Foundation Trust, at the Improving access to seven day services event. Crawley 11 March 2015.
Living University of Postural Care - The Wakefield Story Suzanne CarterSarah Clayton
Why does Postural Care work in Wakefield - they have incredible results in relation to prevention of hip dislocation but how have they achieved this. Suzanne Carter is a physiotherapist who leads the service - here she explains the roles of all involved in their success.
Kings Road Medical Centre rated Outstanding by Care Quality Commissionatmedics
AT Medics is a leading provider of Primary Healthcare services in London and recently achieved an “Outstanding” Care Quality Commission (CQC) rating for Kings Road Medical Centre, making it one of only seven practices in London to achieve this distinguished accolade under the CQCs new inspection approach. Nationally, just 84 practices have been rated as “Outstanding”.
Quality work is the psychological safety and wellbeing of our workforce. The original first tenet of our quality transformation plan centered on building a culture of safety to encourage transparency, trust, and wellness in frontline staff. As COVID-19 plundered our communities, addressing emotional distress and psychological safety remained at the forefront of our efforts.
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Reducing opioid prescribing, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Pharmacist Interventions and Medication Reviews at Care Homes - Improving Med...Health Innovation Wessex
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Pharmacist Interventions and Medication Reviews at Care Homes - Improving Medication Safety and Patient Outcomes, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, SBAR Patient Engagement Tool, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Reducing medication related falls risk in patients with severe frailty, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Assessing the outcomes of structured medication reviews, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Polypharmacy SMR reviews in outpatient bone health clinics, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Polypharmacy reviews of asthma and COPD patients over 65 and 10 or more medic...Health Innovation Wessex
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Polypharmacy reviews of asthma and COPD patients over 65 and 10 or more medicines, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Evaluating the impact of a specialist frailty multidisciplinary team pathway ...Health Innovation Wessex
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Evaluating the impact of a specialist frailty multidisciplinary team pathway with clinical pharmacist involvement, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Genome UK – State of the nation by Professor Dame Sue Hill, Chief Scientific Officer for England and NHS Genomics Programme Senior Responsible Officer.
Pharmacogenomics into practice - stroke services and a systems approach by Dr Richard Marigold, Consultant Stroke Physician and NIHR Hyperacute Stroke Research Centre Lead, University Hospital Southampton NHS Foundation Trust
To evaluate the benefits of Structured Medication Reviews in elderly Chinese ...Health Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, To evaluate the benefits of Structured Medication Reviews in elderly Chinese patients, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary,
Review of patients on high dose opioids at Living Well PCN, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Re-establishing autonomy in elderly frail patients, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Improving Medication Reviews using the NO TEARS Tool, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Improving care in County Durham under the STOMP agenda - A 5 year review.pdfHealth Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Improving care in County Durham under the STOMP agenda - A 5 year review, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Impact of an EMIS search to prioritise care home residents for a pharmacist l...Health Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Impact of an EMIS search to prioritise care home residents for a pharmacist led medication review, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Identifying Orthostatic Hypotension caused by Medication, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. A note from the Patient Safety
team, Wessex AHSN….
It is always important to highlight successes and triumphs in
Patient Safety where there is so much work going on every day to
be celebrated and shouted from the rooftops.
On World Patient Safety Day 2020 it is more important than ever
during what has been such a difficult year to take a moment to
pause and reflect on just some of the wonderful projects and the
individuals and teams who have worked so tirelessly during this
time.
Whilst we can’t be there with you in person today, on behalf of
Wessex AHSN we would like to offer our heartfelt thanks to each
and every one of you for helping to improve care for our patients.
3. To celebrate World Patient Safety Day we asked for examples of great
practice so that we could recognise individual and teams’ successes across
Wessex. Input was received from:
Fareham and Gosport and South Eastern Hampshire CCGs
Hampshire Hospitals NHS Foundation Trust
Southern Health NHS Foundation Trust x2
Portsmouth University Hospital x3
The Royal Bournemouth and Christchurch NHS Foundation Trust
Bournemouth University
Wessex AHSN
University Hospitals Southampton
4. Set up and establishment of a care home
collaborative
The work was undertaken by South Eastern Hampshire / Fareham and Gosport CCGs
quality team to support the set up and establishment of a care home collaborative for
our geographical footprint.
The Quality Collaborative (QC) was developed following a multi-agency appreciative
inquiry workshop where it was recognised that health and social care partners
supporting residential, nursing homes and domiciliary providers could work together
more effectively. The aim of the QC is to develop joint strategic action plans in response
to themes and trends identified locally, using intelligence gathered through multiple
sources to inform a proactive, preventative approach to quality improvement. Themes
identified in the first six months included: end of life care, activities and well-being, care
planning and risk assessments as well as medication management, with joint action
plans being developed to respond to each of these areas. The Care Homes Forum was
revised to reflect these trends and feedback was exceptionally positive ‘It was the best
forum we have ever had… we learnt so much and have implemented changes in the
home since, including a breakfast club, which the residents love!’. Other feedback has
included that the support of the QC has enabled the ‘highest CQC inspection in years’’
for one provider, with partners stating that the QC ‘inspired positivity’ and has ‘changed
the way [staff] will work collaboratively’. During Covid-19, the QC commenced daily
meetings to deliver a supportive function for independent providers, reviewing
intelligence daily and working with services of need as required. The QC also evolved to
include primary care, with attendance at ward rounds and check-ins focusing on the key
themes for quality improvement.
Suzanne van Hoek – Deputy Director of Nursing and Quality,
Fareham & Gosport and South Eastern Hampshire CCG
5. Critical Care Academy, COVID Staffing Hub, Staff Testing, Falls
Awareness & Weekly Ward Staffing Report (COVID and beyond)
Louise said…The Senior Leadership Team at Hampshire Hospitals NHS Foundation Trust would like to thank
all of our staff for their continued commitment to patient safety over the last 12 months with particular focus
on the earlier part of 2020 which has tested us all. Their strength, resilience and adaptability has meant that
we have been able to continue to deliver high standards of care.
Critical Care Academy: following on from the COVID surge we recognised that we did not have enough
nurses trained to care for patients in the ICU. We developed a two week high intensity educational
programme focussing on key elements of care for ICU patients followed by a rotation that ensures each
nurse works on ICU monthly to keep their skills up. We now have a cohort of ready-to-go nurses who are
confident in caring for ventilated patients. ICU multi-disciplinary team, Helen Neary Divisional Chief Nurse for
Surgery, Mel Price Service Manager for Critical Care, Hayley Blandford, Vicky Taylor, Jo Stokes & Hayley
Churcher Clinical Matrons, Lucy O’Bierne Lead Educator for Critical Care COVID Staffing Hub.
As COVID took hold and staff needed to be rapidly redeployed we introduced a Matron of the
Day (MoD) model which had Clinical Matron cover 24 hours a day, responsible for nurse staffing
allocation across each site. The MoD ran operations from a central hub which became the point
of contact for all things nurse staffing. This allowed a global view with a senior decision maker
who could ensure Safer Staffing principles were met and that wards were adequately resourced
through the COVID surge. Katie Prichard-Thomas Associate Director of Nursing, Clinical Matrons
and the entire nursing workforce.
Weekly Ward Staffing Report (COVID and beyond) Some of the Matrons took a different
approach to planning and predicting safe staffing using a site based model supported under the
Staffing Hub with the Matron of the Day. This considered total hospital daily requirement of
nurses and compared this against actual numbers creating a RAG rated spreadsheet that is easy
to use and easily identifies hotspots with time to rectify any concerns. Hayley Blandford Clinical
Matron and the Clinical Matron Team.
Staff Testing: Rapid implementation of staff COVID swabbing
service at the beginning of the surge allowed us to adequately
manage our vital staff resource more effectively. The team
were brought together from all over the Trust and set up a
drive through testing unit as well as a clinic so that staff were
able to get a swab within a few hours of requesting a test.
The Lasham Unit has evolved to undertake and process
antibody screening and is the one-stop-shop for advice and
support related to testing. Sue Hurst Clinical Practice Educator,
Philippa Aslet Lead Cancer Nurse and the Lasham Team Falls
Awareness.
Common themes found in Serious Incidents relating to falls
with harm have been publicised by our Falls Lead in a way that
has been understood at all levels of the organisation. Posters,
education and communications around policy reminders such
as the use of the correct equipment to use when a patient has
an unwitnessed fall have embedded resulting in a positive
change in the way we work. Charlotte Pearce Falls Coordinator
Louise Fox – Associate Director of Nursing,
Hampshire Hospitals Foundation Trust
6. Set up of a COVID recovery ward for older people suffering from mental health conditions
What did you do?
Prior to the pandemic, Beechwood Ward was a functional older person’s ward, however, this then changed to a Covid recovery ward for older
people suffering from mental health conditions. Beechwood Ward accepted older persons that had a confirmed diagnosis of Covid 19, and
nursed these individuals through this illness.
What hurdles did you have to overcome?
The staff needed to up-skill very quickly, we had input from a multi-disciplinary team, such as frailty specialists and palliative care nurses. Staff
needed to learn a variety of new skills and also deliver care at its highest standard whilst working in full PPE (level 2 PPE).
Staff were required to change their shift patterns at very short notice.
Due to the pandemic and the physical health of some of the people that the Beechwood staff cared for, unfortunately some passed away, this
was a challenging time for staff, and however they managed this with empathy whilst maintaining dignity throughout.
What was the outcome/benefit for Patient Safety?
The outcome for us was very positive, we were able to nurse people back to good physical health, however we had 2 people that
passed away due to Covid 19.
We received a lot of thanks and positive feedback from a variety of teams and families, we had a visit from Nick Broughton (CEO),
who also highlighted the good work he has seen on Beechwood in his “BLOG”.
Patient safety was ensured at all times, if the nursing team were unsure of anything, they would consult with specialist as to ensure
patient care was delivered to its highest standards.
I could not be prouder of the team I am privileged to work alongside, they have acted in a professional and empathetic manner
throughout, they have adapted very quickly, not one member of the team went off or raised any complaints. In fact they were all
amazing.
Elaine Gomez – Ward Manager, Beechwood Ward – Southern Health
7. Adaption of Outpatient Service to meet new need due to COVID 19
Russell said… I have been working with this team (Lymington New Forest Hospital
Outpatient Department team) for a couple of months now and I am extremely
impressed with their focus on patient safety, but not letting that become an excuse
for not providing as much service as possible.
What did you do?
Lymington New Forest Hospital Outpatient Department had to ramp up from
minimal running during the height of the Coronavirus emergency
What hurdles did you have to overcome?
Understanding Government guidelines alongside local NHS Trust directives
Understand what those guidelines meant in terms of a safe spatial capacity model
Patient and staff reticence to return to a hospital setting.
What was the outcome/benefit for Patient Safety?
We reviewed face to face OPD clinics and continued only those that were absolutely necessary.
After initially slowing the rate at which patients were being seen, clinicians opted to use the
teleconsultation model for communication and engagement with patients. This proved to be very
effective in most clinics, resulting with us tracking well ahead of national targets.
The department engaged with the Quality Improvement resource, undertaking training to ascertain
how to safely increase activity without endangering either staff or patients. The phrase “Get back to
better” was adopted from one of our dietitians.
Significant work was undertaken to understand what really happens in the department, rather than
the imagined state that we mistakenly tend to assume. This led to changes in patient flow and the
way in which patients were managed throughout their visit to the hospital. These changes were
continually revised as circumstances changed.
For example:
- We screened patients temperatures at the door
- Controlled entry to the hospital - need only basis
- Issued masks to patients
- Collaborating with another Trust, identified and implemented a phlebotomy appointment system
replacing the riskier ‘walk-in’ system.
Russell Slater, Lymington New Forest Hospital Outpatient Department team
8. Deliver patient education pre-operative session prior to cancer surgery, whilst reducing risk of frequent attendances to acute site
during pandemic
What did you do?
Surgery School MDT face to face patient education preoperative session was
discontinued. Major cancer surgery continued with even greater need to improve health
and reduce LOS in hospital.
Aim: Maintain service whilst reducing risk of frequent attendances to acute site during
pandemic
Method: Patients offered either 1 hour telephone consultation or F2F individual session
either side of a pre-existing appointment. Equipment (including exercise DVD,
spirometer and booklet) was given to or delivered to the patient.
Domain acquired (surgeryschool.co.uk) to upload key information and a series of films
about prehabilitation, preoperative and post operative care were recorded to
compliment virtual and face to face Surgery School sessions.
What hurdles did you have to overcome?
Telephone consultations
-time consuming ( 1 hour/patient cf 2 hour session for 10 patients normally)
-challenging if hard of hearing
Delay in delivery of equipment due to disrupted postal service
Finding adequate space on site to consult patient
Normal routes for prehabiliatation inaccessible (gyms, classes etc) so DVD and
NHS Exercise promoted
Co-ordinating MDT and finding a location to record films
Communication with remote MDT challenging
Post op patients not in normal location so nursing staff less familiar with care.
Staff education
delivered by POM nurse
Patient related:
No peer or visitor support for patients – POM nurse supportive visits post op
Financial:
No increase in funding to purchase domain. Private resource sought
What was the outcome/benefit for Patient Safety?
Maintenance of a valuable service during challenging times.
No significant change in LOS for this patient cohort during Covid
Staff support by POM nurse to ensure early post op goals met with
improved
MDT working
Development of new online resource with future benefits
Sr Charly Bellis, Dr Sarah Marstin - Queen Alexandra Hospital
Portsmouth
9. Time to ACT (TTACT)
What did you do?
The Time to ACT (TTACT) team:
• Developed and launched a deteriorating patient pro forma and educational package across the
Trust between Dec 2017 and June 2018
•Formed a buddy system with the wards allowing continued support so improving care and
safety
•Gave targeted support to wards to improve vital signs compliance
•Developed a dashboard giving real time feedback to ward managers regarding monitoring
compliance.
•Developed a process of bespoke monitoring for certain patients (limited observations)
What hurdles did you have to overcome?
•Implementation of NEWS 2 into a 1100 bedded acute hospital
•Project roll out across 38 adult in-patient areas
What was the outcome/benefit for Patient Safety?
Following the launch of TTACT there was:
Sustained improvement in the escalation of deteriorating patients with better clinical
documentation, particularly escalation planning
Roll out of a Treatment Escalation Plan form in March 2020
Improved compliance with observation monitoring - sustained even through the pandemic
Monthly data collection providing oversight and assurance internally and externally
A fall in the number of cardiac arrests per month – sustained even during the pandemic
Nicola Sayer & Sara Blakeley on behalf of the Time to ACT team
– Portsmouth Hospitals University
10. Implementation of BSOTS – a maternity specific triage system
What did you do?
We had to improve our triage system following our CQC inspection.
We implemented BSOTS a maternity specific triage system During the height of the Covid Pandemic.
We trained 91 staff over a period of 2 weeks launch the service within 1 month.
The positive impact to our service was immediate.
What hurdles did you have to overcome?
Learning via virtual training usually you would attend a study day in Birmingham. Due to Professor Sara
Kenyon working from home due to Covid she was able to support virtual training. We had weekly
session to discuss and plan implantation.
We trained 91 Portsmouth staff member for the launch in a 2 week time frame including all Dr’s and
core midwives, this kept momentum and engagement in the project.
Waiting long periods for study days.
Sharing learning Wessex wide quickly and effectively.
What was the outcome/benefit for Patient Safety?
90 of women are triaged within 15 minutes of arrival to the Maternity assessment unit.
They are categorised to the level and time frame of care required.
Women are reassured and accepting of their on going care plan.
Professor Sara Kenyon “You are an example of excellence”.
We have shared our success story Wessex wide and how we implemented the training and now other
units within Wessex have been trained with Sara. This would have not been possible without the
restrictions the Covid pandemic introduced.
We have had no adverse outcomes since implementing this system in our MAU.
The working relationship between obstetric and midwifery is much improved due to the shared
language and efficiency of the system.
Alison Scannell, MatNeoQI PHT Trust Lead - Portsmouth Hospitals University
11. Creation of Trust Induction for pre-registration healthcare students supporting the
workforce during COVID pandemic
What did you do?
We employed over 100 pre-registration
healthcare students to be part of our workforce
during the Covid pandemic.
All of these students had volunteered for this,
but had mandatory skills and competencies to
complete whilst on placement with us.
What hurdles did you have to overcome?
•Ensuring a quality learning experience
•Maintaining their health and wellbeing
•Supporting their learning needs
•Placing them appropriately to support the
workforce
•Maintain effective communication with over
100 students whilst on a reduced staffing
template due to redeployment
•Support students opting into a placement
with us who usually undertake their clinical
placements in other trusts.
What was the outcome/benefit for Patient Safety?
•We created a 3-day bespoke Trust Induction. Whilst the majority of our students
on the paid placement model were familiar with the Trust, this would be the first
time they were part of the workforce and not in supernumerary placements. The
bespoke induction addressed key and topical workshops including: Respiratory
care, A-E Assessment, Care of the Dying Patient, Last Offices, FIT testing, Donning
and Doffing, Proning etc. They also undertook bespoke BLS and Manual handling.
This was evaluated very well and the students entered to workplace feeling fully
prepared and ready to undertake new challenges associated with Covid-19
•We ran two face-to-face drop-in sessions and a daily virtual drop-in for all
students each week. This ensured that the students had a point of contact every
day for any concerns or personal pastoral needs they may have had.
•We created a SimWard. This innovative teaching model was approved by the
local university and the NMC and allowed us to provide on-going training through
simulation. This enabled the students to continue working towards their
mandatory skills and competencies, whilst addressing topical issues. This was
very well attended and evaluated. The SimWard was situated in a closed ward
area and the students rotated around different scenarios which developed their
leadership and management skills, alongside patient safety and care planning
skills.
•Each member of our Student Support Team was a named Practice Assessor and
Practice Supervisor on each of the student’s portfolios. This enabled us to have
sight of their progress and to encourage feedback and assessment of skills in
practice. We were able to pick up any concerns early, and support the clinical
areas in the student’s development
Alice Girling, Education and Training – Royal Bournemouth & Christchurch Hospitals
12. Helen’s story
What did you do?
Introduced a new online learning resource to 232 nursing students
‘Helen’s Story: Insights into the healthcare experiences of a woman
with cerebral palsy, Part 1 Hospital Admission – Hi! Morning Helen’
What hurdles did you have to overcome?
Rapid transition from face-to-face to online teaching using new
technologies to support nursing students’ ongoing learning and
development during lockdown.
What the outcome/benefit for Patient Safety?
• Drew attention to the three-fold increased risk faced by patients with communication
disabilities of experiencing a preventable patient safety incident
• Emphasised nurses’ and healthcare workers’ legal and professional duty to identify, record and
act on every patient’s communication needs
• Demonstrated the significance of knowledge, self-awareness and empathy to effective
communication, person-centred practice; patient safety and outcomes; and analysis of poor
practice and patient safety incidents.
• Promoted better understanding of cerebral palsy and the various ways the condition can affect
individuals
• Enabled students to critically reflect on their approach to patient care and the influences
shaping their attitudes and behaviours; including any stereotypical views and assumptions that
might adversely affect their practice and inadvertently increase risk to patients.
• Good news/successes: positive impact on learning as reported by students; evidence of wider
potential e.g. local and international requests to share resource i.e. with Occupational Therapy
and Physiotherapy programmes, and the open access Virtual Empathy Museum, University of
Technology, Sydney, Australia.
Dr Sue Baron, Department of Nursing Science,
Bournemouth University
Link to open access version of the resource ‘The Empathic care of a person with cerebral palsy
e-simulation’ hosted in the Simulation Room of The Virtual Empathy Museum launched by the
University of Technology, Sydney, Australia: https://www.virtualempathymuseum.com.au/ then
click on Simulation Room and the following image
13. Accelerating the adoption of Placental Growth Factor (PIGF) based testing
What did you do?
Placental growth factor (PlGF) based testing has been recommended for use by NICE Diagnostic Guidance (DG23)
and Clinical Guidance (NG133) and is supported by the NHS Accelerated Access Collaborative and Innovation
Technology Payment programme. The AHSN Network is working to spread and accelerate the use of PlGF-based
testing. Locally, across Wessex, there are four trusts who have adopted this test – Poole, Salisbury, HHFT and IoW.
PlGF-based testing has a high negative predictive value (rule-out) for pre-eclampsia meaning women who receive a
negative result can be safely sent home (note: decisions are made along with other relevant clinical information).
This reduces the number of expectant mothers requiring a hospital stay.
What hurdles did you have to overcome?
Updated guidance issued by RCOG for healthcare professionals on COVID-19 infection in pregnancy recommends
that steps are taken to reduce the contact time of vulnerable pregnant women within secondary care.
In April, the AAC national working group on PlGF-based testing, supported stakeholders in the maternity system to
adapt, continue, scale up or begin efforts to implement PlGF-based testing amongst expectant women - helping to
keep women out of hospital during the COVID-19 pandemic.
What was the benefit/outcome for Patient Safety?
This is a way of safely and efficiently reducing unnecessary contact and possible spread of the coronavirus within
secondary care and during hospital admission.
Suzi van Es & Joe Sladen, Wessex Academic Health Science Network
14. Bay Safety Checklists to reduce incidents of aspiration
What did you do?
In response to 3 similar incidents within a 2 month period in
Neurosciences relating to aspiration where there was either no suction
tubing at the patient bed space or no yankeur we introduced bay safety
checklists.
The checklist to be completed in the morning, it is 3 simple tasks for each
bed space:
• Check suction- working/ equipment available
• Check oxygen- working/ equipment available
• Check bed space is clear and accessible
The nurse in that bay then has to put initials in the box. The bay safety
check list is stored in a covered window file at the entrance to each bay/
side room
What hurdles did you have to overcome?
Change in practice was difficult as people are not always willing to perform
extra tasks. Ward managers, sisters and charge nurses were asked to help
share the learning and importance of such important equipment.
Prior to the introduction of the checks a survey was completed on each
ward and there was no consistent answer of when the oxygen/ suction
was last checked. No staff knew exactly when it had last been checked
even in the acute bays. There was no consistent time it was checked nor
was this documented anywhere.
What was the benefit/outcome for Patient Safety?
Now it has been incorporated for some months it is becoming a part of the ward
routine.
An audit of compliance was completed and generally this was good. It did identify an
area for improvement but this was then fed back to the ward in question. Other wards
were 100% compliant.
Since the introduction of the safety checklist we have not had one reported aspiration
nor incident with no oxygen available
Katie Hammond – Neurosciences, University Hospital Southampton