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Follow us on twitter: @csjmagazine


CONTENTS VOLUME 19 REGULARS 5 Comment


6 Cover Story: Ensuring patient safety in endoscopy


THE CLINICAL SERVICES JOURNAL FEATURES 15 People plan: ensuring wellbeing & inclusion


The NHS must look after its staff and ensure retention by being ‘positive, compassionate and inclusive’. The People Plan sets out the future commitments for healthcare workers, but is it enough?


22 First Do No Harm: a hard-hitting review


Kate Woodhead RGN DMS discusses the harrowing findings of a review by Baroness Cumberlege into the harm caused to patients and lessons that must be learnt. She highlights the important patient safety findings that the NHS must now address.


27 What have we learnt from the pandemic?


The NHS has had to adapt its practices, with the rapid change of use of clinical areas, video conferencing and the setting up of Nightingale hospitals. So, what we have learnt during this time?


33 Urgent need to prevent aspiration risks


Elaine Waggott highlights the importance of reducing airborne pathogenic aerosol in the wake of COVID-19 and considers the potential infection risks in hospital facilities.


39 Detecting deterioration: technology is key


Dr Ron Daniels, from the UK Sepsis Trust, provides his thoughts on the importance of standardising national track and trigger systems across primary and secondary care.


43 Mobilisation of patients recovering from COVID


An insight into best practice and the technologies that can assist early mobilisation and rehabilitation.


48 Blood clot prevention in COVID patients


Bernard Ross explains how a medical device has been providing life threatening blood clot prevention for hospitalised patients with COVID-19 and discusses the emerging data that now suggests the virus is an endothelial disease.


53 The case for better OR communication


Technology led procedures have an important role to play in improving patient outcomes. However, they also present challenges in terms of the quality and timing of essential team communication.


57 Four lessons of the pandemic


The pandemic has motivated incredible change across clinical services. Tautvydas Karitonas considers the four infection and prevention control lessons we have learnt from the pandemic so far.


69 Tackling COVID-19 risk via hospital beds


Silver Türk discusses how hospital pillows can pose a potential risk of COVID-19 transmission and how to mitigate the risk.


73 The process challenge: it looks clean, but is it?


Pawel de Sternberg Stojalowski presents a case study which demonstrates the value of using process challenge devices designed to simulate cleaning of heavily soiled instruments.


77 Identifying deterioration using AI technology


The pandemic is accelerating adoption of AI-technology capable of automating the capture of vital signs and proactively identifying patients at risk of deterioration.


83 Moving from a blame culture to a just culture


Healthcare organisations that prioritise workforce wellbeing will be better placed to put lessons learnt from the pandemic into practice. Phil Taylor outlines the benefits of introducing a just culture not a blame culture and shares a methodology for positive change.


87 Improving outcomes in TOE probe reprocessing


Although procedures involving transesophageal (TOE) ultrasound probes are associated with a low rate of patient infection, they can be a potential source of infection from contaminated equipment. Erica Taube discusses best practice in reprocessing these medical devices to ensure patient safety and, ultimately, improve outcomes.


9 News 90 Products


ISSUE 8


Follow the CSJ LinkedIn page Search for ‘Clinical Services Journal’


SEPTEMBER 2020


Follow us on twitter: @csjmagazine


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