scholarly journals Alcohol hand sanitisers on mental health wards safety risk educational and QI poster

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S208-S208
Author(s):  
Peter McMurray
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Northern Ireland ◽  
Infection Control ◽  
Nursing Staff ◽  
Alcohol Intoxication ◽  
Paranoid Schizophrenia ◽  
Community Setting ◽  
Safety Risk ◽  
Adverse Incident

AimsTo provide awareness of safety concerns around use of alcohol hand sanitiser on a mental health ward, and to consider ways of improving how learning for a serious adverse incident in one trust can better be communicated to other trustsBackgroundDD a male patient with history of paranoid schizophrenia alongside historic illicit drug use and current alcohol dependency admitted detained to Bluestone hospital following bizarre behaviour at a wake. Had been non-compliant with medication. Transferred to PICU due to going AWOL and returning under influence of alcohol.2nd April overnight staff noted him to become over-sedated, presenting with slurred speech and appeared under influence of alcohol – transferred to A + E due to deteriorating GCS – was intubated, and transferred to ICU. Blood alcohol level was 373. Several empty bottles of hand sanitiser from dispensers on ward found in his room and he later disclosed he had accessed further alcohol hand sanitiser in sluice while washing clothesSAI learning outcomes from one healthcare trust in Northern Ireland not currently routinely shared with other trustsMethodLiterature review carried out to search for reports of similar incidents – 1 previous review article suggesting one death and 11 other major complications from consumption of alcohol hand sanitiser over 5 year period 2005-2009.Quality improvement steps implemented to address this riskWard policy was reviewed to ensure patients no longer had unsupervised access to wash clothesLiaised with Infection Control to assess the need for alcohol hand sanitiser to be available to patients given the ward is effectively a community settingIntoxication policy reviewed and education sessions on this provided to all medical and nursing staffRegional regular PICU staff update seminar launched for purpose of bringing PICU staff from across Northern Ireland together to share learning from SAIs and casesResultInfection control agreed alcohol hand sanitiser dispensers could be removed from wards and kept only in locked nursing office with use of visitors.Learning from this case shared with other trusts locally at newly launched regional PICU update seminarNo further incidents to dateConclusionPatient access to alcohol hand sanitisers found to be a significant safety risk in PICU settingFollowing implementation of quality improvement steps no further incidents of patients swallowing alcohol hand sanitiserImproved awareness of risk of alcohol intoxication on ward with nursing staff escalating concerns to on-call doctor more frequently

scholarly journals Kris Kristofferson/John Holt—‘Help Me Make It Through The Night’

2019 ◽  
Vol 43 (2) ◽  
pp. 92-95
Author(s):  
Simon Procter
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Music Therapy ◽  
Paranoid Schizophrenia ◽  
Community Setting ◽  
Service Users ◽  
Primary Reason ◽  
Health Community ◽  
Being There

As with all the contributors here, my chosen song comes from fieldwork. I spent time in an urban UK mental health community setting, a place which nobody has to attend (it is not part of the statutory psychiatric system), but where people choose to spend time to gain various kinds of support – formal and informal – whilst in other respects living independently despite (in most cases) having a psychiatric diagnosis. Most service users with whom I spent time were male, over forty, long-term unemployed, living on the economic edge, ever fearful about having their benefits withdrawn, and diagnosed with some form of mental illness, most commonly paranoid schizophrenia. My primary reason for being there was to participate in and observe the various interactions around the provision of music in general and music therapy in particular.  

Occupational Stress, Mental Health and Attitude Towards Mental Illness of Nursing Staff Working in General and Psychiatric Hospital: A Comparative Study

2015 ◽  
Vol 4 (4) ◽  
Author(s):  
Suresh Lukose ◽  
Abdul Azeez E.P.
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Occupational Stress ◽  
Nursing Staff ◽  
Demographic Data ◽  
General Health Questionnaire ◽  
Psychiatric Hospitals ◽  
Working Environment ◽  
Stress Index ◽  
Role Overload

Nurses are identified as one of the professional groups with high level of job related stress and related issues. The magnitude of the problem this segment faces is very intensive as a large number of them are women. They are victimized for multiple roles in the home and hospital. Stressors for nurses are always been identified with workload, dual role and pressures which are associated with demands of the existing working environment. The nature of illness/diseases a nurse dealing with has significant effects on the stress and mental health level. Healthcare professionals dealing with psychiatric illness and other chronic/traumatic conditions faces more stress while comparing to the other domains of healthcare. The present study is a cross sectional hospital based study carried out at four centres and 100 samples were collected by judgmental sampling method which consisted of 50 female nursing staff from general hospital and same number from psychiatric hospitals. A socio-demographic data sheet along with General Health Questionnaire was administered and those who have satisfactory health have been considered as further samples. Mental health, stress level, and attitude towards mental illness were analyzed. The results shows that psychiatric nursing staff scored higher in overall occupational stress index and in the subs-domains of role overload, role ambiguity, role conflict, role unreasonable group and political pressure compared to general nursing staff. Also the mental health inventory total score is negatively correlated with role overload sub-domain of occupational stress index scale. Present study implicates the need of comprehensive psycho-social management plans for the professionals working in psychiatric hospitals.

Value-based dentistry: Putting the patient first

2016 ◽  
Vol 7 (3) ◽  
pp. 126-129 ◽  
Author(s):  
Sreenivas Koka ◽  
Galya Raz
Keyword(s):  
Risk Management ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Dental Care ◽  
Time Cost ◽  
Safety Risk ◽  
The Cost ◽  
Over Time

What does ‘value’ mean? In the context of dental care, it can be defined as the quality of care received by a patient divided by the cost to the patient of receiving that care. In other words: V =Q/C, where Q equals the quality improvement over time, which most patients view in the context of the outcome, the service provided and safety/risk management, and C equals the financial, biological and time cost to the patient. Here, the need for, and implications of, value-based density for clinicians and patients alike are explored.

scholarly journals ‘CPR for Feet’ care bundle to improve foot assessment in inpatient diabetes

2018 ◽  
Vol 7 (3) ◽  
pp. e000196 ◽  
Author(s):  
Rhea O’Regan ◽  
Ross MacDonald ◽  
James G Boyle ◽  
Katherine A Hughes ◽  
Joyce McKenzie
Keyword(s):  
Quality Improvement ◽  
Nursing Staff ◽  
Quality Improvement Project ◽  
Care Bundle ◽  
Staff Education ◽  
Pressure Relief ◽  
Improvement Project ◽  
The Third ◽  
Inpatient Diabetes ◽  
Pdsa Cycle

AimsThe Scottish Inpatient Diabetes Foot Audit conducted in 2013 revealed that 57% of inpatients had not had their feet checked on admission, 60% of those at risk did not have pressure relief in place and 2.4% developed a new foot lesion. In response, the Scottish Diabetes Foot Action Group launched the ‘CPR for Feet’ campaign. The aim of this project was to raise awareness of the ‘Check, Protect and Refer’ (CPR) campaign as well as improve the assessment and management of inpatients with diabetes.MethodsA quality improvement project underpinned by Plan-Do-Study-Act (PDSA) methodology was undertaken. The first and second cycles focused on staff education and the implementation of a ‘CPR for Feet’ assessment checklist using campaign guidelines, training manuals and modules. The third and fourth cycles focused on staff feedback and the implementation of a ‘CPR for Feet’ care bundle.ResultsBaseline measurements revealed 28% of patients had evidence of foot assessment. Medical and nursing staff reported to be largely unaware of the ‘CPR for Feet’ campaign (13%). Fifty-two per cent of inpatients with diabetes had their feet assessed and managed correctly following the second PDSA cycle. After completion of the third and fourth PDSA this number improved further to 72% and all staff reported to be aware of the campaign.ConclusionsThe introduction of a ‘CPR for Feet’ care bundle improved the assessment of inpatients with diabetes.

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