Beobachtungen über die Kuhpocken, die Vaccination, Retrovaccination und Variolation der Kühe

von Robert Ceel

Innovative ways to improve patient family knowledge of inpatient safety

Empowering consumers and families in a hospital safety agenda, through education, has been shown to improve a culture of hospital safety. Engagement of paediatric consumers and their family in patient safety is a complex problem and requires a multifaceted approach. The development of educational resources that are family centred, culturally sensitive and targeted is a fundamental step towards improving paediatric patient safety and central to family centred care. Our previous patient safety quality improvement & research identified that some existing paediatric patient safety resources did not meet the educational needs of all paediatric patients and their family (Ritz-Shala et al, 2019). In particular, paediatric consumers preferred information technology and social media. A multi-disciplinary team of SCHN healthcare professionals formed a working party to develop an inpatient safety video. The short-animated video uses simplified imagery and narration to educate paediatric patients and their families about eight key inpatient safety issues such as the prevention of pressure injuries, medication related errors, inpatient falls, and how concerned parents can activate a rapid response and/or clinical review in the event that their child’s health is deteriorating. Several draft videos were critically reviewed for the acceptability of animated pictures, educational content, simplicity of narrated dialogue, cultural sensitivity and developmental appropriateness. Meetings were held in COVID safe environment. The patient safety video will be reviewed and endorsed by the SCHN Families and Consumer Council in December 2020. The final version of the patient safety video will be edited and published internally early-mid 2021 on the SCHN OneView system. One-view systems are available at each inpatient bed and allows access to entertainment and health information via an iPad. Children, parents and carers are able to access this information system at the bedside while in hospital. An evaluation plan has been developed and outcomes will be presented

Excess deaths in England and Wales during the first year of COVID-19

Using officially registered weekly death data, we estimate a baseline count of excess deaths during 2020 in England and Wales. We break down this number by region, age, gender, place, and cause of death. Our results suggest that there were 82,428 excess deaths in 2020 after the pandemic onset. Almost 90% of these excess deaths were due to COVID-19, suggesting that non-COVID-19 excess mortality may have been slightly higher that what has been previously estimated. Regarding deaths not due to COVID-19, individuals older than 45 years old who died at their homes, mainly from heart diseases and cancer, were the most affected. Supported by regional panel event estimates, our results highlight how measures to mitigate the pandemic spread and ease the pressure on healthcare service systems may adversely affect out-of-hospital mortality from other causes

Excess deaths by cause and place of death in England and Wales during the first year of COVID-19

Using officially registered weekly mortality data, we estimate a counterfactual death count in the absence of the pandemic and we calculate the number of excess deaths in England and Wales during 2020 after the pandemic onset. We also break down those figures by region, age, gender, place of death, and cause of death. Our results suggest that there were 82,428 (95% CI: 78,402 to 86,415) excess deaths, and 88.9% (95% CI: 84.8% to 93.5%) of them was due to COVID-19, suggesting that non-COVID-19 excess mortality may have been slightly higher that what has been previously estimated. Regarding deaths not due to COVID-19, persons older than 45 years old who died at their homes, mainly from heart diseases and cancer, were the most affected group. Across all causes of death, there was increased excess mortality from dementia and Alzheimer’s disease, diabetes, Parkinson’s disease and heart-related disease, while at the same period there was a reduction in deaths from pneumonia and influenza, stroke as well as infectious diseases and accidents. Supported by regional panel event estimates, our results highlight how measures to mitigate the pandemic spread and ease the pressure on healthcare service systems may adversely affect out-of-hospital mortality from other causes