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Derek Malyon

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About Derek Malyon

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  • First name
    Derek
  • Last name
    Malyon
  • Country
    United Kingdom

About me

  • About me
    Complete outsider: No healthcare training. Retired communications researcher (30+ publications). Our Research Department achieved BS 9001 quality accreditation . Bowel cancer survivor. Here is the rub: Patient safety errors in 4 out of 5 departments including incorrect chemo dosing, missing fluid intake prior to radiation doses, missing biopsy results. These innocent errors then cascade to further departments.
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    Retired

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  1. Article Comment
    I have contacted BBC south and Portsmouth news with the QMS solution. GWMH managers had no alarmed error recovery protocol on the wards. They will feel the heat from Operation Magenta.
  2. Content Article Comment
    Dear Helen Hughes, Steve Turner and Clive Flashman. Re: Patient Safety QMS with Alarmed Error Recovery. Method: The patient uses their wristband barcode to acknowledge every intervention against their MDT software checklist. Except for CQC and Sir Robert Francis, most NHS front offices including digital find excuses and ignore the safety solution not passing the proposal up. The Wexner Medical Centre used the technique by comparing the medicine barcode with a software checklist alarming an error in front of nurse. A reduction in errors was achieved. Effect of Barcode
  3. Content Article Comment
    Dear Helen Hughes, Steve Turner and Clive Flashman. Re: Patient Safety QMS with Alarmed Error Recovery. Method: The patient uses their wristband barcode to acknowledge every intervention against their MDT software checklist. Except for CQC and Sir Robert Francis, most NHS front offices including digital find excuses and ignore the safety solution not passing the proposal up. The Wexner Medical Centre used the technique by comparing the medicine barcode with a software checklist alarming an error in front of nurse. A reduction in errors was achieved. Effect of Barcode
  4. Community Post
    Dear Patient Safety Learning, Inadvertent administration of an oral liquid medicine into a vein (12017/009) HSIB. This HSIB report has missed a massive industrial H&S faux-par responsible for 2.6 million unnecessary healthcare deaths annually in the Sector. Hospital management has no “Alarmed Error Recovery Protocol (1)” preventing medicine error, missed procedures and error cascade across departments. This HSIB report (12017/009 ) should be withdrawn and updated. You can read the system-solution from the Wexner Medical Centre in reference (2) and encl
  5. Content Article Comment
    Dear Patient Safety Learning, Inadvertent administration of an oral liquid medicine into a vein (12017/009) HSIB. PSL over view: Healthcare Safety Investigation Branch (HSIB) report on the inadvertent administration of an oral liquid medicine into a vein. This report indicated the importance of using human factors in the investigation process. The investigation reviewed the effectiveness of the current processes for the storage of medicines, equipment design, and the prescribing, preparation, checking and administration of medication. It also considered the contextual, environme
  6. Content Article Comment
    Hi Clive. I have contacted southwest academic health safety network (swahsn) with the above pdf "Ward-Patient Safety Solution: An eQMS with Alarmed Error Recovery." Their front desk staff cannot draw a response from their directors for innovation or patient safety. I have also contacted WL by email 18/12/20, 7/1/21 and left a telephone message but receive no reply from him either. ------------------------------------------------------------------------------------------------------------ Good News: The reference below (1) describes a similar healthcare quality control detectin
  7. Content Article Comment
    Good evening Clive. Thank you for the information. I have already contacted AHSN via their website with limited word count and directly to their email address with pdf receiving their auto reply. Because the NHS culture is slow to change this eQMS derived from Industrial H&S and banking sectors will be a shock and problematic for William Lilley. So, I have decided to send William a copy to digest for Christmas entertainment. Ho Ho Ho. The first objective is that AHSN fully understand the concept of an "eQMS with an Alarmed Error Recovery Protocol". This is crucial. If they w
  8. Content Article Comment
    Hi Clive Thank you for eight good questions. I think the 311 word body in the pdf answers some of these (Qu.2, 6). It is purposely brief admittedly. Qu.3 Since the patient must be conscious and capable of understanding yes and no obviously the solution is not suitable for maternity, young children and the operating theatre. However, these patients can have a substitute tag from two different health workers. HE consequences reduced only by a factor of 1000 (Ref. 2a in download.). Steve Turner (community nurse) also sees possibilities too. QU.4, 5, 6 7. I believe "An eQMS with Ala
  9. Content Article Comment
    Hi Clive Thank you very much for the information. I contacted the SW AHSN Tuesday 11.2.2020. Here is a copy sent sent now. Hello AHSN I contacted you in Feb 2020 but received no reply. Clive Flashman of the Patient Safety Learning hub suggests I contact you. I wish to send you a pdf (1.7 Mbit): Ward-Patient Safety Solution: An eQMS with Alarmed Error Recovery Protocols. This ward-patient tagged quality system reduces healthcare worker HE consequences by a factor of 10,000. It is a derivative of industrial H&S and the Banking sectors. Kind Regards Derek. --
  10. Content Article Comment
    Hi Swoo. I only received downloads. No comments received. Did you want to provide a typical ward issue and solve it with an eQMS? If so, I present ward case file 3. paraphrased from 540-170 words from this download. .Human-Factors-How-to-Guide-v1.2 (14).pdf A nurse was in charge of the night shift with an agency nurse on duty with her. A heparin infusion needed replacing. The nurse partly drew up the infusion but was distracted coming back latter to find it missing and told by agency nurse it was administered to the patient. The dose was corrected and no harm came to the p
  11. Content Article Comment
    Dear Helen Thank you so much for replying. I believe this solution is completely new to healthcare. I have contacted countless NHS departments as well as Sir Robert Francis QC, Professor Carl Macrae, Professor C P Gale, the BMJ and WHO. All seem lost. In the U.K. this technique would have saved 33,000 heart attack and 60,000 bedside life-sign patients in a 10-year period. Please can the hub help me find an NHS Department who will pickup this patient safety eQMS. Perhaps Dr Abdulelah Alhawsawi would be interested? (I have no connection with the NHS at all.) Many Thanks
  12. Content Article Comment
    Dear Helen Hughes CE. Please find enclosed pdf "Ward patient safety solution: An eQMS with Alarmed Error Recovery Protocols." It is one hell of a technique, Steve Turner gives it the thumbs up too. This is the global silver bullet you and PSL have been waiting for. If there is anything you do not understand please contact me. Kind Regards Derek. Ward-Patient Safety Solution. An eQMS with Alarmed Error RecoveryProtocols..pdf
  13. Content Article Comment
    Hi I have a download problem with this article. Hope this helps. Derek.
  14. Content Article Comment
    Hi Colleagues This paper just muddies the water and typical of many trying to find inspiration from other sectors to the health sector. Bottom line: Detect the error and compellingly alarm. Check out solution: Ward-Patient eQMS with Error Recovery Protocols.4.pdf Thank you for your attention. Derek Malyon.
  15. Content Article Comment
    Ward-Patient eQMS with Error Recovery Protocols.4.pdf Dear Claire Thank you for posting this article. On page 5: The right medicine for the right patient and the right time. Fine words but where is the solution. There is no mention of error recovery protocols, compelling alarms reducing error by a factor of 10,000 or a quality management system which includes acknowledgement by the patient receiving the correct barcode read medicine against the care-plan software checklist. This is standard industrial H&S. Umpteen NHS departments over the years have no idea of what
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