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Mark Hughes


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About Mark Hughes

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  • Country
    United Kingdom

About me

  • About me
    I am Patient Safety Learning's Business and Policy Manager. Prior to this I worked in a range of different roles for Alzheimer's Society and two Members of Parliament. I have a strong interest in reforming the social care system and improving patient safety.
  • Organisation
    Patient Safety Learning
  • Role
    Business and Policy Manager

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  1. Content Article
    The Independent Medicines and Medical Devices Safety (IMMDS) Review, led by Baroness Julia Cumberlege, examined how the healthcare system in England responded to reports about harmful side effects of medicines and medical devices, focusing on three specific interventions: hormone pregnancy tests, sodium valproate and pelvic mesh implants. These interventions have resulted in a truly shocking degree of avoidable harm to patients over a period of decades. One of the Review’s patient safety recommendations was to create a database for all implantable medical devices. The Review in its findin
  2. Content Article
    Below are details of two written questions tabled by Feryal Clark MP, Shadow Minister for Primary Care and Patient Safety, concerning incidences of medication error and the World Health Organization's (WHO) Medication Without Harm initiative. Both questions were answered by Maria Caulfield MP, Minister for Primary Care and Patient Safety: Medication errors in the NHS Question: To ask the Secretary of State for Health and Social Care, how many incidences of medication error have been reported since 2017. Answer: From 2017 to 7 June 2022, 1,309,128 medication-related incidents have
  3. Content Article
    The study was conducted at a multi-site acute NHS Trust in London, which consists of five acute sites and a range of community services. The Trust is one of the largest in the country, with an average of over 1,000 complaints per year between 2015 and 2019. Key findings of this study included: Confusion and lack of awareness of routes for raising concerns, both among patients and frontline staff. Investigative procedures structured to scrutinise the ‘validity’ of complaints, rather than focusing on improvement. Data collection systems not being set up to effectively su
  4. Content Article
    What is an Early Day Motion? Early Day Motions are motions submitted for debate in the House of Commons for which no day has been fixed, and as such very few are debated. They are used to put on record the views of individual MPs or to draw attention to specific events or campaigns. By attracting the signatures of other MPs, they can be used to demonstrate the level of parliamentary support for a particular cause or point of view. Early Day Motion 78: Implementation of the Independent Medicines and Medical Devices Safety Review recommendations This Early Day Motion was sponsored b
  5. Content Article
    The letter calls on the Secretary of State to reconsider proposals set out in the Fixed recoverable costs in lower value clinical negligence claims consultation. It suggests that at the minimum, all fatal cases and claims by people lacking capacity should be excluded from a fixed costs regime, poor defendant behaviour must be curtailed and that any cap on legal costs must be at a level to realistically allow for involvement of accredited specialist solicitors. The signatories of this letter are: Peter Walsh, Action against Medical Accidents Joanne Hughes, Harmed Patients All
  6. Content Article
    This article discusses eight human factors and ergonomics principles for healthcare AI, drawn from a white paper published by the Chartered Institute of Ergonomics and Human Factors: Situation awareness - Design options need to consider how AI can support, rather than erode, people’s situation awareness. Workload - The impact of AI on workload needs to be assessed because AI can both reduce as well as increase workload in certain situations. Automation bias - Strategies need to be considered to guard against people relying uncritically on the AI, for example, the use of exp
  7. Content Article
    In his report, the Coroner lists the following matters of concern: Using a misplaced nasogastric tube is recognised as a 'never event', namely an event which is wholly preventable and should never happen. The court heard evidence at the inquest that an NHS improvement patient safety alert issued in 2016 identified that between 2011-2016 there had been 95 incidents of misplaced nasogastric tubes used to administer fluids or medication, 32 of which resulted in death. The court heard that Barts NHS Trust had at least seven incidents relating to misplaced nasogastric tube since
  8. Content Article
    In her report, the Coroner states the following concerns: There was no clinical guidance or pathway within the Emergency Department of the hospital for patients presenting with suspected aortic dissection that should have included a directive to ensure that an ECG gated CT scan is carried out to exclude the possibility of such condition. When the Emergency Department were contacted by Ms Lumb on 5 January 2021 there was no mechanism by which staff were alerted to her genetic risk of aortic dissection leading to advice merely to contact her GP. The Trust identified these sho