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Treated with callous disrespect: A bereaved mother’s tale of institutional apathy from the Coroner Service
Content Article CommentWestminster Confidential have recently posted an article on Gaia. How a leading teaching hospital and a coroner failed a young woman who was brain dead 17 hours after being admitted to A & E | Westminster Confidential (davidhencke.com) “… it shows up the weakness of a system whereby a hospital can first say it’s not their job to investigate the original cause of a death but a matter for the coroner and then not present enough evidence for the coroner to reach a judgement.” “Both the coroner and hospital have failed Dorit. This is a case of miscarriage of justice – people have a right to know the cause of death of a loved one and the public need to know to get a remedy should there be a repetition of this tragedy in similar circumstances.”
- Safe spaces: “I’m not a whistleblower, I was doing my duty as a doctor”
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Safe spaces for safety discussions: Do medical grand rounds still exist?
Content Article CommentThank you for your comment @Tom Bell
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Safe spaces: “I’m not a whistleblower, I was doing my duty as a doctor”
Content ArticleJustice for Doctors is a not-for-profit organisation. Their aim is to provide support and guidance to doctors and other healthcare professionals who have experienced or are experiencing discrimination, harassment, and bullying, and feel targeted because of whistleblowing. On 16 May 2024, Justice For Doctors held a landmark conference about doctors speaking up for patient safety at the Royal Society of Medicine. This opinion piece by Dr Annabel Bentley is part of a series on “safe spaces”. In it she reflects on the conference and some of the experiences shared by the doctors, journalists and patients who attended.
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“Had my concerns been taken seriously by medical staff, Lewis might still be alive today.” Simon Chilcott tells his son Lewis’s story
Content Article CommentDear Simon So sorry to hear your sad loss of Lewis and that you’ve had to fight for the truth. I hope your work to keep this in the public eye makes a difference for other families Kind regards, Annabel
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The hospital told me to GO HOME, but my daughter was critically sick. A bereaved mother’s 11 patient safety lessons
Content Article CommentDear Dorit Thank you for your bravery and sharing Gaia’s story. In the best interests of patient safety: 🚨THINK high ammonia - not low sodium 🚨REVIEW University College London Hospitals NHS Foundation Trust Serious Incident SI619 report and action plan - preoccupied with low sodium 🚨PROVIDE ammonia tests in A&Es for any patient with an unexplained encephalopathy I hope your work on TruthForGaia.com improves outcomes for other families. Best wishes Dr Annabel Bentley
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Treated with callous disrespect: A bereaved mother’s tale of institutional apathy from the Coroner Service
Content ArticleA story of a bereaved mother’s experience with the Coroner's Service in the aftermath of her previously well 25-year-old daughter Gaia’s unexpected and unexplained death and why she set up TruthForGaia.com in her search for the truth. This case demonstrates systemic failings in the Coroner Service: the dismissive way that bereaved family members are treated through the inquest process and a lack of clinical curiosity to determine the primary cause of death. This inconclusive inquest prompts wider questions about who speaks up for the dead. Just as we have Martha’s rule in life, should there be a Gaia’s rule in death to help families be heard about failed inquests? Gaia’s death and failed inquest are chilling reminders that this could happen to any one of us and our families.
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Safe spaces for safety discussions: Do medical grand rounds still exist?
Content ArticleIn the past, long before Covid, doctors used to openly discuss complex cases and unexpected deaths on an anonymous basis either in the doctors' mess or in medical grand rounds hosted by their hospital’s clinical education department. What's happened to these forums for learning? Are these clinical conversations alive and well, and helping doctors and nurses alike to learn from safety incidents? Or have medical grand rounds disappeared from practice?