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Found 164 results
  1. Content Article
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    My son, Kit I set up Kit Tarka Foundation after the preventable death of my beautiful son Kit to neonatal herpes when he was just 13 days old. I say preventable as he was born healthy at full term, contracted the virus in hospital postnatally and was under almost continuous medical care for his whole life. Yet herpes was never treated for. It was not even suspected until he was in an induced coma in intensive care on his 12th day fighting for his life; but by that stage it was too late – the doctors were just doing everything they could to keep him alive. Neonatal herpes wasn’t consi
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    A previously secret report into children’s services at a scandal-hit NHS hospital has revealed concerns over the safety of services including care of seriously ill babies were raised with managers back in 2015. A report by the Royal College of Paediatrics and Child Health (RCPCH) raised serious concerns over children’s services at East Kent Hospitals University Trust in 2015 including senior consultants refusing to work beyond 5pm and a shortage of nurses and junior doctors. It also found the neonatal intensive care unit was being staffed by general paediatric doctors instead of spec
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    There was a "gross failure in basic care" which led to a baby being starved of oxygen during birth, a coroner said. Zak Ezra Carter died at the Royal Gwent Hospital, Newport, two days after being born in July 2018 at Ystrad Fawr Hospital in Caerphilly county. Gwent coroner Caroline Saunders said the monitoring of Zak and his mother Adele Thomas fell "well below the standards expected". She said she was reassured the health board had taken steps to improve care. Ms Thomas told the Newport hearing she felt "scared" and staff "didn't care" when she arrived to give birth on 20 July
  7. News Article
    A baby boy was starved of oxygen and died after being left half-delivered for almost a quarter of an hour during a “chaotic” breech birth in an NHS maternity unit. Midwives failed to recognise baby Theo Ellis was in the breech, or bottom first, position until his mother Laura Ellis, 34, was already in advanced labour at Surrey’s Frimley Park Hospital. What followed was a catalogue of errors by midwives and doctors who failed to heed the emergency situation and raised the alarm too late. At one stage a paediatrician was made to stand outside the room by midwives while junior staf
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    Note: Subtitles are available by turning on the caption mode in YouTube. Would you like to share your insight on the continuity of care model? Perhaps you know women and families who would like to share their experience? You can get in touch with Patient Safety Learning by emailing us at content@pslhub.org Further reading: Measuring Continuity of Carer: A monitoring and evaluation framework (November 2018) NHS: Targeted and enhanced midwifery-led continuity of carer RCM: Can continuity work for us? A resource for midwives
  14. News Article
    Making maternity wards safer for mothers and babies will need £400m of extra spending every year, hospital leaders have told The Independent. They warn that without increased funding, the NHS will not be able to fully implement recommendations made by an inquiry into poor maternity care at the Shrewsbury and Telford Hospitals Trust – where dozens of babies died or were left brain damaged in the largest maternity scandal in NHS history. Multiple maternity care failings at hospitals across the country in the past 12 months have sparked concerns over the safety of mothers and their babi
  15. Content Article
    HSIB's national learning reports can be used by healthcare leaders, policymakers, and the public to: Aid their knowledge of systemic patient safety risks. Understand the underlying contributing factors. Inform decision making to improve patient safety.
  16. News Article
    Failures to follow national guidelines to prevent group B Strep infections in newborn babies is leading to a postcode lottery of care and opportunities to stop deadly infections being missed, a new report has found. Nearly 90% of hospitals in the UK are not using the recommended test for GBS carriage – which costs around £11- despite clear guidance issued by the Royal College of Obstetricians and Gynaecologists (RCOG) and Public Health England (PHE) that the test can significantly decrease false-negative results. Group B Strep is the UK’s most common cause of severe infection in newborn b
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    Group B Strep Support recommends that: All NHS Trusts/Boards adopt and implement the Royal College of Obstetricians & Gynaecologists’ Green-top guideline on group B Strep promptly. All pregnant women are provided with a high-quality information leaflet on group B Strep as a routine part of their antenatal care. Pregnant women who had a positive test result for group B Strep in a previous pregnancy are offered the option of testing for group B Strep in the current pregnancy, or of being treated as a carrier this pregnancy. Where pregnant women are offered testing for
  18. News Article
    A newborn baby died after doctors caring for him failed to realise that the umbilical venous catheter (UVC) through which he was being fed and medicated was wrongly positioned, a coroner has found. Anna Crawford, assistant coroner for Surrey, called for guidelines from the National Institute for Health and Care Excellence (NICE) on the use of the catheters after hearing that none currently exist. Yo Li was born extremely prematurely at St Peter’s Hospital in Chertsey on 11 January 2019 and transferred to the neonatal intensive care unit, where he was put on mechanical ventilation. A
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    The report presents a varied picture across the UK, with evidence that: “Hidden harms” of the Spring lockdown on 0-2s were broad and significant, and experienced unevenly depending on family circumstances and background. Historically inadequate or insecure funding, and a rising tide of need, has inhibited the ability of some services and areas to respond to the coronavirus crisis. There were often ‘baby blind-spots’ where babies’ needs were overlooked in policy, planning and funding. The report also draws on a survey of 235 senior leaders of pregnancy and 0-2 services acr
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    Rachel Hardeman has dedicated her career to fighting racism and the harm it has inflicted on the health of Black Americans. As a reproductive health equity researcher, she has been especially disturbed by the disproportionately high mortality rates for Black babies. In an effort to find some of the reasons behind the high death rates, Hardeman, an associate professor at the University of Minnesota School of Public Health, and three other researchers combed through the records of 1.8 million Florida hospital births between 1992 and 2015 looking for clues. They found a tantalising stat
  24. News Article
    In a Letter to the Editor published in The Times yesterday, the All Party Parliamentary Group on First Do No Harm Co-Chair Baroness Julia Cumberlege argues in favour of the work of the Independent Medicines and Medical Devices Safety (IMMDS) Review and its report 'First Do No Harm'. "Inquiries are only as good as the change for the better that results from their work." Read full letter (paywalled) Source: The Times, 5 January 2021
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