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Found 471 results
  1. Content Article
    Research suggests that a key factor contributing to diagnostic errors is the breakdown of communication between patients and healthcare professionals. The Agency for Healthcare Research and Quality (AHRQ) in the United States has developed this toolkit to promote enhanced communication and information sharing between patients and healthcare professionals. It is designed to help patients, families, and health professionals work together as partners to improve diagnostic safety.
  2. Content Article
    The Healthcare Safety Investigation Branch (HSIB) identified a patient safety risk involving the timely detection and treatment of non-malignant spinal compression (cauda equina syndrome). Cauda equina syndrome (CES) is a rare and severe type of spinal stenosis, causing all the nerves in the lower back to become suddenly and severely compressed. If CES is not diagnosed and treated in a timely way it can lead to permanent incontinence, sexual dysfunction and even paralysis. The investigation was launched after HSIB identified an event where a patient had several GP and hospital presentations before CES was diagnosed.
  3. Content Article
    This survey, published by the Parliamentary and Health Service Ombudsman, found that one in five people did not feel safe while in the care of the NHS mental health service that treated them.
  4. Content Article
    Diagnostic error occurs more frequently in the emergency department than in regular in-patient hospital care. This study in BMC Emergency Medicine sought to characterise the nature of reported diagnostic error in hospital emergency departments in England and Wales from 2013 to 2015. The authors identified the priority areas for intervention to reduce the occurrence of diagnostic error. The study found that system modifications are needed to support clinicians in assessing patients and interpreting investigations. Interventions to reduce diagnostic error need to be evaluated in the emergency department setting, and could include standardised checklists, structured reporting and technological investigation improvements.
  5. Content Article
    This article by the Patient Safety Network provides an overview of the impact of diagnostic errors on patient safety. It gives examples of incorrect applications of heuristics and suggests ways to overcome cognitive bias in the diagnostic process.
  6. Content Article
    Medical Errors: Promoting a Culture of Patient Safety is a course for continuing education relicensure requirements for Florida doctors. The purpose of this course is to promote patient safety and improving patient outcomes and is suitable for Allopathic Physicians, Osteopathic Physicians, Dentists, Podiatrists, Physician Assistants and Dietitians who are licensed in the State of Florida.
  7. Content Article
    This case story about placental abruption, published by NHS Resolution, highlights the importance of regular risk assessments throughout labour to help prevent harm to mother and baby. It provides learning points and considerations that can be applied across all maternity units.
  8. Content Article
    Anyone with the signs and symptoms of sarcoma needs to be seen as early as possible and referred to services that can quickly and accurately confirm the diagnosis. Doing this can save lives. Sarcoma UK are calling on policy makers to make faster and more accurate diagnosis a reality for the sarcoma community. They recommend that: A sarcoma education programme for healthcare professionals should be rolled out, placing importance on the individual impact of sarcoma and how it is important to rule it out, not rule it in. Awareness of sarcoma and its symptoms needs to improve. Sarcoma can occur anywhere in the body and it is vital that the public are aware of this. Ensure that there are clear and efficient referral pathways that allow primary healthcare professionals to access the optimum route for all their patients. Access their reports and policy documents by following the link below. 
  9. Content Article
    Sarcomas are uncommon cancers that can affect any part of the body including bone, muscle, ligaments, fatty tissue and blood vessels. It is a condition which 75% of people in the UK are not aware of. Early detection is key to improving survival rates. In this blog, published on the NHS website, Dr Suma Kuna, MacMillan GP and Clinical Lead for Cancer and Palliative Care, talks about what sarcoma cancer is, and the signs to look out for.
  10. Content Article
    The charity Group B Strep Support (GBSS) has produced an information leaflet, written in partnership with the Royal College of Obstetricians and Gynaecologists (RCOG), aimed particularly at pregnant people and new parents and includes information on: What group B Strep is What group B Strep could mean for a baby How to reduce the risk of group B Strep infection to a baby The key signs of group B Strep infection in a newborn baby The leaflet, Group B Streptococcus in Pregnancy & Newborn Babies, has been translated from English into 14 other languages and is available in Arabic, Bengali, Chinese, English, French, Hebrew, Latvian, Lithuanian, Polish, Portuguese, Punjabi, Romanian, Somali, Urdu and Welsh. Follow the link below to the GBSS website to access and download all versions for free.
  11. News Article
    Researchers at Imperial College London have found a pattern of rouge antibodies that may allow a simple blood test to diagnose Long Covid in the next 6 to 18 months. Currently, there is no diagnostic test for Long Covid and the condition is not yet fully understood, and with the rise in cases, it is not yet known if the vaccination can protect patients from getting long-term symptoms. However, leading the research team at Imperial College London, Professor Danny Altmann believes the research could allow for a test to be performed in a GP surgery. And regarding the rising cases, Professor Altmann has said "If we're heading into a phase of 100,000 cases per day, and, we're saying that 10-20% of all infections can result in long Covid, I can see no certainty that we're not brewing those long Covid cases despite having a vaccinated population," Read full story. Source: BBC News, 12 July 2021
  12. News Article
    Patients with a lung disease may die before they can be diagnosed with an illness, charities have warned. Those on waiting lists for over a year with severe or worsening symptoms are at a higher risk, says health taskforce. Read full story. Source: The Telegraph, 6 July 2021
  13. Content Article
    Diagnostic errors can result in avoidable harm when undiagnosed conditions remain untreated or when patients undergo unnecessary (or harmful) tests. This study seeks to estimate the incidence and origins of avoidable harm from diagnostic errors in English general practice. It defines diagnostic errors as missed opportunities to make a correct or timely diagnosis based on the evidence available. The authors conclude that although missed diagnostic opportunities (MDOs) occurred in fewer of 5% of the investigation consultations they analysed, high numbers of primary care contacts nationally suggest that several million patients are potentially at risk of avoidable harm from MDOs each year.
  14. Content Article
    This report from The National Academies of Sciences, Engineering and Medicine highlights three key themes around the issue of diagnostic error: The importance of diagnostic error in patient safety and the need to give the subject more research attention The central role that patients play in helping to avoid diagnostic error. The idea that diagnosis is a collaborative effort involving intra- and interprofessional teamwork. It also looks at several specific issues that must be addressed to reduce diagnostic errors.
  15. Content Article
    In this opinion piece, Becky Tatum discusses how genetic profiling of patient's tumours can lead to more personalised cancer therapy/treatment options with better outcomes.
  16. Content Article
    A recording of the recent webinar, moderated by Dr Charlotte Tai, discussing the lessons learnt and advances in practice in diagnosis, treatment, and prevention of ventilator-associated pneumonia. This is available for everyone to watch but you will need to provide an email address to request access.
  17. Content Article
    Neonatal herpes is a rare, and potentially fatal, disease which usually occurs in the first four weeks of a baby's life. Early recognition and treatment have been shown to significantly improve babies' chances of making a full recovery. In the second blog of this series, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, shares Kit’s story, who died at just 13 days old. Sarah reflects on a number of ‘missed signs’, highlighting the urgent need for increased awareness among staff.  
  18. News Article
    Monica Evans's initial misdiagnosis could have proved life-threatening – and she is just one of many to have suffered during pandemic. Since The Telegraph began reporting on the struggles of patients around the country to access GP services during the pandemic, they have been inundated with messages and letters. There have been multiple stories of serious misdiagnoses made after telephone consultations with doctors that took place in lieu of face-to-face assessments; of interminable waits to get through to practices on jammed phone lines; and of lengthy delays while worried patients have waited for referrals to be made. Those who shared their experiences have also shared their fury, frustration, fear and dismay. Some who could afford to have felt they had no option but to turn to private healthcare, unable to obtain the help they needed from an NHS struggling with Covid and all its knock-on effects. Others have been left with nowhere to turn. GPs have spoken, too, about their dissatisfaction with a system that has discouraged face-to-face consultations. Amid an outpouring of anger from both patients and doctors, NHS England yesterday rowed back on plans for "total triage" of patients to keep them out of surgeries whenever possible. But for many the damage has already been done. Read full story (paywalled) Source: The Telegraph, 13 May 2021
  19. News Article
    Patients awaiting a diagnostic test are to be assessed according to risk of becoming disabled as the service tries to prioritise in the face of huge backlogs. NHS England guidance released yesterday said local teams should categorise diagnostic waits on a four-point scale so those in most urgent need are seen first. It said this would mean, “recognising that for less urgent or routine diagnostics, some patients may experience a delay”. The diagnostics data for February showed 1.15 million people waiting for a test, compared to 1.08m in February 2020 – however, the proportion of people waiting more than 13 weeks rose from 0.6% in 2020 to 28.5% this year. The number of people on the list waiting more than six weeks also increased five-fold over the year. No more than 1% of patients are supposed to wait longer than six weeks for a diagnostic test, under government waiting time standards. The NHS England guidance puts diagnostics on the same footing as elective treatment, which has been organised according to clinical priority – P1 being the most urgent P4 being the least — since shortly after the pandemic hit last year. Read full story (paywalled) Source: HSJ, 13 May 2021
  20. Content Article
    Diagnostics function as a compass in healthcare. They help determine the cause of a person’s condition, thus steering the healthcare provider towards the appropriate treatment or care pathway to address a disease and determine whether the approach is working. Despite their value in the healthcare delivery system, innovation, implementation, reimbursement and accessibility include barriers that constrain the use of diagnostics, particularly in low- and middle-income countries (LMICs), where increased availability could lower healthcare costs while saving lives. How can leaders increase affordable access to essential diagnostics globally? How can diagnostic advances be supported without contributing to growing disparities across the globe? This report seeks to address these questions through a landscape review of the global diagnostic ecosystem – including identifying key stakeholders, barriers and enablers along the product life cycle and the effectiveness of diagnostics – while highlighting the various challenges, opportunities and potential solutions across high-income countries and LMICs.
  21. Content Article
    Think Aorta is a global campaign focused on the problem of misdiagnosis and delay in acute aortic dissection. It was created and is led by Aortic Dissection Awareness UK & Ireland. Think Aorta provides free, accredited learning resources for emergency medicine and radiology teams and for first responders, improving their ability to spot a time-critical, life-threatening aortic dissection and take appropriate action.
  22. News Article
    The number of people being diagnosed with cancer early in England has plummeted during the Covid pandemic, sparking fears that many will only be treated when it is too late to save them. Official figures show a third fewer cancers were detected at stage one, when the chances of survival are highest, in the early months of the pandemic than during the same months a year before. Cancer experts fear that the figures, which have been collected by Public Health England’s National Cancer Registration and Analysis Service, mean thousands of people have the disease but have not yet started treatment because of “a shift to later diagnosis”. They urged anyone with possible symptoms of the disease to get them checked out immediately. “While it’s fantastic that Covid rates are dropping and lockdown is easing, the knock-on impact of the pandemic on cancer care cannot be overstated,” said Steven McIntosh, the executive director of advocacy and communications at Macmillan Cancer Support. “We are likely to be dealing with Covid’s long shadow for many years to come.” Read full story Source: The Guardian, 5 May 2021
  23. Content Article
    The Aortic Dissection Charitable Trust aims to improve the diagnosis of aortic dissection and bring consistency of treatment across the whole patient pathway. They accomplish this through: Increased access to education for medical professionals and patients in the UK & Ireland Working with those responsible for Healthcare policy in the UK & Ireland to ensure that there is consistency in the provision of diagnosis for acute aortic dissection, specialised follow-up for survivors and access to clinical genetics for relatives Promoting funding for medical research into the detection, prevention, treatment and cure of aortic dissection. Follow the link below to access their resources.
  24. Event
    Since the emergence of the disease, severe Covid infections have been associated with a risk of severe and dangerous coagulopathy. And in recent weeks two vaccines have been linked to a rare increased risk of clotting, in particular cerebral sinus venous thrombosis (CSVT) which requires urgent and specific treatment. This Royal Society of Medicine webinar will tell the story of our understanding of these coagulation disorders, looking at the causes, risks, diagnosis, and treatments. Register
  25. Content Article
    Clare Rayner is a retired occupational health doctor who caught Covid-19 in March 2020. Clare has since worked with medical colleagues to raise awareness of their concerns associated with prolonged symptoms, also referred to as Long Covid. They have also contributed to the NHS England (NHSE) Long Covid Taskforce as patient/patient group representatives. One year on from her initial infection, Clare draws on personal and professional insight to explain why people living with Long Covid continue to feel let down, abandoned and frightened. 
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