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Showing results for tags 'Doctor'.
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Content ArticleThis study in the journal Rheumatology looked at the experience and views of rheumatology patients and clinicians regarding telemedicine. The Covid-19 pandemic has forced a rapid transition towards telephone consultations, but there are still many research gaps in understanding the safety and acceptability of telemedicine.
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- Medicine - Rheumatology
- Consultation
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Content ArticleThese free e-learning courses about communicating the potential harms and benefits of treatment to patients have been produced by the Winton Centre for Risk & Evidence Communication, the Academy of Medical Royal Colleges in the UK and the Australian Commission on Safety & Quality in Healthcare.
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- Patient engagement
- Communication
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Content ArticleThere are many respects in which the modern medical system is not fit for purpose and poses a threat to human health. In so many situations, our superficial assumptions about medicine are wrong. Having more tests to identify disease is often not better than leaving those “well enough” alone, labelling people with a specific disease may not be helpful, and more medicine may not be better than less medicine or no medicine at all. In our eagerness to intervene, we can end up doing harm. This fits with the estimation that around 30% of medical care is ineffective and another 10% is harmful. But why do doctors recommend tests, or diagnose and prescribe treatments that don’t help people? Ian A Harris, an orthopaedic surgeon, and Rachelle Buchbinder, a professor of clinical epidemiology, discuss in this BMJ opinion article.
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- Doctor
- Patient harmed
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Content ArticleThis guidance from the General Medical Council sets out the how doctors should raise and act on concerns about patient care, dignity and safety.
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- Reporting
- Patient harmed
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Content ArticleThis best practice guideline for healthcare professionals covers optimum injection technique for people with diabetes taking injectable medications. It is an update to the original Injection Technique Matters guideline published in 2009.
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- Diabetes
- Medicine - Diabetes and Endocrinology
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Content ArticleResearch shows that patient safety walk rounds are an appropriate and common method to improve safety culture. This observational study in The Joint Commission Journal on Quality and Patient Safety combined walk rounds with observations of specific aspects of patient safety and measured the safety and teamwork climate. Healthcare workers were observed in specific aspects of patient safety on walk rounds in eight settings in a Swiss hospital. They were also surveyed using safety and teamwork climate scales before the initial walk rounds and six to nine months later. The authors evaluated the implementation of planned improvement actions following the walk rounds. The authors found that walk rounds with structured in-person observations identified safe care practices and issues in patient safety. However, improvement action plans to address these issues were not fully implemented nine months later, and there were no significant changes in the safety and teamwork climate.
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- Hospital ward
- Doctor
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Content ArticleHealthcare workers have had the longest and most direct exposure to COVID-19 and consequently may suffer from poor mental health. Quintana-Domeque et al. conducted one of the first repeated multi-country analysis of the mental wellbeing of medical doctors at two timepoints during the COVID-19 pandemic to understand the prevalence of anxiety and depression, as well as associated risk factors. Rates of anxiety and depression were highest in Italy (24.6% and 20.1%, June 2020), second highest in Catalonia (15.9% and 17.4%, June 2020), and lowest in the UK (11.7% and 13.7%, June 2020). Across all countries, higher risk of anxiety and depression symptoms were found among women, individuals below 60 years old, those feeling vulnerable/exposed at work, and those reporting normal/below-normal health.
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Content ArticleFollowing the major disruption to postgraduate medical education during the last year of the COVID-19 pandemic, Health Education England (HEE) has worked with NHS England & NHS Improvement, NHS Employers, the Department of Health and Social Care, the General Medical Council, the Academy of Medical Royal Colleges, and others to support training recovery as an urgent priority and mitigate the impact of the pandemic on doctors in training.
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Content ArticleThis editorial in BMJ Quality & Safety suggests that individual doctors' conduct, performance and responsibility are important factors in improving patient safety. The authors argue that although a 'systems approach' is important, it is necessary to examine the role of individuals within those systems. They highlight recent research that points to small numbers of individual doctors who contribute repeatedly to patient dissatisfaction and harm, and to difficult working environments for other staff. They suggest that identifying and intervening with these individuals plays a role in the wider systems approach to patient safety. They also highlight an urgent need for further research into identifying and responding to problematic clinicians.
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Content ArticleThis article, published by the BMJ, discusses mandatory and voluntary medical error reporting programmes and comments that voluntary reporting by practitioners is usually more useful.
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- Human error
- Reporting
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Content ArticleAbi Rimmer asks four experts whether doctors must be vaccinated against COVID-19 in this BMJ article.
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- Virus
- Vaccination
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Content ArticleAs part of a Patient Safety in Surgery Webinar Series held by Massachusetts General Hospital’s COMPASS (Center for Outcomes and Patient Safety in Surgery), Vivian Lee, president of Verily Health Platforms, shares strategies for leading quality improvement and change to work toward a healthcare system that provides better care, more efficiently and at a lower cost.
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- Patient engagement
- Surgery - General
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Content Article
How bad “cognitive ergonomics” can drain doctors’ brainpower
Patient-Safety-Learning posted an article in Culture
This article by Tanya Albert Henry discusses poor “cognitive ergonomics” and how the American Medical Association has studied burnout among doctors and is currently addressing issues causing and fuelling physician burnout—including time constraints, technology and regulations—to better understand and reduce the challenges physicians face.- Posted
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- Doctor
- Staff safety
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Content ArticleThis article discusses what advocacy actually entails and what values it ought to embody. The paper considers whether advocates are necessary since not only can they be dangerously paternalistic, but the salutary values advocacy embodies are already part of good professional health care.
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Content ArticleThis article by Dean K Wright describes the definition of 'advocate' and discusses how a doctor can best support their patient, particularly in regards to advocating for their patients rights and/or needs and in cases of child abuse and barriers to effective patient care.
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Content ArticleThis manuscript provides a comprehensive overview of what healthcare worker support models are available in Canada and internationally. It outlines best practice guidelines, tools and resources that policy makers, accreditation bodies, regulators and healthcare leaders can use to assess the support needs of healthcare workers. The Canadian Peer Support Network is intended as a forum for healthcare organisations seeking guidance in the development of their Peer Support Programs to assist providers who have experienced a patient safety incident. These interventions aim to improve the emotional well-being of healthcare workers and allow them to provide the best and safest care to their patients.
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- Safety culture
- Staff safety
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Content ArticleThis article by Angira Patel discusses the importance of health advocacy and a clinicians professional responsibility towards their patients. Angira also describes current attitudes and practices surrounding advocacy, particularly within the political and social sphere.
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- Doctor
- Paediatrics
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Content Article
‘Mistreatment’ due to the colour of your skin
Becky T posted an article in Health inequalities
A blog highlighting the barriers in healthcare faced by patients due to the colour of their skin.- Posted
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Content ArticleThis resource, published by the AHA Physician Alliance and the American Hospital Association, is a guide for health system leaders developing well-being programmes, focusing on the challenges of burnout due to COVID-19. This resource is in two-parts: COVID-19-specific resources and a guide to walk you through well-being program development and execution. These resources will help leaders build on tools already in place and learn from others who are doing this work.
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- Safety culture
- Staff safety
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Content ArticleThis article, published in Social and Personality Psychology Compass, looks at the biopsychosocial model as a dynamic system of multiple contextual factors that influence health.
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Content Article
Staff safety and wellbeing
Becky T posted an article in Staff safety
An original article that explores the significance of both staff physical safety in the workplace as well as their psychological safety and wellbeing. In particular, I highlight the impact the COVID-19 pandemic has had on both these areas, and discuss the importance of ensuring all aspects of staff safety.- Posted
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- Psychological safety
- Physical environment
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Content Article
Biopsychosocial Model
Becky T posted an article in Organisational
This collection of chapters surrounding the Biopsychosocial Model covers the background to the model and it's implications in areas of medicine as diverse as gastrointestinal diseases and mental health disorders. -
Content ArticleThis rapid response to the article 'What is a good doctor and how can we make one?', published on the BMJ website, discusses the background to the Biopsychosocial Model and it's implications in clinical practice today. The author highlights the importance of taking psychosocial factors into consideration, such as diet or loneliness, in order to improve individualised patient treatment.
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- Psychological safety
- Doctor
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