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Found 75 results
  1. News Article
    Barts Health NHS Trust has been told to take action to prevent future deaths after an elderly woman was unlawfully killed at one of its hospitals. East London acting senior coroner Graeme Irvine sent a report to the trust in which he raised concerns over the death of 78-year-old Surekha Shivalkar in 2018. The report follows an inquest into Mrs Shivalkar's death, which reached a narrative conclusion incorporating a finding of unlawful killing. A Barts spokesperson said the trust had made a number of changes after carrying out an investigation. Mrs Shivalkar underwent hip rep
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    In this report, the Coroner states their concerns as follows: No formal risk assessment tool was adopted to assess preoperative risk prior to Mrs Shivalkar's total hip replacement revision surgery. Despite policy changes at Barts Heath NHS Trust since 2018, there remains no requirement to utilise such a tool. Poor communication between the orthopaedic surgical team and the anaesthetist during surgery led to a collective failure to identify a critically ill patient. General and non-specific questions regarding the patient's welfare passed between the two teams but no targeted que
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    A perfect storm of pandemic pressures, changes to the medical curriculum and inadequate Health Education England funding threatens to leave 700 anaesthetists without a job this summer, HSJ has learned. The news comes as the NHS prepares to tackle the huge backlog of elective care work that has built up during the pandemic. Anaesthetists will play a critical role in the recovery effort. Each year around 300 higher training, or ST3, places for anaesthetists are offered by the NHS. However, this year there are over 1,000 applicants for these posts. The oversupply has been created by th
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    This book brings together all aspects of perioperative practice in one easy-to-read book: Moves through the patient journey, providing support to perioperative practitioners in all aspects of their role. Covers key information on perioperative emergencies. Includes material on advanced skills to support Advanced Practitioners. Each topic is covered in two pages, allowing for easy revision and reference. This is a must-have resource for operating department practitioners and students, theatre nurses and nursing students, and trainee surgeons and anaesthetists.
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    The anaesthetist has a primary responsibility to understand the function of the anaesthetic equipment and check it before use. Anaesthetists should not use equipment unless they have been trained in its use and are competent to do so. A self-inflating bag should be immediately available in any location where anaesthesia is given. A two-bag test should be performed after the breathing system, vaporisers and ventilator have been individually checked. A record should be kept with the anaesthetic machine that these checks have been carried out. The ‘first user’ check, after servicing, is especiall
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    From the 5365 operations, 188 adverse events were recorded. Of these, 106 adverse events (56.4%) were due to human error, of which cognitive error accounted for 99 of 192 human performance deficiencies (51.6%). These data provide a framework and impetus for new quality improvement initiatives incorporating cognitive training to mitigate human error in surgery.
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    Key findings: 44% of respondents are not confident in their hospital’s ability to provide planned surgery safely while managing COVID-19 demand during future surges. Nearly two-thirds of respondents (64%) have, to some extent during the last month, suffered mental distress because of additional work related stress due to COVID-19. Nearly nine in ten trainees (89%) strongly agree that the pandemic is affecting their training opportunities, career and professional development. Key recommendations: NHS Improvement should publish a new People Plan, with the investment a
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    Key findings 44% of respondents were not confident their hospitals would be able to provide safe COVID and non-COVID services should there be a second surge of infections. Over one third (38%) of respondents also cited low or non-existent rapid testing for staff at their hospitals and one-in-five (20%) said there are currently insufficient infection prevention and control measures to prevent staff from infecting surgical patients with COVID-19. Results also highlighted the increasing trend in mental distress amongst anaesthetists and the disruption to the training opportunitie
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    Anyone who has the pleasure of virtual meetings in the current climate will hear the phrase "I think you’re on mute" at least two or three times a week. And this may not be the only place where people feel they are ‘on mute’. The dangers we know: voices unheard, frustrations hidden, staff feeling overwhelmed, undervalued. So if this is you, here’s three simple tips that may help: Make time to talk things through 1:1 Create a safe space to talk things through with a trusted colleague, maybe your boss or a colleague, a good friend or a trained coach. The NHS Leadership Academy offers a
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