NHS Pathways telephone triage system is a clinical decision support system (CDSS) supporting the remote assessment of callers to urgent and emergency services. It is used in the following settings:
Integrated Urgent Care Clinical Assessment Services
NHS 111 Online
To assist in the management of patients presenting to urgent care or emergency departments (Reception Point).
The system is owned by the Department for Health and Social Care, commissioned by NHSx and delivered by NHS Digital.
Key recommendations Data should be collected systematically on cases of Long COVID and presented alongside numbers of cases, hospitalisations and deaths from COVID-19. Building on the experience of the Post-Hospitalisation study, a national register of patients with Long COVID should be established, including those who have not required hospitalisation, to enable long-term follow-up and thus a better understanding of thenatural history of this condition. This should include specific codes for GPs to use so that patients can be followed up and tracked in research studies over the longer term. F
The MHRA safety review examined safety data for risks of major birth defects or abnormalities and concerns with the child’s development including learning and thinking abilities for other key antiepileptic drugs. It found that a number of these epilepsy medicines may be associated with some increased risks in pregnancy.
Valproate (Epilim) is already known to be seriously harmful if taken in pregnancy and should only be prescribed to a woman if a pregnancy prevention plan is in place. Importantly, two antiepileptic medicines in particular, lamotrigine (Lamictal) and levetiracetam (Keppra),
In the late eighties, I attended a presentation on the future of the UK Medtech sector presented on behalf of the government by KPMG. The main message being the government’s desire for the industry to focus on research and development whilst transferring manufacturing to China!
What relevance does this have to patient safety? Fast forward some twenty years and I am presenting the case for adoption of one of our most successful unique patented patient safety products (successful global use at this point around the 5 million patient level) to one of the largest NHS trusts.
The Authors, conclude that whilst healthcare has much to learn from aviation in certain key domains, the transfer of lessons from aviation to healthcare needs to be nuanced, with the specific characteristics and needs of healthcare borne in mind. On the basis of this review, it is recommended that healthcare should emulate aviation in its resourcing of staff who specialise in human factors and related psychological aspects of patient safety and staff well-being. Professional and post-qualification staff training could specifically include Cognitive Bias Avoidance Training, as this appears to p
The outcome is that the RCP released a statement on its website relating to revised guidance on the use of early warning scores for COVID-19 inpatients. The RCP suggest that all staff should be aware that any increase in oxygen requirements should be an indicator of clinical deterioration as the early warning score might not significantly increase.
The aims of this study were to:
eradicate accidental administration of medication into the arterial line and improve arterial line safety
estimate the prevalence of wrong route arterial line drug errors
conduct primary research
implement the NIC in the East of England
assess cost effectiveness and the uptake of the NIC in the East of England
understand the reasons for barriers to adoption.
The purpose of this review from Hutchinson et al. was to systematically examine published and grey research reports in order to assess the state of the science regarding the validity and reliability of the RAI-MDS 2.0 Quality Indicators (QIs).
The authors found that evidence for the reliability and validity of the RAI-MDS QIs remains inconclusive. The QIs provide a useful tool for quality monitoring and to inform quality improvement programs and initiatives. However, caution should be exercised when interpreting the QI results and other sources of evidence of the quality of care processes
The report shows that mortality at 30 days is twice as high in IHF compared to non-IHF. Analysis of the 2018 NHFD data indicates that there is a delay in time to surgery, as well as worse outcomes relating to post-operative mobility, delirium and length of stay.
The report also found high participation levels with full participation from Welsh health boards, very high participation from English acute trusts, and high engagement from English community trusts. An impressive proportion of English mental health trusts registered, despite no previous involvement with NAIF. The submission of ca
Key highlights from the paper
Accountability relationships, as both retrospective and prospective, support just culture.
Lines are fluid in accountability relationships, forcing operators to adapt to changing goals.
Viewing accountability lines as rigid, increases risk and creates double-binds for operators.
Clinging to retrospective accountability reinforces blaming/shaming operators for errors.