During an online meeting with the Patient Engagement Advisory Committee of the US Food and Drug Administration, I was struck by the huge problems that continue to exist around medical device recalls. I have been campaigning on these issues since 2015 and progress has been painfully slow. Although the meeting had a US-focus, the issues addressed are global. Medical devices travel across the world to be implanted in or used by patients - we have the technology to keep track of them and if we don’t start using it, an increasing number of patients will be harmed.
Here are some of the issues r
The authors found that:
PSHs are feasible and effective for improving teamwork and safety culture, especially for nurses.
PSH fidelity criteria may need adjusting to include factors deemed most useful by frontline staff.
future work should examine inter-disciplinary and role-based differences in outcomes.
Joshua Sahota had been admitted to Southgate Ward at Wedgewood House on 9 August 2019 following a stay as an inpatient at Addenbrookes Hospital, where he had been seen by a psychiatrist and deemed to be at a continuing high risk of self-harm.
His family were asked to take fresh clothes to the Southgate Ward, which they did so in a plastic carrier bag. It had not been communicated to them that this was a ‘restricted item’ on the ward. Joshua was subsequently transferred to Northgate Ward, also within Wedgewood House, on the 15 August 2019. On the 9 September 2019, Josh was found in his roo