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Found 93 results
  1. Event
    A recent report published by the BMJ found that many doctors have difficulty in DNACPR discussions. Chaired by Davina Hehir Director of Policy & Legal Strategy Compassion in Dying, conference will focus on the important issue of effective person centred practice in CPR decisions and communication. By attending you will have the opportunity to hear from Rosie Benneyworth Chief Inspector of Primary Medical Services and Integrated Care Care Quality Commission who will discuss what we've learnt from the pandemic, including: the rapid review of how cardiopulmonary resuscitation decisions
  2. Content Article
    'Dr Lucy Johnstone, one of the lead authors of the Power Threat Meaning Framework, said: "The Power Threat Meaning Framework can be used as a way of helping people to create more hopeful narratives or stories about their lives and the difficulties they have faced or are still facing, instead of seeing themselves as blameworthy, weak, deficient or ‘mentally ill’. It highlights and clarifies the links between wider social factors such as poverty, discrimination and inequality, along with traumas such as abuse and violence, and the resulting emotional distress or troubled behaviour, whet
  3. Content Article
    The report makes the case that shared decision making, when patients and doctors work together to decide treatment options, provides benefits to patients and the health service. It also outlines that patients, and the professionals treating them, face many barriers in making this work in practice. Recommendations It sets out a number of recommendations aimed at making shared decision making a reality: National health leaders must address the barriers in the health system to shared decision making and champion the practice. There should be greater promotion of the inform
  4. Content Article
    ‘Work as done’ Because healthcare is constantly evolving and complex, by looking more closely at everyday work and finding out what actually happens, it allows an understanding of what it is, that frontline clinicians do to ensure successful outcomes. This is termed as looking at 'work as done' and informs us about the nuances, the adjustments, the compromises, the workarounds, the actions and the decision making that is taken to meet the needs of the patients they are caring for. ‘Work as done’ is a combination of expertise, clinical decisions, experience and tacit knowledge. It is
  5. Content Article
    What's new in the NICE shared decision making guideline? The three main areas of recommendations are: organisational practise related and recommendations on communication and documentation. On an organisational level, the 2021 NICE guideline on shared decision making asks organisations to consider the following: making a senior leader accountable for the leadership and embedding of shared decision making appointing a patient director to work with this senior leader. The guidance also states that for effective shared decision making, appointments or c
  6. Event
    until
    This session presented by AfPP, aims to help attendees understand more about patient informed consent and shared decision-making. Learning outcomes: Understanding management, around issues of consent. Recognise the importance and relevance of the Montgomery legislation in the model of shared decision making. Gain insight around empowerment of the patient in informed consent. Be able to explore issues around extended roles in shared decision making. Register
  7. Content Article
    The Prescribing Competency Framework covers 10 areas, all of which are essential to medication safety. In plain language they are: The consultation Assessment of the patient’s presenting complaint and medical history and other areas such as medicines history, adherence[3] and Safeguarding. Prescribing options (including stopping / reducing medicines). Always Involving the patient, including reaching a ‘shared decision’ on the treatment, or respecting the patient’s right to refuse.[3] Writing legible / legal prescriptions, with full & unambiguous directions.
  8. Content Article
    A recent blog I wrote (see link below) brings together key information for clinicians, and especially for prescribers, from a variety of sources, including patients, relatives and carers. The aim is to help to prevent patients with autism and learning disabilities being harmed by inappropriate medicines. I began this in 2018 following the death of Oliver McGowan, which I cover in teaching for (non-medical) prescribing students and in my clinical education work. It links to the NHS Learning Disability Mortality (LeDeR) Review Programme. Key points: Most of the prescribing in thi
  9. Content Article
    Martin has now passed the blog baton onto me. There will also be others contributing in due course to continue the thought-provoking and stimulating dialogue. Martin likes to quote Greek philosophy, but I rather like these words of Oscar Wilde: “Religions die when they are proved to be true. Science is the record of dead religions” As an agnostic Human Factors person, I’m not here to preach to the converted and I’m not evangelical about the ‘religion’ of Human Factors… it’s an important part of many things but the key word here is ‘part’ – it is vital that we understand things as bei
  10. Content Article
    Let’s imagine that you’re in your early 70s and you have a few chronic health problems. Your mobility has been getting worse due to arthritis in your hip. You’ve tried pain killers, had some physiotherapy and now use a stick but the pain and restriction in your function is getting you down. Your GP refers you to your local hospital to see an orthopaedic surgeon to discuss surgery. How do you know if having surgery is the right decision for you? On the face of it the decision may seem easy; have the surgery to cure the problem. Indeed many, or even most of us, would choose this option to b
  11. Content Article
    Key findings Fear of catching and becoming seriously ill with COVID-19 outweighed concerns about respondents’ existing health conditions. Around 1 in 3 people said they had delayed healthcare and this was broadly consistent across all conditions. This rose to 2 in 5 for people with diabetes, lung disease and mental health conditions. People had switched to home therapy, delayed starting new treatments, avoided routine medication monitoring or self- managed. Some felt their health had deteriorated while they waited for the pandemic to abate.
  12. News Article
    Hundreds of people with haemophilia in England and Wales could have avoided infection from HIV and hepatitis if officials had accepted help from Scotland, newly released documents suggest. A letter dated January 1990 said Scotland’s blood transfusion service could have supplied the NHS in England and Wales with the blood product factor VIII, but officials rejected the offer repeatedly. Large volumes of factor VIII were imported from the US instead, but it was far more contaminated with the HIV and hepatitis C viruses because US supplies often came from infected prison inmates, sex wo
  13. Content Article
    This issue of Hindsight includes articles on: Malicious compliance by Sidney Dekker Can we ever imagine how work is done? by Erik Hollnagel Safety is in the eye of the beholder by Florence-Marie Jegoux, Ludovic Mieusset and Sébastien Follet I wouldn't have done what they did by Martin Bromiley
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