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ADRe is designed for use by nursing staff (NVQ level 3-5 or above), the professionals closest to patients. By using ADRe complex information on drugs is combined into a checklist providing advice on common problems. This helps nurses recognise and act on adverse drug reaction, including pain, dental pain, aggression, peptic ulcers, and sedation. In doing so, it greatly enhances the administration of medicines, and by capturing this individualised picture of the patients’ health and well-being prompts prescribers to refine dosages. ADRe is very simple to use: Nurses use the Profile- Posted
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Key recommendations Democratising access Governments should: Fund annual medicine reviews to help people with chronic conditions with decision making and any identified gaps in care, and report on the number of medicine reviews conducted every year across different demographic groups. Prevent co-payments from causing a barrier to adherence, as evidence shows they can hinder people from taking prescribed medication. Invest in HCP training programmes on behaviour change to supply workers with the requisite skills and knowledge to support adherence to medication regim- Posted
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News Article
US doctor accused of killing 14 patients found not guilty
Patient Safety Learning posted a news article in News
In an unprecedented murder case in the United States about end-of-life care, a physician accused of killing 14 critically ill patients with opioid overdoses in a Columbus, Ohio hospital ICU over a period of 4 years was found not guilty by a jury Wednesday. The jury, after a 7-week trial featuring more than 50 witnesses in the Franklin County Court of Common Pleas, declared William Huse not guilty on 14 counts of murder and attempted murder. In a news conference after the verdict was announced, lead defense attorney Jose Baez said Husel, whom he called a "great doctor," hopes to pract -
Content Article
Case submission When submitting a case, the following information is required. Title (please provide an appropriate title for the case). Patient Description (describe the patient [as much as you would in a case summary] at the time of the event of interest) Nature of Error (the nature of the error and any relevant events or contributing factors) Impacts/Effects (describe the impact of the error on the patient and state whether the patient was harmed or required increased level of care, even if only temporarily) How Error was Recognised (if not noted above,- Posted
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Patient Safety Journal
Claire Cox posted an article in Suggest a useful website
Patient Safety - March 2022 Patient Safety - January 2022 Special Issue: Pharmacy Education and Practice Patient Safety - December 2021 Patient Safety - September 2021 Patient Safety - June 2021 Patient Safety - March 2021 Patient Safety-December 2020 Patient Safety - September 2020 Patient Safety Journal - June 2020 Patient Safety March 2020 Patient Safety - December 2019 Patient Safety - September 2019- Posted
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#MedSafetyWeek November 2021: support the safety of vaccines
Patient Safety Learning posted a news article in News
This week is the MHRA's sixth annual #MedSafetyWeek social media campaign. This year’s campaign theme is reporting suspected side effects following vaccination. This forms part a global effort by national medicines regulatory authorities from over 60 countries and their stakeholders to raise awareness about the importance of reporting. Vaccines are life-saving medicinal products that are given to protect individuals against serious infections and sometimes the most effective way to prevent infectious diseases. The MHRA are calling on all healthcare professionals (HCPs), nationa -
News Article
As part of wide-reaching work being carried out to review the methods and processes the National Institute for Health and Care Excellence (NICE) uses to develop guidance, the organisation has launched a public consultation on proposals for changing how it selects the topics it will develop guidance on. Covering guidance on medicines, medical devices and diagnostics, the proposals clarify the criteria which would see a device or diagnostic selected for NICE guidance development. In particular, these include where costs and impacts are expected to be significantly cost-incurring or cos- Posted
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NHS compensation payouts have doubled in six years, figures show
Patient Safety Learning posted a news article in News
NHS Payouts linked to medication blunders have doubled in six years, fuelling record spending, official figures show. The NHS figures show that in 2019/20, the health service spent £24.3 million on negligence claims relating to medication errors - up from £12.8 million in 2013/14. The statistics show that in the past 15 years, almost £220 million has been spent on claims relating to the blunders. Previous research has suggested that medication errors may be killing up to 22,000 patients in England every year. Errors occur when patients are given the wrong drugs, doses which are too h- Posted
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Advice for healthcare professionals do not use glucose-containing solutions as infusates for maintaining arterial line patency, unless there are no suitable alternatives saline infusions are recommended as the flush solution for arterial lines, to minimise the risk of incorrect blood glucose estimation and inappropriate insulin administration if samples are drawn from arterial lines for estimation of biochemistry, a minimum volume of three times the dead space of the cannula system should be discarded first to avoid contamination[^4] remain vigilant when selecting a sol- Posted
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The guidance supports doctors to be able to prescribe safely for their patients, whatever the setting. It sets out the GMC standards for good practice when prescribing face to-face or remotely, when prescribing unlicensed medicines and for when patient care is shared with another doctor Key updates include: new advice for doctors to stop prescribing controlled drugs without access to patient records, except in emergencies. stronger advice on information sharing, making it clear that if a patient refuses consent to share information with other health professionals it may be unsa- Posted
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This is a template that can be used by health professionals carrying out medicines reconciliation.- Posted
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The procedure describes immediate action to ensure patient safety, grading of errors (where appropriate) and longer term actions to ensure that individuals, team, group and organisation can learn from errors. This policy is specifically written for all registered staff involved in the prescribing, dispensing, administering or monitoring of medication. The policy is also relevant for managers of such staff and gives instruction for managing staff who have been involved in a medication error.- Posted
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OptiMed-ID is an innovation unique within the UK, which uses robotic technology and logistics software to produce and deliver individual doses of medication within an acute hospital setting. It enables complete control of medicine prescribing, supply and administration, reducing medication errors and cutting waste. Already deployed and delivering significant cost savings in 20 hospitals in Italy, the independent evaluation work – completed December 2015 – has confirmed that the use of “optimisation of medicines with individual dosing” (OptiMed-ID) in an NHS acute hospital setting can deli- Posted
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News Article
1,000-year-old eye infection potion found to tackle antibiotic-resistant infections
Clive Flashman posted a news article in News
Antibiotic resistance is an increasing challenge for modern medicine as more naturally occurring antimicrobials are needed to tackle infections capable of resisting treatments currently in use. New research from the University of Warwick has investigated natural remedies to fill the gap in the antibiotic market, taking their cue from a 1,000-year-old text known as Bald's Leechbook. Read the full article here.- Posted
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ECRI - Top 10 Patient Safety Concerns 2020
Claire Cox posted an article in International patient safety
ECRI’s list of patient safety concerns for 2020: 1. Missed and delayed diagnoses—Diagnostic errors are very common. Missed and delayed diagnoses can result in patient suffering, adverse outcomes, and death. 2. Maternal health across the continuum—Approximately 700 women die from childbirth-related complications each year in the U.S. More than half of these deaths are preventable. 3. Early recognition of behavioural health needs—Stigmatisation, fear, and inadequate resources can lead to negative outcomes when working with behavioural health patients. 4. Responding to and lea- Posted
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News Article
Tennessee Board of Nursing’s unjust decision to revoke nurse’s license
Patient Safety Learning posted a news article in News
The US Institute for Safe Medication Practices (ISMP) has expressed its shock that the Tennessee (TN) Board of Nursing has recently revoked RaDonda Vaught’s professional nursing license indefinitely, fining her $3,000, and stipulating that she pay up to $60,000 in prosecution costs. RaDonda was involved in a fatal medication error after entering “ve” in an automated dispensing cabinet (ADC) search field, accidentally removing a vial of vecuronium instead of VERSED (midazolam) from the cabinet via override, and unknowingly administering the neuromuscular blocking agent to the patient.- Posted
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This information pack is aimed at healthcare students from any role/sector. It has an array of resources to be downloaded including: an e-learning module on Anti microbial resistance (AMR) shared learning articles from other trusts a video explaining what AMR is a range of blogs leaflets and infographics quizzes.- Posted
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News Article
A trial has been launched in the UK to test whether ibuprofen can help with breathing difficulties in COVID-19 hospital patients. Scientists hope a modified form of the anti-inflammatory drug and painkiller will help to relieve respiratory problems in people who have more serious coronavirus symptoms but do not need intensive care unit treatment. Half the patients participating in the trial will be administered with the drug in addition to their usual care, while the other half will receive standard care to analyse the effectiveness of the treatment. Read full story Source: -
Community Post
See Rob Hackett's video on the hub: Indistinct Chlorhexidine: Patients suffer unnecessarily – the reason is clear Rob highlights the story of Grace Wang. In 2010 Grace Wang was left paralysed after an accidental epidural injection with antiseptic solution (indistinct chlorhexidine – easily mistaken for other colourless solutions). This same error continues to play out again and again throughout the world. Do you have evidence or data from your organisation or healthcare system. Comment below or email: info@pslhub.org We will ensure confidentiality.- Posted
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