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Found 247 results
  1. Gallery Image
    Learning from COVID-19 medical errors.jpg
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    Patients have been significantly harmed, including suffering permanent damage to their liver, after being given accidental overdoses of paracetamol in hospital. The NHS safety watchdog the Healthcare Safety Investigation Branch (HSIB) has now launched a national investigation after a number of incidents where adults with a low bodyweight were given too much paracetamol through an infusion, or IV drip, directly into their bloodstream. The Independent understands there were three incidents reported by NHS staff in 2020 but there have been others in earlier years including the trigger e
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    A cheap drug, commonly used to treat asthma, can help people at home recover more quickly from COVID-19, a UK trial has found. Two puffs of budesonide twice a day could benefit many over-50s with early symptoms around the world, said the University of Oxford research team. There are also early signs the drug could reduce hospital admissions. The NHS says it can now be prescribed by GPs to treat Covid on a case-by-case basis from today. At present, there are few options for treating people with Covid who are not in hospital, apart from paracetamol. This widely-available asth
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    Coroner, Emma Serrano, concluded in the coroner's report that transplant patients are put on strong immunosuppressive medication to prevent rejection of the transplanted organ. The medication, tacrolimus in Jamie Lee Pools case, has a common known side effect of reducing magnesium levels within the body. This can be life threatening. Despite this, it is not standard practice to regularly test transplant patients magnesium levels. Whilst the Trust providing care for Jamie Lee Poole, has now remedied this, and routinely test posttransplant patients’ for magnesium levels, this is not the cas
  12. Event
    The WHO Patient Safety Flagship: A Decade of Patient Safety 2020-2030 is pleased to invite you to a webinar in the Global Patient Safety Network 2021 webinar series on the third WHO Global Patient Safety Challenge: Medication Without Harm. The aim of this Global Patient Safety Network webinar series is to introduce ongoing activities of the WHO Patient Safety Flagship, with the objective of sharing knowledge and experiences on important topics on patient safety and scaling up implementation. This webinar series is open to everyone who has an interest in patient safety. Learning obje
  13. News Article
    Unpaid carers looking after terminally ill friends and relatives during the pandemic struggled to access pain relief, with some patients dying in unnecessary pain, a survey has found. The survey of 995 unpaid carers by Marie Curie also found people had difficulties getting personal care and respite nursing for loved ones. Figures show the number of people dying at home rose by 42% in the past year. Nearly two-thirds of carers surveyed by the charity said their loved one did not get all the pain relief they needed when they were dying. Susan Lowe, from Solihull, cared for he
  14. Content Article
    Here's a summary of the changes Updates Introduction section is more concise and includes reference to the ‘Competency framework for designated prescribing practitioners’ (published December 2019). Section on ‘Purpose of framework’ has been expanded. Section on ‘Role of professionalism’ has been merged into the framework itself. There have been light amends to some competencies and supporting statements to make them clearer. There will be a Welsh translated version. Additions There are now 75 supporting statements (11 new). There are new 'furth
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    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.
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    IMMDS Meeting 1 Summary (25 February 2021)
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    Doctors ignored the concerns of a seriously ill girl's parents before reducing her pain medication, an inquest has heard. Melody Driscoll, from Croydon, died aged 11 at King's College Hospital (KCH) in July 2018. Her mother Karina Driscoll and stepfather Nigel alleged the actions of KCH reduced Melody's quality of life. She told Southwark Coroner's Court that a reduction in painkillers also contributed to her daughter's death. The family had been in dispute with KCH over the treatment given to Melody, who had several conditions including Rett syndrome, a rare and life-limiting g
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    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
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