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News ArticleRaDonda Vaught was sentenced to three years of supervised probation on the 13 May for a fatal medication error she made in 2017 while working as a nurse at the Vanderbilt University Medical Center in the USA. In remarks made during the sentencing hearing, Ms. Vaught expressed concerns over what her case means for clinicians and patient safety reporting. "This sentencing is bound to have an effect on how [nurses] proceed both in reporting medical errors, medication errors, raising concerns if they see something they feel needs to be brought to someone's attention," she said. "I worry
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NHS prescription charges in England to be frozen
Patient Safety Learning posted a news article in News
NHS prescription charges in England are to be frozen for the first time in 12 years, the government has confirmed. Single prescription charges, which the Department of Health said would normally rise "in line with inflation", will remain at £9.35 until next year. Health Secretary Sajid Javid said freezing the costs would "put money back in people's pockets". Faith Angwet, a single mother of two, said she had to choose between paying for prescriptions to treat for her high blood pressure, or using that money to feed her children. She said the price freeze "won't go far" beca -
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EventPart of the ongoing series of monthly webinars on WHO Global Patient Safety Challenge: Medication Without Harm. Unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in health care systems across the world. WHO Patient Safety Flagship has initiated a series of monthly webinars on the topic of “WHO Global Patient Safety Challenge: Medication Without Harm”,. The main objective of the webinar series is support implementation of this WHO Global Patient Safety Challenge: Medication Without Harm at the country level. Considering the huge burden of m
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Content ArticleADRe 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
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News ArticleWomen and babies in the UK are “dying needlessly” because of a lack of suitable medicines to use in pregnancy, according to a report that calls for a radical overhaul of maternal health. A “profound” shortage of research and the widespread exclusion of pregnant and breastfeeding women from clinical trials means hardly any new drugs are approved for common medical problems in pregnancy or soon after childbirth, the report finds. Meanwhile, scarce or contradictory information about the safety of existing medicines women may be taking for continuing conditions can make it impossible to
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Content ArticleRecommendations Deliver effective advocacy for medicines in pregnancy through a coalition of pregnancy and baby charities, working together with the public, researchers from academia and industry as well as Government to create a shared vision for safe medicines evaluation and development in pregnancy. This will allow for clear and consistent messages to the public and clinicians. Pregnant women should be offered the opportunity to take part in all clinical trials of medicines that could be used in pregnancy, unless there are specific safety concerns. Prioritise updates for
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Content ArticleEveryone who works in health and social care should listen to this podcast in full. I've followed Will's search for justice and I am proud to know Will. A man of great integrity who is campaigning for an individual #dutyofcandour in #healthcare, for the benefit of us all. I remain shocked, when I teach on this, how few know Robbie's story. There has been so much lost learning, a failure of accountability, and a failure to deliver an effective statutory duty of candour. For me, this appalling story of failure and cover up highlights clearly why we have to recognise the value of w
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News ArticleRemdesivir has no significant effect on patients with Covid-19 who are already being ventilated but has a small effect against death or progression to ventilation among other patients admitted to hospital, the World Health Organization’s Solidarity trial has found. This appears to be a change from findings reported in February 2021, when preliminary trial data suggested that remdesivir “had little or no effect on patients admitted to hospital with Covid-19.” The updated results, published in the Lancet, reported that overall 14.5% of patients assigned to remdesivir died compared with
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Clinical negligence: Update for clinicians & managers
Patient Safety Learning posted a calendar event in Community Calendar
This conference, chaired by Simon Hammond Director of Claims Management NHS Resolution will update clinicians and managers on Clinical Negligence with a particular focus on current issues and the Covid-19 pandemic and the impact on clinical negligence claims. Featuring leading legal experts, and experienced clinicians the event will provide an update on current claims the conference will discuss why patients litigate, and responding to claims including claims regarding Covid-19. There will be an extended masterclass on trends in clinical negligence claims and responding to claims followed by -
Content ArticleThrough the proposals outlined in this consultation the MHRA aims to: actively manage conflicts of interest and associated issues of gifts, hospitality, other payments and influence. proactively support individuals to ensure that they know what is and is not acceptable – to prevent wrongdoing from occurring. provide the public with accessible information so that they can see what is happening and, where appropriate, ask questions. take firm and decisive action when individual wrongdoing is discovered – including where appropriate, disciplinary action.
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'The thought of running out of HRT is terrifying'
Patient Safety Learning posted a news article in News
A shortage of specific types of hormone-replacement therapy (HRT) has left women struggling with untreated symptoms of the menopause. Demand for prescriptions has more than doubled since 2017 - partly because of work by campaigners to extend access - but supply of some products has not kept up. Yasmin Darling's experience of the menopause was sudden and profound. Two years ago, she had two operations to reduce her risk of inherited cancer which plunged her into an early menopause. "It's really hard to navigate medical menopause 10 years early," the 45-year-old says. "When you do -
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A recent investigation report published by HSIB intends to improve patient safety in relation to the use of oral morphine sulfate solution (a strong pain-relieving medication taken by mouth).[1] The investigation focused on the case of Len, who took an accidental overdose of morphine sulfate oral solution. He had previously been diagnosed with Charcot-Marie-Tooth disease, a progressive disease that affects the nervous system, and had been prescribed morphine sulfate by his GP for persistent symptoms of breathlessness and pain following a fall. Len was prescribed morphine sulfate, whi -
Content ArticleFindings The initial choice of paracetamol and ibuprofen to control Len’s pain following his fall was in line with national guidance. Len’s pain was not effectively controlled on paracetamol and ibuprofen, therefore required review by his GP to address this. The choice of a morphine liquid was in line with national guidance and a reduced morphine dose was prescribed in line with recommendations for the older person and Len’s degree of kidney dysfunction. Len’s dose of morphine was displayed on the dispensing label attached to the outer box that the morphine was provide
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Pharmacies in Wales to help GPs prescribe medicines to patients
Patient Safety Learning posted a news article in News
Nearly a third of community pharmacies in Wales should be able to prescribe medicines for NHS patients, including antibiotics, by the end of this year, health officials say. It is the first new service of its kind in the UK. The aim is to take the pressure off GPs at a time of increasing strain on the NHS. Scotland has adopted a similar approach but England and Northern Ireland have not so far. Community pharmacies in Wales are allowed to offer prescriptions of medicines for acute illnesses such as urinary tract and respiratory infections, gout and chronic pain, as well as emerg -
Content ArticleKey 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
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Content ArticleKey findings from the 2021 survey include: 95% of respondents said they reported errors to improve pharmacy practice and 80% said they reported in order to help others learn from mistakes. The vast majority (91.4%) of respondents said the reporting procedure was “clear” or “very clear” and a similar proportion (91.6%) said they felt “fairly confident” or “completely confident” following reporting procedures correctly. Almost two thirds (65%) of respondents were aware of the change to the law, introduced in 2018, which provides a legal defence from criminal prosecution in th
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Women asked if bladder drug should be available to buy
Patient Safety Learning posted a news article in News
A pill to help treat an overactive bladder - which affects millions of women - could soon be available to buy in the UK without prescription. The Medicines and Healthcare products Regulatory Agency (MHRA) wants women and doctors to submit their views. Aquiette tablets treat the "urge to pee" condition which can cause frequent toilet trips and distressing accidents. Symptoms include having to urinate at least eight times a day and more than once during the night. It would be the first time a medicine for the treatment of overactive bladder would be available without prescription. -
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Pharmacists in England face abuse from patients due to drug shortages
Patient Safety Learning posted a news article in News
Pharmacy staff in England are facing growing abuse and aggression from patients frustrated that drug shortages mean they cannot get their usual medications, a survey reveals. The hostility, including swearing and spitting, comes as availability of medicines is becoming more uncertain as a result of Brexit, the Covid pandemic and ingredient supply problems. Hormone replacement therapy drugs are in short supply in many places, affecting women undergoing menopause, for example. Half of pharmacists and counter staff say the unpredictability is causing problems for customers managing thei -
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