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Showing results for tags 'Patient death'.
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News Article
Infant mortality in Birmingham 'not openly discussed'
Patient Safety Learning posted a news article in News
Infant mortality is not "openly discussed" among some communities, a charity worker in Birmingham said, as the city attempts to tackle a long-standing problem. For the last decade, Birmingham has had one of the highest rates of infant mortality in England. The city council has set up a taskforce in a bid to halve the number of deaths. It heard rates were highest in deprived areas and among Black, Pakistani, and Bangladeshi heritage families. Shabana Qureshi is the women wellbeing manager for the Ashiana Community Project, a charity which works to improve quality of life for thos- Posted
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'Anger' over report into neglect death care home
Patient Safety Learning posted a news article in News
The mother of a man who died after suffering neglect said she felt "extreme distress and anger" at a critical new report into his care home. James Delaney, 37, died while he was a resident at Sapphire House in Bradwell, Norfolk, in July 2018. After an inadequate rating by the Care Quality Commission (CQC), Mr Delaney's mother said she felt lessons had not been learned from her son's death. A spokeswoman for operator Crystal Care said it had "addressed all concerns". Mr Delaney, who died of a diabetes-related illness, was required to take insulin twice a day, but, despite staff n- Posted
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Content Article
A new hospital review process, supported by Sands, came into place across the UK, just before 2019. But is it working? Does it answer parents’ questions about why their baby died? Are parents even told by hospital staff a review of their care is taking place? If your baby died at any time, from January 2019 until now, after 22 weeks of pregnancy, Sands would like to know more about your experience in this short anonymous survey. Your feedback could help improve care for parents. Follow the link below to find out more and access the survey.- Posted
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News Article
Hospital trust pleads guilty over baby death
Patient Safety Learning posted a news article in News
An NHS trust has admitted failing to provide safe care and treatment for a mother and her baby boy, who died seven days after an emergency delivery. Mother Sarah Richford said it brought "some level of justice" for baby Harry's death in 2017. Lawyers for the East Kent Hospitals Trust pleaded guilty to the charge at Folkestone Magistrates Court. The trust said it had made "significant changes" and would "do everything we can to learn from this tragedy". Mrs Richford said: "Although Harry's life was short, hopefully it's made a difference and that other babies won't die". Sh- Posted
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Covid death rates twice as high in zero-hours and casual jobs, study suggests
Patient Safety Learning posted a news article in News
Coronavirus death rates are twice as high in insecure jobs as in other professions, new research suggests. The TUC said workers on a contract that does not guarantee regular hours or income, such as zero-hours contracts or casual work, and those in low-paid self-employment, have been more at risk of infection. It’s thought that key workers such as those in social care and delivery driving, which cannot be done from home and require people to come into contact with others, are more insecure. The COVID-19 mortality rate among men in insecure occupations was 51 per 100,000 people a -
News Article
Prescot care home investigated over resident's death rated inadequate
Patient Safety Learning posted a news article in News
A care home under investigation over a resident's death has been rated inadequate for the second time. Merseyside Police began investigating Prescot's Griffin House after the death of a 90-year-old man in June 2020. The Care Quality Commission (CQC) rated it inadequate in September, highlighting safety concerns and a report from February, released on 9 April, found it had not improved. The inspection on 24 February found management had failed to adequately address the problems previously identified by the CQC and there were new concerns relating to staff recruitment. Inspec- Posted
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Review into series of ‘unexpected deaths’ identifies service shortcomings
Patient Safety Learning posted a news article in News
A review sparked by the ‘unexpected’ deaths of 13 patients has found several shortcomings in the talking therapy services offered by a mental health trust. The internal review at Tees, Esk and Wear Valleys Foundation Trust followed a series of deaths between October 2019 and September 2020. The trust has said the key findings included a lack of family involvement in discussing risks, increased waiting times for face-to-face therapy, and a lack of contact or reassessment for patients on waiting lists. Eight of the 13 deaths, six of which were suicides, were escalated to serious i- Posted
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Content Article
The Coroner notes that, although he was assessed at home by the midwifery team at aged 5 days, no basic observation assessments were taken, such as temperature, heart rate and respiration rate, from the deceased or his mother to confirm their wellbeing. There is no national guidance for such checks, however, University Hospital Dorset NHS Foundation Trust (UHD) have since changed their local policies to embed better safety nets. The local policy now provides guidance that at each visit up to day 10 post birth, a full set of baby and maternal observations are to be taken. The Coroner also- Posted
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Disabled woman who died in Sheffield hospital ‘ignored’, parents tell inquest
Patient Safety Learning posted a news article in News
The parents of a young disabled woman who died after she went into hospital for a routine eye operation have told a coroner that doctors ignored their daughter’s attempts to communicate. Laura Booth, 21, stopped eating after she was admitted to the Royal Hallamshire hospital in Sheffield, her mother told an inquest hearing in the city on Monday. Patricia Booth, from Sheffield, said her daughter was ignored by clinicians after she went into the hospital in October 2016 despite her being able to communicate to some extent, including using Makaton signing. She said this was in contrast- Posted
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UK vaccine rollout 'breaking link' between infections and death
Patient Safety Learning posted a news article in News
Increasingly strong evidence shows that the UK's vaccination programme is breaking the link between COVID-19 cases and deaths, scientists tracking the epidemic have said. A study found infections had fallen by roughly two-thirds since February, before beginning to level off. This is probably because people are beginning to mix more - but deaths have not followed the same pattern. This was not the case before January, when the vaccine rollout began. The research, commissioned by the government and run by Imperial College London, is based on swabs taken from 140,000 people s- Posted
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News Article
An NHS trust has been charged over the deaths of two patients. The Care Quality Commission alleges Natalie Billingham, 33, and Kaysie-Jane Bland were exposed to "significant risk of avoidable harm" at Dudley's Russells Hall Hospital. The regulator has brought the charges against Dudley Group NHS Foundation Trust over two alleged breaches of the Health and Social Care Act. This relates to the trust's duty to ensure safe care and treatment. Read full story Source: BBC News, 6 April 2021- Posted
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A young NHS patient suffering a sickle cell crisis called 999 from his hospital bed to request oxygen, an inquest into his death was told. Evan Nathan Smith, 21, died on 25 April 2019 at North Middlesex Hospital, in Edmonton, north London, after suffering from sepsis following a procedure to remove a gallbladder stent. The inquest heard Smith told his family he called the London Ambulance Service because he thought it was the only way to get the help he needed. Nursing staff told Smith he did not need oxygen when he requested it in the early hours of 23 April, despite a doctor t- Posted
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This report from Autistica lays out the evidence and sets out recommendations for action by national and local government, research funders and industry, as well as the NHS and service providers. These recommendations include calling on: Medical research funders to collaborate to rapidly increase our understanding of premature mortality in autism. The government to establish a National Autism Mortality Review and commit to significantly improved data collection. Service providers to develop clear and specific plans to prevent early death in autism.- Posted
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News Article
Contaminated blood inquiry: Some patients used as 'guinea pigs'
Patient Safety Learning posted a news article in News
A public inquiry into the infected blood scandal has been told some patients were used as "guinea pigs" at Belfast's Royal Victoria Hospital. The inquiry is looking at how haemophilia patients across the UK were treated with Hepatitis C infected blood or HIV in the 1970s and 1980s. Among the correspondence presented to the inquiry this week was a letter, dated 1988, sent by Dr Elizabeth E Mayne, consultant/director at the Department of Haematology in the Royal Victoria Hospital, to Professor Ludlam at the Royal Infirmary in Scotland. The letter was part of discussions about a po- Posted
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Oliver's Campaign
Patient Safety Learning posted an article in Learning disabilities
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Prevention of Future Deaths report – Brian Button
Patient Safety Learning posted an article in Coroner reports
Prevention of Future Deaths report – Brian Button Response from the Royal Sussex County Hospital- Posted
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News Article
A French court has fined one of the country’s biggest pharmaceutical firms €2.7m (£2.3m) after finding it guilty of deception and manslaughter over a pill linked to the deaths of up to 2,000 people. In one of the biggest medical scandals in France, the privately owned laboratory Servier was accused of covering up the potentially fatal side-effects of the widely prescribed drug Mediator. The former executive Jean-Philippe Seta was sentenced to a suspended jail sentence of four years. The French medicines agency, accused of failing to act quickly enough on warnings about the drug, was- Posted
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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.- Posted
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News Article
A 40-year-old mother of four took her own life at an NHSmental health unit after multiple opportunities were missed to keep her safe, an inquest has found, prompting her family to call for a public inquiry. Azra Parveen Hussain was allegedly the seventh in-patient in seven years to die by the same means while in the care of Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHT). Despite this, an inquest at Birmingham and Solihull Coroner’s Court last week heard that the Trust had not installed door pressure sensor alarms, which could have potentially alerted staff to the- Posted
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Wards at a trust facing an inquiry over the deaths of vulnerable patients have been downgraded to ‘inadequate’ over fresh patient safety concerns. The Care Quality Commission said five adult and intensive wards across three hospitals run by Tees, Esk and Wear Valleys (TEWV) Foundation Trust “did not manage patient safety incidents well”. It also criticised the trust’s leaders for failing to make sure staff knew how to assess patient risk. The watchdog rated the trust’s acute wards for adults of working age and psychiatric intensive care units as “inadequate” overall as well as for s- Posted
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