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Showing results for tags 'Stroke'.
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News Article
Consider statins for millions more people in England, NHS told
Patient Safety Learning posted a news article in News
About 15 million more people in England could be prescribed daily cholesterol-lowering statin pills to cut their risk of heart attacks and stroke, new advice for the NHS says. Given the very cheap price of the tablets and the possible health gains, they should be considered more often, the draft guidance says. There can be side effects though and there is debate about how widely this long-term treatment should be given and what associated risks are acceptable. The National Institute for Health and Care Excellence (NICE), which advises the NHS, says people should be thoroughly as- Posted
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Content Article
Although estimated ED error rates are low (and comparable to those found in other clinical settings), the number of patients potentially impacted is large. Not all diagnostic errors or harms are preventable, but wide variability in diagnostic error rates across diseases, symptoms, and hospitals suggests improvement is possible. With 130 million U.S. ED visits, estimated rates for diagnostic error (5.7%), misdiagnosis-related harms (2.0%), and serious misdiagnosis-related harms (0.3%) could translate to more than 7 million errors, 2.5 million harms, and 350,000 patients suffering potentially pr- Posted
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- Diagnosis
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Content Article
The report highlights that countries need to take urgent action to address the inequities in health caused by unjust and unfair factors within health systems. These factors—which account for many of the differences in health outcomes between persons with and without disabilities—can take the form of: negative attitudes of healthcare providers, health information in formats that cannot be understood, or difficulties accessing a health centre due to the physical environment, lack of transport or financial barriers. 9789240063600-eng.pdf- Posted
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- Disability
- Health inequalities
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News Article
Millions in poor health due to lack of rehab after illness, warns UK report
Patient Safety Learning posted a news article in News
Millions of people in the UK are suffering poor health because they miss out on vital rehabilitation after strokes, heart attacks and cancer, which in turn is also heaping further pressure on the NHS, a damning report warns. Physiotherapists say some groups of patients are particularly badly affected. Without access to these services, many patients desperately trying to recover from illness became “stuck in a downward spiral”, they said, with some developing other health conditions as a result. The new report by the Chartered Society of Physiotherapy (CSP) says millions of people in- Posted
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- Deterioration
- Cancer
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Content Article
The handbook covers the following topics: The Yentl Syndrome Heart disease Stroke Autoimmune disease Dementia Cancer Handling your health Helping women be heard Who’s an expert on your body? Menstruation Pregnancy Infertility Menopause Mental health- Posted
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- Womens health
- Health inequalities
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Content Article
NHS England: Stroke toolkit
Patient Safety Learning posted an article in Other conditions and diseases
The NHS Long Term Plan identifies stroke as a clinical priority. The creation of Integrated Stroke Delivery Networks (ISDNs) is crucial to this plan, providing an integrated 24/7 full-pathway approach; bringing people and organisations together to deliver the best possible care across the whole pathway, from prevention and urgent care to rehabilitation and long term support. Twenty ISDNs, covering the whole of England, have been in place since April 2021. The National Stroke Programme published the National Stroke Service Model (NSSM) in May 2021, which outlines best practice to ensure in- Posted
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News Article
Ysbyty Glan Clwyd: Stroke patients would rather go to England
Patient Safety Learning posted a news article in News
People would rather go to England if they had a stroke than use the A&E at a north Wales hospital, a health watchdog has said. Inspectors said there was a "clear and significant risk to patient safety" after inspections at the department in Ysbyty Glan Clwyd, Denbighshire. North Wales Community Health Council's Geoff Ryall-Harvey said it was the "worst situation" they had seen. The report said inspectors found staff who were "working above and beyond in challenging conditions" during a period of "unrelenting demand". Many staff told them they were unhappy and struggling to c -
News Article
Over 47,000 stroke patients to ‘miss out on a miracle treatment’
Patient Safety Learning posted a news article in News
A new report by the Stroke Association released today warns that, if the thrombectomy rate stays at 2020/21 levels, 47,112 stroke patients in England would miss out on the game changing acute stroke treatment, mechanical thrombectomy, over the length of the newly revised NHS Long Term Plan. This year, NHS England missed its original target to make mechanical thrombectomy available to all patients for whom it would benefit – only delivering to 28% of all suitable patients by December 20212. The Stroke Association’s ‘Saving Brains’ report calls for a 24/7 thrombectomy service, which could c -
News Article
Londoners several times more likely to get life-saving treatment
Patient Safety Learning posted a news article in News
The NHS and the Treasury need to make a renewed commitment to increasing the number of patients who benefit from thrombectomy, the Stroke Association has said, as it revealed the service was dependent on just 106 doctors in England. New analysis due to be published by the charity later this week – and shared with HSJ – also found only a quarter of thrombectomy units are open 24 hours, seven days a week, with 42% only operating during office hours and Monday to Friday. Despite an NHS long-term plan target of treating 10% of strokes with a thrombectomy by this year, only 2.8% were ben -
Content Article
Recommendations The government should: fully fund a national two-year rehabilitation strategy that ensures people with significantly deteriorated long-term conditions get the therapeutic support they need appoint a national clinical lead to implement this rehabilitation strategy ensure local partners–such as local authorities and Integrated Care Systems (ICS)–develop and deliver their own localised rehabilitation strategy, and that each ICS has a regional rehabilitation lead.- Posted
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- Underlying health conditions
- Dementia
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News Article
Multiple deaths due to care delays highlighted in damning CQC report
Patient Safety Learning posted a news article in News
Dozens of patients died or suffered ‘severe harm’ after long waits for ambulances during a three-month period in a health system facing ‘extreme pressure’ on its emergency services. The 29 serious incidents in Cornwall included patients waiting many hours for assistance despite being in “extreme pain”, patients having suspected sepsis, patients in cardiac arrest, and patients experiencing a stroke. The incidents were reported to the Care Quality Commission by staff at South Western Ambulance Service Foundation Trust during an inspection of the Cornwall integrated care system’s urgent- Posted
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- Patient death
- Lack of resources
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News Article
Officials sound alarm on ambulance stroke response times
Patient Safety Learning posted a news article in News
National NHS officials have called for ambulance response times for stroke cases to be “urgently reviewed”. A report on stroke services by Getting it Right First Time – an NHS England national programme – recommends modelling the impact of a change to the categorisation by ambulance services of suspected strokes. The GIRFT report notes that the time between symptom onset and arrival at hospital has increased by 41 minutes over the last seven years, yet faster access to emergency stroke care gives a better chance of survival and reduces the impact on quality of life for survivors. -
News Article
Stroke and heart patients routinely waiting over an hour for ambulance
Patient Safety Learning posted a news article in News
Stroke and heart attack victims are now routinely waiting more than an hour for an ambulance, after a further fall in performance in recent weeks, and with hospital handover delays hitting a new high point, HSJ reveals. Figures for ambulance performance this week, seen by HSJ, showed average response times for category two calls at more than 70 minutes for successive days. 3,000 patients may have suffered “severe harm” from delays in February, ambulance chief executives say. Several well-placed sources in the sector said response times had deteriorated further this month, and t- Posted
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- Stroke
- Heart disease
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Content Article
A 75-year-old patient suffered a stroke in the early hours of the morning. He had woken feeling unwell (two hours after going to bed) and waited to see if his symptoms would improve. They didn’t improve and nearly three hours later, his wife called an ambulance. Before they set off with the patient, one of the paramedics contacted the emergency department (ED) at the first hospital (Trust A) to ‘pre-alert’ them of his arrival. The ED advised that they could not accept the patient as their stroke service was closed between 11pm and 8am, and that the paramedics should contact a neighbouring- Posted
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- Stroke
- Emergency medicine
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News Article
Sisters with sickle cell had devastating, and preventable, strokes
Patient Safety Learning posted a news article in News
It was 4am on a Sunday in San Antonio, US, when Dana Jones heard an ominous sound, barely audible over the whirring of box fans, like someone struggling to breathe. She ran down the hall and found her daughter Kyra, age 12, lying on her back, gasping for air. Terrified, she called 911. A police officer, the first to arrive, dashed into Kyra’s bedroom, threw the slender girl over his shoulder and laid her on a leather sofa in the living room. He asked her mother, an oral surgery technician, to give her CPR. Kyra’s lips were ice-cold. An ambulance whisked the girl to Methodist Children- Posted
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- Patient harmed
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Content Article
The patient decision aid includes: a description of decompressive hemicraniectomy. a description of the pros and cons of the surgical procedure. an illustration of the chance of death and disability one year after the stroke with and without the procedure.- Posted
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- Decision making
- Patient engagement
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Content Article
The manifesto calls for equal access to high-quality, person centred community rehabilitation. It highlights current gaps in services, discusses the impact of the Covid-19 pandemic and states that failing to provide equal access to community rehabilitation falls short of the NHS constitution. It identifies the negative impact of inadequate community rehabilitation services, including: reduced quality of life and independence for people with long term conditions. increased risk of death for cardiovascular disease patients. increased emergency hospital admissions for fal- Posted
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- Medicine - Rehabilitation
- Community care
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Content Article
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Content Article