Tag Archives: Preventable Hospital Mortality

Difficult Reflections on Certain Aspects of the NHS: Be Prepared to Look-Away Now (BBC News)

Posted on June 23, 2018 by Dementia and Elderly Care News

Summary You don’t want to know: Full Text Link Reference Gosport hospital deaths: prescribed painkillers ‘shortened 456 lives’. London: BBC Health News, June 20th 2018. You don’t want to know: Full Text Link Reference Triggle, N. (2018). Shipman, Bristol, Stafford, … Continue reading →

Posted in Universal Interest | Tagged Accountability, Accountability and Transparency, Adults at Risk of Harm, Ageing in the UK, Ageing Population, Ageism, Attitudes to Ageing, Availability of Opioid Painkillers, Avoidable Harm, Avoidable Hospital Mortality, Avoidable Premature Mortality, Baker Report, Bullying of Whistleblowers, Bureaucracy, Candour, Character Assassination of Whistleblowers, Closed Ranks Culture (Cover-Ups), Closed Ranks Culture (Denial), Closed Ranks Culture (Determination Not to Know), Closed Ranks Culture (Misplaced Loyalty), Closing Ranks, Collective Self-Interest (Ahead of Patients), Complaint Handling, Complaint Handling by Providers, Corporate Accountability, Corporate Self-Interest (Ahead of Patients), Culture and Leadership, Culture of Complacency, Culture of Delay and Denial, Defensive Culture, Diamorphine, Disregard for Human Life, Dr Katherine Sleeman: Cicely Saunders Institute at King's College London, Failings in Care in Hospitals, Faith-Shattering NHS Scandals, Former Minister of Care Services Norman Lamb, Freedom to Speak Up Report: Principle 3: Culture Free From Bullying, Fundamental Standards of Behaviour, Gosport Hospital Deaths: Timeline, Gosport Independent Panel, Gosport War Memorial Hospital, Gosport War Memorial Hospital: Report of the Gosport Independent Panel, Hampshire Constabulary, Harassment of Whistleblowers, Harms of Too Much Medicine, Hospital Mortality, House of Commons, In-Hospital Mortality, Inappropriate Prescribing, Inappropriate Prescribing of Painkillers, Institutionalised Determination Not to Know (Sir Brian Jarman: Allegation), Institutionalised Neglect, Institutionalised Unkindness, Matthew McClelland: Director of Fitness to Practise at Nursing and Midwifery Council, Negative Culture, NHS Corporate Self-Interest, NHS Managerial Self-Interest, Norman Lamb MP (Former Minister of State for Care and Support), Norman Lamb: Former Liberal Democrat Health Minister, Organisational Culture, Painkillers, Parliamentarians, Patient Harm, Patient Safety, Patient Safety Improvement, Peer Pressure, Postcode Lottery of Hospital Death Rates, Potentially Inappropriate Prescribing, Premature Mortality, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventing Premature Mortality, Principles of Good Complaint Handling, Professor Richard Baker: Leicester University, Professor Sir Brian Jarman, Professor Sir John Strang: Director of National Addiction Centre at King's College London's Institute of Psychiatry Psychology and Neuroscience, Rachel Power: Chief Executive of Patients Association, Reducing Avoidable Premature Mortality, Reducing Premature Mortality, Right Reverend James Jones KBE: Chair of Gosport Independent Panel, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, Super-Strength Painkillers, Syringe Drivers: Opioid Delivery, Top-Down Managerial Culture, Treatment of Whistleblowers (Shoddy), Unnecessary In-Hospital Deaths, Unresponsive Culture, USA Opioid Epidemic, Values, Victimisation of Whistleblowers, Warning Signs, Whistlelowing, Willful Blindness | Leave a comment

System to Measure and Prevent Medication Errors Under Development (Department of Health and Social Care / EEPRU)

Posted on May 12, 2018 by Dementia and Elderly Care News

Summary The Department of Health and Social Care now has a system to help identify, monitor and prevent medication errors. The aim is to help ensure the NHS becomes the safest healthcare system in the world, as well as avoiding … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Avoidable Admissions, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Ill-Health, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Caroline Dinenage: Care Minister, Choosing Wisely, Choosing Wisely Campaign, Community Pharmacists, Continuous Learning Culture, Culture Change, Culture of Raising Concerns, Defences for Pharmacists: Accidental Dispensing Errors, Department of Health and Social Care (Formerly the Department of Health), Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, ePACT2, Epidemiology and Statistics, Gastric Bleed Statistics, Global Patient Safety Challenge (WHO), Hospital Admissions, Hospital Electronic Prescribing and Medicines Administration (HePMA), Inappropriate Hospital Admissions, Learning Culture, Measurement and Prevention of Medication Errors, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Safety, Medication Safety Dashboard, Medication Without Harm (WHO), Medicines Optimisation, Medicines Optimisation Dashboard, Medicines Safety Programme (WHO), NHS Culture Change, NHS England Medicines Optimisation Intelligence Group, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, NHS: Safest Healthcare System in the World (Ambition), No Harm Culture, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Without Gastro Protective Medicine, Openness and Honesty When Things Go Wrong, Openness and Transparency, Patient Safety, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Preventable Deaths in English Acute Hospitals, Preventable Hospital Admissions, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Preventing Avoidable Emergency Admissions, Primary Care Adverse Drug Reactions, Putting Patients First, Quality Improvement, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Reducing Waste in the NHS, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, Unnecessary Hospital Admissions | Leave a comment

Medication Errors: an Open Learning Culture Recommended to Reduce Patient Harm (BBC News / Department of Health / EEPRU / Department of Health and Social Care)

Posted on February 25, 2018 by Dementia and Elderly Care News

Summary Medication errors, which include (i) wrong medications given, (ii) incorrect doses and (iii) delays in medication being administered, cause an estimated 700 deaths per year and might play a role in something between 1,700 to 22,300 further avoidable deaths. … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Acute Care and Quality, Acute Care and Workforce, Adult Psychiatric Intensive Care Services, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, BBC Health News, Blame Culture, Care Home Culture, Care Home Environments, Care Homes, Centre for Health Economics: University of York, Choosing Wisely Campaign, Choosing Wisely in the NHS, CHUMS Study, Clinical Pharmacists, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Community Pharmacists, Continuous Learning Culture, CQC Investigations and Quality Policy, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Department of Health Policy Research Programme, Division of Population Health Health Services Research and Primary Care: University of Manchester, Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, EQUIP Study, Former Health Secretary Jeremy Hunt, Global Patient Safety Challenge (WHO), HePMA, Hospital E-Prescribing and Medicines Administration, Hospital Electronic Prescribing and Medicines Administration (HePMA), Hospital Pharmacists, Learning Culture, Making Choices Together (Previously Choosing Wisely Wales), Manchester Centre for Health Economics: University of Manchester, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Safety Programme (WHO), Medicines Value Programme (NHS England), NHS Culture, NHS Culture Change, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, No Harm Culture, Old Age Psychiatry, Open and Transparent Culture, Openness, Openness and Collaboration, Openness and Honesty When Things Go Wrong, Openness and Transparency, Partnering with Patients and Families, Patient and Family Engagement, Patient and Public Engagement (PPE), Patient and Public Involvement, Patient and Public Involvement (PPI), Patient Engagement, Patient Engagement Strategies, Patient Harm, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist Buddy Scheme (County Durham and Darlington NHS Foundation Trust), Pharmacist-Led Information Technology Intervention (PINCER), Pharmacists, PINCER Intervention, Policy Research Programme (PRP), Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Potentially Preventable Complications in Hospitalis, PREPARE: Partnership for Responsive Policy Analysis and Research, PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study, Prescription Errors in Psychiatry, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Primary Care Adverse Drug Reactions, PROTECT Programme, Putting Patients First, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, SDM: Shared Decision Making, Secondary Care Adverse Drug Reactions, Serious Mistakes, Severe Harm, Shared Care and Education, Shared Decision-Making, Short Life Working Group (SLWG), Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, UK Department of Health Policy Research Programme, United States National Coordinating Council for Medication Error Reporting and Prevention, University of Manchester, University of Sheffield, University of York, University of York Centre for Health Economics (CHE), WHO Domain: Health Care Professionals, WHO Domain: Medicines, WHO Domain: Patients and the Public, WHO Domain: Systems and Practice of Medication, WHO Domains, WHO Global Patient Safety Challenge | Leave a comment

Variations in Excess Hospital Mortality Rates (BBC News / NHS Digital)

Posted on March 10, 2017 by Dementia and Elderly Care News

Summary Significantly higher than expected death rates have been recorded at 19 of the 133 NHS Trusts in England, according to the Dr Foster Unit at Imperial College London. “There were 15,396 more deaths than expected at the trusts in … Continue reading →

More Transparency Enforced in NHS Hospital Trusts (BBC News / CQC)

Posted on December 15, 2016 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC)’s final report on how NHS trusts review and investigate unexpected mortality in hospital patients in England concludes that a culture of learning from avoidable patient deaths has not been given sufficient priority, either nationally … Continue reading →

Junior Doctors’ Dispute: One More Intractable Quandry for an Over-Burdened NHS (BBC News)

Posted on September 1, 2016 by Dementia and Elderly Care News

Summary When you can’t think anything pleasant or helpful to say, better to say nothing… Full Text Link Reference Junior doctors row: Hospitals prepare for week of strikes. London: BBC Health News, September 1st 2016. Further BBC News coverage: Full … Continue reading →

Posted in Acute Hospitals, BBC News, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), In the News, National, NHS, NHS Alliance, NHS Employers, NHS England, Northern Ireland, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales | Tagged 7 Day Services, 72 Hour Limit on Maximum Working Week, Academy of Medical Royal Colleges, Academy of Medical Royal Colleges (AoMRC), Acute Care, Acute Hospital Care, Ageing Population, All-Out Strike, BBC Health News, BMA: British Medical Association, British Medical Association (BMA), Cancelled Hospital Appointments, Care in General Hospitals, Chris Hopson: Chief Executive of NHS Providers, Collective Self-Interest (Ahead of Patients), Concerns About Weekend Pay, Conflation of Political Protest Generalised Dissatisfaction and Industrial Action, Culture Change in the NHS, Cycle of Discontent, Cycle of Discontent: BMA Perhaps Unable to Compromise (Under Pressure From Members), Damage to Patient Trust, Damage to Popular Trust in the NHS, Diane Abbott: Labour Shadow Health Secretary, Disproportionality in Industrial Action, Dissatisfaction Over Pay, Doctors Feeling Undervalued and Overworked, Dr Ellen McCourt: Chair of JDC (BMA Junior Doctors Committee), Dr Mark Porter: Chair of Council at British Medical Association, Dr Peter Campbell: Acting Chairman of Junior Doctors' Committee, Erosion of Terms and Conditions of NHS Workforce (Union Perspective), Former Health Secretary Jeremy Hunt, Gaming Public Opinion, General Medical Council (GMC), Government Cannot Be Held To Ransom, High Court (England), Improving Patient Safety, Inability to Back-Down Pragmatically (Pathological Inflexibility), Jeremy Corbyn (Labour Party Leader), Junior Doctors A&E Walkout: Reckless "Win At All Costs" Mentality, Junior Doctors Committee (JDC) of British Medical Association (BMA), Junior Doctors' Dispute: First Draft of History, Junior Doctors' Dispute: Timeline of the Dispute, Junior Doctors' Strike Risks Patient Safety (Jeremy Hunt), Junior Doctors’ Morale Wellbeing and Quality of Life, Justice for Health, Katherine Murphy: Chief Executive of the Patients Association, Kathy McLean: Executive Medical Director at NHS Improvement, Lose - Lose Stand-Off: Impasse Over Junior Doctors' Dispute, Low Morale, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mythology of the Times, NHS Reform in England, NHS Services Seven Days a Week, Niall Dickson: Chief Executive of the General Medical Council, No Harm Culture, Opportunistic Conflation of Political Protest Generalised Dissatisfaction and BMA's Industrial Action, Orchestrated Intransigence, Patient Safety, Patient Safety Improvement, Patient Safety in the NHS, Payment Reform, Peer Pressure: Barrier to Objective Judgement, Perceived Erosion of Terms and Conditions for NHS Employees (Union Viewpoint), Perverse Incentives, Preventable Hospital Mortality, Prime Minster: Rt Hon Theresa May MP, Professional Responsibilities, Professional Standards, Professor Terence Stephenson: Chair of the General Medical Council, Quality of Care at Weekends, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Rt Hon Theresa May MP (Prime Minster), Safeguards on Excessive Working Hours, Saturday Premium Pay, Seven-Day Hospital Services, Seven-Day Working, Strike Over a Saturday Premium Pay (Self-Interest), Sustainable Health and Care Services, System Re-Design, Thinking Like a Patient and Acting Like a Taxpayer, Unspoken Political Context: Weaponising the NHS (Speculative Construct), Variations in Quality of Care, Vested Interests, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Working, When Brinkmanship Goes Over the Brink, Workforce Issues (Feeling Undervalued) | Leave a comment

Guideline on Sepsis Recognition, Diagnosis and Early Management (NICE / BBC News / RCEM)

Posted on July 24, 2016 by Dementia and Elderly Care News

Summary The National Institute for Health and Care Excellence (NICE) recently published “Sepsis: recognition, diagnosis and early management – guidance” (NG51). This presents recommendations on the identification and assessment people with suspected sepsis; risk factors and risk stratification; and the … Continue reading →

Posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, NICE Guidelines, Standards, UK | Tagged Acute Sepsis, Antibiotic Treatment in People With Suspected Sepsis, Antimicrobial Stewardship, Avoidable Hospital Mortality, Avoidable Mortality, AVPU (Alert Voice Pain Unresponsive) Scale, AVPU: Alert V oice pain, BBC Health News, Dr Foster, Dr Foster Intelligence, Dr Ron Daniels: Chief Executive of UK Sepsis Trust, Emergency Medicine and Urgent Care, Glasgow Coma Scale (GCS), Improving Sepsis Recognition and Treatment, Infection and Infectious Diseases, National Institute for Health and Care Excellence (NICE), NICE Guidance on Sepsis Recognition Diagnosis and Early Management (NG51), Patient Safety, Premature Mortality, Preventable Hospital Mortality, Professor Sir Brian Jarman, Quality Improvement, Raising Sepsis Awareness, Royal College of Emergency Medicine, Royal College of Emergency Medicine (RCEM), Sepsis, Sepsis Awareness, Sepsis Bundles, Sepsis Recognition, Sepsis: Risk Stratification Tools, Severe Sepsis and Septic Shock: RCEM National Clinical Audit 2016/17, Sir Brian Jarman, unresponsiv e') scale | Leave a comment

Tag Archives: Preventable Hospital Mortality

Junior Doctors’ Dispute: One More Intractable Quandry for an Over-Burdened NHS (BBC News)

Guideline on Sepsis Recognition, Diagnosis and Early Management (NICE / BBC News / RCEM)

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