Independent healthcare in house lawyers' forum, March 2018, LondonBrowne Jacobson LLP
In our first independent healthcare in house lawyers' forum for 2018 we cover the following topics:
- claims and liabilities update - including vicarious liability for the acts of non-employees and the post Paterson inquiry
- inquests and other regulatory liabilities
- capacity, consent, and how to not get sued.
Elderly care conference 2017 - culture, compassion and clinical neglect - fin...Browne Jacobson LLP
Professor Newdick focuses on; clinical culture, Mid Staffordshire and the influence of targets, reporting serious untoward incidents and understanding our clinical care culture.
Judicial approach in medical negligence in malaysiaSiti Azhar
It gives a overview on the current judicial approach on medical negligence cases in Malaysia. The opinion formed in this is the personal opinion of the writer.
This document discusses several important legal issues related to nursing practice. It begins by explaining that nurses have always had legal responsibilities and discusses the first nursing law created in 1903. It then outlines various recurring legal issues nurses may face, including personal and employer liability, charitable immunity, supervisory liability, the duty to report or seek medical care for patients, fraud, medication errors, and different types of torts. It also discusses legal issues like negligence, malpractice, assault, battery, and false imprisonment. Overall, the document provides a comprehensive overview of the key medico-legal aspects nurses must be aware of in their work.
This document summarizes a lecture on confidentiality, disclosure, and the law as it relates to counseling. It covers the legal boundaries of maintaining confidentiality, when disclosure is appropriate, and circumstances where confidentiality may be overridden by public interest concerns like suspected child abuse or prevention of serious crime. Specific topics discussed include the concepts of confidentiality, privilege, and public interest in both maintaining and requiring disclosure of confidential information. Factors counselors should consider regarding issues like duty to warn or reporting suspected child abuse are also addressed.
There is a very real examples of law in Bangladesh for the Medical Practitioners. But Medical negligence is a continuous occurrence which has happened for the wrong treatment or inexperience of the Medical practitioners. It is an article on that.
The document discusses various legal aspects and responsibilities related to medical care and hospitals in India. It outlines duties of physicians according to medical codes of ethics. Hospitals have legal responsibilities to patients, staff, owners, and the public. The document also summarizes Indian laws governing medical issues including those related to medical negligence, contracts, torts, and community care aspects of doctors' work.
Independent healthcare in house lawyers' forum, March 2018, LondonBrowne Jacobson LLP
In our first independent healthcare in house lawyers' forum for 2018 we cover the following topics:
- claims and liabilities update - including vicarious liability for the acts of non-employees and the post Paterson inquiry
- inquests and other regulatory liabilities
- capacity, consent, and how to not get sued.
Elderly care conference 2017 - culture, compassion and clinical neglect - fin...Browne Jacobson LLP
Professor Newdick focuses on; clinical culture, Mid Staffordshire and the influence of targets, reporting serious untoward incidents and understanding our clinical care culture.
Judicial approach in medical negligence in malaysiaSiti Azhar
It gives a overview on the current judicial approach on medical negligence cases in Malaysia. The opinion formed in this is the personal opinion of the writer.
This document discusses several important legal issues related to nursing practice. It begins by explaining that nurses have always had legal responsibilities and discusses the first nursing law created in 1903. It then outlines various recurring legal issues nurses may face, including personal and employer liability, charitable immunity, supervisory liability, the duty to report or seek medical care for patients, fraud, medication errors, and different types of torts. It also discusses legal issues like negligence, malpractice, assault, battery, and false imprisonment. Overall, the document provides a comprehensive overview of the key medico-legal aspects nurses must be aware of in their work.
This document summarizes a lecture on confidentiality, disclosure, and the law as it relates to counseling. It covers the legal boundaries of maintaining confidentiality, when disclosure is appropriate, and circumstances where confidentiality may be overridden by public interest concerns like suspected child abuse or prevention of serious crime. Specific topics discussed include the concepts of confidentiality, privilege, and public interest in both maintaining and requiring disclosure of confidential information. Factors counselors should consider regarding issues like duty to warn or reporting suspected child abuse are also addressed.
There is a very real examples of law in Bangladesh for the Medical Practitioners. But Medical negligence is a continuous occurrence which has happened for the wrong treatment or inexperience of the Medical practitioners. It is an article on that.
The document discusses various legal aspects and responsibilities related to medical care and hospitals in India. It outlines duties of physicians according to medical codes of ethics. Hospitals have legal responsibilities to patients, staff, owners, and the public. The document also summarizes Indian laws governing medical issues including those related to medical negligence, contracts, torts, and community care aspects of doctors' work.
Better SAFE than Be Sorry Medico Legal , DR SHARDA JAIN, DR ARVIND NARAYAN...Lifecare Centre
Doctors in the dock Worried Souls
JAAGO DOCTORS JAAGO
Expectation of the public from doctors have risen sharply (and one might add, to unrealistic levels) in this age of hi-tech medicine & Google doctor
Dr. Zam owed a duty of care to his patient, Miss Lin, after she consulted with him and followed his recommended seaweed wrap program and drugs. However, Dr. Zam breached this duty by failing to warn Miss Lin of the material risk of developing a severe skin rash, which she then did. Under the reasonable prudent patient test, Dr. Zam would be liable for negligence for not informing Miss Lin of this inherent risk so she could make an informed choice. But under the reasonable prudent doctor test, Dr. Zam would not be liable as he acted in line with accepted medical practices.
This document defines confidentiality and outlines the legal obligations and professional responsibilities regarding confidentiality in healthcare. It explains that confidentiality means trusting wholly and keeping patient information private, as recognized by the Hippocratic Oath. English law, including common law, the Human Rights Act, Data Protection Act, and specific healthcare legislation, protects patients' right to medical confidentiality. Confidentiality can only be broken with patient consent or in certain circumstances like risk of harm, court order, or public interest. Professional codes also provide guidance around maintaining confidentiality.
This document discusses guidelines for preparing a dental office for medical emergencies. It outlines steps for basic life support (BLS), including positioning, airway, breathing, circulation, and definitive treatment. All staff should be trained in BLS and emergency drills should be practiced. The office should have an emergency kit stocked with critical drugs and equipment. Proper documentation and informed consent are important for medicolegal considerations to avoid malpractice claims.
The presentation covered several topics related to human resources and healthcare regulations:
1) It discussed patients' rights and responsibilities as well as statutory and regulatory enactments related to patient care.
2) It examined current principles of patient consent and how they impact the healthcare industry.
3) It reviewed physicians' rights and responsibilities in treatment, as well as current and future trends.
4) It provided an overview of the Health Insurance Portability and Accountability Act (HIPAA) and issues of privacy and confidentiality.
5) It addressed legal and ethical obligations around medical record documentation, storage, and use now and in the future.
Forensic medicine medical negligence 2-bolam principleMBBS IMS MSU
This document discusses medical negligence and the Bolam principle for determining negligence in medical malpractice cases. It provides background on several key cases that helped establish the standard of care. The Bolam principle determines negligence based on whether a doctor's actions fell below the standard of a responsible body of medical professionals. However, it has been criticized for being too protective of doctors. Even if a doctor's actions cause harm, they may not be found negligent under Bolam if other doctors may have acted the same way. The document examines challenges in assessing causation and damages in medical negligence cases.
Federal laws such as EMTALA and HIPAA regulate emergency care and patient privacy. EMTALA requires hospitals to provide medical screening exams and stabilizing treatment to anyone regardless of ability to pay. It also sets rules for appropriate patient transfers. HIPAA protects personal health information and sets penalties for violations like improper access or disclosure of patient records. Consent is also important legally and varies for situations like treatment of minors, incapacitated adults, and refusals of care. Proper documentation in medical records is essential.
Provides free, confidential and independent advice and support to families
and carers of people with a learning disability, autism or both.
Tel: 0808 800 1555 (Mon-Fri 10am-4pm) or email: help@assistantonline.org.uk
Carers Trust: Provides practical help and assistance to carers.
Tel: 0300 772 9600 or email: info@carers.org
Carers UK: Provides information, advice and support for carers.
Tel: 0808 808 7777 or email: advice@carersuk.org
Challenging Behaviour Foundation: Provides information and support for families
who are caring for an adult with severe learning disabilities
The document discusses the legal and ethical context of nursing practice. It defines key concepts like ethics, morals, and principles of autonomy, beneficence, and justice. Common ethical issues and problems in nursing are discussed. Sources of law like statutory law, civil law, and tort law are also summarized. Legal obligations of nurses including duty, breach of duty, causation, and damages as they relate to malpractice are covered at a high level.
This document provides statistics on various health issues in Ireland and discusses the process of obtaining expert medical witnesses for medical negligence cases. It notes that approximately 100,000 people in Ireland suffer from chronic plaque psoriasis, while obtaining expert witnesses can be difficult for solicitors representing patients but not for defense solicitors who may have colleagues to recommend. Obtaining experts in specialized fields can also present difficulties due to lack of medico-legal experience.
Case study of Gary Walker a former NHS CEO and whistleblower. Contains extracts of documents that describe the the pursuit of targets that led to a cover up costing over £500k involving the most senior people in the NHS. Shared at a presentation for BSI on 2 July 2014
This document discusses the importance of man-made resources for science teaching and learning in hospitals. It defines hospitals and man-made resources, explaining that hospitals provide patient treatment using specialized staff and equipment. The document outlines the key roles and responsibilities of hospitals, including guiding principles, transparency, and providing quality services. It also discusses the infrastructure needs of hospitals, such as adequate space, privacy, water access, waste management, and power. The conclusion states that hospitals aim to be safe places of healing but continue to face safety threats, and that implementing intelligent automated systems can help hospitals gain a competitive advantage by demonstrating a safer facility.
Dr matthew katz_médias_sociaux_19_avril_2012laucyn
This document discusses how social media presents challenges and opportunities for redefining medical professionalism. It outlines risks like damage to reputation and privacy violations. However, it also notes benefits like collaboration, education, and reputation management. Current guidelines focus on privacy and boundaries, but social media allows greater connection. The document argues that professionalism should embrace integrity, connectedness, and an evolving role as an interactive intermediary - a "Master Dilettante" absorbing diverse data to help patients. Social media can help extend physicians' domain if used to enhance caring and life-long learning.
This document summarizes a conference on safeguarding adults at risk from scams. It was hosted by Brunel University London on September 28, 2015 and chaired by Nick Ellender. The conference included an overview of the Care Act 2014 and its role in safeguarding adults, a discussion of common scams targeting older adults, the risks and impacts on victims, and ways to improve protection and care for victims. Speakers addressed topics like pension scams, doorstep scams, impacts on finances and health, and approaches like awareness raising, call blocking, and improving support for victims.
The document summarizes the Stafford Hospital scandal in the UK, where poor care and high mortality rates were discovered between 2005-2008. An inquiry found hundreds suffered unnecessary harm and neglect. New administrators proposed dissolving the responsible trust and reorganizing services between two new trusts. This includes closing some units at Stafford Hospital like maternity and pediatrics. Critics argue these patients will face greater burdens. The changes aim to improve safety but some question if they fully address the scandal's underlying issues or just financial pressures across the NHS. The proposals will undergo public consultation before final approval.
This document discusses the judging process for HSJ's Clinical Leaders Innovation Summit. It describes how a long list of nominees was developed through public and internal nominations and then evaluated by a panel of judges with healthcare expertise. The judges sought to identify individuals having the greatest impact on healthcare policy, service transformation, and innovation. It provides brief biographies of the top 5 clinical leaders identified through this process, including their positions and influence within the NHS.
This document provides an overview of Dr Foster Intelligence's annual audit of hospital quality and performance in England. Some key findings include:
- 95% of trusts have reduced mortality rates over the past 5 years, with fewer trusts performing poorly and less extreme outliers.
- All trusts performing coronary artery bypass grafts have mortality rates within the expected range, though there is up to a 4-fold variation.
- Six trusts had above expected mortality for fractured neck of femur.
- Waiting times are falling but challenges remain for orthopaedics and diagnostics to meet 18-week targets.
- There is significant variation in following best practices and clinical guidelines across trusts and regions.
- Effective measures of patient safety
Marcus Longley - Is the NHS sustainableangewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
This document summarizes an article from Times Magazine about the high costs of healthcare in the US. It discusses the exorbitant medical bills faced by several patients, including a 64-year-old woman and a 42-year-old man from Ohio. It notes that the US spends more on healthcare than the next 10 countries combined. The article questions why hospital bills are so high, particularly looking at the profits hospitals make from implantable medical devices.
What could we all learn from a recent scandal in healthcare?scanFOAM
A presentation by Hans Rutberg at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
This document provides an overview of a local investigation into a Clostridium difficile outbreak at the Vale of Leven Hospital between 2007-2008. It summarizes the formation of the C-Diff Justice Group by families of victims, their campaign for a public inquiry, the inquiry process, and findings. The inquiry found significant failings in patient care and made 75 recommendations accepted by the Health Secretary to prevent future outbreaks. The families felt they got the answers they sought about what happened to their loved ones.
Better SAFE than Be Sorry Medico Legal , DR SHARDA JAIN, DR ARVIND NARAYAN...Lifecare Centre
Doctors in the dock Worried Souls
JAAGO DOCTORS JAAGO
Expectation of the public from doctors have risen sharply (and one might add, to unrealistic levels) in this age of hi-tech medicine & Google doctor
Dr. Zam owed a duty of care to his patient, Miss Lin, after she consulted with him and followed his recommended seaweed wrap program and drugs. However, Dr. Zam breached this duty by failing to warn Miss Lin of the material risk of developing a severe skin rash, which she then did. Under the reasonable prudent patient test, Dr. Zam would be liable for negligence for not informing Miss Lin of this inherent risk so she could make an informed choice. But under the reasonable prudent doctor test, Dr. Zam would not be liable as he acted in line with accepted medical practices.
This document defines confidentiality and outlines the legal obligations and professional responsibilities regarding confidentiality in healthcare. It explains that confidentiality means trusting wholly and keeping patient information private, as recognized by the Hippocratic Oath. English law, including common law, the Human Rights Act, Data Protection Act, and specific healthcare legislation, protects patients' right to medical confidentiality. Confidentiality can only be broken with patient consent or in certain circumstances like risk of harm, court order, or public interest. Professional codes also provide guidance around maintaining confidentiality.
This document discusses guidelines for preparing a dental office for medical emergencies. It outlines steps for basic life support (BLS), including positioning, airway, breathing, circulation, and definitive treatment. All staff should be trained in BLS and emergency drills should be practiced. The office should have an emergency kit stocked with critical drugs and equipment. Proper documentation and informed consent are important for medicolegal considerations to avoid malpractice claims.
The presentation covered several topics related to human resources and healthcare regulations:
1) It discussed patients' rights and responsibilities as well as statutory and regulatory enactments related to patient care.
2) It examined current principles of patient consent and how they impact the healthcare industry.
3) It reviewed physicians' rights and responsibilities in treatment, as well as current and future trends.
4) It provided an overview of the Health Insurance Portability and Accountability Act (HIPAA) and issues of privacy and confidentiality.
5) It addressed legal and ethical obligations around medical record documentation, storage, and use now and in the future.
Forensic medicine medical negligence 2-bolam principleMBBS IMS MSU
This document discusses medical negligence and the Bolam principle for determining negligence in medical malpractice cases. It provides background on several key cases that helped establish the standard of care. The Bolam principle determines negligence based on whether a doctor's actions fell below the standard of a responsible body of medical professionals. However, it has been criticized for being too protective of doctors. Even if a doctor's actions cause harm, they may not be found negligent under Bolam if other doctors may have acted the same way. The document examines challenges in assessing causation and damages in medical negligence cases.
Federal laws such as EMTALA and HIPAA regulate emergency care and patient privacy. EMTALA requires hospitals to provide medical screening exams and stabilizing treatment to anyone regardless of ability to pay. It also sets rules for appropriate patient transfers. HIPAA protects personal health information and sets penalties for violations like improper access or disclosure of patient records. Consent is also important legally and varies for situations like treatment of minors, incapacitated adults, and refusals of care. Proper documentation in medical records is essential.
Provides free, confidential and independent advice and support to families
and carers of people with a learning disability, autism or both.
Tel: 0808 800 1555 (Mon-Fri 10am-4pm) or email: help@assistantonline.org.uk
Carers Trust: Provides practical help and assistance to carers.
Tel: 0300 772 9600 or email: info@carers.org
Carers UK: Provides information, advice and support for carers.
Tel: 0808 808 7777 or email: advice@carersuk.org
Challenging Behaviour Foundation: Provides information and support for families
who are caring for an adult with severe learning disabilities
The document discusses the legal and ethical context of nursing practice. It defines key concepts like ethics, morals, and principles of autonomy, beneficence, and justice. Common ethical issues and problems in nursing are discussed. Sources of law like statutory law, civil law, and tort law are also summarized. Legal obligations of nurses including duty, breach of duty, causation, and damages as they relate to malpractice are covered at a high level.
This document provides statistics on various health issues in Ireland and discusses the process of obtaining expert medical witnesses for medical negligence cases. It notes that approximately 100,000 people in Ireland suffer from chronic plaque psoriasis, while obtaining expert witnesses can be difficult for solicitors representing patients but not for defense solicitors who may have colleagues to recommend. Obtaining experts in specialized fields can also present difficulties due to lack of medico-legal experience.
Case study of Gary Walker a former NHS CEO and whistleblower. Contains extracts of documents that describe the the pursuit of targets that led to a cover up costing over £500k involving the most senior people in the NHS. Shared at a presentation for BSI on 2 July 2014
This document discusses the importance of man-made resources for science teaching and learning in hospitals. It defines hospitals and man-made resources, explaining that hospitals provide patient treatment using specialized staff and equipment. The document outlines the key roles and responsibilities of hospitals, including guiding principles, transparency, and providing quality services. It also discusses the infrastructure needs of hospitals, such as adequate space, privacy, water access, waste management, and power. The conclusion states that hospitals aim to be safe places of healing but continue to face safety threats, and that implementing intelligent automated systems can help hospitals gain a competitive advantage by demonstrating a safer facility.
Dr matthew katz_médias_sociaux_19_avril_2012laucyn
This document discusses how social media presents challenges and opportunities for redefining medical professionalism. It outlines risks like damage to reputation and privacy violations. However, it also notes benefits like collaboration, education, and reputation management. Current guidelines focus on privacy and boundaries, but social media allows greater connection. The document argues that professionalism should embrace integrity, connectedness, and an evolving role as an interactive intermediary - a "Master Dilettante" absorbing diverse data to help patients. Social media can help extend physicians' domain if used to enhance caring and life-long learning.
This document summarizes a conference on safeguarding adults at risk from scams. It was hosted by Brunel University London on September 28, 2015 and chaired by Nick Ellender. The conference included an overview of the Care Act 2014 and its role in safeguarding adults, a discussion of common scams targeting older adults, the risks and impacts on victims, and ways to improve protection and care for victims. Speakers addressed topics like pension scams, doorstep scams, impacts on finances and health, and approaches like awareness raising, call blocking, and improving support for victims.
The document summarizes the Stafford Hospital scandal in the UK, where poor care and high mortality rates were discovered between 2005-2008. An inquiry found hundreds suffered unnecessary harm and neglect. New administrators proposed dissolving the responsible trust and reorganizing services between two new trusts. This includes closing some units at Stafford Hospital like maternity and pediatrics. Critics argue these patients will face greater burdens. The changes aim to improve safety but some question if they fully address the scandal's underlying issues or just financial pressures across the NHS. The proposals will undergo public consultation before final approval.
This document discusses the judging process for HSJ's Clinical Leaders Innovation Summit. It describes how a long list of nominees was developed through public and internal nominations and then evaluated by a panel of judges with healthcare expertise. The judges sought to identify individuals having the greatest impact on healthcare policy, service transformation, and innovation. It provides brief biographies of the top 5 clinical leaders identified through this process, including their positions and influence within the NHS.
This document provides an overview of Dr Foster Intelligence's annual audit of hospital quality and performance in England. Some key findings include:
- 95% of trusts have reduced mortality rates over the past 5 years, with fewer trusts performing poorly and less extreme outliers.
- All trusts performing coronary artery bypass grafts have mortality rates within the expected range, though there is up to a 4-fold variation.
- Six trusts had above expected mortality for fractured neck of femur.
- Waiting times are falling but challenges remain for orthopaedics and diagnostics to meet 18-week targets.
- There is significant variation in following best practices and clinical guidelines across trusts and regions.
- Effective measures of patient safety
Marcus Longley - Is the NHS sustainableangewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
This document summarizes an article from Times Magazine about the high costs of healthcare in the US. It discusses the exorbitant medical bills faced by several patients, including a 64-year-old woman and a 42-year-old man from Ohio. It notes that the US spends more on healthcare than the next 10 countries combined. The article questions why hospital bills are so high, particularly looking at the profits hospitals make from implantable medical devices.
What could we all learn from a recent scandal in healthcare?scanFOAM
A presentation by Hans Rutberg at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
This document provides an overview of a local investigation into a Clostridium difficile outbreak at the Vale of Leven Hospital between 2007-2008. It summarizes the formation of the C-Diff Justice Group by families of victims, their campaign for a public inquiry, the inquiry process, and findings. The inquiry found significant failings in patient care and made 75 recommendations accepted by the Health Secretary to prevent future outbreaks. The families felt they got the answers they sought about what happened to their loved ones.
This document discusses considerations for providing effective virtual consultations for HIV care. It notes that the COVID-19 pandemic led to a rise in virtual/telehealth services. Key factors for effective virtual consultations are discussed, including patient choice, equity of access, resources/infrastructure, privacy/confidentiality, and the healthcare relationship. Specific challenges for virtual HIV care are also reviewed, such as strategies for starting/monitoring antiretroviral therapy, communication barriers, and ensuring logistics like blood monitoring and safety. The document emphasizes that patient safety should be the overriding principle when considering virtual versus in-person care.
This document provides an overview of the Barking Havering & Redbridge Complex Care Model called Health 1000. It discusses how the model was developed using data analysis and risk stratification to identify high risk patients. Case studies are presented on patients who have benefited from personalized care through Health 1000. The implementation of Health 1000 aims to improve outcomes for patients with complex needs through a year of care approach and increased community services.
This document discusses behavioral health patient boarding in emergency departments. It defines boarding as patients staying in the ED after being admitted until an inpatient bed becomes available. Boarding can last over 24 hours and negatively impacts both patients and hospital resources. The document provides statistics on the increasing rates of psychiatric boarding in US EDs and safety concerns for healthcare workers from violent patients. It examines reasons for boarding like capacity constraints, limited outpatient services, lack of funding, and legal issues. The document also discusses the ill effects of boarding and factors exacerbating wait times. It concludes with recommendations to improve care and safety for psychiatric patients boarding in the ED.
Primary Care Research - A Survey of Healthcare ProfessionalsCogora
We polled 1,122 primary healthcare professionals on their views on the state of the NHS, as well as their own morale.
The findings included a low level of support for the reform programme, with 64% of respondents believing that it was a step towards privatisation of healthcare. There also appeared to be a call for greater respect of NHS resources. 63% of those polled said that patients should pay for Accident and Emergency visits that were the result of alcohol while 83% said patients should be forced to pay a fee for not attending appointments.
The robust sample size and geographically representative sample provides a good insight into the attitudinal trends of a varying range of healthcare professionals. Furthermore, the report includes commentary from leading healthcare professionals, political figures, NHS England as well members of representative bodies such as the Royal College of General Practitioners to further shed insight on the statistical findings.
This document summarizes the history and influence of public relations (PR) in the healthcare industry based on the speaker's organization's reviews of health care news stories and PR releases. Some key points:
- Edward Bernays popularized modern PR in the 1920s including promoting smoking and hyping breakfast foods.
- Modern healthcare PR aims to promote new tests, drugs and treatments but often exaggerates benefits and ignores costs and harms based on the organization's reviews.
- PR campaigns have influenced journalists and the public by promoting ideas like "simple tests" that overstate what tests can determine and fuel overdiagnosis.
- The organization aims to provide more balanced reviews of PR releases to counter hype and better inform journalists
The document discusses reporting, learning from incidents, and developing a culture of safety in healthcare. It summarizes findings from reports on failures at Furness General Hospital from 2004-2013 that led to unnecessary deaths. Key failures included a lack of proper investigations, no input from families, and conflicts of interest. The document advocates for standardized investigation processes, independent reviews, and feedback to families. It also discusses challenges like underreporting due to fear of blame and the need for a just culture where human errors are addressed through coaching rather than punishment.
Similar to Speaking out safely: patient safety congress (18)
Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdfSachin Sharma
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
Contact @ +971 529818279
Visit @ https://malayalikeralaspaajman.com/
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
The Importance of Black Women Understanding the Chemicals in Their Personal C...bkling
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled.
Non-invasive methods for ETCO2 measurement include capnometry and capnography. Capnometry provides a numerical value for ETCO2. In contrast, capnography delivers a more comprehensive measurement that is displayed in both graphical (waveform) and numerical form.
Sidestream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients.
nurs fpx 4050 assessment 4 final care coordination plan.pdf
Speaking out safely: patient safety congress
1. The analysis and now the solution
How can NHS staff and managers make its culture safer to raise concerns?
Harnessing the power of the NHS’s greatest asset – its staff – to make patients safer
Exploring trust board solutions to ensure the NHS is a safe place to speak out
Dealing with issues rather than blaming the staff – what can be done?
Ensuring your organisation isn’t the next scandal-hit place to hit the headlines
2. Helene Donnelly OBE
In Mid Staffs, 515 incident report
forms about patient care from
staff were “misplaced” between
April 2005 and August 2008
Nursing Times
8 February 2011
3. A year after Francis we asked 470 readers how their concerns were
handled…
20%
50%
30%
Don't know
Did NOT lead to an
'appropriate outcome'
Did lead to an
'appropriate outcome'
Survey carried out in February 2014 and published Nursing Times 6 March 2014
4. Health professionals needed
to think “very hard” before
standing up against poor
patient care, because it is
“potential professional
suicide”
“Your employer won't thank
you; the law won't protect
you. You're on your own”
Ramon Niekrash
April 2010
garywalkeruk
7. NHS Whistleblower
(sample in public domain)
Role Issues raised Employer Outcome
Tracy Boylin Director (HR) Misconduct / Fraud The Christie Sacked
David Drew Doctor Patient safety Walsall Healthcare Sacked
Kim Holt Doctor Patient safety GOSH Kept job*
Raj Mattu Doctor Patient safety Coventry and Warwickshire Sacked
Edwin Jesudason Doctor Patient safety Alderhey Forced to resign
John Watkinson Chief Executive Patient safety Royal Cornwall Sacked
Jennie Fecitt Nurse Patient safety NHS Manchester Sacked
Sandra Haynes Kirkbright Administrator Patient safety Royal Wolverhampton Hospitals Threatened with sack**
Gary Walker Chief Executive Patient safety United Lincolnshire Hospitals Sacked
Ramon Niekrash Doctor Patient safety South London Healthcare Kept job***
Helene Donnelly Nurse Patient safety Mid Staffordshire Forced to move job
Narinder Kapur Doctor Patient safety Addenbrookes Sacked
Margaret Haywood Nurse Patient safety Brighton and Sussex Struck Off
Loo Blackburn Nurse Patient safety Oxford GP practice Forced to move Job
Shiban Ahmed Doctor Patient safety Alderhey Kept job****
Steve Bolsin Doctor Patient safety Bristol Royal Infirmary Forced to leave UK
Sharmila Chowdhury Manager Misconduct / Fraud Ealing Hospitals Sacked
Mike Chester Doctor Patient safety Royal Liverpool Sacked
Kate Clarke Administrator Patient safety Dudley Hospitals Sacked
David Ore Security Patient safety Dudley Hospitals Sacked/Redund
* Suspended 4yrs, reinstated, service transferred ** Ongoing – Jeremy Hunt intervened *** Left with £170,000 costs
**** Left with £20,000 costs, suspended twice since, and still suspended on false allegations of mental illness.
garywalkeruk
11. “I couldn’t encourage anyone
to whistleblow.”
“The patients have been
forgotten in all this”
University Hospital of Coventry
and Warwickshire NHS Trust
spent £6-10m victimising Raj
Mattu
April 2014
garywalkeruk
13. Victimising NHS Whistleblowers is unlawful
and is likely to be endangering patient safety and/or the
financial stability of the organisation
garywalkeruk
14. NHS Confederation
“Several of our interviewees identified a problem
of a perceived or real toxicity in the wider system
inhabited by chief executives, describing the
environment as “brutal”, “arbitrary”, “prone to
favouritism” and intolerant of risk-taking that
isn’t successful.”
Don Berwick
“Fear is toxic to both safety and improvement”
“A symptom of this cycle is the gaming of data and
goals; if the system is unable to be better, because its
people lack the capacity or capability to improve, the
aim becomes above all to look better, even when truth
is the casualty.”
20092013
https://www.gov.uk/government/publications/berwick-review-into-patient-safety
garywalkeruk
15. “I heard of a fear of
bullying being a possible
explanation for more staff
not coming forward with
concerns…there was also
fear among staff about the
repercussions of not
complying with targets.
“Finally and perhaps of
most concern, I found a
widespread culture of
denial”
Robert Francis QC
garywalkeruk
17. Culture of Cover-ups
£28m and 1000 compromise deals
“There is simply no way of knowing how many of
these special severance payments have been made
across the public sector – or whether the
compromise agreements have been used to ‘gag’
employees. To date neither the Treasury nor
individual departments have monitored this
adequately.”
The Public Accounts Committee
garywalkeruk
18. Culture of Cover-ups
£28m and 1000 compromise deals
“We heard evidence of shocking examples of using
taxpayers’ money to ‘pay-off’ individuals who have
flagged up concerns about patient or child safety”
The Public Accounts Committee
garywalkeruk
19. Q. Have you witnessed bullying by management
or a colleague in the past 12 months?
A. 22% said up to 10 times - that’s 374,000 employees
NHS Staff Survey 2013
Q. Would you feel safe raising concerns?
A. 28% said No/don’t know - That’s 476,000 employees
20. Boards are accountable
for the culture of their
organisations
“People at the head of an
organisation set the tone
for the quality of care that
is provided”
Jeremy Hunt
14 Feb 2014
21. 1. Believe in whistleblowers
(Don’t brief against them)
garywalkeruk
22. garywalkeruk
The NHS must stop the dishonesty
of public support and private
condemnation
The NHS must stop the secret
briefings, profiling, denial,
victimisation, and internal reviews
that seek to cover up wrongdoing
26. 24. Refuse to
disclose
documents.
No one cares
about DPA and
FOI
23. Accuse a
whistleblower
of not raising
concerns early
enough
22. Delay as
much as possible
to push up the
legal costs for
the
whistleblower
21. Ignore PAC
and other
inquiries
20. Pretend that
the Public
Interest
Disclosure Act
offers adequate
protection
19. If external
investigation, the
trust can still
organise and pay
for it, recruit
the panel
18. Arrange an
“in house”
investigation.
17. Throw public
money at High
Court (unlimited
budget)
16. Throw public
money at an
employment
tribunal
(unlimited
budget)
15. Make
vexatious
complaints to
a professional
regulatory body
14. Publicly
humiliate the
whistleblower
13. Rely on the
cowardice and
apathy of the
Department of
Health
12. Make friends
with the coroner
to avoid scrutiny
11. Appoint
consultants to
rubbish the
whistleblower’s
claims.
10. Threaten to
sue the
whistleblower
9. Apply to the
Treasury for
public money to
pay off and
gag the
whistleblower
8.Misuse the
code of conduct
for managers
7. Claim it’s an
employment
conflict
6. Allege mental
health issues
(very popular)
5. Threaten
whistleblowers
and the
media with libel
suits
4. Threaten
reprisals
against
colleagues who
support a
whistleblower
3. Repeatedly
ignore, deny or
pretend to
address the
concerns
2. Allege actual
or
invented
misdemeanours
1. Inflict subtle
sanctions beyond
legal protection
garywalkeruk
27. 4. Sanction those who
victimise whistleblowers
(Don’t promote them)
garywalkeruk
29. The culture must change
To protect patients
To support whistleblowing
Boards are accountable for the culture
and how they support Speaking Out
1. Believe in whistleblowers
2. Declare whistleblowers are an asset not a liability
3. Act on a whistleblower’s concern: it protect patients
4. Sanction those who victimise whistleblowers
5. Publish how you support those raising concerns
garywalkeruk
30. Ashford and St. Peter's Hospital NHS Foundation Trust
Bedford Hospital NHS Trust
Birmingham Children's Hospital NHS Foundation Trust
Blackpool Teaching Hospitals NHS Foundation Trust
Buckinghamshire Healthcare NHS Trust
Burton Hospitals NHS Foundation Trust
Chesterfield Royal Hospital NHS Foundation Trust
Countess of Chester Hospital NHS Foundation Trust
Derby Hospitals NHS Foundation Trust
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
Dorset County Hospital NHS Foundation Trust
Dudley Group NHS Foundation Trust
East Cheshire NHS Trust
East Lancashire Hospitals NHS Trust
Epsom and St Helier University Hospitals NHS Trust
Gateshead Health NHS Foundation Trust
Heart of England NHS Foundation Trust
Homerton University Hospital NHS Foundation Trust
Hull and East Yorkshire Hospitals NHS Trust
Ipswich Hospital NHS Trust
Leeds Teaching Hospitals Trust
Liverpool Women's NHS Foundation Trust
Medway NHS Foundation Trust
Mid Cheshire Hospitals NHS Foundation trust
Mid Staffordshire NHS Foundation Trust
Milton Keynes Hospital NHS Foundation Trust
Norfolk and Norwich University Hospitals NHS
Nottingham University NHS Hospitals Trust
Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust
Royal Bournemouth and Christchurch Hospitals NHS
Foundation Trust
Royal Free London NHS Foundation Trust
Salford Royal NHS Foundation Trust
Sherwood Forest Hospitals NHS Foundation Trust
Shrewsbury and Telford Hospital NHS Trust
Stockport NHS Foundation Trust
South Devon Healthcare NHS Foundation Trust
South Tees Hospitals NHS Foundation Trust
University Hospitals of Leicester NHS Trust
University Hospitals of Morecambe Bay Foundation Trust
University Hospital of North Staffordshire NHS Trust
Walsall Healthcare NHS Trust
Warrington and Halton Hospitals NHS Foundation Trust
Western Sussex Hospitals NHS Foundation Trust
West Hertfordshire Hospitals NHS Trust
Worcestershire Acute Hospitals NHS Trust
Wrightington, Wigan and Leigh NHA Foundation Trust
Wye Valley NHS Trust
Yeovil District Hospital NHS Foundation Trust
Acute Trusts Signed up so far…
31. 2gether NHS Foundation Trust for Gloucestershire
Birmingham Community Healthcare NHS Trust
Bridgewater Community Healthcare NHS Trust
Bristol Community Health NHS Trust
Cambridge Community Services NHS Trust
Central London Community Healthcare NHS Trust
Derbyshire Community Health Services NHS Trust
East London NHS Foundation Trust
Gloucestershire Care Service NHS Trust
Hounslow and Richmond Community Healthcare
Leeds Community Healthcare NHS Trust
Liverpool Community Health NHS Trust
Lincolnshire Community Health Services NHS Trust
Norfolk Health and Community Care NHS Trust
Shropshire Community Health NHS Trust
Solent NHS Trust
Staffordshire and Stoke-on-Trent Partnership NHS
Trust
Sussex Community NHS Trust
Wirral Community NHS Trust
Coventry and Warwickshire Partnership NHS Trust
Cumbria Partnership NHS Foundation Trust
East London NHS Foundation Trust
Greater Manchester West NHS Foundation Trust
Hertfordshire Partnership University NHS
Foundation Trust
Leicestershire Partnership Trust
Mersey Care NHS Trust
Northumberland, Tyne and Wear NHS Foundation
Trust
South Essex Partnership University NHS Foundation
Trust
Sussex Partnership NHS Foundation Trust
Tees, Esk and Wear Valleys NHS Foundation Trust
Community and Mental Health Trusts signed up so far…
32. NHS Blackburn with Darwen CCG
NHS East Lancashire CCG
NHS Eastern Cheshire CCG
NHS Herefordshire CCG
NHS Liverpool CCG
NHS Northern, Eastern and Western Devon CCG
NHS North Durham CCG
NHS North Staffordshire CCG
NHS Norwich CCG
NHS Redditch and Bromsgrove CCG
NHS Shropshire CCG
NHS Solihull CCG
NHS South East Staffordshire and Seisdon Peninsula CCG
NHS South Tyneside CCG
NHS Stoke on Trent CCG
NHS Wyre Forest CCG
Clinical Commissioning Groups signed up so far…
33.
34. What do we want from you?
Sign up to SOS today (or email your Director/Manager)
Put the logo and our pledge on your website
We write a lovely story about your support on our website, which you share with all your staff
Contact fran.entwistle@emap.com or jenni.middleton@emap.com
35. The analysis and now the solution
How can NHS staff and managers make its culture safer to raise concerns?
Harnessing the power of the NHS’s greatest asset – its staff – to make patients safer
Exploring trust board solutions to ensure the NHS is a safe place to speak out
Dealing with issues rather than blaming the staff – what can be done?
Ensuring your organisation isn’t the next scandal-hit place to hit the headlines