Jonathan Back
@jonback
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healthcare analyst @theHSSIB & visiting fellow @LboroDesign: improving the management of systemic safety risks and understanding inequalities | own views |
United Kingdom
Joined February 2009
Electronic patient record systems can contribute to “serious harm” when patient information is missed, delayed, or recorded incorrectly, a national safety watchdog has warned https://t.co/3h54G1LnNP
bmj.com
Electronic patient record (EPR) systems can contribute to “serious harm” when patient information is missed, delayed, or recorded incorrectly, a national safety watchdog has warned. The Health...
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NHSE and DHSC deserve a lot of credit for this candour 👏👏👏👏 Any improvement driven by data must have meaningful and honest metrics. Aggregating performance from multiple sites hides struggling departments.
In a completely unheralded but praiseworthy move, NHSE has released site-level data for A&E performance: https://t.co/71Sc6Sbe1W...
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In their editorial, Denham Phipps emphasises the importance of enhancing medication safety through effective system and tool design, rather than relying on individuals to adapt to suboptimal environments. Read more 👉
qualitysafety.bmj.com
What should we do in order to improve quality and safety in medicines management? How beneficial is it to design the medicines management system—for example, the tasks, tools and physical environme...
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Cuts to ICBs could ‘exacerbate’ patchy patient safety oversight
healthcareleadernews.com
There are concerns that the cuts to ICB running costs are ‘likely to exacerbate already patchy oversight and support’ on patient safety
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I think this is one of the worst scandals I've uncovered and yet it remains somewhat under the radar. @wesstreeting has ordered an inquiry into the scandal. @CamillaKingdon has handed in her report to @DHSCgovuk. Why hasn't it been published?
🚨 Exclusive: New leaked document proves @NHSEngland was warned a decade ago about failures in child hearing test centres across England. Hundreds of children have been harmed, some left with lifelong problems: ▶️ https://t.co/OWgJUWsTXU
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@DrWilliamLea, @janekohara, @LawtonRebecca and colleagues found that outcome bias strongly influences judgments in healthcare safety investigations. After testing four hypotheses, they found that worse patient outcomes lead to greater blame on staff and more punitive
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Patient Safety Watch has written to @wesstreeting , alongside @AvMAuk & @ClinicalHF about the transition of HSSIB to @CareQualityComm with recommendations around maintaining independence. Read more here:- #patientsafety
https://t.co/rcSwqMoJle
hsj.co.uk
Three patient safety groups - one chaired by former health secretary Jeremy Hunt - are calling for the patient safety watchdog to retain its independence when it is absorbed into the Care Quality...
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For Aortic Dissection Awareness Day, @theHSSIB invited me to write a guest blog reviewing the life-saving impact of their investigation & reports about acute Aortic Dissection, produced in collaboration with @AorticDissectUK & @THINK__AORTA. Pls read & RT. https://t.co/JQMFqKsmkb
hssib.org.uk
To mark Global Aortic Dissection Awareness Day, Gareth Owens from the national patient charity blogs about the impact two HSSIB reports have had, with hundreds more people now receiving life-saving...
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Corridor care ‘new normal’ in England for one in five
theguardian.com
Findings of CQC survey from November 2024 lead experts to say waiting in such settings has become normalised
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Failing to learn? The NHS is losing its capacity for system-wide safety investigation https://t.co/CxZoBmeNuQ
journals.sagepub.com
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Professor Leng has now completed her review into the safety and effectiveness of the physician associate and anaesthesia associate roles. The following conclusions have been made. https://t.co/8XfLTLPlms
gov.uk
Independent report by Professor Gillian Leng CBE looking at the safety and effectiveness of physician associates and anaesthesia associates.
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Great work from HSSIB - it’s incredibly useful for NHS trusts implementing PSIRF to have examples of exemplar PSII’s. Hopefully these will be read and shared widely. #patientsafety
https://t.co/nQF6bvTcTW
hssib.org.uk
Three reports that model investigation of sepsis under the Patient Safety Incident Response Framework (PSIRF), to boost local learning and help improve investigation quality in the NHS.
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The emphasis on data driven transparency & restoring confidence & trust in the CQC will be crucial. We must guard against politicising NHS performance - as we know from history that a ‘no bad news’ culture is a route to catastrophe. #PatientSafety
She will roll back many changes made since the Mid Staffs scandal, returning power to managers & DHSC Challenged she was giving back control to bodies numerous inquiries had shown had failed, she said: “No, I'm giving back the accountability to them". Right? Or dangerously naive?
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Just tested a serious #AI vulnerability: hidden white-text prompts in a doc were executed without detection by both ChatGPT(@OpenAI) and Claude(@AnthropicAI). No resistance, no safeguards. #LLMs remain highly susceptible to doc-based prompt injection. This needs urgent attention.
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She will roll back many changes made since the Mid Staffs scandal, returning power to managers & DHSC Challenged she was giving back control to bodies numerous inquiries had shown had failed, she said: “No, I'm giving back the accountability to them". Right? Or dangerously naive?
🚨INTERVIEW: Tomorrow new NHS England chair Penny Dash will publish her review into patient safety. She sat down with The Sunday Times to explain her views on the NHS and what needs to change: READ:
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Our latest newsletter is now available via @HSJnews here. With a focus on the NHS’s 10-year plan and what it means for patient safety. 🔗 https://t.co/FrINETxgBS
#patientsafety #NHS #healthpolicy
hsj.co.uk
HSJ hosts the Patient Safety Watch newsletter, written by Patient Safety Watch chief executive James Titcombe
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HSSIB will continue to be a centre of excellence for investigations. It will operate as a dedicated, expertise-led investigation facility
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