On my journey to understand learning from incidents #TMNHA I came across a great article - I declare my bias -Prof Ferner was one of my first consultants,on my first ward, as a newly qualified nurse. His wise words have always stayed with me and now more!
Our later work work that the learnings from these medication related deaths were not well shared. Any under-investigation of deaths, further adds to the leaky pipeline that already exists for learning from patient deaths. 3/3 https://t.co/ZxCGcnM2ca
RT @Cox_A_R: To be honest, the NHS isn’t learning enough from coronial deaths at present. Evidence: https://t.co/QYo4HAj1Yp @Richards_G_C
To be honest, the NHS isn’t learning enough from coronial deaths at present. Evidence: https://t.co/QYo4HAj1Yp @Richards_G_C
RT @Cox_A_R: We found in a later study that “Coroners’ concerns are often of national importance but are not currently shared nationally.“…
RT @Cox_A_R: We found in a later study that “Coroners’ concerns are often of national importance but are not currently shared nationally.“…
We found in a later study that “Coroners’ concerns are often of national importance but are not currently shared nationally.“ https://t.co/QYo4HAj1Yp
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
RT @tessajlrichards: Worrying to learn that lessons from coroners reports of deaths from medicines are not being widely used to prevent fur…
Worrying to learn that lessons from coroners reports of deaths from medicines are not being widely used to prevent further deaths. https://t.co/eU1hHwxR0f
RT @SafePrescriber: 'Deaths from medicines are a significant problem.' An interesting read from SCRIPT @safeprescriber co-founders Professo…
'Deaths from medicines are a significant problem.' An interesting read from SCRIPT @safeprescriber co-founders Professor Robin Ferner and Dr Anthony Cox
Preventing Future Deaths from Medicines: Responses to Coroners’ Concerns in England and Wales https://t.co/Ezu00KTbYa
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
RT @drarcox: Our second paper on patient deaths reported by Coroners, caused by medication errors, has been published at @DrugSafetyJ Not e…
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
RT @amecarrington: Education and training cited as the most frequent action taken in response to coroners concerns. Learning from medicatio…
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
@mazsilk_mary - another possibility?
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
RT @drarcox: Our second paper on patient deaths reported by Coroners, caused by medication errors, has been published at @DrugSafetyJ Not e…
RT @YellowCardWM: our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Respo…
our follow up paper on coroners reports have been published. You can read "Preventing Future Deaths from Medicines: Responses to Coroners’ Concerns in England and Wales" here https://t.co/RztlmW64tO #ADR #Coroners #PFD #Regulation28 #DrugSafetyJ
Education and training cited as the most frequent action taken in response to coroners concerns. Learning from medication SAIs needs more emphasis on system thinking and engineered solutions and less on the individual's ability.
Coroners' regulation 28 letters to prevent future deaths have been much in the news recently; here is research by my colleagues into action arising from them where medicines are concerned https://t.co/74rOgNQ0rd
Coroners’ concerns are often of national importance but are not currently shared nationally. Only a minority of responses to coroners’ reports concerning medicines are in the public domain