Discover and read the best of Twitter Threads about #PatientSafety

Most recents (24)

I know the point at which the caller broke down and cried.

I was there, and I heard it all.

It was during my second call, to conclude on a grim possibility of Methotrexate overdose in a very sick child.

Multiple co-morbidities.

1/
Its 7.45pm - I'm due to leave at 8pm. I hope.
It’s never happened of course.

I feel a little mentally drained, I sip my cold coffee and wince.

Must get that thermal mug I keep promising myself.

2/
Case open, I read scant notes, I will realise later why.
The case came through with some haste.

I start my call.

The caller: a father.

I start to hear that "whoosh" sound in my ears.

Fight and flight response. I grab my paper pad and pen, start scribbling down notes.
3/
Read 22 tweets
Alright, I’m just going to announce this: cognitive behavior therapy CBT is NOT an appropriate first-line treatment for poorly understood physical conditions such as #insomnia, #chronicpain, #MECFS, etc. It is a wastebasket that has enabled medicine to toss #patients a 1/
wastebasket because they don’t know any to admit they don’t know what’s wrong, which causes the conditions themselves to be psychologicalogized, minimized and trivialized. This has a chilling effect on biomedical research for these conditions. The numbers touting the success 2/
of CBT are easy to fudge, given the circular reasoning the theory is largely based on. Not to mention the damaging effects to patients when they supposed didn’t “think” hard enough to get better. Since #PatientExperience often has no credibility with medical practitioners, we 3/
Read 5 tweets
We advise clinicians to do the following to improve patient safety:

1) Limit the volume of administered gadolinium-based contrast agents when used
kidney360.asnjournals.org/content/early/…

#gadolinium
☢️#radiology
#nephrology
🏥#patientsafety
#risk #management
#medical #ethics
#FOAMed
2) increase patient education, incorporate informed consent and shared decision making when GBCA administration occurs;

kidney360.asnjournals.org/content/early/…

#gadolinium
☢️#radiology
#nephrology
🏥#patientsafety
#risk #management
#medical #ethics
#FOAMed
3) maintain careful institutional records of administered agents along with the volume and frequency,

kidney360.asnjournals.org/content/early/…

#gadolinium
☢️#radiology
#nephrology
🏥#patientsafety
#risk #management
#medical #ethics
#FOAMed
Read 4 tweets
Here are our #Top10 health tweets in 2019:

1⃣ #VaccinesWork

Vaccines:
💪🏽reduce child deaths and disease
💪🏽protect against outbreaks
💪🏽prevent malnutrition
💪🏽defend against antimicrobial resistance
With vaccines, we are protected together!

#Top10 health tweets in 2019

2⃣ #MentalHealth

Every 40 seconds someone dies from #suicide.
This year, WHO launched the #40seconds campaign to raise awareness about the scale of suicide around the world and roles we can play in prevention.

#Top10 health tweets in 2019

3⃣ #PatientSafety

Every minute, 5 patients die because of unsafe care. This year, we marked the first ever #WorldPatientSafetyDay to speak up for patient safety!

Read 10 tweets
This is utterly absurd!

The dangerously flawed unvalidated @babylonhealth Chatbot, continues to put WOMEN at risk of #DeathByChatbot #GenderBias.

A 60yr old 20/day Smoker with Sudden Onset Central Chest Pain & Nausea...

FEMALE = #PanicAttack.

MALE = #HeartAttack. ImageImage
Here is the♀️#GenderBias triage.

A 60yr old FEMALE smoker develops Sudden Onset Central Chest Pain & Nausea.

She uses the @babylonhealth Chatbot, which suggests it's a #PanicAttack or #Depression - which can be managed at home.

#DeathByChatbot
Here is the ♂️#GenderBias triage.

A 60yr old MALE smoker with an identical history uses the @babylonhealth Chatbot...

For him, the Chatbot suggests #UnstableAngina or #HeartAttack - which requires emergency treatment...
Read 4 tweets
1) So you get a copy of your medical records & dive in, reading line by line, trying to make sense of your new lung #cancer diagnosis.

“Wait a second, this doesn’t sound right. This is a mistake. I don’t have a history of a heart condition & I don’t smoke cigarettes.
#PtExp
2) You call your oncologist’s office to report the mistakes you found & ask to have it updated. You are told to write down the correction & fax it to the office. You do exactly that.
#PtExp #addendum #EHR
3) At your next follow up appt a month later, you ask the dr if your record was updated & the correction was made.

The dr looks at you like:

#PtExp #addendum #EHR
Read 16 tweets
“Around 2012 or 2013, researchers identified evidence that gadolinium retention was connected to illness in patients with normal kidney function.” scholar.google.com/scholar_case?c…
“In September 2017, after the FDA voted to add concerns about gadolinium retention on warning labels, [gadolinium-based contrast agent] manufacturers, including Defendants, issued a new joint warning to patients with normal kidney function.” scholar.google.com/scholar_case?c…
“The warning [RE: #gadolinium retention] also directed physicians to advise patients of these concerns.”

Consent: valued in the United States since the Nuremberg trials of 1947 🇺🇸 scholar.google.com/scholar_case?c…

☢️#radiology
🥼#nephrology
🏥#publichealth ⚠️#patientsafety
💉#MRIdye
Read 4 tweets
Today is the first ever #WorldPatientSafetyDay.

No one should be harmed in health care.
Yet, every minute, 5 patients die because of unsafe care.
These deaths can be prevented - simple commitment can ensure safe care 🤝
More 👉 bit.ly/2kBTEvh

#PatientSafety
Millions of patients are harmed each year due to unsafe health care worldwide, with 2.6 million deaths every year in low-and middle-income countries alone.

More 👉 bit.ly/2kBTEvh

#WorldPatientSafetyDay
#PatientSafety
@WHOWPRO @WHOSEARO @WHOEMRO @WHO_Europe_DE @WHOAFRO @pahowho 4 out of every 10 patients are harmed during primary and outgoing health care.
The most harmful errors are related to diagnosis, prescription and the use of medicines.

More 👉 bit.ly/2kBTEvh

#WorldPatientSafetyDay
#PatientSafety
Read 29 tweets
Tomorrow is the very first #WorldPatientSafetyDay.

Cities around the 🌍🌎🌏 are lighting up National monuments orange throughout the week in solidarity with patients:

Jet d’Eau, Geneva 🇨🇭
The three Pyramids of Giza, 🇪🇬
Kuala Lumpur Tower, 🇲🇾
...

👉🏼 bit.ly/2kBTEvh
@WHO_Europe @WHOAFRO @pahowho @WHOEMRO @WHOSEARO @WHOWPRO @DrTedros ...
Cairo Festival City, 🇪🇬
Library of Alexandria, 🇪🇬
The Royal Opera House, Muscat 🇴🇲
The National Palace of Culture, Sofia 🇧🇬
Zakim Bridge, Boston 🇺🇸
Department of Health, London 🇬🇧
Eastern Pearl Tower, Shanghai 🇨🇳
Town Hall of La Spezia, 🇮🇹
...
#WorldPatientSafetyDay
@WHO_Europe @WHOAFRO @pahowho @WHOEMRO @WHOSEARO @WHOWPRO @DrTedros ...
Baalbek Ruins, Baalbek 🇱🇧
Statue of Shusrutha, Kochi 🇮🇳
University Hospital Turku, 🇫🇮
Hospital Erasto Gaertner Curitiba, Paraná 🇧🇷
Convention Center of Eugenio Espejo Hospital, Quito 🇪🇨
University Hospital Fountain, Yamanashi 🇯🇵
... and many more 👉🏼 bit.ly/2kBTEvh
Read 4 tweets
Ask your questions on #patientsafety to WHO’s @NeelamDhingra1 - use hashtag #AskWHO
HAPPENING NOW: Ask your questions on #patientsafety to WHO’s @NeelamDhingra1 - use hashtag #AskWHO
Read 3 tweets
Let's remove barriers so that #PharmacyTechnicians in the UK can be trained to vaccinate, and support attainment of community immunity

Now's the time to produce a training programme & PSDs to support the delivery of this year's flu prevention plan

#vaccines #InfectionPrevention
We need to adopt QI methodology to address this #publichealth concern

The drivers are clear - this is about ⬆️ #patientsafety via #prevention

It should not be about inter-professional competition; there is enough work for everyone
It's important to #vaccinate as many people as possible to protect those who're vulnerable

Although UK flu activity levels were not high last year, impact on 2°care was high due to hospitlisation & ICU admissions

This year looks set to ⬆️ so let's be innovative w/ healthcare WF
Read 6 tweets
“[T]he American College of Radiology have categorized the various ligands into different safety classes ... despite being grounded in purely observational data,” physiology.org/doi/full/10.11…
#gadolinium ☠️ #patientsafety #radiology #Nephrology
The “American College of Radiology] Committee on Drugs and Contrast Media considers the risk of [‘nephrogenic’ systemic fibrosis] among patients exposed to standard or lower than standard doses of group II [gadolinium-based contrast agents] is ... possibly nonexistent...”
The American College of Radiology, based on more opinion than evidence, guided Group II agents—such as MultiHance—as having “sufficiently low or possibly nonexistent” risk for gadolinium-induced systemic fibrosis. acr.org/Clinical-Resou…
#gadolinium ☠️ #radiology ☢️ #Nephrology
Read 4 tweets
A thread about infant readmissions to hospital in the UK. Prompted by a recent paper in @bmcseries #bmcpediatrics. I’ll talk thru the data & some wider issues that are the focus of debate in #infantfeeding - 1/n

bmcpediatr.biomedcentral.com/articles/10.11…
Why is this important? Well, there is a lot of discussion going on, mainly in mass media and social media, about possible relationships between #infantfeeding policy & practice and sufficiency of #breastfeeding in the early days/weeks of life 2/n
My personal interest in this area: while having my own kids, I trained & volunteered to provide #breastfeeding support locally and continue to follow the research and evolving discussions 3/n
Read 45 tweets
“Gadolinium-based contrast agents: Stimulators of myeloid-induced renal fibrosis and major metabolic disruptors,“ is now in press—sciencedirect.com/science/articl…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
#dermatology
#nephrology
Gadolinium-based “magnetic resonance imaging contrast agent treatment impaired renal function, induced pathologic damage, and increased kidney fibrosis,” sciencedirect.com/science/articl…

#gadolinium
#nephrology
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 11 tweets
“[I]t is known that during those at least 6 weeks [after exposure to gadolinium-based contrast agent] equilibrium has not been reached and [gadolinium] can be measured for all [gadolinium-based contrast agents] in tissue,” fda.gov/downloads/Advi…

#gadolinium
🧠
☢️
“It is important to note that the exact mechanism and in particular other co-factors that are likely needed to trigger [‘nephrogenic’ systemic fibrosis] are still unknown,” fda.gov/downloads/Advi…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
“[T]he levels of gadolinium in the body considered normal in the absence of any [gadolinium-based contrast agent] exposure is, for practical purposes, zero,” fda.gov/downloads/Advi…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 4 tweets
“Notably, in recently published rodent studies, complete clearance of the brain took up to 6 months after injection of a large amount of” gadolinium-based contrast agents. journals.lww.com/investigativer… @HrsQuiet
#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
“[S]o it can be assumed that the total clearance—if achieved at all—might also take months in humans,” after gadolinium-based contrast administration— journals.lww.com/investigativer… @HrsQuiet
#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 4 tweets
“A conspicuous knowledge gap now exists about” the safety of gadolinium-based contrast agents—Dr. Stephen Brown, Harvard Medical School, in
The Need for National Guidance Around Informed Consent About GBCA Safety
tandfonline.com/doi/abs/10.108…
#gadolinium #radiology #patientsafety
“The research protocol under discussion highlights where the [National Institutes of Health] Roadmap around [gadolinium-based contrast agents] falls short,” because informed consent about gadolinium deposition could be left out—Dr. Stephen Brown
tandfonline.com/doi/abs/10.108…
“The [Institutional Review Board] should first clarify that gadolinium deposition is NOT INCIDENTAL in this study,” [emphasis added]—Dr. Stephen Brown, Harvard Medical School, in
The Need for National Guidance Around Informed Consent About GBCA Safety
tandfonline.com/doi/abs/10.108…
Read 7 tweets
It’s a major conflict of interest for MDs to both prescribe &dispense meds to patients: it’s reportable to regulatory college

▶️bit.ly/2Isu71Q

If it’s considered harmful to pts &ethically wrong for MDs, why is @fordnation govt permitting it for pharmacists? 1/2 #onpoli
Cdn MDs have post-graduate training
-Family Doctor has min 10yrs of university training
-Specialist MD has min 12-16yrs of university training
-PLUS ALL MDs have thousands of hrs of hands-on clinical training

Pharmacists only complete basic 4-6yr undergraduate degree 2/2 #onpoli
IDENTICAL to regulatory body of ON MDs, College of Physicians &Surgeons of ON (CPSO), regulatory body of ON Pharmacists, ON College of Pharmacists (OCP), CLEARLY states under “#Accountability” that Pharmacists must “Avoid #ConflictOfInterest.” 3/

#patientsafety #onhealth #onpoli
Read 6 tweets
“Despite significant differences in the thermodynamic stability between non-ionic Omniscan and ionic Magnevist, the [#gadolinium ☠️] concentrations were about the same in the brain,” nibib.nih.gov/sites/default/…
#radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” paresthesias, dysesthesias, clouded mentation, skin discoloration, skin changes, skin thickening, bone pain, bone/joint pain, muscle spasms, arthralgia, muscular weakness—nibib.nih.gov/sites/default/…
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” fatigue/asthenia, digestive symptoms, nausea, vomiting, diarrhea. nibib.nih.gov/sites/default/…
#gadolinium #radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology #nephrology #rheumatology
Read 14 tweets
So I made this thread to show how some of you are getting hustled for lip fillers..
Read 16 tweets
🗣️And it is finally out!

👉Amazing shared forum from @OPENPediatrics about #PedsICU rehab and patient (family)-centered care

👉Please share/RT this paradigm shift lecture

#thrive #ICUrehab @McMasterU

@karen_choong from 🇨🇦
openpediatrics.org/assets/video/e…
🗣️Al final llegó!

👉Increíble foro compartido desde @OPENPediatrics sobre rehabilitación en #PedsICU y cuidados centrados en el niño y su familia

👉Comparte/RT esta charla sobre cambio paradigmas

#thrive #ICUrehab @McMasterU

@karen_choong from 🇨🇦
openpediatrics.org/assets/video/e…
Thread/Hilo (🇬🇧🇪🇸)

3/
Epidemiology has changed. New children population: SURVIVORS
La epidemiología cambió en #PedsICU : nuevos niños: SOBREVIVIENTES

MORTALITY Shift
Cambio el patrón de MORTALIDAD
👇
Read 16 tweets
Now reading the the #TopolReview report - Preparing the healthcare workforce to deliver the digital future. It's an illuminating read topol.hee.nhs.uk #DigitalHealth
It's clear that a lot of effort has gone into the #TopolReview - it paints a glorious vision of what healthcare would look like over the next 20 years (for both staff and patients) - enabled by technology such as #genomics, #AI and #robotics
For me the #Topolreview has too narrow a focus. It's been commissioned by healthcare, yet we know that with an aging population, many people with long term conditions have to rely upon #socialcare as well. We need joined up thinking, imho.
Read 34 tweets
@RichDuszak 1- MT @Aiims1742 “This @katekelly article reads like a paid infomercial for EPIC (in fact, I actually looked for the “This is an advertisement” disclaimer). Would have been nice to have interviewed one or two end users of the chocolate factory product.”
nytimes.com/2018/12/20/bus…
@RichDuszak @Aiims1742 @katekelly 2- Nice digs, clever marketing spin, BUT Epic highly disliked by users. #EHR has significantly disrupted relationships w #patients, #ptexp, led to clinician & pt dissatisfaction, & is seen as one cause of #burnout. @JackMurtha hcanews.com/news/ehrs-are-… @BarbaraMcAneny @meggerber
Read 28 tweets
This week we'll be looking at 5 key challenges affecting the #NHS & #SocialCare workforce. We want to hear YOUR views through our #TalkHealthandCare platform on how we can improve your experience working in the sector. The first challenge explores whether staff feel empowered…
🎯CHALLENGE: Staff don’t always feel in control or empowered about the decisions regarding the care they provide, leaving them feeling unsupported by their colleagues. We want to create an environment where staff can fulfil their potential. Have your say: dhscworkforce.crowdicity.com/category/29628
📊 More than 70% of staff feel their manager values their work [Source: NHS Staff Survey’17] – but we want EVERYONE to feel supported & empowered. How can we ensure this happens? Join the #TalkHealthAndCare conversation: bit.ly/2OAtDoS
Read 8 tweets

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