Our Dead on Every Shore
By MAYURA DESHPANDE
I once made a serious error. The patient had taken an overdose of paracetamol, but because I was single-handedly covering three inpatient acute psychiatric wards due to sickness of two other trainees which medical HR had been unable to cover, with a lot of agency nurses who did not know any of the patients well at all, and also because this patient frequently said she had taken overdoses when she had not, and declined to let me take bloods to test for paracetamol levels, I believed she was crying wolf. She collapsed several hours later, and died. I was overwhelmed with feelings of guilt, inadequacy, b...
Source: The Health Care Blog - February 26, 2019 Category: Consumer Health News Authors: matthew holt Tags: NHS Patients Physicians Adverse Events Mayura Deshpande Source Type: blogs
The Doctor Who Thwarted the Charge of the General Medical Council- Part 2
By SAURABH JHA
Saurabh Jha
This is the second part of Dr. Jha’s conversation with Dr. Jonathan Cusack, who was the former supervisor and mentor of Dr. Bawa-Garba, a pediatrician convicted of manslaughter of fetal sepsis in Jack Adcock. Read the first part of this series here.
Dr. Jonathan Cusack versus the General Medical Council
I spoke with Dr. Jonathan Cusack, consultant neonatologist at Leicester Royal Infirmary (LRI), and former supervisor and mentor of Dr. Bawa-Garba, the trainee pediatrician convicted of manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy with Do...
Source: The Health Care Blog - August 12, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS #BawaGarba @roguerad Source Type: blogs
Dr. Jonathan Cusack versus the General Medical Council
By SAURABH JHA
I spoke with Dr. Jonathan Cusack, consultant neonatologist at Leicester Royal Infirmary (LRI), and former supervisor and mentor of Dr. Bawa-Garba, the trainee pediatrician convicted of manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy with Down’s syndrome. We had drinks at The George, pub opposite the Royal Courts of Justice.
In the first part of the interview we discussed the events on Friday February 18th, 2011, the day of Jack presented to LRI. In the second part of the interview we talk about the events after fatal Friday – how the crown prosecution service go...
Source: The Health Care Blog - August 12, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS #BawaGarba @roguerad Source Type: blogs
The Doctor Who Thwarted the Charge of the General Medical Council – Part 1
By SAURABH JHA
After Dr. Hadiza Bawa-Garba was convicted for manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy who presented to Leicester Royal Infirmary with diarrhea and vomiting, she was referred to the Medical Practitioners Tribunal (MPT). The General Medical Council (GMC) is the professional regulatory body for physicians. But the MPT determines whether a physician is fit to practice. Though the tribunal is nested within the GMC and therefore within an earshot of its opinions, it is a decision-making body which is theoretically independent of the GMC.
The tribunal met in 2017, 6 ...
Source: The Health Care Blog - August 5, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS #BawaGarba @roguerad Source Type: blogs
To Err is Homicide in Britain – the case of Dr. Hadiza Bawa-Garba
By, SAURABH JHA
The good that doctors do is oft interred by a single error. The case of Dr. Hadiza Bawa-Garba, a trainee pediatrician in the NHS, convicted for homicide for the death of a child from sepsis, and hounded by the General Medical Council, is every junior doctor’s primal fear.
An atypical Friday
Though far from usual, Friday February 18th, 2011 was not a typically unusual day in a British hospital. Dr. Bawa-Garba had just returned from a thirteen-month maternity break. She was the on-call pediatric registrar – the second in command for the care of sick children at Leicester Royal Infirmary. As a “r...
Source: The Health Care Blog - January 30, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Patients Physicians The Business of Health Care Source Type: blogs
The progress and outcomes of black and minority ethnic (BME) nurses and midwives through the Nursing and Midwifery Council's fitness to practise process
Nursing and Midwifery Council (NMC) - This research, carried out by the University of Greenwich, explores the progress and outcomes of BME nurses and midwives going through the NMC's fitness to practise process. The findings highlight that BME staff are more likely to be referred to the NMC than their white counterparts but that BME staff are less likely to be struck off or suspended. ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 10, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Equality and diversity Regulation, governance and accountability Source Type: blogs
Retraction and the Rise of the Truth Jihadis
By SAURABH JHA, MD
A petition to the British Medical Journal (BMJ) asking for Makary’s paper on medical errors to be retracted has received over 100 signatures. I, amongst others, criticized Makary’s analysis. But I shall not be signing the petition.
I applaud the editor of the BMJ, and the section editor, for publishing Makary’s analysis. The analysis was in the right journal in the right section. To be clear, I believe the editors did nothing wrong publishing the paper. The role of medical journals is not to tell us how to think, but what to think about, which the BMJ achieved.
Makary’s analysis was provocative...
Source: The Health Care Blog - June 26, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Statistics and the law: the prosecutor’s fallacy
Conclusions.
Although this argument uses an artificial example that is simpler than most real cases, it illustrates some important principles.
(1) The likelihood ratio is not a good way to evaluate evidence, unless there is good reason to believe that there is a 50:50 chance that the suspect is guilty before any evidence is presented.
(2) In order to calculate what we need, Prob(guilty | evidence), you need to give numerical values of how common the possession of characteristic x (the evidence) is the whole population of possible suspects (a reasonable value might be estimated in the case of DNA evidence), We ...
Source: DC's goodscience - March 22, 2016 Category: Science Authors: David Colquhoun Tags: Law statistics Clive Stafford Smith false conviction false discovery rate false positives lawyers Michael Mansfield Philip Dawid Squier Waney Squier Source Type: blogs
Statistics and the law: the prosecutor ’ s fallacy
Conclusions.
Although this argument uses an artificial example that is simpler than most real cases, it illustrates some important principles.
(1) The likelihood ratio is not a good way to evaluate evidence, unless there is good reason to believe that there is a 50:50 chance that the suspect is guilty before any evidence is presented.
(2) In order to calculate what we need, Prob(guilty | evidence), you need to give numerical values of how common the possession of characteristic x (the evidence) is the whole population of possible suspects (a reasonable value might be estimated in the case of DNA evidence), We ...
Source: DC's goodscience - March 22, 2016 Category: Science Authors: David Colquhoun Tags: Law statistics Clive Stafford Smith false conviction false discovery rate false positives lawyers Michael Mansfield Philip Dawid Squier Waney Squier Source Type: blogs
Statistics and the law: the prosecutor ’ s fallacy
Conclusions.
Although this argument uses an artificial example that is simpler than most real cases, it illustrates some important principles.
(1) The likelihood ratio is not a good way to evaluate evidence, unless there is good reason to believe that there is a 50:50 chance that the suspect is guilty before any evidence is presented.
(2) In order to calculate what we need, Prob(guilty | evidence), you need to give numerical values of how common the possession of characteristic x (the evidence) is the whole population of possible suspects (a reasonable value might be estimated in the case of DNA evidence), We also ne...
Source: DC's goodscience - March 22, 2016 Category: Science Authors: David Colquhoun Tags: Law statistics Clive Stafford Smith false conviction false discovery rate False positive risk false positives FPR lawyers Michael Mansfield Philip Dawid Squier Waney Squier Source Type: blogs
#Exeter: Shocking litany of sexual abuse from (still practicing) groping psychotherapist . #MentalHealth
Tina Welch, 49, told to undress during a session with her therapist boss
John Clapham, 67, said it would help her with ‘intimacy problems’
He told another employee to remove her underwear during a massage
Clapham has been struck off as a therapist but still operates
Read more:
http://www.dailymail.co.uk/health/article-2726594/Struck-shamed-groping-psychotherapist-free-treat-women-today-Victims-said-asked-undress-lack-regulation-means-firm-abusing-trust-operating.htmlFiled under: Mental Health, The News & Policies. (Source: Dawn Willis sharing the News and Views of the Mentally Wealthy)
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - August 17, 2014 Category: Mental Illness Authors: Quinonostante Tags: Mental Health, The News & Policies. Source Type: blogs
Exeter church plays Pontius Pilate over Palace Gate abuse case
Originally posted on The Not So Big Society:
In recent months I’ve covered the Palace Gate abuse case, in which the two directors of Palace Gate Counselling Service, Exeter, were struck off by the British Association for Counselling and Psychotherapy. John Clapham was found to have taken sexual advantage of two women during therapy sessions. His co-director Lindsey Talbott then aided him in a lengthy campaign of harassment and defamation against the complainants.
Palace Gate Counselling Service rents its premises in the Palace Gate Centre from South Street Baptist Church. Because counselling has only voluntary self-regu...
Source: Dawn Willis sharing the News and Views of the Mentally Wealthy - July 28, 2014 Category: Mental Illness Authors: Quinonostante Tags: Mental Health, The News & Policies. Source Type: blogs
The last nail in the NHS coffin
We all know that politicians lie but as I have followed the story of the unravelling of our NHS I find it quite difficult to grasp the depths of their dishonesty and duplicity. It's one thing to be economical with the truth but to deliberately mislead the public repeatedly is altogether more serious. If a doctor were to do this in the course of his work he would be struck off the register. Perhaps we deserve the honesty rating accorded to us in public polls. Certainly politicians deserve their ranking at the very bottom.
What's new, I hear you say. We all know politicians lie. We all know it's wrong. We all know this is ...
Source: Dr Grumble - February 24, 2013 Category: Internists and Doctors of Medicine Source Type: blogs
