Obstacles To Patient Safety
Key Performance Indicators
As mad as a hatter?
‘Whatever you do don’t get into this. There’s nothing you can do. It will only send you mad.’ Sage words from a gastroenterologist I’d never met before. A patient of his had a ruptured bowel – the pressure of gas, delivered during colonoscopy, far too high. He’d tried for […]
‘Never Events’ or ‘Always Conditions’
The healthcare safety machine needs fixing.
The healthcare safety machine needs fixing. Is there anyone out there who can help? Medical error has been reported as the third greatest cause of death. We know this. ‘The real problem isn’t how to stop bad doctors from harming, even killing, their patients. It’s how to prevent good doctors […]
Bad news is good news
What’s in a name?
Is the TGA too close to industry to regulate it?
Ban Indistinct Chlorhexidine Antiseptic
Chlorhexidine – Press Release
In 2010 Grace Wang was left paralysed after an accidental epidural injection with antiseptic solution (indistinct chlorhexidine – easily mistaken for other colourless solutions). This same error continues to play out again and again throughout the world. 500 frontline staff have signed a petition to have indistinct chlorhexidine banned – […]