scholarly journals EP.WE.135Analysis of National Bariatric Surgery Related Clinical Incidents

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Islam Omar ◽  
Brijesh Madhok ◽  
Chetan Parmar ◽  
Omar Khan ◽  
Michael Wilson ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Significant Proportion ◽  
Learning System ◽  
Left Behind ◽  
High Severity ◽  
The United Kingdom ◽  
Nasogastric Tubes ◽  
The Uk ◽  
Bariatric Surgery Worldwide ◽  
Learning Points

Abstract Background Hundreds of thousands of patient-safety clinical incidents are reported to the National Reporting and Learning System (NRLS) database in the United Kingdom (UK) every year. The purpose of this study was to identify bariatric surgery-related learning points from these incidents. Methods We analysed bariatric surgery-related clinical incidents reported to the UK NRLS database between 01 April 2005 and 31st October 2020. Results We identified 541 bariatric surgery-related clinical incidents in 58 different themes. Preoperative incidents represented 30.31% (N = 164), intraoperative 38.09% (N = 206), and postoperative accounted for 31.61% (N = 171). In terms of severity of incidents, (150;27.7%) were of high severity, whereas medium and low severity incidents were (244;45.1%) and (147;27.2%) respectively. The most common high severity theme was failure of thromboprophylaxis (50;9.2%). Intraoperative high severity incidents included 17 incidents of stapling of orogastric/nasogastric tubes or temperature probes, 8 missed needles, 8 broken graspers, and 6 incidents of band parts left behind. Postoperatively, the most common high severity theme was improper management of diabetes mellitus (DM) (35;6.5%). Medications errors represented a significant proportion of the medium severity incidents and included (26;4.8%) incidents of improper or missed prescription of routine medications and anticoagulants preoperatively and (45;8.3%) wrong prescriptions, dosage or prescribing of contraindicated medications postoperatively. Among the low severity themes identified there were (23;4.3%) incidents of postoperative diet problems, and (19;3.5%) patients listed for wrong procedures. Conclusion We identified 58 specific themes of bariatric surgery-related clinical incidents. Awareness of these themes should help to improve the safety of bariatric surgery worldwide.

SP5.1.3 Analysis of National Bariatric Surgery Related Clinical Incidents: Lessons Learned and a Proposed Safety Checklist for Bariatric Surgery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Islam Omar ◽  
Brijesh Madhok ◽  
Chetan Parmar ◽  
Omar Khan ◽  
Michael Wilson ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Significant Proportion ◽  
Lessons Learned ◽  
Learning System ◽  
Left Behind ◽  
High Severity ◽  
Nasogastric Tubes ◽  
The Uk ◽  
Bariatric Surgery Worldwide ◽  
Learning Points

Abstract Background Hundreds of thousands of patient-safety clinical incidents are reported to the National Reporting and Learning System (NRLS) database in the UK every year. The purpose of this study was to identify bariatric surgery-related learning points from these incidents. Methods We analyzed bariatric surgery-related clinical incidents reported to the UK NRLS database between 01 April 2005 and 31st October 2020. The authors used their experience to identify learning themes and design a safety checklist. Results We identified 541 bariatric surgery-related clinical incidents in 58 different themes. Preoperative incidents represented 30.3% (N = 164), intraoperative 38.1% (N = 206), and postoperative accounted for 31.6% (N = 171). In terms of severity of incidents, (150;27.7%) were of high severity, whereas medium and low severity incidents were (244;45.1%) and (147;27.2%) respectively. The most commonly reported high severity theme was failure of thromboprophylaxis (50;9.2%). Intraoperative high severity incidents included 17 incidents of stapling of orogastric/nasogastric tubes or temperature probes, 8 missed needles, 8 broken graspers, and 6 incidents of band parts left behind. Postoperatively, the most commonly reported high severity theme was improper management of diabetes mellitus (35;6.5%). Medications errors represented a significant proportion of the medium severity incidents and included (26;4.8%) incidents of improper or missed prescription of routine medications and anticoagulants preoperatively and (45;8.3%) wrong prescriptions, dosage or prescribing of contraindicated medications postoperatively. Conclusion We identified 58 specific themes of bariatric surgery-related clinical incidents. We proposed specific recommendations for each incidents theme in addition to a bariatric safety checklist to help improve the safety of bariatric surgery worldwide.

scholarly journals Exploring the barriers to upscaling the production capacity of the edible insect sector in the United Kingdom

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ying Yang ◽  
Christopher Cooke
Keyword(s):  
New Product Development ◽  
Quantitative Research ◽  
Significant Proportion ◽  
Production Capacity ◽  
Research Database ◽  
Content Type ◽  
Edible Insect ◽  
The United Kingdom ◽  
The Uk ◽  
The Impact

PurposeThis study aims to explore the barriers to upscaling the production capacity of the edible insect sector in the UK and to identify the impact of current regulation on the sector's development.Design/methodology/approachA significant proportion of edible insect-producing companies within the UK were identified through an online market research database and contacted via email to invite them to participate in this study. Phone interviews were conducted with ten companies. Thematic analysis was adopted for data analysis.FindingsThere were five themes identified as barriers to the upscaling of the production for the edible insect sector in the UK: insect feeding materials, production capacity, expertise and knowledge, new product development and regulatory uncertainty.Research limitations/implicationsThis research was based on a qualitative study. Further quantitative research is needed to test the extent of the impact of these five themes on upscaling production capacity. In addition to production capacity, marketing and consumers' acceptance, culture and behaviour can also be considered in future studies.Originality/valueThis study makes a significant contribution to the literature by providing insight on the barriers to upscaling production capacity in the edible insect sector.

Mental health services for black and minority ethnic elders in the United Kingdom: a systematic review of innovative practice with service provision and policy implications

2012 ◽  
Vol 25 (3) ◽  
pp. 359-373 ◽  
Author(s):  
Sarmishtha Bhattacharyya ◽  
Susan Mary Benbow
Keyword(s):  
Mental Health ◽  
United Kingdom ◽  
Mental Health Problems ◽  
Policy Implications ◽  
The United Kingdom ◽  
Specialist Services ◽  
The Uk ◽  
Socially Excluded ◽  
Minority Ethnic ◽  
Learning Points

ABSTRACTBackground: The proportion of older people from black and minority ethnic (BME) groups in the United Kingdom (UK) is increasing steadily as the population ages. The numbers with dementia, depression, and other mental health problems are predicted to increase. Government policy documents have highlighted gaps in services for BME elders and/or the need to develop culturally appropriate services, in order to prevent people from BME communities from becoming socially excluded and finding services hard to access. This paper reviews published examples of innovative services and key learning points from them.Method: A search was carried out on Pubmed, Medline, and Google Scholar for service developments aimed at BME elders in the UK. Sixteen relevant papers and reports were identified and were analysed to identify learning points and implications for clinical practice and policy.Results: Commissioning issues included were forward planning for continuing funding and mainstreaming versus specialist services. Provider management issues included were employing staff from the communities of interest, partnership, and removing language barriers. Provider service issues included were education for service provider staff on the needs of BME elders, making available information in relevant languages, building on carers’ and users’ experiences, and addressing the needs of both groups.Conclusion: A model for structuring understanding of the underutilisation of services by BME elders is suggested. The main emphasis in future should be to ensure that learning is shared, disseminated, and applied to the benefit of all communities across the whole of the UK and elsewhere. Person-centred care is beneficial to all service users.

scholarly journals Pendidikan Vokasi BTEC UK di Indonesia: Studi Fenomenologi Esensi Pengalaman Peserta Didik

2020 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Johan Jang ◽  
Agus Purwanto ◽  
Dian Purnamasari ◽  
Mohamad Ramdan ◽  
Leo Hutagalung ◽  
...  
Keyword(s):  
Communication Skills ◽  
Learning System ◽  
Internal Motivation ◽  
Qualitative Phenomenology ◽  
Self Confidence ◽  
Studying Abroad ◽  
The United Kingdom ◽  
Positive Attitudes ◽  
The Uk ◽  
Study Overseas

Studying abroad, including in the United Kingdom is one of the aspirations for students and parents in Indonesia. In comparison to directly continuing study overseas, the availability of BTEC UK curriculum in Indonesia allows students to study for 20 months then continued their final year in the country they are planning to go to, including in the UK. Unfortunately, there is no record of the experience of students undergoing this curriculum in Indonesia, even though the curriculum already exists in Indonesia for more than ten years. This study then explores the motivations behind the decisions of students undergoing the BTEC curriculum in Indonesia, their experiences and the outcomes that occur after. Interviews with the 7 BTEC alumni in Indonesia were conducted and analyzed using qualitative phenomenology study. The results obtained that internal motivation is the main trigger whereas external motivation also applies, which is built up through social influence. The experience felt at the beginning was generally difficult to follow because the students were not used to the system, even though some felt excited about the curriculum learning system. In the middle and end of the semester, some of them feel more accustomed to it while some still find it difficult to follow this curriculum. The results in the form of a variety of positive attitudes including courage, self-confidence, and the development of communication skills.

scholarly journals Equality and Devolution in the United Kingdom: A Story in Three Acts and a Sequel

2021 ◽  
pp. 1-15
Author(s):  
Paula Devine ◽  
Grace Kelly ◽  
Martina McAuley
Keyword(s):  
United Kingdom ◽  
Great Britain ◽  
Northern Ireland ◽  
Peace Agreement ◽  
Good Friday ◽  
Left Behind ◽  
The Past ◽  
The United Kingdom ◽  
The Uk ◽  
The Way

Within the United Kingdom (UK), many of the arguments driving devolution and Brexit focused on equality. This article assesses how notions of equality have been shaped over the past two decades. Using a chronology of theoretical, political and public interpretations of equality between 1998 and 2018, the article highlights the shifting positions of Northern Ireland (NI) and the rest of the UK. NI once led the way in relation to equality legislation, and equality was the cornerstone of the Good Friday/Belfast peace agreement. However, the Equality Act 2010 in Great Britain meant that NI was left behind. The nature of future UK/EU relationships and how these might influence the direction and extent of the equality debate in the UK is unclear. While this article focuses on the UK, the questions that it raises have global application, due to the international influences on equality discourse and legislation.

scholarly journals Distribution and extent of electronic medical record utilisation in eye units across the United Kingdom: a cross-sectional study of the current landscape

BMJ Open ◽  
2017 ◽  
Vol 7 (5) ◽  
pp. e012682 ◽  
Author(s):  
Shin Bin Lim ◽  
Humma Shahid
Keyword(s):  
Information Transfer ◽  
Data Transfer ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Remote Access ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Electronic Survey ◽  
The United Kingdom ◽  
The Uk

ObjectivesOphthalmology units across the UK vary widely in their adoption of electronic medical records (EMR). There is a lack of evidence to show the extent and progress of EMR adoption. The aim of this study was to capture a snapshot of the current landscape of EMR use, as a baseline for comparison in future studies.SettingAn electronic survey questionnaire was sent to all NHS ophthalmology Units in the UK.ParticipantsA total of 104 National Health Service (NHS) ophthalmology units participated in the survey, which was carried out over 6 months from December 2013 to June 2014.Primary and secondary outcome measuresRespondents were asked about technology usage pertaining to specific processes in the clinic workflow. This allowed us to determine the extent of EMR usage and details about current use or planned implementation by each unit.Results77.6% (n=104) of NHS ophthalmology units responded. 45.3% (n=48) of units were currently using an EMR and a further 26.4% (n=28) of units plan to implement EMR within 2 years. 70.8% of units with a current EMR system use Medisoft. EMR is used by all clinicians in 37.5% and by all subspecialties offered at the unit in 27.0%. In 56.3%, new clinical notes are entered into EMR only by clinicians. All imaging devices are networked to EMR in 28.3%. In 46.7%, EMR is accessible by other specialties within the same hospital. 71.1% would recommend EMR to a colleague.ConclusionsEMR has the potential to address current limitations of patient information transfer and sharing in ophthalmology. It is pleasing to see a significant proportion of units already engaging with EMR or having plans to do so in the near future. However, differing EMR systems and lack of remote access mean further optimisation of these record systems are needed to allow data transfer between units.

scholarly journals Impact of COVID-19 on Obesity Management Services in the United Kingdom (The COMS-UK study)

2020 ◽  
Author(s):  
Osama Moussa ◽  
◽  
Roxanna Zakeri ◽  
Chanpreet Arhi ◽  
Mary O’Kane ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
United Kingdom ◽  
Healthcare Delivery ◽  
Obesity Management ◽  
Multidisciplinary Meeting ◽  
The United Kingdom ◽  
The Uk ◽  
Management Services

Abstract Coronavirus Disease-2019 (COVID-19) has had a severe impact on all aspects of global healthcare delivery. This study aimed to investigate the nationwide impact of the pandemic on obesity management services in the UK in a questionnaire-based survey conducted of professionals involved in the delivery. A total of 168 clinicians took the survey; the majority of which maintained their usual clinical roles and were not redeployed except physicians and nurse specialists. Nearly all (97.8%) elective bariatric surgery was cancelled, 67.3% of units cancelled all multidisciplinary meeting activity, and the majority reduced clinics (69.6%). Most respondents anticipated that the services would recommence within 1–3 months. This study found that the COVID-19 pandemic has had a severe impact on the services involved in the management of patients suffering from severe, complex obesity in the UK

scholarly journals “LIKE, COMMENT AND SUBSCRIBE”. EXPLORING THE ROLE PROFESSIONAL YOUTUBERS PLAY IN YOUNG PEOPLE’S HEALTH BEHAVIOURS AND IDENTITES IN THE UK

2020 ◽  
Author(s):  
Jane Harris
Keyword(s):  
Young People ◽  
Health Information ◽  
Significant Proportion ◽  
Health Behaviours ◽  
Sampling Frame ◽  
The United Kingdom ◽  
Sequential Mixed Methods ◽  
The Uk ◽  
The Impact ◽  
Health Content

In the United Kingdom, there are over 150 individual YouTubers with >1 million subscribers. A significant proportion of their audience are aged between 13-18 years. The content they produce is often: commercially sponsored, unregulated and both purposefully and accidentally touches on a whole range of health topics including: mental health, alcohol, sexual health, body image, healthy eating and physical activity. YouTubers could represent a particularly relatable source of health information for young people as a magnified version of young people’s own searchable and replicable online socially networked lives. The aim of the research is to explore the role that professional YouTubers play in young people health behaviours and identities in the UK. The study was a four stage, sequential mixed methods design. The first stage, a school based questionnaire (n=931, 13-18 years) quantified young people’s YouTuber engagement and provided a sampling frame for the later qualitative stages. An online analysis of 7 UK YouTubers examined the health content they produced. Focus groups (n=7, 85 participants) with 13-18 year olds explored the impact this content had on young people’s health behaviours and interviews with professional YouTubers ( <1 million subscribers, ongoing) explored their perceived role in health promotion. YouTuber produced health content appeared to be a recognized source of health information for young people in this study. Young people appeared able to critique the accuracy and commercial influences on YouTuber content. However, this content still appears to be a relatable way of sharing health experiences, giving advice and communicating social norms.

scholarly journals The geographical impact of the Covid-19 crisis on precautionary savings, firm survival and jobs: Evidence from the United Kingdom’s 100 largest towns and cities

2021 ◽  
pp. 026624262198932
Author(s):  
Ross Brown ◽  
Marc Cowling
Keyword(s):  
Urban Areas ◽  
Random Distribution ◽  
Business Failure ◽  
Precautionary Savings ◽  
Firm Level ◽  
Policy Objective ◽  
Left Behind ◽  
The United Kingdom ◽  
The Uk ◽  
Scarring Effects

In this commentary, we trace the economic and spatial consequences of the Covid-19 pandemic in terms of potential business failure and the associated job losses across the 100 largest cities and towns in the United Kingdom (UK). The article draws on UK survey data of 1500 firms of different size classes examining levels of firm-level precautionary savings. On business failure risk, we find a clear and unequal impact on poorer northern and peripheral urban areas of the UK, indicative of weak levels of regional resilience, but a more random distribution in terms of job losses. Micro firms and the largest firms are the greatest drivers of aggregate job losses. We argue that spatially blind enterprise policies are insufficient to tackle the crisis and better targeted regional policies will be paramount in the future to help mitigate the scarring effects of the Covid-19 pandemic in terms of firm failures and the attendant job losses. We conclude that Covid-19 has made the stated intention of the current government’s ambition to ‘level up’ the forgotten and left-behind towns and cities of the UK an even more distant policy objective than prior to the crisis.

scholarly journals Orthognathic Surgery: My Experience of Transitioning to Adult Cleft Care

2021 ◽  
pp. 105566562110434
Author(s):  
Kenny Ardouin
Keyword(s):  
New Zealand ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Psychological Impact ◽  
Charitable Organization ◽  
The United Kingdom ◽  
Adolescents And Adults ◽  
Part Time ◽  
The Uk ◽  
Learning Points

Kenny Ardouin grew up in East Sussex in the United Kingdom (UK), before moving to New Zealand, which he now considers home. Having been born with a cleft lip and palate, Kenny has a personal and professional dedication to the field. He served as CEO of the charitable organization Cleft New Zealand and recently completed 3.5 years as the Adult Services Manager for the Cleft Lip and Palate Association in the UK. Kenny works as a speech and language therapist, and is studying a Master’s degree part-time, focused on the psychological impact of speech differences in adolescents and adults born with a cleft. Kenny is also a radio broadcaster and editor and a freelance public speaker. In this heartfelt and informative invited editorial, Kenny reflects on how his treatment journey unfolded as a young adult and offers key learning points for all health professionals wanting to become more person-focused in their clinical practice.

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