COVID-19: Will there be legal consequences for healthcare staff?

2020 ◽  
Vol 30 (6) ◽  
pp. 26-30
Author(s):  
Duncan Astill ◽  
Sam Lindsay
Keyword(s):  
Health Service ◽  
Healthcare Staff ◽  
Civil Action ◽  
Legal Consequences

Duncan Astill and Sam Lindsay discuss the possibility of criminal and civil action being taken against professionals in the health service once the spread of the coronavirus is finally brought under control

scholarly journals Zero tolerance of violence by users of mental health services: The need for an ethical framework

2005 ◽  
Vol 187 (1) ◽  
pp. 7-8 ◽  
Author(s):  
G. M. Behr ◽  
J. P. Ruddock ◽  
P. Benn ◽  
M. J. Crawford
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Zero Tolerance ◽  
Ethical Framework ◽  
Service Users ◽  
Healthcare Staff ◽  
Zero Tolerance Policy

SummaryConcerns about violent conduct of service users towards healthcare staff have prompted a ‘zero tolerance’ policy within the National Health Service. This policy specifically excludes users of mental health services. We attempt to challenge artificial distinctions between users of mental health and other services, and propose an ethical underpinning to the implementation of this policy.

scholarly journals Condiciones formativas y laborales de los profesionales sanitarios en formación de la Región de Murcia.

2021 ◽  
Vol 2 (2) ◽  
pp. 32-40
Author(s):  
Domingo A. Sánchez Martínez ◽  
Pablo Madrigal Laguía ◽  
José Angel Guardiola Olmos ◽  
Marta Cañadilla-Ferreira ◽  
Eduardo Sánchez Martínez ◽  
...  
Keyword(s):  
Health Service ◽  
Working Conditions ◽  
Descriptive Study ◽  
Large Majority ◽  
Healthcare Staff ◽  
Direct Form ◽  
Healthcare Training

En este estudio se pretende analizar, por medio de un estudio descriptivo, un análisis de las condiciones laborales del personal sanitario en formación del Servicio Murciano de Salud tras la implantación de las medidas acordadas entre el Comité de Empresa y el Servicio Murciano de Salud (SMS) durante el mes de noviembre de 2020. Para ello, se han recogido un total de 284 respuestas mediante formulario directo incluyendo de forma equitativa residentes de todos los años, especialidades y Áreas dentro del SMS. Una amplia mayoría del personal en formación es conocedor del acuerdo firmado por el que se mejoran sus condiciones laborales. Destaca entre los resultados que una importante mayoría no cuenta con un lugar de descanso adecuado durante las jornadas complementarias conocidas como guardias a pesar del acuerdo firmado, así como tampoco de descanso compensatorio de 36 horas semanales. Existen mejoras poco significativas en temas de investigación, asistencia a cursos y horas de formación autónoma. Conocer la realidad en la que viven los residentes tras la firma del acuerdo sirve de base para garantizar sus derechos, y que los servicios, responsables de docencia y unidades docentes, velen por su cumplimiento y con ello se eviten situaciones como las evidenciadas durante la crisis en la Formación Sanitaria Especializada en la Región de Murcia que condujo a la convocatoria de una huelga. The aim of this study is to analyse, by means of a descriptive study, an analysis of the working conditions of healthcare staff in training in the Murcian Health Service after the implementation of the measures agreed between the Works Committee and the Murcian Health Service (SMS) during the month of November 2020. To this end, a total of 284 responses were collected by means of a direct form including residents of all years, specialities and areas within the SMS. A large majority of trainees are aware of the agreement signed to improve their working conditions. Among the results, it is worth noting that a significant majority do not have an adequate place to rest during the complementary working days known as on call, despite the agreement signed, nor do they have 36 hours of compensatory rest per week. There are insignificant improvements in terms of research, attendance at courses and hours of autonomous training. Knowing the reality in which the residents live after the signing of the agreement serves as a basis for guaranteeing their rights, and for the services, those responsible for teaching and teaching units, to ensure compliance and thus avoid situations such as those seen during the crisis in Specialised Healthcare Training in the Region of Murcia which led to the call for a strike.

scholarly journals “This is streets ahead of what we used to do”: staff perceptions of virtual clinical pharmacy services in rural and remote Australian hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julaine Allan ◽  
Emma Webster ◽  
Brett Chambers ◽  
Shannon Nott
Keyword(s):  
Focus Group ◽  
Health Service ◽  
Medication Errors ◽  
Clinical Pharmacy ◽  
Trial Registration ◽  
Pharmacy Services ◽  
Healthcare Staff ◽  
Rural And Remote ◽  
Staff Perceptions ◽  
Clinical Pharmacy Services

Abstract Background The use of medications is the most common intervention in healthcare. However, unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in healthcare systems across the world. A Virtual Clinical Pharmacy Service (VCPS) was introduced in rural and remote New South Wales public hospitals to support safe and effective use of medications. In this model clinical pharmacy services are delivered via a telehealth cart at the patient’s bedside and through electronic medical and pharmaceutical record systems. The aim of this research was to understand healthcare staff perspectives of the VCPS and identify areas for improvement. Methods A qualitative approach informed by Appreciative Inquiry was used to investigate healthcare staff perceptions of the VCPS. Focus group discussions (n = 15) with hospital staff and medical officers were conducted via videoconference at each study site. Focus groups explored issues, benefits and barriers 3 months after service implementation. Transcribed data were analysed using thematic analysis and team discussion to synthesise themes. Results Focus group participants identified the value of the VCPS to patients, to the health service and to themselves. They also identified enhancements to increase value for each of these groups. Perceived benefits to patients included access to specialist medication advice and improved medication knowledge. Staff valued access to an additional, trusted workforce who provided back-up and guidance. Staff also reported confidence in improved patient safety and identification of medication errors. Enhanced compliance with antimicrobial stewardship and hospital accreditation standards were beneficial to the health service. Suggested improvements included extending virtual service hours and widening patient eligibility to include aged care patients. Conclusions The VCPS brought a positive, collegiate culture regarding medications. Healthcare staff perceived the VCPS was effective and an efficient way for the health service to supply pharmacy services to smaller hospitals. The ease of use, model of delivery, availability, local knowledge and responsiveness of highly skilled pharmacists was the key to user satisfaction. Trial registration ANZCTR ACTRN12619001757101, 11/12/2019.

scholarly journals “This is streets ahead of what we used to do”: Staff perceptions of virtual clinical pharmacy services in rural and remote Australian hospitals

2021 ◽  
Author(s):  
julaine allan ◽  
Emma Webster ◽  
Brett Chambers ◽  
Shannon Nott
Keyword(s):  
Focus Group ◽  
Health Service ◽  
Medication Errors ◽  
Clinical Pharmacy ◽  
Clinical Pharmacy Service ◽  
Pharmacy Services ◽  
Healthcare Staff ◽  
Rural And Remote ◽  
Staff Perceptions ◽  
Clinical Pharmacy Services

Abstract Background: The use of medications is the most common intervention in healthcare. However, unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in healthcare systems across the world. A Virtual Clinical Pharmacy Service (VCPS) was introduced in rural and remote New South Wales public hospitals to support safe and effective use of medications. In this model clinical pharmacy services are delivered via a telehealth cart at the patient’s bedside and through electronic medical and pharmaceutical record systems. The aim of this research was to understand healthcare staff perspectives of the VCPS and identify areas for improvement. Methods: A qualitative approach informed by Appreciative Inquiry was used to investigate healthcare staff perceptions of the VCPS. Focus group discussions (n=15) with hospital staff and medical officers were conducted via videoconference at each study site. Focus groups explored issues, benefits and barriers three months after service implementation. Transcribed data was analysed using thematic analysis and team discussion to synthesise themes. Results: Focus group participants identified the value of the VCPS to patients, to the health service and to themselves. They also identified enhancements to increase value for each of these groups. Perceived benefits to patients included access to specialist medication advice and improved medication knowledge. Staff valued access to an additional, trusted workforce who provided back-up and guidance. Staff also reported confidence in improved patient safety and identification of medication errors. Enhanced compliance with antimicrobial stewardship and hospital accreditation standards were beneficial to the health service. Suggested improvements included extending virtual service hours and widening patient eligibility to include aged care patients. Conclusions: The VCPS brought a positive, collegiate culture regarding medications. Healthcare staff perceived the VCPS was effective and an efficient way for the health service to supply pharmacy services to smaller hospitals. The ease of use, model of delivery, availability, local knowledge and responsiveness of highly skilled pharmacists was the key to user satisfaction.

Dysphagia Services in Schools: Applying Special Education Requirements to a Health Service

2009 ◽  
Vol 18 (3) ◽  
pp. 86-90 ◽  
Author(s):  
Lissa Power-deFur
Keyword(s):  
Special Education ◽  
Health Service ◽  
Due Process ◽  
Due Process Hearings ◽  
Related Services ◽  
Eligibility Determination ◽  
Legal Provisions ◽  
Provision Of Services ◽  
Related Service ◽  
Specially Designed Instruction

Abstract School speech-language pathologists and districts frequently need guidance regarding how the legal provisions of special education affect the needs of children with dysphagia. This article reviews key principles of special education that guide eligibility determination and provision of services to all children. In the eligibility process, the school team would determine if the child's disability has an adverse effect on his/her education program and if the child needed special education (specially designed instruction) and related services. Dysphagia services would be considered a related service, a health service needed for the child to benefit from specially designed instruction. The article concludes with recommendations for practice that stem from a review of due process hearings and court cases for children with disabilities that include swallowing.

Proximal deep venous thrombosis following PTA of the superficial femoral artery – an obligation to disclose a complication that is rarely taken into account

VASA ◽  
2006 ◽  
Vol 35 (1) ◽  
pp. 41-44 ◽  
Author(s):  
Klein-Weigel ◽  
Pillokat ◽  
Klemens ◽  
Köning ◽  
Wolbergs ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Rare Complication ◽  
Femoral Vein ◽  
Vein Thrombosis ◽  
Explicit Information ◽  
Life Threatening ◽  
Legal Consequences

We report two cases of femoral vein thrombosis after arterial PTA and subsequent pressure stasis. We discuss the legal consequences of these complications for information policies. Because venous thrombembolism following an arterial PTA might cause serious sequel or life threatening complications, there is a clear obligation for explicit information of the patients about this rare complication.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

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