ABC v Thomson Medical Pte Ltd and others, Singapore Civil Court of Appeal [2017] SGCA 20 - read judgment It is a trite reflection that law should change with the times but every so often we see the hair-pin bends in law's pursuit of modern technology. This case from Singapore about reproductive rights and negligence…
Rapport d'information de MM. Claude Evin, Bernard Charles et Jean-Jacques Denis, déposé en application de l'article 145 du règlement par la commission des affaires culturelles, sur la loi n° 2002-303 du 4 mars 2002 relative aux droits des malades et à la qualité du système de santé (n° 3688, 11 avril 2002).
There has been a paradigm shift in terms of thinking about errors. In the aftermath of disasters, the lens of responsibility is being refocused away from people and towards (work) places. Institutions not individuals, processes rather than persons are becoming the focus of investigation. The search for scapegoats is beginning to look crass and ineffective. This is reflected in the formal responses to these events, such as public inquiries, which now routinely focus on system responsibility. Whilst systems analysis has obvious merits it also raises important and unresolved questions. In particular, what are the risks of this shift towards systems thinking? What are the implications for individual professional responsibility? Will the commitment to systems responsibility be meaningful in practice? First, however, we must sketch the contention and connotation of different descriptions of error episodes and appreciate the true toll of the error problem in medicine.
A woman is suing her health trust after she was forced to conceive using a donated egg because of delays in her treatment. Greta Mason went into labour to give birth to a child conceived using a donor, her husband Chris said. Mrs Mason says she will bond with her baby regardless of the fact it was conceived using another woman's eggs. But she is suing Worthing and Southlands Primary Care Trust claiming unnecessary fertility tests led to a six-year wait for treatment, meaning her own eggs were too old to use.
Doctors should apologise and provide explanations to patients and their relatives when treatment goes wrong, according to guidance from the NHS Litigation Authority, the body which defends the NHS against legal claims for clinical negligence. The letter from (KCL MA MEL alumnus) Stephen Walker. the authority’s chief executive, replaces an earlier circular that warned NHS bodies to take care when providing explanations "so as to avoid future litigation risks."
Lack of regulation and "professional greed" is putting patients undergoing cosmetic surgery at more risk than ever before, a leading doctor warns. Nigel Mercer, president of the British Association of Aesthetic Plastic Surgeons, called the cosmetic surgery industry an "unregulated mess". Tighter control is needed to clamp down on issues such as two-for-one offers and untested products, he said. His views are backed by several doctors writing in the Clinical Risk journal.
The family of a man left severely brain damaged by a hospital trust's failure to diagnose meningitis promptly have been awarded £3.2m for his future care. Mark Thomas, of Walsall, in the West Midlands, developed an ear infection, which led to the meningitis in 2002. His parents took him for blood tests at Walsall Manor Hospital but the results were not reviewed for five days. Without the delay, Mr Thomas, 20, would not have been left brain damaged, Birmingham High Court was told earlier.
Thousands of patients are suing AstraZeneca in US courts, claiming the anti-psychotic drug Seroquel caused weight gain and diabetes. The patients allege Seroquel, its second biggest selling drug worth $4.5bn (£2.7bn) a year, was marketed without adequate warning about possible side effects such as massive weight gain and the development of diabetes. However, this is denied by the company.
Checklists that spell out exactly how to care for patients with common conditions have dramatically reduced hospital deaths, say doctors. The British Medical Journal reported a 15% fall in the number of people who had died at one north London hospital trust using so-called care bundles. These are checklists covering dozens of conditions including strokes, heart failure and MRSA infections. The researchers said death rates could be "halved" using the system.
Potentially dangerous psychiatric patients are being fitted with GPS tracking devices to prevent them absconding on day leave. The South London and Maudsley NHS Trust has attached the £600 ankle devices on more than 60 medium and high risk patients under the pilot scheme. The trust said it had consulted patients and families. The devices, which can track a person's location to within a few yards, are already used for dementia sufferers. They came into use in south London after rapist Terence O'Keefe, 39, escaped from custody at King's College Hospital before strangling 73-year-old David Kemp.