A recurring theme on #MedTwitter is frustration with #LookAlike medications. We get angry at drug companies & demand they fix what we think is a simple problem. But it’s not. It’s very complex, even bordering on “wicked”. I’m hoping this 🧵 might help tease that out. 1/

How far have we come in the ten years since Mid Staffs? anne marie rafferty and I discuss, including the importance of campaigning journalism and families Shaun Lintern which is as important today Nursing notes on a scandal rcpjournals.org/content/future…

Fascinating insights from ⁦Chris Turner⁩ about the need for teamwork and seeing others’ perspectives in making complex systems safe ⁦Learning from Excellence⁩ ⁦SuzetteWoodward 💙⁩ ⁦Professor Joseph Manning MBE RN PhD⁩ ⁦ESPNIC⁩

Looks ready for a party!!!

Caring for the carers: the time has come to feed parents in hospital Cost of living crisis What happens in your hospital? Do non-breastfeeding mothers deserve less? A call for action Helen Hare adc.bmj.com/content/early/…

pediatricnursing.org/article/S0882-… Dr Takawira Marufu RN

Important findings here about the Learning from Deaths reporting by NHS trusts. Quality of reporting is variable, and most trusts are not meeting the legal requirements - frustrating learning and reducing potential for improvement. bmjopenquality.bmj.com/content/bmjqir…

Dr Takawira Marufu RN Dr Rachel Bower, RN Professor Jane Coad RN FRCN Sarah Redsell Kate Pye Jo Cooper RN PhD FAAN💙 Michelle Rhodes Jo #Harmfreecare Dr Louise Bramley RN (she/her)

Taking the time today to wish amandaj68💙 a wonderful retirement after 37 years working in the NHS. The governance team won’t be the same without her Nottingham Children’s Hospital and NNU Miranda Witchell

Hi NHS safety people! Do you want to speak to peers around QI's role in PSIRF? Then join the Safety Improvement Coffee Trials to share, learn, collaborate and network with people with mutual challenges and experiences of QI & PSIRF. Details in the flyer. Enrol using link below!

Is it possible to use QI to improve mental health competency on the acute paediatric ward? Read this QI report Emily Todd 💙 ep.bmj.com/content/108/4/…

A vital #PatientSafety Alert issued today tragically repeating the messages issued so many times before on death from poorly maintained, selected or configured #bedrails but now with the clout of a systems-focused MHRAgovuk NatPSA cas.mhra.gov.uk/ViewAndAcknowl… Plus in case helpful…

Paper on an attempt to use Safety Cases in healthcare shows the complexity of trying to deploy safety management practices that were developed in other sectors. qualitysafety.bmj.com/content/early/…

Registration is now open for THIS Space 2023! Come and join us virtually on 29 & 30 November. The event is free to attend but booking is essential. View the full programme and register here: ths.im/46qDxSg

Please be aware that we are recruiting to our latest study to understand NGT feeding under restraint in England's paediatric wards. Flyer below. BDA Mental Health Specialist Group Dasha Nicholls Hope Virgo James Downs Helen West RD Restraint Reduction Network BDA Paediatric Group Centre for Paediatrics & Child Health

#LASA errors are a common cause of medication related harm. Today World Health Organization (WHO) launched their technical document to support action to address these who.int/news-room/even… Neelam Dhingra Liam Donaldson

Delighted to collaborate with Australian paed nursing research colleagues Mari Takashima Amanda Ullman Perth Children's Hospital @queenslandchildrenshospital @royalchildrenshospital Curtin University What is the harm using paediatric invasive devices? Find out here: nature.com/articles/s4139….

Calling all parents/carers of children with complex health needs! We need your help to design a research project to improve in hospital care for children with complex health needs. Please get in touch (details on the poster) if you're interested or would like to find out more!