Nice walk at the seaside with my sister. Our dogs have a strange agreement to say hello and then spend the rest of the day ignoring each other.

Important read with concerns on slow progress away from scoring/stratifying suicide risk. It mirrors similar challenges in falls risk scoring that NICE also says “do not use” but still continue.

Not the brightest day but a lovely walk from Langsett to Ladybower reservoir and back.

A national patient safety alert has been issued with Royal College of Anaesthetists, RoyalCollegeObsGyn, Royal College of Midwives 💙 on action required to address the risk of oxytocin overdose during labour and childbirth: england.nhs.uk/2024/09/nation…

This expert report from Mary Dixon-Woods published today is an extraordinary summation of just about everything known on patient safety culture and systems, beautifully explained. A long but essential read for anyone working anywhere in the NHS thirlwall.public-inquiry.uk/evidence/inq01…

Great that RCEM has issued this safety flash on how to treat life-threatening toxicity from slushies - but why on earth are they still on sale to children at all? food.gov.uk/news-alerts/ne…

Most viewed in the last 7 days from JAMA Internal Medicine: What is the association of deprescribing antihypertensive medication with cognitive function in older residents in nursing homes? ja.ma/3ZG8wKb

Great review - and the summary is probably little if any difference. Not too surprising to me given underlying causes of falls in older people - let’s redouble efforts on tackling medical/medication related causes of falls, bone health, and strength and balance training.

Mists and mellow fruitfulness

No snippet I can cut would do justice to the scope of this - strongly recommend reading the whole, and rich food for thought for practice as well as research bmj.com/content/387/bm…

Self-harm remains neglected worldwide, with at least 14 million episodes yearly. Experts urge policy action on societal drivers & health services’ response in a new Lancet Commission. 👉 buff.ly/3Y2tsIG #WorldMentalHealthDay

MBRRACE UK By learning from these women's deaths we will improve care and prevent deaths in the future, which is the positive action to take away from the day. Thank you to all the volunteer midwives, doctors and nurses who have assessed women's care, lay summary writers and MBRRACE UK staff

We did family Oktoberfest

Anticoagulation for atrial fibrillation - the harms and benefits are completely different in nursing home patients with advanced dementia. LeedsFrailtyEducation pubmed.ncbi.nlm.nih.gov/36310367/

We have released a new report. 'Planning for the End' is a review of the quality of care provided to patients towards the end of life. ncepod.org.uk/2024eolc.html Healthcare Quality Improvement Partnership Macmillan Cancer Support Sue Ryder Marie Curie APM Hospice UK National Voices PCPLD Network NICE

Christmas baking done

Our new publication - 1295 potential opportunities to prevent suicide death each year after contact with emergency departments/acute hospitals emj.bmj.com/content/early/… Royal College of Emergency Medicine louis appleby

.Ian Higginson and also how the strategy might help the 1025 who were not offered a MH bed or MH community care after ED/hospital attendance?

Really concerned that this blog contradicts NICE CG161 falls prevention guidelines and the World Falls Prevention guidelines bgs.org.uk/wfg - absolutely no place for Morse or STRATIFY or other falls prediction tools in hospital falls prevention. David Oliver (also on Blue Sky)