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By Hole Ousia Posted on June 25, 2015January 22, 2023

It is very difficult to challenge a powerful organisation

This week the Cabinet Secretary for Health, Wellbeing and Sport welcomed a new report into management of frailty and delirium

This reminded me, that 6 months on, I do not recall having received an answer to this letter:

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Categories: Ageing, Delirium, History of medicine, Medical Education, Medical humanities, NHS Scotland, Psychiatry, ScreeningTags: #followthefellows, - Scottish Government - hole ousia, 2014, 4AT, A letter to Professor Jason Leitch, a new instrument for rapid delirium screening: a study in 234 hospitalised older people, a tool for every job, agitation, Alasdair MacLullich, along with staff shortages and increased demands on staff time, AMT4, anti-psychotic, Antipsychotic, antipsychotic prescribing, antipsychotics, Antiquary, are making it more rather than less likely that our elders may receive antipsychotic medication that can result in significant harms, Behavioural and Psychological Symptoms of dementia, Bellelli, BMJ, BPSD, brief screening tools, But why am I on this anti-schizophrenic drug?, by Scottish Government figures, CAM, case-finding, Change Page: “Don’t use antipsychotics routinely to treat agitation and aggression in people with dementia, cognitive impairment, comprehensive delirium pathway, comprehensive delirium pathway as developed by SDA and HIS includes use of prescribed Haloperidol, Concerns about the over-prescribing of antipsychotic drugs in the elderly, Concerns about the over-prescribing of antipsychotic drugs in the elderly led me to consider possible explanations for this behaviour by doctors, considerations on delirium assessment, Cumberlege Review, Cumberlege review exposes stubborn and dangerous flaws in healthcare, Delirium, delirium detection, delirium Management, Delirium management comprehensive pathway, Delirium Screening, Dementia, Deming, Derek Feeley, detection, Director General, do not recall having received an answer to this letter, Doing damage in delirium, Doing damage in delirium the hazards of antipsychotic treatment in elderly people, Don Berwick, Don't use antipsychotics routinely, Don't use antipsychotics routinely to treat agitation and aggression, Dr Iona Heath, Dr Margaret McCartney, Dr Peter Gordon, Edward R Marcantonio, elderly, Eran D Metzger, ethics, Evidence Scan, Excel spreadsheet, Experiment, first do no harm, FOI, FOI request to all NHS Boards, frailty, Freedom of Information, Freedom to speak up, General Dental Council, General Medical Council, GMC, Golden lion Hotel, Haloperidol, Haloperidol in Scotland, Haloperidol prescribing in NHS Scotland, Haloperidol prescribing to Scotland's elders, harm, have been asked to try and summarise my considerations on delirium assessment, Health Foundation, Healthcare Improvement Scotland, HIS, Hole Ousia, Hospital prescribing, Hospital prescribing of Haloperidol in your NHS Health Board area, I also wonder if the Mental Welfare Commission may have a view of starting out with a screening test without any perceived need (as per HIS recommendations) for individual consent?, I am concerned that current approaches, IHI, improvement methodology, improvement science, Improvement Science' and the potential for harmful consequences, Improvement work, Improvement Work in Scotland, Institute of Healthcare Improvement, Inverse care, ISD, ISD Scotland, It is the case, It is very difficult to challenge a powerful organisation, Jason Leitch, journal of Age and Ageing, Lanarkshire NHS Board, Lancet, Lancet Psychiatry, Letter to Cabinet Secretary for Health and Wellbeing, Letter to Shona Robison 6 Dec 2014 - hole ousia, Lothian NHS Board, mandatory delirium screening, Mandatory screening, Mary Midgley, Mechanical metaphors, Mental health prescriptions hit ten-year high, mental Welfare Commission, most patients with delirium discharged on a new antipsychotic had no instructions for discontinuation, National Clinical Director, National Health Service (Scotland) Act, new report into management of frailty and delirium, NHS, NHS Ayrshire and Arran, NHS Borders, NHS Dumfries and Galloway, NHS Fife, NHS Forth Valley, NHS Grampian, NHS Greater Glasgow and Clyde, NHS Highland, NHS Lanarkshire, NHS Lothian, NHS Orkney, NHS Scotland, NHS Scotland requires a culture that listens to all, NHS Scotland: Improvement Science, NHS Shetland, NHS TAYSIDE, NHS Western Isles, no special training is required, off-label, off-label prescribing, Older People in Acute Care, Omphalos, Omphalos films, OPAC, OPAC tools are working, over-medicalisation, patient safety, Payments from NHS Scotland to the USA, Peter Gordon, philosophy, Plan-Do-Study-Act, powerful incentives in our health-care systems promote prescription of antipsychotics for patients with delirium, Prescribed harm, prescribing, Prescribing and Medicines, prescribing figures, prescribing figures for Haloperidol in NHS Scotland, Prescribing Statistics - Medicines used in Mental Health, primum non nocere, Principles and Practice of Screening for Disease. World Health Organisation, Professor Alasdair MacLullich, Professor Jason Leitch, Professor Jason Leitch - letter of the 2nd June 2015 on Haloperidol prescribing ro Scotland's older generation, Psychiatric medications and potential effects on cardiac rhythm, Psychiatry, QI, QI connect, Quality & Safety Fellows, Quality Improvement, Quality Improvement for NHS Board Members, rapid delirium screening, Realisic Medicine, Realistic Medicine, rebel antiquary, Red Road, reductionism, result in worsened clinical outcomes, Rev. I. M. Jolly, Robert Francis, Robert K Merton, Science, Scotsman, Scottish Delirium Association, Scottish Government, Scottish Parliament, Scottish Philosophy & Psychiatry, Scottish Philosophy and Psychiatry Special Interest Group, screening, screening for cognitive impairment, SDA, Sensitive to the faltering steps of age, Sharon K Inouye, Should we not be spelling out this shortfall to Scottish Government as part of improvement recommendations, SIGN 86, Social maverick, Stirling, Studies show dramatic increase in antipsychotic treatment with mandatory delirium screening, takeover, Temple of Decision, that antipsychotic prescribing is increasing year-on-year in NHS Scotland, The Antiquary, The communications indicate a tone of disdain for those who may write to the Scottish Government's Department of Health with concerns about patient wellbeing and safety, The faltering unfaltering steps, the full toolset, the hazards of antipsychotic treatment in elderly people, The Health Foundation, the history of reductionism versus holistic approaches to scientific research, The patient paradox, the protection and the improvement of their population’s health and for the delivery of frontline healthcare services, The Rebel Antiquary, The use of antipsychotic medication for people with dementia: Time for action, THINK delirium, Too much Medicine, Toolkits, Tools, Transforming Delirium Care in the Real World, truly madly deeply, unforeseen consequences, USA, Validation of the 4AT, We must be wary of faltering steps into a world of inverse-care, we need to engage beyond clinicians and improvement staff, what it says on the tin, why ethics matter, why ethics matters to us all, William Edwards Deming, William Osler, Wilson and Jungner

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One Reply to “It is very difficult to challenge a powerful organisation”

Chrys Muirhead says: 9 years ago Reply

Reblogged this on Chrys Muirhead .

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