Psychiatric medications and potential effects on cardiac rhythm

In the last month we have been having discussions at work about the potential for psychiatric medications to adversely effect cardiac rhythms, and in particular QTc prolongation.  The advice on ECG … Continue reading Psychiatric medications and potential effects on cardiac rhythm

My reply to Dame Denise Coia

Sunday 8th July 2018, Bridge of Allan. Dear Dame Coia, I received your reply to my open letter yesterday. I wanted to write and thank you for your most helpful … Continue reading My reply to Dame Denise Coia

Delirium screening (some years later)

Over three years ago I wrote this summary of my concerns about mandatory delirium screening. The consequences for me in writing this were life changing: the reality of having the courage to … Continue reading Delirium screening (some years later)

If NHS Scotland has been genetically-modified with QI

It is most welcome to hear from Philippa Whitford about positive outcomes of NHS Scotland’s collaborative approach to quality improvement and the learning that this might provide for the rest … Continue reading If NHS Scotland has been genetically-modified with QI

Professional confusion

Like all those involved in healthcare I take delirium very seriously. I share in the collective determination to improve our approach, understanding and care of those experiencing this serious condition. To … Continue reading Professional confusion

Early detection: “We need critical thinking”

The following analysis: “Surge in publications on early detection” was recently published in the BMJ. The authors concluded that “we need more critical thinking and more studies that specifically target both … Continue reading Early detection: “We need critical thinking”

Improvement science and consent: a failure of NHS Governance

I am an employee of NHS Lothian and have been ‘sign posted’ to the “New Capacity and Consent intranet page: important information for all staff.” This is a screenshot taken on Friday … Continue reading Improvement science and consent: a failure of NHS Governance

The stories we hear and the stories we tell

The stories we hear and the stories we tell from omphalos Forgive me for worrying about the lack of philosophy and ethics in science and healthcare today.

Reductionism – truly, madly, deeply

On Friday the 25th of November 2016 I gave a talk for the Scottish Philosophy and Psychiatry Special Interest Group. My subject was “Improvement Science”. The following is based on the slides and … Continue reading Reductionism – truly, madly, deeply

What you need to know

1 in 7 Scots are on an antidepressant. Some Scottish academics have argued that this is “appropriate prescribing” for “recurrent” and “chronic” conditions. Antipsychotic prescribing, in all age-groups, has risen … Continue reading What you need to know

Yellow socks and handstands

There is a lot of effort in NHS Scotland to raise awareness amongst healthcare staff about delirium, using statements like this: Delirium is a very complex state and it is … Continue reading Yellow socks and handstands

A letter to Professor Jason Leitch

In this post I reply to Professor Jason Leitch, whose letter of the 2nd June 2015 on Haloperidol prescribing to Scotland’s elderly can be read here:   This is the … Continue reading A letter to Professor Jason Leitch