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

Thank you for being so kind Dame Coia

oSunday 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 Thank you for being so kind Dame 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)

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

‘Informed consent is a fundamental principle underlying all healthcare’

A recent Independent Review for NHS Scotland stated that: “Informed consent is a fundamental principle underlying all healthcare” The Cabinet Secretary for Health and Sport, Shona Robison stated to the … Continue reading ‘Informed consent is a fundamental principle underlying all healthcare’

Yellow socks and handstands

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