Seven Steps to patient safety and PTSD

I woke myself up by screaming this morning. I was being attacked by something, in a dream I assume as not even the cat was in my room. I felt petrified as I took time to get properly awake. Awful sensation. God I needed a cigarette.  A thought was crashing round my mind.  Dr R L said that something’s will not be resolved and for me to move on and forget dentistry. That implies that HE KNOWS Dr RB John DID destroy my life and that they will do anything to stop me getting answers and justice They being, I assume, the authorities, NHS Wales. Also says that Dr RB John and Dr L have talked about me.

Dr RB John is definitely not the correct person to be on the All Wales Primary Care Quality & Information Service Advisory Group because what the hell does he know about Primary Care. Maybe they use him as a good example of how NOT to do it. Remember the old adage, Those that can, do and those that can’t either teach or advise.

Seven steps to patient safety in General Practice.

Step 3: Regularly review patient records (e.g. using case-note review tools) so that areas of common harm such as delayed or missed diagnoses/treatment can be identified. A safer practice: includes patient safety considerations in every decision the practice makes and has complete and accurate medical records;

Step 5: Involve and communicate with patients and the public. If something goes wrong, a prompt, full, honest and compassionate explanation with an apology can help patients cope better with the aftereffects of when things have gone wrong. The NPSA Safer Practice Notice, Being open when patients are harmed gives guidance on explaining what happened to patients and/or their carers who have been involved in a patient safety incident.

Step 6: Learn and share safety lessons. When something goes wrong (or could have gone wrong) the important issue is not to apportion blame but to understand what you can do to prevent it happening again. For this, you need to know what happened, how, why and what can be done to stop it from happening again. A good practice is one that learns from mistakes or gaps in care and turns a potentially negative event into a positive one of improved, safer care.

At the BMJ Evidence Centre, we think it’s vital that patients, together with their families and carers, are given all the detailed information they need to understand their condition, and the benefits and side effects of their treatment options.

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Some questions that may be asked about PTSD. I have told Dr G ALL the following except item 9, but was ignored. The Psychiatrists haven’t even asked me how I feel as they  seem to all want me on medication without a diagnosis.

  • Have you ever had any physical reactions (such as headaches or feeling dizzy) when something reminded you of the event? YES
  • Have you ever tried to avoid thinking about the event? YES
  • Have you had difficulty remembering some important parts of the event? YES
  • Have you been less interested in activities you usually enjoy? YES
  • Have you felt distant or cut off from other people? YES
  • Have there been times when you felt there’s no need to plan for the future or that somehow your future will be cut short? YES
  • Have you had any problems falling asleep or staying asleep? YES
  • Have you felt guilty about anything you did or didn’t do during the event? YES
  • Have you ever felt guilty about surviving the event when others did not? not relevant
  • Have you thought about harming yourself or ending your life?YES
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    2 Responses to “Seven Steps to patient safety and PTSD”

    1. Michele Rosenthal Says:

      Hey, you know it’s possible to heal PTSD. Many of us are on the path. I used to have nightmares every night and now…. I’m symptom free. I hope you will be, too, one day. No one should have to live like that.

    2. Seven Steps to patient safety and PTSD « The Mad Dentist Says:

      […] See the rest here: Seven Steps to patient safety and PTSD « The Mad Dentist […]

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