Jonathan Back

healthcare analyst @theHSSIB & visiting fellow @LboroDesign: improving the management of systemic safety risks and understanding inequalities | own views |

[NIHR Greater Manchester PSRC @GM_PSRC]

#HSSIB REPORT
➡️ Action is needed to improve access to specialist diabetes care for adults who self-administer insulin and live with a mental health problem. Gaps between services are putting vulnerable patients at risk.
🔗Read the report: https://t.co/QzOJY1CsQ4

[@norootcause.surfingcomplexity.com on Bluesky @norootcause]

Some thoughts on variability in both humans and LLMs: https://t.co/zb2YU1ZpC7

[Sir Jeremy Hunt MP @Jeremy_Hunt]

Today my charity Patient Safety Watch and Imperial publish our biannual ranking of patient safety globally: the UK is a disappointing 21st out of 38 OECD countries. Why does Norway come top despite spending a lower proprotion of GDP? https://t.co/wviGyP4S5P

[Shaun Lintern @ShaunLintern]

Are there more rogue surgeons in specialised areas? GOSH CEO Matt Shaw tells me the metrics did not flag Yaser Jabbar and its an area of weakness for other hospitals, he says.

[The BMJ @bmj_latest]

Electronic patient record systems can contribute to “serious harm” when patient information is missed, delayed, or recorded incorrectly, a national safety watchdog has warned
https://t.co/3h54G1LnNP

[Adrian Boyle @RCEMPolicyVP]

NHSE and DHSC deserve a lot of credit for this candour 👏👏👏👏 Any improvement driven by data must have meaningful and honest metrics. Aggregating performance from multiple sites hides struggling departments.

[BMJ Quality & Safety @BMJ_Qual_Saf]

In their editorial, Denham Phipps emphasises the importance of enhancing medication safety through effective system and tool design, rather than relying on individuals to adapt to suboptimal environments.

Read more 👉 https://t.co/NedRoBuAu8

[Jonathan Back @jonback]

Cuts to ICBs could ‘exacerbate’ patchy patient safety oversight https://t.co/T7pbhvic5X

[Shaun Lintern @ShaunLintern]

I think this is one of the worst scandals I've uncovered and yet it remains somewhat under the radar.

@wesstreeting has ordered an inquiry into the scandal. @CamillaKingdon has handed in her report to @DHSCgovuk. Why hasn't it been published?

[Patient Safety Watch @WatchPatient]

Patient Safety Watch has written to @wesstreeting , alongside @AvMAuk & @ClinicalHF about the transition of HSSIB to @CareQualityComm with recommendations around maintaining independence. Read more here:-

#patientsafety

https://t.co/rcSwqMoJle

[Gareth Owens @Icarus1054]

For Aortic Dissection Awareness Day, @theHSSIB invited me to write a guest blog reviewing the life-saving impact of their investigation & reports about acute Aortic Dissection, produced in collaboration with @AorticDissectUK & @THINK__AORTA. Pls read & RT.
https://t.co/JQMFqKsmkb

[Jonathan Back @jonback]

Corridor care ‘new normal’ in England for one in five https://t.co/OeoluI4j7t

[Jonathan Back @jonback]

Failing to learn? The NHS is losing its capacity for system-wide safety investigation
https://t.co/CxZoBmeNuQ

[SuzetteWoodward 💙 @SuzetteWoodward]

Patient Safety Review https://t.co/gA6gEnm56w

[The Leng review @lengreview]

Professor Leng has now completed her review into the safety and effectiveness of the physician associate and anaesthesia associate roles. The following conclusions have been made.
https://t.co/8XfLTLPlms

[James Titcombe @JamesTitcombe]

Great work from HSSIB - it’s incredibly useful for NHS trusts implementing PSIRF to have examples of exemplar PSII’s. Hopefully these will be read and shared widely. #patientsafety

https://t.co/nQF6bvTcTW

[James Titcombe @JamesTitcombe]

The emphasis on data driven transparency & restoring confidence & trust in the CQC will be crucial. We must guard against politicising NHS performance - as we know from history that a ‘no bad news’ culture is a route to catastrophe.

#PatientSafety

[Georgina Cosma @gcosma1]

Just tested a serious #AI vulnerability: hidden white-text prompts in a doc were executed without detection by both ChatGPT(@OpenAI) and Claude(@AnthropicAI). No resistance, no safeguards. #LLMs remain highly susceptible to doc-based prompt injection. This needs urgent attention.