“we collected the records and started to look through them and to our absolute horror the whole twenty four hours of Joshua’s care, that period of time after his birth and before he collapsed, there were no records of his temperatures, his observations, of the concerns that my wife had raised, and we said look the records are missing we’re really anxious to know that the staff have reported the same events as my wife and I, we don’t want this to be covered up… …and I found it shocking. In my work in the Nuclear Industry I’m used to any example of what’s gone wrong incident being thoroughly investigated and I’ve seen more comprehensive reports about rusty material, rusty bolts, than the process I’d been through relating to the preventable death of a (my) child“
Joshua’s Story shares the harm caused when we fail to document healthcare and don’t provide frontline healthcare workers with the modern decision support tools that they need to efficiently do their work, receive timely notification of the deteriorating health of Patients and ensure they are capable of learning from mistakes they make so that the reasons can be understood and they’re never repeated.
The Learning Clinic’s VitaPac is my favourite example of a mHealth company that is doing great things in this area (eg. their VitalPAC app is today helping more than 15,000 NHS nurses record more 10 million sets of Patient Observations per year) and it surprises me that Patient Care Quality Campaign and Pressure Groups aren’t doing more to champion the Hospitals that are adopting such modern systems:
If you attend a Hospital that’s still not adequately supporting their staff to properly do the job and still relying on error prone paper charts please feel encouraged to share this URL TheLearningClinic.co.uk with the CEO along with your thoughts about why it would improve your confidence in the quality of the care that they’re providing.
Note: I would’ve liked to have embedded the above video but for some reason the PatientStories website has T&C’s from the 1990’s regarding the use of their content eg. the videos can’t be played at full screen, embedded/shared and must not be used within formal education (whatever that means).
Update 21 October: Thanks to Murray Anderson-Wallace, Executive Producer, Patient Stories I’ve been able to replace the image above with an embed of the video (see comments).