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The Patient Safety Academy (PSA) at the Nuffield Department of Surgical Sciences was honoured to host two high profile British doctors and an international research leader yesterday.

Front row, from L-R: Lord Ribeiro, Professor Peter McCulloch, Dr Helen Higham, Dame Clare Marx. Back row, from L-R: Dr Dawn Benson, Mrs Janet Higham, Dr Baptiste Vasey, Dr Neale Marlow, Dr Joanne Kitchin, Professor Salome Maswime, Dr Rajh Kumar, Dr Peyton Davies.

I have a smaller tumour which can be removed at surgery with a lumpectomy. Why should I take part?

Is there anything else I should consider about my treatment?

Should I have my surgery as soon as possible?

Is chemotherapy given before surgery like endocrine therapy is?

Are the treatment options safe?

Why are you using an aromatase inhibitor drug in this study?

What is the EndoNET study trying to find out by using endocrine therapy?

Can I take part in EndoNET?

What type of breast surgery is available to me?

What is oestrogen receptor-positive (ER+) breast cancer?

What is oestrogen?

What is endocrine therapy?

What is an aromatase inhibitor and how does it work?

Have women with breast cancer been involved in this study?

My patient’s emergency procedure was Interventional Radiology-related or an Endoscopic Interventions (e.g. stent insertion, ERCP), not surgery – are they eligible?

Answer Yes, all emergency abdominal procedures are eligible – of course, the patient has to clinically deteriorate to be included.

How do I define a scan as ‘emergency’ or ‘unplanned’?

Answer All scans REQUESTED outside of the normal working hours of 9am to 5pm Monday-Friday are counted as unplanned. All scans where the RICHER tool (a communication tool developed by RESPOND) had to be used in the request also count as unplanned.

How are samples processed and stored?

What is the ProMPT legacy module?

Why does QUANTUM charge for samples?

What are the charges for QUANTUM samples?

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Key points from the meeting

  • The PSA and the associated research group (Quality, Reliability, Safety and Teamwork Unit) have made internationally recognised advances in testing and developing interventions to make healthcare safer.
  • The PSA and GMC are now working in partnership on a programme of training and process redesign for staff at the GMC’s Fitness to Practice division. The GMC is seeking to improve its systems for investigating doctors following recent controversy over how mistakes by clinical staff should be assessed.   
  • The PSA’s Human Factors approach to understanding the factors and pressures which can lead to error in healthcare is providing a different perspective to help the GMC consider all aspects of the context.
  • Lord Ribeiro has an interest in global surgery and heard about the PSA’s work in South Africa, using Human Factors to improve safety in surgery in low income countries. 

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