1 August 2016 (Monday) UKAS Newsletter

The UKAS Newsletter came this morning. Loads of information; all good CPD, free just there for the taking:

As a UKAS customer, you are receiving this email to notify you that there has been an update to the following UKAS Publication(s):
Publication
A full list of UKAS publications is available from the UKAS website.


It’s all rather dry though…

30 July 2016 (Saturday) - IBMS Newsletter

The IBMS newsletter appeared in my inbox this morning.

Perhaps the thing which really caught my eye was the fact that the IBMS is doing away with its on-line discussion forums. On-line discussion forums are usually just one big argument, so getting shot of them will probably be a good thing.

There was also something about doing more work for less money. Surely there must come a point where all the possible economies have been made?

And some killjoy or other was griping that bringing cakes in to the departmental tea-rooms is a bad thing.

Interestingly much of the newsletter was directing the reader to entries on the IBMS Facebook page. That’s a sign of the times…


29 July 2019 (Friday) - Mistakes

The HCPC writes a blog. All the best people do, you know… Today I read something on their blog which made me think.
Standard Eight of the standards under which we all practice says that registrants need to be open and honest when something has gone wrong with the care, treatment or other services that we provide. This includes letting service users and carers know; apologising; and taking action to put matters right if we can.
The standard also says that registrants need to support service users and carers to raise concerns and be helpful and honest in their responses to complaints.

This is a very noble sentiment and *in theory* is all very well.

Mistakes in healthcare are by their very nature terrible. However one needs to bear in mind that mistakes are that – mistakes. Nobody goes into healthcare with the intention of deliberately harming patients.
And one also needs to bear in mind the harm done by ambulance-chasing lawyers looking to sue at the slightest provocation.

If mistakes become learning experiences then practitioners are going to be more inclined to report them.

If they become thinly-veiled witch-hunts then they are not…

25 July 2016 (Monday) - BloodMed Email

This morning I got the regular email from the Bloodmed people. The news items were quite interesting:


I found the first article particularly interesting; when I first started working morphology was everything. The technology used for investigating genetic variants was in its infancy.

Now all that we knew has been turned on its head…

23 July 2016 (Saturday) - Green Neutrophil Inclusions


Here’s something new to me. Two references on the matter – Pubmed  and Blood – both respected publications.

Apparently green neutrophil inclusions have been reported as a sign of impending patient death. In a series of twenty patients in whom green inclusions were identified in neutrophils or monocytes thirteen died within days of the detection of the inclusions.
A common feature to almost all patients was ischaemic or hypoxic hepatitis which, in fatal cases, was associated with lactic acidosis.

What are the inclusions?

Light and electron microscopy indicated that the inclusions were lipid-rich, probably derived from lipofuscin-like material released from necrotic liver parenchymal cells.

It is recommended that that the detection of green inclusions, referred to as 'critical green inclusions', is acknowledged and reported by laboratories and correlated with clinical findings.


I’ve never seen them…

21 July 2016 (Thursday) - A Podcast

An interesting podcast – you can hear it by clicking here. I suppose I’m rather used to the way I work here in the UK where patients go to their doctor and I effectively work for the doctor. This podcast clearly is aimed at parts of the world where labs work directly for patients.
Could we *really* improve what we do by communicating directly with patients? Perhaps I’m rather old-school but I’m not sure we can. Mind you I’m sre I’m wrong. I usually am….


20 July 2016 (Wednesday) - NHSBT Newsletter

The e-newsletter from NHSBT arrived this morning. It followed its usual format
For Action
1.1 “Save one O D Neg a week” campaign and O D Neg Toolkit
For Information
2.1 SHOT Annual Report for events reported in 2015
2.2 Patient Information Leaflets and Educational Resources
2.3 National Paediatric Conference
2.4 Haemoglobinopathy Genotyping Initiative – close of project
2.5 New genotype tests and pricing at IBGRL
2.6 Replacement of 3 part paper issue note and OBOS Development
For Training
3.1 Training & Education Events and Courses

Whilst it was all quite interesting (for once!) I found myself intrigued by the need for more O Neg blood. Being O Neg myself perhaps I might become a donor again…