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Purpose 214 views Aug 15, 2018
Dysfunctional surgeons put patients at risk at heart surgery un
A ?toxic? feud between two rival camps at a troubled heart-surgery unit left staff feeling a high death rate was inevitable, according to a leaked report.

St George?s Hospital heart unit was consumed by a ?dark force? and patients were put at risk by a dysfunctional team of surgeons, an investigation concluded last month.

The damning review was written by former NHS England deputy medical director Mike Bewick in response to higher mortality rates at the hospital.

St George?s Hospital in Tooting, south west London (PA)

He found the south London facility had a cardiac surgery death rate of 3.7% - above the national 2% average, reports said.

Cardiac surgery services at St George?s Hospital are safe - but improvements must be made. Our response to media coverage expected on Saturday, 4 August pic.twitter.com/8B66MSWEzw

- St George's NHS FT (@StGeorgesTrust) August 3, 2018 Internal scrutiny was thành phố bắc kinh said to be ?inadequate? and the department was riven between ?two camps? exhibiting ?tribal-like activity?.

Professor Bewick?s review was quoted as saying: ?Some felt that there was a persistent toxic atmosphere and stated that there was a ?dark force? in the unit.?

It added: ?In our view the whole team shares responsibility for the failure to significantly improve professional relationships and to a degree surgical mortality.?

Conversations with 39 staff revealed they were shocked by the death rate, but ?most felt that poor performance was inevitable due to the pervading atmosphere?.

The independent reviewer examined ?disturbing and often difficult information?, concluding an ?existential threat? was posed to the unit because staff and patients would go elsewhere if problems persisted.

?The surgical team is viewed as dysfunctional both internally and externally,? he said.

Stronger leadership and ?new blood? were called for, while the ?defensive approach? the unit took to death rate data was criticised, according to reports.

The review was additionally said to have called for ?radical solutions to breaking up the current surgical team?.

A spokesman for St George?s Hospital said recommendations from Professor Bewick were being implemented ?at pace?, including the immediate relocation of all cardiac surgeons to a single-speciality practice.

The investigation commissioned in June after the National Institute for Cardiovascular Outcomes Research (NICOR) issued an alert over the unit?s lower surgery survival rates.

The hospital spokesman said: ?We would like to stress that the cardiac surgery service we provide for patients is safe.

?However, it is very clear that major and urgent improvements are required, which we are already taking action to deliver. ?

St George?s, one of the biggest teaching hospitals in the country, has advertised for an additional consultant cardiologist to join the team.

Fellow London hospital Guy?s and St Thomas?s Foundation Trust will send ?on the ground leadership support? in the form of cardiac surgeons, the spokesman said.

Officials are additionally ?addressing concerns? about the way surgery data is managed.

A spokesperson for the Royal College of Surgeons and the Society for Cardiothoracic Surgery, said: ?The Society for Cardiothoracic Surgery (SCTS) informed St George?s in both March 2017 and March 2018 that analysis of their results showed that early survival after cardiac surgery at the hospital for the periods of activity 2013-2016 and 2014-2017 was lower than the expected level, although still within the UK standard.

?This is called an alert and does not automatically mean there is a cause for concern as there may be clinically valid reasons why the Trust has a worse early-survival rate than other units around the country.

?Cardiac surgery within the UK is amongst the safest in the world and St George?s has always shown that early survival for their patients is within what is regarded as the UK standard.

?It has never tour bắc kinh been below the required standard for the UK. All the other hospitals in the UK have shown that early survival after cardiac surgery is at the required standard, with only St George?s triggering the early warning alert over the last 4 years of surgery.

?Nevertheless the independent review has highlighted serious concerns so it is still crucial that St George?s address the findings of the report so that patients can be sure they are receiving the best possible care.?

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Brad Plowman 's Entries

2 blogs
  • 21 Aug 2018
    du lịch bắc kinh DUBROVNIK, Croatia, Aug 4 (Reuters) - The Croatian thành phố bắc kinh town of Dubrovnik, a UNESCO World Heritage Site and picturesque coastal resort on the Adriatic, is at risk of being overwhelmed by visitors from the cruise ships that arrive daily.Between January and June, almost 280,000 tourists from 188 cruise tours visited the 800 year-old city. Last year, a whopping 749,000 people disembarked from 539 cruise ships that moored in Dubrovnik's harbour.Shopkeepers, restaurateurs and the 1,500 locals that live in the Old city - an area inside the coastal fort that featured in the TV series Game of Thrones - struggled to serve the crowds of guests.Last year, UNESCO warned that Dubrovnik's world heritage status was at risk due to the huge number of tourists "in regard to the sustainable carrying capacity of the city" and the management of the cruise ships pulling in.To counter the problem, the city in 2017 introduced its "Respect The City" plan aimed at limiting the number of tourists from cruises visiting the Old Town to 4,000 at any given moment."The project started yielding results this tourist season and we can see improvements in the quality of reception of guests from cruise ships and fewer crowds," said Sandra Milovcic, an official with Dubrovnik's Tourism Association.She said the number of so-called stationary guests is also on the rise in 2018. According to official data, more than 4.2 million people have spent at least one night in Dubrovnik so far in 2018, 14 percent more than last year.According to Cruise Critic, a specialised Web portal, Dubrovnik was declared the best Eastern Mediterranean destination for such trips in 2017 and 2018, with Montenegro's Kotor, Italy's Venice and the Greek islands of Santorini and Rhodes trailing behind. (Reporting by Antonio Bronic; Writing by Aleksandar Vasovic; Editing by Hugh Lawson)Advertisement
    278 Posted by Brad Plowman
  • du lịch bắc kinh DUBROVNIK, Croatia, Aug 4 (Reuters) - The Croatian thành phố bắc kinh town of Dubrovnik, a UNESCO World Heritage Site and picturesque coastal resort on the Adriatic, is at risk of being overwhelmed by visitors from the cruise ships that arrive daily.Between January and June, almost 280,000 tourists from 188 cruise tours visited the 800 year-old city. Last year, a whopping 749,000 people disembarked from 539 cruise ships that moored in Dubrovnik's harbour.Shopkeepers, restaurateurs and the 1,500 locals that live in the Old city - an area inside the coastal fort that featured in the TV series Game of Thrones - struggled to serve the crowds of guests.Last year, UNESCO warned that Dubrovnik's world heritage status was at risk due to the huge number of tourists "in regard to the sustainable carrying capacity of the city" and the management of the cruise ships pulling in.To counter the problem, the city in 2017 introduced its "Respect The City" plan aimed at limiting the number of tourists from cruises visiting the Old Town to 4,000 at any given moment."The project started yielding results this tourist season and we can see improvements in the quality of reception of guests from cruise ships and fewer crowds," said Sandra Milovcic, an official with Dubrovnik's Tourism Association.She said the number of so-called stationary guests is also on the rise in 2018. According to official data, more than 4.2 million people have spent at least one night in Dubrovnik so far in 2018, 14 percent more than last year.According to Cruise Critic, a specialised Web portal, Dubrovnik was declared the best Eastern Mediterranean destination for such trips in 2017 and 2018, with Montenegro's Kotor, Italy's Venice and the Greek islands of Santorini and Rhodes trailing behind. (Reporting by Antonio Bronic; Writing by Aleksandar Vasovic; Editing by Hugh Lawson)Advertisement
    Aug 21, 2018 278
  • 15 Aug 2018
    A ?toxic? feud between two rival camps at a troubled heart-surgery unit left staff feeling a high death rate was inevitable, according to a leaked report.St George?s Hospital heart unit was consumed by a ?dark force? and patients were put at risk by a dysfunctional team of surgeons, an investigation concluded last month.The damning review was written by former NHS England deputy medical director Mike Bewick in response to higher mortality rates at the hospital.St George?s Hospital in Tooting, south west London (PA)He found the south London facility had a cardiac surgery death rate of 3.7% - above the national 2% average, reports said.Cardiac surgery services at St George?s Hospital are safe - but improvements must be made. Our response to media coverage expected on Saturday, 4 August pic.twitter.com/8B66MSWEzw- St George's NHS FT (@StGeorgesTrust) August 3, 2018 Internal scrutiny was thành phố bắc kinh said to be ?inadequate? and the department was riven between ?two camps? exhibiting ?tribal-like activity?.Professor Bewick?s review was quoted as saying: ?Some felt that there was a persistent toxic atmosphere and stated that there was a ?dark force? in the unit.?It added: ?In our view the whole team shares responsibility for the failure to significantly improve professional relationships and to a degree surgical mortality.?Conversations with 39 staff revealed they were shocked by the death rate, but ?most felt that poor performance was inevitable due to the pervading atmosphere?.The independent reviewer examined ?disturbing and often difficult information?, concluding an ?existential threat? was posed to the unit because staff and patients would go elsewhere if problems persisted.?The surgical team is viewed as dysfunctional both internally and externally,? he said.Stronger leadership and ?new blood? were called for, while the ?defensive approach? the unit took to death rate data was criticised, according to reports.The review was additionally said to have called for ?radical solutions to breaking up the current surgical team?.A spokesman for St George?s Hospital said recommendations from Professor Bewick were being implemented ?at pace?, including the immediate relocation of all cardiac surgeons to a single-speciality practice.The investigation commissioned in June after the National Institute for Cardiovascular Outcomes Research (NICOR) issued an alert over the unit?s lower surgery survival rates.The hospital spokesman said: ?We would like to stress that the cardiac surgery service we provide for patients is safe.?However, it is very clear that major and urgent improvements are required, which we are already taking action to deliver. ?St George?s, one of the biggest teaching hospitals in the country, has advertised for an additional consultant cardiologist to join the team.Fellow London hospital Guy?s and St Thomas?s Foundation Trust will send ?on the ground leadership support? in the form of cardiac surgeons, the spokesman said.Officials are additionally ?addressing concerns? about the way surgery data is managed.A spokesperson for the Royal College of Surgeons and the Society for Cardiothoracic Surgery, said: ?The Society for Cardiothoracic Surgery (SCTS) informed St George?s in both March 2017 and March 2018 that analysis of their results showed that early survival after cardiac surgery at the hospital for the periods of activity 2013-2016 and 2014-2017 was lower than the expected level, although still within the UK standard.?This is called an alert and does not automatically mean there is a cause for concern as there may be clinically valid reasons why the Trust has a worse early-survival rate than other units around the country.?Cardiac surgery within the UK is amongst the safest in the world and St George?s has always shown that early survival for their patients is within what is regarded as the UK standard.?It has never tour bắc kinh been below the required standard for the UK. All the other hospitals in the UK have shown that early survival after cardiac surgery is at the required standard, with only St George?s triggering the early warning alert over the last 4 years of surgery.?Nevertheless the independent review has highlighted serious concerns so it is still crucial that St George?s address the findings of the report so that patients can be sure they are receiving the best possible care.?Advertisement
    215 Posted by Brad Plowman
  • A ?toxic? feud between two rival camps at a troubled heart-surgery unit left staff feeling a high death rate was inevitable, according to a leaked report.St George?s Hospital heart unit was consumed by a ?dark force? and patients were put at risk by a dysfunctional team of surgeons, an investigation concluded last month.The damning review was written by former NHS England deputy medical director Mike Bewick in response to higher mortality rates at the hospital.St George?s Hospital in Tooting, south west London (PA)He found the south London facility had a cardiac surgery death rate of 3.7% - above the national 2% average, reports said.Cardiac surgery services at St George?s Hospital are safe - but improvements must be made. Our response to media coverage expected on Saturday, 4 August pic.twitter.com/8B66MSWEzw- St George's NHS FT (@StGeorgesTrust) August 3, 2018 Internal scrutiny was thành phố bắc kinh said to be ?inadequate? and the department was riven between ?two camps? exhibiting ?tribal-like activity?.Professor Bewick?s review was quoted as saying: ?Some felt that there was a persistent toxic atmosphere and stated that there was a ?dark force? in the unit.?It added: ?In our view the whole team shares responsibility for the failure to significantly improve professional relationships and to a degree surgical mortality.?Conversations with 39 staff revealed they were shocked by the death rate, but ?most felt that poor performance was inevitable due to the pervading atmosphere?.The independent reviewer examined ?disturbing and often difficult information?, concluding an ?existential threat? was posed to the unit because staff and patients would go elsewhere if problems persisted.?The surgical team is viewed as dysfunctional both internally and externally,? he said.Stronger leadership and ?new blood? were called for, while the ?defensive approach? the unit took to death rate data was criticised, according to reports.The review was additionally said to have called for ?radical solutions to breaking up the current surgical team?.A spokesman for St George?s Hospital said recommendations from Professor Bewick were being implemented ?at pace?, including the immediate relocation of all cardiac surgeons to a single-speciality practice.The investigation commissioned in June after the National Institute for Cardiovascular Outcomes Research (NICOR) issued an alert over the unit?s lower surgery survival rates.The hospital spokesman said: ?We would like to stress that the cardiac surgery service we provide for patients is safe.?However, it is very clear that major and urgent improvements are required, which we are already taking action to deliver. ?St George?s, one of the biggest teaching hospitals in the country, has advertised for an additional consultant cardiologist to join the team.Fellow London hospital Guy?s and St Thomas?s Foundation Trust will send ?on the ground leadership support? in the form of cardiac surgeons, the spokesman said.Officials are additionally ?addressing concerns? about the way surgery data is managed.A spokesperson for the Royal College of Surgeons and the Society for Cardiothoracic Surgery, said: ?The Society for Cardiothoracic Surgery (SCTS) informed St George?s in both March 2017 and March 2018 that analysis of their results showed that early survival after cardiac surgery at the hospital for the periods of activity 2013-2016 and 2014-2017 was lower than the expected level, although still within the UK standard.?This is called an alert and does not automatically mean there is a cause for concern as there may be clinically valid reasons why the Trust has a worse early-survival rate than other units around the country.?Cardiac surgery within the UK is amongst the safest in the world and St George?s has always shown that early survival for their patients is within what is regarded as the UK standard.?It has never tour bắc kinh been below the required standard for the UK. All the other hospitals in the UK have shown that early survival after cardiac surgery is at the required standard, with only St George?s triggering the early warning alert over the last 4 years of surgery.?Nevertheless the independent review has highlighted serious concerns so it is still crucial that St George?s address the findings of the report so that patients can be sure they are receiving the best possible care.?Advertisement
    Aug 15, 2018 215

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  • 21 Aug 2018
    du lịch bắc kinh DUBROVNIK, Croatia, Aug 4 (Reuters) - The Croatian thành phố bắc kinh town of Dubrovnik, a UNESCO World Heritage Site and picturesque coastal resort on the Adriatic, is at risk of being overwhelmed by visitors from the cruise ships that arrive daily.Between January and June, almost 280,000 tourists from 188 cruise tours visited the 800 year-old city. Last year, a whopping 749,000 people disembarked from 539 cruise ships that moored in Dubrovnik's harbour.Shopkeepers, restaurateurs and the 1,500 locals that live in the Old city - an area inside the coastal fort that featured in the TV series Game of Thrones - struggled to serve the crowds of guests.Last year, UNESCO warned that Dubrovnik's world heritage status was at risk due to the huge number of tourists "in regard to the sustainable carrying capacity of the city" and the management of the cruise ships pulling in.To counter the problem, the city in 2017 introduced its "Respect The City" plan aimed at limiting the number of tourists from cruises visiting the Old Town to 4,000 at any given moment."The project started yielding results this tourist season and we can see improvements in the quality of reception of guests from cruise ships and fewer crowds," said Sandra Milovcic, an official with Dubrovnik's Tourism Association.She said the number of so-called stationary guests is also on the rise in 2018. According to official data, more than 4.2 million people have spent at least one night in Dubrovnik so far in 2018, 14 percent more than last year.According to Cruise Critic, a specialised Web portal, Dubrovnik was declared the best Eastern Mediterranean destination for such trips in 2017 and 2018, with Montenegro's Kotor, Italy's Venice and the Greek islands of Santorini and Rhodes trailing behind. (Reporting by Antonio Bronic; Writing by Aleksandar Vasovic; Editing by Hugh Lawson)Advertisement
    278 Posted by Brad Plowman

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