Nadia Swann

Nov 8, 2024 | bmj.com | Trisha Greenhalgh |Cheryl Misak |Nadia Swann

Intended for healthcare professionals News & ViewsPatient involvement in...

Aug 29, 2024 | bjgp.org | Rebecca Payne |Archie Lodge |Adam J Mackridge |Derek T. O’Keeffe |Nadia Swann |Aileen Clarke | +4 more

IntroductionIt was recognised as early as 1939 that teleconsultations were of limited use if patients were unable to access the medicines recommended on the call.1 Nearly a century on, despite a rapid expansion in the remote delivery of consultations, access to urgently required medication for patients remains problematic, with pharmacy and medical services in many areas contracting, particularly during the out-of-hours period and in rural and remote areas.

Aug 16, 2024 | qualitysafety.bmj.com | Richard Byng |Aileen Clarke |Nadia Swann

Introduction of remote triage and expansion of remote consultations in UK primary care occurred at a time of unprecedented system stress (an understaffed and chronically under-resourced primary care sector, attempting to cope with a pandemic).23 Many organisations had insufficient telephone lines or call handlers, so patients struggled to access services (eg, half of all calls to the emergency COVID-19 telephone service in March 2020 were never answered7).

Nov 28, 2023 | qualitysafety.bmj.com | Richard Byng |Aileen Clarke |Nadia Swann

ResultsThe dataset (table 1) consisted of 95 incident reports (see fictionalised examples in box 1), plus approximately 400 pages of extracts from interviews, ethnographic fieldnotes and workshop discussions, including situated safety practices (see examples in box 2), plus strategic insights relating to policy, organisation and planning of services. Notably, almost all incidents related to telephone calls. Box 1 All these cases have been systematically fictionalised as explained in the text.