Descartes - alive and well ...

... within the Incident Reporting System

'Policy guidance on recording patient safety events and levels of harm 

This guidance is for users of the new Learn from Patient Safety Events (LFPSE) service, to provide context and guidance on selection of appropriate categories when recording incidents. It focuses on which Event Type is appropriate for different circumstances, and how to select the most appropriate options for the Levels of Harm categorisation required within Patient Safety Incidents.'

Previous harm grades

No harm

Low harm

Moderate harm

Severe harm

Death

individual

|

INTERPERSONAL : SCIENCES

humanistic -------------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

|

group-population

New psychological harm grades No psychological harm Low psychological harm  Moderate psychological harm Severe psychological harm n/a	New physical harm grades No physical harm Low physical harm Moderate physical harm Severe physical harm Fatal

Q. 'n/a'. Discuss.

CPD reading.                      

WHO: Infodemic Management News Flash Thursday 4 November 2021 #25

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

My source: EPI-WIN maillist: From the website ...

 

 

Feature art

"Infodemic managers understand the potential for misinformation to grow rapidly and cause harm. There is evidence of rumours spreading quickly and impacting poorly on public health, public trust and vaccine acceptance. Yet every piece of viral misinformation starts small, as seen in the third frame above. At this stage, the little piece of misinformation looks innocent enough, all alone and quite innocuous. It probably doesn't have lots of social media interactions attached to it, it probably isn’t being shared very much.

Narrator: Friends, that little piece of misinformation had big plans

The image highlights why identifying information voids and emerging information hazards before they go viral is so important. If we can use the tools we have to listen to emerging concerns and questions and proactively identify information voids in conversations, we may be able to intervene early by filling in that conversation space in the third frame with high quality information before that piece of misinformation progresses to frame four. At WHO we are working with our partners on some useful tools for managing the COVID-19 infodemic. Keep an eye on the News Flash for more information."

Image credit: Man Martin/Manoverboard

I could instantly relate the image to the domains of Hodges' model as above.

Preventing Overdiagnosis 2022

 

Dear Colleague,

We are extremely pleased and excited to confirm that Preventing Overdiagnosis Evidence, Equity and Post Pandemic Health Care will be hosted by the University of Calgary, Alberta, Canada 9-12 June 2022.
 
We are accepting abstracts against the following themes, however this list is by no means exhaustive and we welcome submissions on all aspects of preventing Overdiagnosis:
 

• Equity & Equality: disparities in healthcare provision, marginalized populations, conflicts of interest driving inequity
• Sustainability and lessons learned from COVID-19: repurposing healthcare after a pandemic
• Medicalizing citizens: the harms of screening, disease thresholds, industry influences, the role of media
• The role of specialists in generating Overdiagnosis and their efforts to mitigate it
• Clinical Practice: Other dimensions of ODx, overtesting and the harms of too much medicine

Oral abstracts can also be submitted for virtual presentation in September 2021, November 2021, January 2022 and March 2022.  
 
Submissions will be graded approximately six weeks prior to the session date.  Offering four deadlines e.g. the deadline for September 2021 virtual presentation will be sometime in July 2021.
Please choose Virtual Presentation prior to Calgary 2022 as your preferred means of presentation.
 
NB: Abstracts already submitted can change preferred means of presentation by logging back into the submission portal.
 
Virtual and face to face events will bring you a number of lively plenary debates about controversial and timely issues involving high-profile players from across the healthcare landscape.  
Registration is open

We are also bringing you the Lisa M Schwartz Scholarship an opportunity that provides awardees with PODC registration, funding toward travel and accommodation and the opportunity to present at the conference.

Submissions (made through the abstracts postal) should address an issue of relevance to Dr Schwartz work and interests, and be consistent with the vision and values Dr Schwartz championed in the communication of risk. 
 
Thank you for your patience, keep well.

Conference Scientific Committee 
www.preventingoverdiagnosis.net 
Tw: @PreventingODx

PUBLIC VICES: The individual and collective dimensions of civic and epistemic vices

1-2 October 2021, Università di Genova, Genova (Italy)

Keynote speakers:

Heather D. Battaly                 (University of Connecticut)
Emanuela Ceva                    (University of Geneva)
Fabienne Peter                    (University of Warwick)

Alessandra Tanesini            (Cardiff University)

CFA:

The conference aims to bring together political and moral philosophers to discuss key civic and epistemic vices, to assess their corrupting impact on public life, and to devise effective countermeasures.

Political deliberation is increasingly characterized by epistemic vices, e.g. inaccuracy (Chambers 2020), arrogance (Tanesini 2018), closed-mindedness (Battaly 2020) and epistemic insouciance (Cassam 2018). Consequently, many citizens worry that the public sphere is being polluted by an unprecedented number of misleading claims and inaccurate statements (Matsa and Shearer, 2018; Mitchell et al., 2016, 2019). Furthermore, certain epistemic vices could even compromise the legitimacy of democratic deliberation (Peter 2020).

On the other side, the conference will focus on civic vices. There has been a growing debate on civic virtues which facilitate public life (Croce & Vaccarezza 2018), e.g. prudence (Ottonelli 2018), effectiveness (Zuolo 2020), resilience (Snow 2018) or civic friendship (Schwarzenbach 1996). Yet, comparably less attention has been paid to civic vices, which are not limited to the negative side of civic virtues, but include new character traits with dangerous impact on democratic well-functioning e.g. hyperbolic partisanship (Muirhead 2010), polarization (Aikin & Talisse 2020), radicalization (Waldner and Lust 2018, 109), or corruption (Ceva & Ferretti 2017, 2021).

We welcome submissions relevant to this research aim, broadly construed. Possible topics include, but are not limited to, the following questions:

• What are civic and epistemic vices? What is the harm in them?
• Are individuals blameworthy for the development of civic and epistemic vices?
• Are there genuinely collective civic and epistemic vices?
• How do civic and epistemic vices impact democratic politics?
• How can civic and epistemic vices be curtailed or corrected?
• Are there specific virtues that should be cultivated among democratic citizens?
• Under what conditions could these be fostered?
• Where does the responsibility lie for rectifying civic and epistemic vices?
• What institutional mechanisms, if any, should be ordained to control civic and epistemic vices?

To apply for the conference, send an abstract (500 words) to: callpublicvices AT gmail.com by June 30. Notification of acceptance will be sent within a month.

COVID DISCLAIMER: the conference is organized aiming for personal attendance, as vaccination should have reached significant levels in Italy by the end of September. If circumstances require it, we will consider online alternatives or a hybrid format.

Organizing Committee: Valeria Ottonelli, Angelo Campodonico, Maria Silvia Vaccarezza, Federico Zuolo, Carlo Burelli, Carline Klijnman.

This workshop is part of a PRIN research project: Deceit and Self-Deception. How We Should Address Fake News and Other Cognitive Failures of the Democratic Public (www.deceitproject.com) and it is supported by Aretai Center on Virtues (www.aretaicenter.com).

My source: 

Philos-L "The Liverpool List" run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/

The humanistic and mechanistic in patient transport & safety

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

Person - Identity 'Suspended personhood' ? Dissociation -> Alienation ? MENTAL - physical health Clinical assessment Mental Illness Mental Health Crisis Orientation - Mental capacity Anxiety - Distress - Stress 'Lived experience' Risk to Self / Self neglect Can person's needs be met? Trauma Individual sense-making "If I am in a cage ..." SUBJECTIVE - objective QUALITY - quantity Aesthetic (psychological) impact of conveyance

PHYSICAL - mental health Open - Closed Wards/Units Locked - Secure Clinical assessment Risk to Self / Self neglect Physical MECHANICAL restraint: Handcuffs Vehicle: Cage vans - confined space Logistics: Patient transport 'Transfer' local <---><-> remote Location of Specialist Units Number of places Data gathering Records OBJECTIVE - subjective QUANTITY - quality

Risk to Others Ability to cooperate Families - contact / visiting Shared lived experience: Treatment, Care Vs. Punishment Patient-Public Involvement Discourse Collective sense-making Perpetuation of stigma Blunted / Polarised dialogue:  Anti- Critical Psychiatry Barriers to dialogue: 'Service-users' - Services

Police & Policing Law Mental Health Act Mental Capacity Act Liberty Protection Safeguards Duty of Care Accountability - Liability Staff involved in transfers Policy Policy Instruments Data - Reporting: Commissioned Research? Employee safety Mental Health Services Commissioning: Private Sector - Public Sector Transport Services Standards Psychiatric Intensive Care Unit

I'm sure the vast majority of transport service providers - public and private, are of a high-standard, seek to assure safety of all involved and professional, but exceptions must be addressed.

See also:

Carli Brosseau and Alex Lang

Read more here: https://www.newsobserver.com/news/local/article230255979.html#storylink=cpy

‘How many have to die?’ SC mental health patients endure nightmare transport conditions.

https://www.newsobserver.com/news/local/article230255979.html

If I come across further information (esp. UK centred) I will add here.

h2cmng AT yahoo.co.uk

Read more here: https://www.newsobserver.com/news/local/article230255979.html#storylink=cpy

My source:

Cage vans are used routinely in the UK for patient transport between hospitals. There is currently no record of how frequently used. There is no requirement to demonstrate that this degree of imprisonment is proportionate, or that less restrictive transport is impossible https://t.co/jvVL2atSVe

— Alex Thomson (@AlexBThomson) July 25, 2020

Trauma: A definition c/o @fomsf_UWE

Dr Rajwani on the refugee crisis: a trauma narrative. #SoGlo #SoGlo2018 #medicine #war #msf #globalhealth #notatarget pic.twitter.com/JcuLhuxASg

— UWE Friends of MSF (@fomsf_uwe) February 24, 2018

Resized image @fomsf_uwe

Trauma "a universal aspect of human experience in which individuals and groups have to undergo or bear certain burdens, troubles and serious wounds to the body and spirit". p.205.

INDIVIDUAL

|

INTERPERSONAL : SCIENCES         

humanistic -- UNIVERSAL HUMAN EXPERIENCE -- mechanistic

SOCIOLOGY : POLITICAL

|

GROUP

SPIRIT burdens troubles	BODY serious wounds
(ethnography, multicultural practice)	(refugees, mental health providers)

Elzbieta M. Gozdziak (2004) Training Refugee Mental Health Providers: Ethnography as a Bridge to Multicultural Practice. Human Organization: Summer 2004, Vol. 63, No. 2, pp. 203-210.

Comment: From universal health coverage to right care for health - The Lancet

"What is right care? In its simplest definition it is care that weighs up benefits and harms, is patient-centred (taking individual circumstances, values, and wishes into account), and is informed by evidence, including cost-effectiveness." p.1.

Kleinert, S. & Horton, R. (2016). From universal health coverage to right care for health. The Lancet. Published Online January 8, 2017 http://dx.doi.org/10.1016/S0140-6736(16)32588-0

How can we reflect upon universal health coverage and 'right care'?

individual

|

INTERPERSONAL : SCIENCES

humanistic -------------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

|

group-population

harm to the individual wishes values patient (person) centered	information resources harm - benefit ratios unnecessary care over diagnosis
beliefs community leaders harm to the community social benefits human relationships	Universal health coverage cost   finances organisations power policy

My source: Twitter greg fell