Releases Saturday 29 March 2003
No 7391 Volume 326

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(1) ERRORS OCCUR IN HALF OF INTRAVENOUS
DRUG DOSES

(2) STUDY HIGHLIGHTS DISCRIMINATION IN NHS
AWARD SCHEME

(3) DOCTORS SHOW HIGHER LEVELS OF
PSYCHOLOGICAL PROBLEMS THAN OTHER
PROFESSIONS

(4) NHS PERFORMANCE INDICATORS IGNORE



PATIENT OPINION

(1) ERRORS OCCUR IN HALF OF INTRAVENOUS
DRUG DOSES

(Ethnographic study of incidence and severity of
intravenous drug errors)
http://bmj.com/cgi/content/full/326/7391/684

Errors in preparing and administering intravenous drugs
remain a concern in the United Kingdom, say
researchers in this week's BMJ.

Data were collected on the number, type, and clinical
importance of errors in the preparation and
administration of intravenous drugs over 6-10
consecutive days on 10 wards in two UK hospitals. A
total of 1,042 doses were prescribed for 106 patients
during the study.

Errors occurred in almost half of the intravenous drug
doses. Preparation errors occurred in 32 doses (7%),
administration errors in 155 doses (36%), and both
types of error in 25 doses (6%). Errors were potentially
harmful in about a third of cases.

The most common errors were giving concentrated
(bolus) doses too quickly and mistakes in preparing
drugs that required multiple steps.

A combination of reducing the amount of preparation on
the ward, staff training, and technology to administer
slow bolus doses would probably have the greatest
effect on error rates, conclude the authors.

Contacts:

Katja Taxis, Assistant Professor in Pharmacy,
Pharmaceutical Institute, University of Tübingen,
Germany
Email: katja.taxis@uni-tuebingen.de

Nick Barber, Professor of the Practice of Pharmacy,
The School of Pharmacy, University of London, UK
Email: nick.barber@ams1.ulsop.ac.uk

(2) STUDY HIGHLIGHTS DISCRIMINATION IN NHS
AWARD SCHEME

(Discrimination in the discretionary points award scheme:
comparison of white and non-white consultants and men
with women)
http://bmj.com/cgi/content/full/326/7391/687

Non-white and female consultants may be disadvantaged
under the discretionary points award scheme ? one of
the main mechanisms for rewarding consultants beyond
their basic salaries in England, Wales, and Scotland,
finds a study in this week's BMJ.

Using data from the Advisory Committee on Distinction
Awards for England and Wales and the Scottish
Advisory Committee on Distinction Awards, researchers
compared the proportion of consultants with
discretionary points between white and non-white
consultants and between men and women.

In England and Wales, white consultants had 1.37 times
as many awards as non-white consultants, and men had
1.25 times as many as women. In Scotland the ratios
were 1.34 and 1.36. The ratios increased with increasing
level of award.

Non-white consultants are older when appointed, so
their period of eligibility for discretionary awards is less
than for white consultants. Non-white consultants may
also be concentrated in specialties which are less likely
to receive awards, explain the authors.

The reason for differences in the number of points
awarded to men and women is unclear, but differences
could be due to discrimination, they add.

Points are awarded by local decision making groups
whose deliberations are not usually open to scrutiny.
Without effective monitoring, it is impossible to judge
whether the scheme is operated fairly and without
discrimination, they conclude.

Having accepted that "institutional racism" exists in the
NHS, the government has committed itself to eliminating
bias and outmoded working practices as part of its
modernisation programme, writes James Raftery in an
accompanying editorial. As a result, distinction awards
and discretionary points are to be replaced by a new
NHS Clinical Excellence Awards scheme.

Contacts:

Paper: Aneez Esmail, President, Medical Practitioners
Union, London, UK
Email: aneez.esmail@man.ac.uk

Editorial: James Raftery, Director, Health Services
Management Centre, Birmingham, UK
Email: j.p.raftery@bham.ac.uk

(3) DOCTORS SHOW HIGHER LEVELS OF
PSYCHOLOGICAL PROBLEMS THAN OTHER
PROFESSIONS

(BMJ Careers: How many doctors are sick?)
http://bmj.com/cgi/content/full/326/7391/s97

Doctors exhibit higher levels of psychological
disturbance than people in equivalent professional
occupations, finds a study in this week's BMJ Careers.

Researchers tried to establish the size and nature of
mental ill health among UK doctors using several
methods, such as performing a literature review on sick
doctors, reviewing policy documents from the
Department of Health and the General Medical Council,
reviewing evidence, and attending conferences.

They found that health problems ranged from anxiety
through emotional exhaustion to clinical depression,
substance misuse, and suicide. Depression, alcoholism,
and anxiety disorders were the most common.
Furthermore, a poor organisational culture within heath
services means that doctors are often reluctant to seek
help.

Studies by the Nuffield Trust have identified the major
factors for psychological disturbance in junior to senior
grades as the long hours worked, the high workload, the
pressure of work, and their effect on doctors' personal
lives.

A mental health needs assessment should be conducted
urgently across the profession, not just those doctors
who are already seeking help, say the authors. A health
impact assessment should also be undertaken to build an
evidence base for acceptable, responsive, and effective
services.

"We owe a duty of care to our colleagues. At present
we are letting them down," they conclude.

Contacts:

Judith Stanton, Consultant in Public Health Medicine,
Brent Primary Care Trust, Wembley Centre for Health
and Care, Wembley, UK
Email: judith.stanton@brentpct.nhs.uk

Woody Caan, Professor of Public Health, Public and
Family Health, Anglia Polytechnic University,
Chelmsford, UK
Email: a.w.caan@apu.ac.uk

(4) NHS PERFORMANCE INDICATORS IGNORE
PATIENT OPINION

(Letter: Empowerment of patients±fact or fiction?)
http://bmj.com/cgi/content/full/326/7391/710

The current obsession with improving performance, such
as waiting times, could result in changes that are
unpopular with patients, according to a letter in this
week's BMJ.

Doctors at Bristol Royal Infirmary were asked to
reorganise their busy orthopaedic clinic to minimise
waiting room times and maximise patient throughput.

Before the reorganisation, 172 patients were asked
whether they preferred a clinic that allowed a longer
consultation, even if this meant longer waiting times
(option a) or they preferred a clinic that ran to time, even
if this meant their consultation was strictly limited to the
allocated time (option b).

More than two-thirds (68%) of patients preferred option
a, whereas 28% preferred option b and 4% did not
know. During the survey, only 38% of patients were
seen within 30 minutes of their appointment time; the
average wait was 55 minutes.

This survey shows that the desire to influence
performance indicators could result in changes that are
unpopular with patients, say the authors. Being slaves to
crude measures of performance, such as waiting times,
risks a negative effect on what is not measured, such as
the quality of the consultation.

"We as doctors must defend attempts to erode aspects
of clinical services that are important to patients but do
not feature on hospital league tables. Empowerment of
patients, while laudable in principle, seems to be nothing
more than hot air when hospital performance stars are at
stake," they conclude.

Contact:

Ian Learmonth, Professor of Orthopaedic Surgery,
Bristol Royal Infirmary, Bristol, UK


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