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  Patient Safety Monitor: Global Edition Patient Safety Monitor: Global Edition 
 
This e-mail newsletter provides healthcare professionals with the latest patient safety news from around the world.

August 19, 2008   (Volume 2, Issue 17)
 
Scotland: Physician hours soon to be over European limit
In 12 months, hospitals under the UK’s National Health Service (NHS) must follow the European Working Time Directive (EWTD), which requires junior physicians to work in hospitals no more than 48 hours per week, a goal which many Scotland hospitals have yet to meet, reports the Herald. In some areas, more than 70% of junior physicians work longer than the soon-to-be required amount, reports the Herald.The British Medical Association has warned chaos might follow a rush to meet the deadline, and some in the medical profession worry shorter hours may cut time to hone important skills, according to the Herald. The EWTD became law in 1998 and has been implemented gradually. In August, 2004, a 58-hour work week was required for the junior physicians. The law was created to prevent mistakes from fatigue, similar to working hour limits of pilots. To read more, click here.
 
Ireland: Information Commissioner upset over medical error exemption from Freedom of Information Act
Ireland’s Information Commissioner, Emily O’Reilly, has expressed concern after a government-appointed patient safety commission proposed medical errors and other patient safety information remain exempt from the Freedom of Information Act (FOI), reports the Tribune. Though the Commission on Patient Safety and Quality Assurance advocated for a mandatory quality data reporting system, it also called for legislation for that data, as well as information on adverse events and near misses, to be exempt from the FOI, according to the Tribune. To read more, click here.
 
Hong Kong issues new guidelines for surgeons

In a bid to increase patient safety and decrease surgical errors, Hong Kong will issue guidelines on who should be qualified to perform "keyhole" surgeries, reports the South China Morning Post. Keyhole operations, which are performed though small incisions and aided by small video cameras, are usually performed to reduce scarring and recovery time. The College of Surgeons, responsible for training and accrediting surgeon qualifications, will consult surgeons on new guidelines on three popular keyhole surgeries, reports the Post.

The actual standards—such as how many supervised keyhole surgeries a physicians must perform before performing one on their own—have yet to be established, according to the Post. To read more, click here.

 
Thailand: New act speeds up compensation for medical errors

Victims of medical errors in Bangkok may now receive compensation faster, according to a new rule about to go into effect, reports the Nation. The new rule would require physicians to prove they did not cause a medical error, instead of requiring victim's to prove the medical error.

 

Bangkok's 2008 Procedural Act for Consumer Protection Cases, which goes into effect August, 2008, now puts responsibility on physicians to prove they did not cause harm and also requires victims to be compensated for a year after filing suit. The act will help victims of medical errors receive compensation much earlier, as they no longer have to wait until they prove medical malpractice, according to the Nation.

To read more, click here.

 
Australia to establish nationwide physician registration

State Health Minister of Queensland, Stephen Robertson, said he would introduce laws for a national accreditation system to identify physicians and healthcare workers in an effort to increase patient safety, according to the Daily Telegraph.

The system will track physician performance. Robertson's statement comes after Abdalla Khalafalla, a physician trained in Egypt, was found to be performing surgery beyond his capabilities in Queensland and Victoria, according to the Telegraph.

To read more, click here.

 

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