iiinova — where your digital self keeps evolving

JP Lomas @jplomas.bsky.social · 10/07/2026

The better question may not be whether we can afford ready-to-administer medicines. It is whether patients can afford us continuing to hand-make them at the point of care. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 10/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

Prefilled syringes are not a magic fix. They still need good storage, segregation, selection checks, training and evaluation. This is a system intervention. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 9/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

The evidence is not perfect — but perfect evidence is not the same as no evidence. The sensible response is targeted implementation where the case is strongest. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 8/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

The debate cannot just be unit price. Manual preparation carries hidden costs: staff time, waste, interruptions, contamination risk, variability, error and rare but devastating harm. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 7/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

Anaesthesia transformed safety before. Monitoring became non-negotiable because the profession recognised a safety gap and engineered it out. Medication preparation is the next gap to close. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 6/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

We should stop treating medication safety as a “be more careful” problem. Human factors teaches us to design systems where the right action is easier and the wrong action is harder. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 5/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

One study mapped **52 steps** in injectable medicine preparation for anaesthesia. Using prefilled syringes could remove **30 steps** — including **22 steps where error could cause harm**. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 4/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

Manual drug preparation is a multi-step process performed under time pressure, interruptions and cognitive load. Every extra step is another opportunity for error. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 3/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

The issue is not convenience. Prefilled syringes mean formulation, sterility, stability, labelling, quality control and readiness are built into the product before the pressure starts. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 2/10

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JP Lomas @jplomas.bsky.social · 10/07/2026

We don’t make our own toothpaste. So why are we still “making” so many injectable medicines at the point of care? New editorial on why anaesthesia should lead the move to ready-to-administer medicines. associationofanaesth... #prefilledsyringes #anaesthesia @Anaes_Journal 1/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

The lesson for anaesthesia is clear: Good people working harder is not a safety strategy. Safe maternity care needs planned capacity, senior presence, proper support staff and shared governance. Workforce planning is patient safety. www.ockendenmaternit... #anaesthesia 10/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

The report explicitly says long-term increases in anaesthetic training numbers and consultant posts will be required to meet growing demand. That is an important national message. Safer maternity care will require more anaesthetists. www.ockendenmaternit... #anaesthesia 9/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

Anaesthetic workforce is more than consultant numbers. Safe obstetric anaesthesia also needs trained ODPs, anaesthetic nurses, recovery staff, critical care links, governance time, teaching time and QI time. www.ockendenmaternit... #anaesthesia 8/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

Elective and emergency caesarean work compete for the same anaesthetic resource unless services are designed properly. The report points to the need for clearer operational separation to protect safety, flow and timely care. www.ockendenmaternit... #anaesthesia 7/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

Labour analgesia is a workforce issue too. A failing epidural needs reassessment, documentation, senior advice and sometimes re-siting. That requires time, expertise and enough anaesthetists to respond. www.ockendenmaternit... #anaesthesia 6/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

Visible consultant anaesthetic presence matters. The report highlights the positive impact of approachable anaesthetists on psychological safety, escalation and multidisciplinary working. You cannot escalate to someone who is not there. www.ockendenmaternit... #anaesthesia 5/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

The report calls for workforce planning that provides dedicated anaesthetic capacity, resilience and senior support at all times. That is the key phrase: 👉at all times👈. Maternity risk does not respect a 9-5, M-F. www.ockendenmaternit... #anaesthesia 4/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

One of the clearest workforce messages: Even where anaesthetic staffing meets existing standards, demand is rising. More caesarean births. More epidural analgesia. More complex mothers. More out-of-hours work. Standards must keep pace with reality. www.ockendenmaternit... #anaesthesia 3/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

The report describes obstetric anaesthesia as a fundamental component of safe maternity care. That means anaesthetic staffing should not be treated as secondary to elective service provision. It is a fundamental frontline safety intervention. www.ockendenmaternit... #anaesthesia 2/10

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JP Lomas @jplomas.bsky.social · 24/06/2026

The Ockenden Nottingham report is not only a maternity report. It is also a major patient safety report for anaesthesia. 🧵👇 Safe maternity care needs anaesthetists who are visible, available, senior and properly resourced. www.ockendenmaternit... #anaesthesia 1/10

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JP Lomas @jplomas.bsky.social · 27/05/2025

This is more than a statement. It’s a call to action. We invite all healthcare workers, hospitals, societies, and citizens to sign: 🌐 helsinkipatientsafety.org Together, we can make perioperative care safer for all. #HelsinkiPatientSafety #EA25 #PatientSafety #Anaesthesia #Anaesthesiology

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JP Lomas @jplomas.bsky.social · 27/05/2025

💬 What do 310 million surgical patients worldwide each year have in common? Anaesthesia. Yet 8 million still die — often from avoidable harm. The new Helsinki Declaration on Patient Safety in Anaesthesiology 2.0 [helsinkipatientsafety.org] aims to change that. 👇 A thread 🧵 1/16

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JP Lomas @jplomas.bsky.social · 19/05/2025

Reminders in inboxes of @rcoanews.bsky.social members to complete this soon-to-close consultation (a potentially missed opportunity to insert the words “assist an anaesthetist” and resolve differential access to the safest care from those unable to advocate for themselves)

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