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JP Lomas

@jplomas.bsky.social
640 followers 54 following 40 posts

NHS Anaesthesia/ICM Consultant ~ Open source developer ~ scata.org.uk chairman ~ frcadaily.co.uk curate ~ lomas.doctor ~ GMC 6103186

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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 · 21/04/2026
Rotameters today… FRCA daily #1523 ✅✅✅✅✅ I scored 100% today frcadaily.co.uk
frcadaily.co.uk
FRCA daily
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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
Errors must be studied, not criminalised. 🌟 Learn from Excellence 📋 Report incidents 📈 Audit 🔍 Investigate without blame It’s how we get better. 15/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
Every department should publish an annual patient safety report. Track what’s improved, what failed, and what was learned. This isn't red tape — it's lifesaving feedback. 14/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
🧠 No one’s memory is perfect under pressure. Checklists save lives. All institutions should implement: ✅ Pre-op assessment ✅ Equipment checks ✅ Infection control ✅ ALS protocols & standardised cardiac arrest call: 2222 13/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
All hospitals must meet minimum safety monitoring standards. This includes: 📉 Continuous capnography for ALL instrumented airways 😴 Safe sedation protocols 🧪 Medication handling standards 🧾 Crisis checklists 12/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
Yes, sustainability matters. But the patient on the table comes first. We support greener practices without compromising safety. 11/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
Would you board a plane knowing your pilot had no sleep? We operate on patients. Fatigue impairs judgement. Hospitals must have Fatigue Management Policies. 10/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
📣 “Speak up” culture is essential 👂 Managers must “listen up” 🔐 No punishment for raising safety concerns 💡 Staff safety is patient safety 9/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
New tech, including AI, must be evaluated for safety first — not hype. Anaesthesiology embraces innovation, but never at the cost of our patients. 8/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
Human error isn’t just “bad luck.” It’s predictable — and preventable. We commit to working across teams to improve systems, not blame individuals. That includes fatigue, communication & workload. 7/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
No safety without support. Funders and institutions must: 💰 Resource safe staffing 📚 Provide protected time for simulation-based safety training 👥 Support wellbeing 6/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
JP Lomas When harm happens: 🔹 Explain promptly 🔹 Minimise injury 🔹 Investigate independently 🔹 Share findings Blame helps no one. Transparency helps everyone. 5/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
The updated Declaration is backed by anaesthesia societies across Europe. It’s aligned with global safety efforts from WHO, WFSA, and more. Patient safety is a right, not a bonus. It’s everyone’s job — but we must lead. 4/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
Every year: 🌍 310 million surgeries worldwide 🇪🇺 20 million in Europe ⚠️ 15% serious complications 🕯 8 million deaths Anaesthesiology must lead on safety. It’s time to act. 3/16
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JP Lomas @jplomas.bsky.social · 27/05/2025
Anaesthesiologists safeguard patient care across: – Operating theatres – ICU – Emergency Medicine – Pain & perioperative medicine …anywhere patients are vulnerable. This Declaration reaffirms our duty: do no avoidable harm. 2/16
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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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JP Lomas @jplomas.bsky.social · 18/11/2024
🚨SCAM WARNING🚨 Please don’t put your username and password into anything other than the official Bluesky app 🤦🏼‍♂️ A shortcut to rebuilding your social network might seem appealing but all that glitters is not gold…
media.tenor.com
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JP Lomas @jplomas.bsky.social · 14/11/2024
The good ship Anaesthesia UK needs a solid crew to steer her through choppy waters. Gasboard: reminder to vote in @rcoanews.bsky.social Council elections!
media.tenor.com
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