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Former HSE DG warns too much focus put on trolley figures

The Irish Association for Emergency Medicine (IAEM) 30th anniversary meeting heard concerns expressed about a growing tolerance of the number of patients on hospital trolleys and the role the Irish Nurses and Midwives Organisation (INMO)’s ‘trolley watch’ plays in highlighting the issue. “In the popular discourse, the whole of emergency medicine has come to be…

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Impact of Sláintecare on emergency medicine

The impact of Sláintecare on emergency medicine was debated at the the Irish Association for Emergency Medicine (IAEM) 30th anniversary meeting at the RCSI. Asked if he had concerns that Sláintecare was too focused on primary care as opposed to hospitals, Dr Fergal Hickey, Consultant in Emergency Medicine, Sligo University Hospital, told this newspaper that…

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Capacity concerns occupy minds at IAEM 30th celebration

The challenge of capacity in the acute sector was a major theme at the recent meeting of the Irish Association for Emergency Medicine (IAEM). The meeting, which was held at the RCSI on 28 June, was organised to mark the 30th anniversary of the Association. “I have been hugely disappointed about how slow any improvements…

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Retinopathy referrals behind target

Wait times for diabetic routine retinopathy referrals and the treatment of non-diabetic eye disease (NDED) continue to miss targets in certain Irish clinics, according to a new report. The HSE quarterly performance report for January to March 2019 reveals that patients at Cork University Hospital (CUH) and the Mater University Misericordiae Hospital face excessive wait…

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Reorienting the headache patient journey a priority — Prof Hardiman

Reducing reliance on the hospital system for patients with headache is among the key goals of the HSE Clinical Programme for Neurology, Clinical Lead Prof Orla Hardiman has told the Medical Independent (MI). Prof Hardiman, who was appointed as the new Clinical Lead earlier this year, told MI: “Thirty per cent of all neurological referrals…

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HSE to appoint new SDU head ‘in due course’

The HSE is currently searching for a new head of the Special Delivery Unit (SDU), the Medical Independent (MI) can report. However, a spokesperson for the Executive said there was no specific timeline to fill the post, and that the appointment would be made “in due course”. The ex-head of the SDU, Ms Grace Rothwell,…

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Concern raised over impact of new children’s hospital

Concerns that the new national children’s hospital (NCH) may impact Government plans to spend money on acute beds across the health service were raised at a recent Irish Association for Emergency Medicine (IAEM) meeting in the RCSI. Speaking to the Medical Independent (MI) following his address to the meeting, Dr Fergal Hickey, Consultant in Emergency…

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Beaumont ‘ready’ for altruistic transplants

The head of the national kidney transplant programme at Beaumont Hospital, Dublin, advised the HSE it was ready to “seriously commence” non-directed altruistic donation by early 2019. However, Consultant Transplant Surgeon Ms Dilly Little added that “on repeated discussions and repeated submissions to the Department of Health, my understanding is that they would prefer if…

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Theatre practice on AMROs affecting patient access

Some patients colonised or infected with antimicrobial-resistant organisms (AMROs) experience multiple operation cancellations as they are placed last on procedure lists, despite this practice not being necessary, the HSE National Clinical Lead on healthcare-associated infections and antimicrobial resistance has warned hospitals. In a memo in late 2018 to hospital managers, Prof Martin Cormican wrote that…

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Second-trimester miscarriage a risk factor for future pregnancies

Second-trimester miscarriage should be highlighted as a risk factor for adverse outcomes in subsequent pregnancies, a new study has warned. The study conducted by researchers in Cork found that “women experiencing second-trimester miscarriage are at increased risk in subsequent pregnancies of recurrence”. Published in the European Journal of Obstetrics and Gynaecology, the study recommends further…

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