CORESS (@coress5) 's Twitter Profile
CORESS

@coress5

Confidential Reporting System in Surgery.
Independent charity run by surgeons sharing lessons to improve safety. Many errors are preventable. coress.org.uk

ID: 1364205360379215872

calendar_today23-02-2021 13:29:14

287 Tweet

331 Followers

294 Following

Prof Scarlett McNally (@scarlettmcnally) 's Twitter Profile Photo

New: Joe Wicks Joe Wicks has made great videos for us Centre for Perioperative Care about getting fit before surgery to get the best results. cpoc.org.uk/guidelines-and… Please tell everyone (patients, surgeons, #NHS teams)! DHSC Media Centre

New: Joe Wicks <a href="/thebodycoach/">Joe Wicks</a> has made great videos for us <a href="/CPOC_News/">Centre for Perioperative Care</a> about getting fit before surgery to get the best results. cpoc.org.uk/guidelines-and…  
Please tell everyone (patients, surgeons, #NHS teams)! <a href="/DHSCmedia/">DHSC Media Centre</a>
CORESS (@coress5) 's Twitter Profile Photo

Poor communication is a significant cause of medical error In 2022-3 it was commonest cause of never events such as wrong site surgery, implants or protheses, and retained instruments/swabs Our latest case of the month highlights poor communication coress.org.uk/case-of-the-mo…

Poor communication is a significant cause of medical error

In 2022-3 it was commonest cause of never events such as wrong site surgery,  implants or protheses, and retained instruments/swabs

Our latest case of the month highlights poor communication 

coress.org.uk/case-of-the-mo…
CORESS (@coress5) 's Twitter Profile Photo

Happy New Year from us all at CORESS This month's case of the month is wrong side surgery Please check out the link below to see how this can happen... Lots of learning points Here's to a safer 2025 for our patients! coress.org.uk/case-of-the-mo…

Happy New Year from us all at CORESS

This month's case of the month is wrong side surgery

Please check out the link below to see how this can happen... 

Lots of learning points

Here's to a safer 2025 for our patients! 

coress.org.uk/case-of-the-mo…
Prof Scarlett McNally (@scarlettmcnally) 's Twitter Profile Photo

Congratulations to the winners! Dr Sunil Kumar donated 100 copies of the book he co-authored with Dr Toni Brunning: “The Power of Preparation for surgery”. @CPOC_news advertised & sent 10 lucky winners 10 books each for their staff/patient benefit. Sorry to 41 unlucky applicants.

Congratulations to the winners! Dr Sunil Kumar donated 100 copies of the book he co-authored with Dr Toni Brunning: “The Power of Preparation for surgery”. @CPOC_news advertised &amp; sent 10 lucky winners 10 books each for their staff/patient benefit. Sorry to 41 unlucky applicants.
CORESS (@coress5) 's Twitter Profile Photo

Our Case of the Month highlights how error can often be multifactorial Here an elderly patient did not get an urgent CT scan as surgical team were awaiting blood results Tragically, as a result of delays, the patient died Read our findings & report 👇 coress.org.uk/case-of-the-mo…

Our Case of the Month highlights how error can often be multifactorial
 
Here an elderly patient did not get an urgent CT scan as surgical team were awaiting blood results

Tragically, as a result of delays, the patient died

Read our findings &amp; report
👇
coress.org.uk/case-of-the-mo…
CORESS (@coress5) 's Twitter Profile Photo

Our March case of the month is really interesting. As with so many errors, this was one multi-factorial, starting with an upset child Despite completing a check list, an incision was placed in the wrong place due to a distracting site marking See below coress.org.uk/case-of-the-mo…

Our March case of the month is really interesting.

As with so many errors, this was one multi-factorial, starting with an upset child

Despite completing a check list, an incision was placed in the wrong place due to a distracting site marking 

See below
coress.org.uk/case-of-the-mo…
BAOMS (@baomsofficial) 's Twitter Profile Photo

Celebrating the incredible #women leading the way in #OMFS #MaxFax BAOMS President Prof KathyFan PhD, FRCSEd, FDS RCSEng, FRCS OMFS with past presidents Daljit Dhariwal and Maire Morton—driving progress, leadership, and the future of our specialty. #InternationalWomensDay #IWD2025 #WomenInSurgery

Celebrating the incredible #women leading the way in #OMFS #MaxFax <a href="/BAOMSOfficial/">BAOMS</a> President <a href="/KathyFanSurgeon/">Prof KathyFan PhD, FRCSEd, FDS RCSEng, FRCS OMFS</a>  with past presidents <a href="/DhariwalDaljit/">Daljit Dhariwal</a>  and Maire Morton—driving progress, leadership, and the future of our specialty. #InternationalWomensDay #IWD2025 #WomenInSurgery
Peter Brennan (@brennansurgeon) 's Twitter Profile Photo

Speaking later at a UK Advanced Colorectal Course about human factors & improving team performance Miscommunication is a leading cause of serious medical error A few simple things like asking staff to confirm they have heard & understood can make a big difference to safety.

Speaking later at a UK Advanced Colorectal Course about human factors &amp; improving team performance 

Miscommunication is a leading cause of serious medical error

A few simple things like asking staff to confirm they have heard &amp; understood can make a big difference to safety.
Peter Brennan (@brennansurgeon) 's Twitter Profile Photo

Here's a recent podcast about how understanding human factors can help change culture, improve patient safety & team work I would never compare healthcare to other high risk organisations, but our HF work translates & applies many lessons from them 👇 open.spotify.com/episode/6g7IjS…

Here's a recent podcast about how understanding human factors can help change culture, improve patient safety &amp; team work

I would never compare healthcare to other high risk organisations, but our HF work translates &amp; applies many lessons from them

👇

open.spotify.com/episode/6g7IjS…
Peter Brennan (@brennansurgeon) 's Twitter Profile Photo

Retained swabs after surgery should never occur. If throat packs are left behind, they can be fatal as block the airway Here's a recent audit of improvements in practice after national guidelines published in 2018 Great to see work having an impact 😀 sciencedirect.com/science/articl…

Retained swabs after surgery should never occur.  If throat packs are left behind, they can be fatal as block the airway

Here's a recent audit of improvements in practice after national guidelines published in 2018

Great to see work having an impact 😀
sciencedirect.com/science/articl…
CORESS (@coress5) 's Twitter Profile Photo

Our case of the month for April is unusual During a long procedure a second segment of bowel was removed, but this was left inside the abdomen Surgeon only realised while driving home. A long case, limited breaks & other factors discussed Read here 👇 coress.org.uk/case-of-the-mo…

Our case of the month for April is unusual

During a long procedure a second segment of bowel was removed, but this was left inside the abdomen

Surgeon only realised while driving home. 

A long case, limited breaks &amp; other factors discussed

Read here
👇
coress.org.uk/case-of-the-mo…
Peter Brennan (@brennansurgeon) 's Twitter Profile Photo

Human Factors in Healthcare Conference 6/10/25 REGISTRATION NOW OPEN £70 (cost price) with limited free places for students (sign up quickly!) 6 CPD points Should be a great day with amazing speakers, hot topics & a free paper session Can't wait! 😀 humanfactorsinsurgery.net/2025-conferenc…

Human Factors in Healthcare Conference 6/10/25

REGISTRATION NOW OPEN

£70 (cost price) with limited free places for students (sign up quickly!)

6 CPD points

Should be a great day with amazing speakers, hot topics &amp; a free paper session

Can't wait! 😀

humanfactorsinsurgery.net/2025-conferenc…
Peter Brennan (@brennansurgeon) 's Twitter Profile Photo

Human factors is a huge subject ranging from systems design, how we interact with technology & factors affecting performance Here’s a paper we’ve published for cancer surgeons with areas we think are important. Also applicable to healthcare teams 👇 kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…

Human factors is a huge subject ranging from systems design, how we interact with technology &amp; factors affecting performance 

Here’s a paper we’ve published for cancer surgeons with areas we think are important. Also applicable to healthcare teams 
👇

kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…
Human Factors in Surgery Network (@humanfactorssn) 's Twitter Profile Photo

⭐️ Project launch!! ⭐️ CROSS-CHECK: A multi-centre CROSS-sectional study and audit of surgical safety CHECKlist Modification Sign-up now to be a local collaborator in the first national human factors trainee collaborative project. Deadline 1st June 2025 humanfactorsinsurgery.net/cross-check-pr…

⭐️ Project launch!! ⭐️

CROSS-CHECK: A multi-centre CROSS-sectional study and audit of surgical safety CHECKlist Modification

Sign-up now to be a local collaborator in the first national human factors trainee collaborative project.

Deadline 1st June 2025
humanfactorsinsurgery.net/cross-check-pr…
CORESS (@coress5) 's Twitter Profile Photo

Our case of the month is about removing a PEG tube Highlights lots of learning points including communication, delegating without checking experience & other factors No harm came to the patient as the trainee recognised his limitations & called for help coress.org.uk/case-of-the-mo…

Our case of the month is about removing a PEG tube

Highlights lots of learning points including communication, delegating without checking experience &amp; other factors

No harm came to the patient as the trainee recognised his limitations &amp; called for help

coress.org.uk/case-of-the-mo…
CORESS (@coress5) 's Twitter Profile Photo

Our case of the month is an incompletely removed appendix which caused issues 18 months later and led to litigation. Good record keeping is so important as are operative images If the appendix had been removed at the time, this would have been proved. coress.org.uk/case-of-the-mo…

Our case of the month is an incompletely removed appendix which caused issues 18 months later and led to litigation.

Good record keeping is so important as are operative images

If the appendix had been removed at the time, this would have been proved.

coress.org.uk/case-of-the-mo…
Peter Brennan (@brennansurgeon) 's Twitter Profile Photo

Our latest human factors paper! 😀 While written for radiologists, hope it may of interest to others in healthcare Lots of info about cognitive biases, workload, system 1 & 2 thinking, fatigue, burnout, decision making & more Please have a look 👇 authors.elsevier.com/a/1lIYa,GNpk13…

Our latest human factors paper! 😀

While written for radiologists, hope it may of interest to others in healthcare

Lots of info about cognitive biases, workload, system 1 &amp; 2 thinking, fatigue, burnout, decision making &amp; more

Please have a look
👇
authors.elsevier.com/a/1lIYa,GNpk13…
CORESS (@coress5) 's Twitter Profile Photo

Our case of the month is a rare event occurring after laryngectomy & hemithyroidectomy for a tumour The patient had a hypoglossal nerve palsy causing swallowing issues post op Good operation notes were key to successfully defending this unexplained case coress.org.uk/case-of-the-mo…

Our case of the month is a rare event occurring after laryngectomy &amp; hemithyroidectomy for a tumour

The patient had a hypoglossal nerve palsy causing swallowing issues post op 
Good operation notes were key to successfully defending this unexplained case

coress.org.uk/case-of-the-mo…