Mike Durkin - Academia.edu (original) (raw)

Papers by Mike Durkin

BMJ, Aug 8, 2018

A new partnership between health workers and patients to promote safer care.

Journal of Global Health, 2021

www.jogh.org • doi: 10.7189/jogh.11.03082 1 2021 • Vol. 11 • 03082 Fragile, conflict-affected and... more www.jogh.org • doi: 10.7189/jogh.11.03082 1 2021 • Vol. 11 • 03082 Fragile, conflict-affected and vulnerable settings (FCV) encompass a variety of situations including humanitarian crises, conflict, extreme adversity, services disruption and immediate or protracted emergencies [1]. Approximately 2 billion people live in FCV settings and estimates suggest that by 2030, nearly two-thirds of the world’s extreme poor could reside in these contexts [2-4]. The majority of FCV settings are within lowand middle-income countries and patient safety incidents in these countries account for an estimated 134 million adverse events and 2.5 million deaths annually [4].

Globalization and Health, 2022

Background Healthcare workers are at a disproportionate risk of contracting COVID-19. The physica... more Background Healthcare workers are at a disproportionate risk of contracting COVID-19. The physical and mental repercussions of such risk have an impact on the wellbeing of healthcare workers around the world. Healthcare workers are the foundation of all well-functioning health systems capable of responding to the ongoing pandemic; initiatives to address and reduce such risk are critical. Since the onset of the pandemic healthcare organizations have embarked on the implementation of a range of initiatives designed to improve healthcare worker health and wellbeing. Methods Through a qualitative collective case study approach where participants responded to a longform survey, the facilitators, and barriers to implementing such initiatives were explored, offering global insights into the challenges faced at the organizational level. 13 healthcare organizations were surveyed across 13 countries. Of these 13 participants, 5 subsequently provided missing information through longform interv...

Journal of Global Health, 2022

Future Healthcare Journal, 2021

Journal of Patient Safety and Risk Management, 2021

Introduction Cybersecurity is a patient safety concern. Recent cyberattacks on healthcare institu... more Introduction Cybersecurity is a patient safety concern. Recent cyberattacks on healthcare institutions around the world have shown the risks to patients: from delayed treatment as hospitals and clinics are shutdown, to the threat of harm from the theft of personal data, to patient death. The recent Covid-19 pandemic has further increased cyber-attacks on health organisations. In low- and middle-income countries (LMICs) digital health, including the use of health informatics systems and electronic health records, is an increasing part of the health agenda as national governments move to scale up healthcare on the path to achieving Universal Health Coverage. Frontline healthcare workers are often warned of the dangers of data mismanagement and are advised to take precautions to ensure data is safe. However, as many workers are already overstretched with conflicting administrative priorities, cybersecurity risks are going unnoticed. Discussion In this commentary we argue that future ed...

BMJ Innovations, 2020

BackgroundCybersecurity in healthcare has become increasingly important as the COVID-19 pandemic ... more BackgroundCybersecurity in healthcare has become increasingly important as the COVID-19 pandemic has increased the use of digital technologies in healthcare provision around the world, while simultaneously encouraged cybercriminals to target healthcare organisations in greater numbers. Despite the threat of cyberattack to patient safety and the provision of healthcare, cybersecurity in the health sector lags behind other industries. Additionally, no adequate cybersecurity framework exists which considers the unique needs of the health sector.MethodsAn online Delphi was carried out to develop a globally relevant and applicable readiness framework to guide cybersecurity planning in healthcare. Experts (n=42) in the areas of cybersecurity, information communications and technology and health informatics were invited to list the components they felt were essential to a framework and subsequently agree with consensus on a final framework based on the identified components.ResultsAfter tw...

BACKGROUND Health systems around the world are increasingly reliant on digital technology. Such r... more BACKGROUND Health systems around the world are increasingly reliant on digital technology. Such reliance requires that healthcare organizations consider effective cybersecurity and digital resilience as a fundamental component of patient safety, with recent cyberattacks highlighting the risks to patients and targeted organizations. OBJECTIVE The purpose of this study was to explore the current global cybersecurity landscape and maturity in healthcare. METHODS We developed and administered a survey to examine the current cybersecurity landscape and preparedness level across global healthcare organizations. RESULTS Cyber threats were a common concern for the 17 healthcare organizations who participated. The principal concerns highlighted were data security, including the manipulation or loss of electronic health records; loss of trust in the organization; and risks of service disruption. Cybersecurity maturity scoring showed that despite the majority of organizations having establishe...

British Journal of Haematology, 2017

The National Venous Thromboembolism Prevention Programme was launched in England, in 2010. Its ce... more The National Venous Thromboembolism Prevention Programme was launched in England, in 2010. Its central objective was to reduce morbidity and mortality from preventable deep vein thrombosis and pulmonary embolism through introduction of a comprehensive systematic approach. The cornerstone of the programme was the introduction of mandatory documented risk assessment for venous thromboembolism, supported by national thromboprophylaxis guidance. Despite widespread uptake of risk assessment, measuring the impact of the national programme on outcomes has proved challenging. The aim of this paper is to review the implementation and outcomes of the national programme.

Lancet (London, England), Apr 1, 2017

International Journal for Quality in Health Care, 2020

The implications of severe acute respiratory syndrome coronavirus (SARS-CoV-2, henceforth describ... more The implications of severe acute respiratory syndrome coronavirus (SARS-CoV-2, henceforth described as COVID-19) on healthcare systems globally are proving to be immense, with unforeseen impacts that are still to fully emerge. Local and national healthcare systems, hospitals and healthcare workers have been overwhelmed by the needs of patients and limited by weaknesses in resources, staff capacity and distribution networks. These circumstances impact the ergonomic conditions within which healthcare staff work and subsequently their behavioural responses.In this commentary, we argue that urgent research is needed globally to bridge the evidence gap that exists on how best to support healthcare workers with the repercussions of working on the frontline of a pandemic. Leadership on the frontline is what matters. It is not only what policies, guidelines and checklists are in place to support nurses, doctors and healthcare workers, it is the actions and behaviours of their frontline and ...