Are you looking for inspiration for your next quality improvement initiative? Listen to some of the country's leading pathologists discuss their own experiences of making improvements and the impact these case studies had on patient safety and care. 

Podcast 1: Is there a need to improve autopsy pathology? A conversation with Professor Sebastian Lucas

We speak to Professor Sebastian Lucas about the importance of high quality in autopsy services and the challenges to implementing guidelines and improvements.

About Professor Sebastian Lucas

Sebastian Lucas is semi-retired after 45 years in pathology. He trained at Oxford, UCH and St Thomas', where he developed his specialty interest in infectious diseases morbid anatomy. This led to work in Africa and the opportunity to investigate HIV/AIDS when it arose in the 1980s. Major autopsy-based projects around HIV in Ivory Coast, on perinatal mortality in Kenya, on HIV, maternal death and sickle cell disease in the UK all led to him focussing on quality aspects of autopsy practice.

He became professor of pathology at Guy's and St Thomas' Medical School in 1995, and has stayed on as honorary consultant. He is also a member of the RCPath Death Investigation Group.


Further resources

Professor Lucas has previously appeared on the BBC Radio 4 show Post Mortem in which he performed a 'consented' post mortem to demonstrate the value of this practice.


Podcast 2: Using A3 problem solving for change and patient safety. A conversation with Dr Cate Wight

We talk to Dr Cate Wight about how a near miss with a tissue sample led to an improvement project to ensure the safety, accuracy and efficiency of processing histology samples from receipt to bar coding.

About Dr Cate Wight

Dr Cate Wight is a consultant breast and gynaecological pathologist with over 20 years' experience in pathology. She is passionate about quality improvement and creating an effective workplace culture.

As a consultant, she worked at Path Links for 12 years, where she learnt a lot about Lean and quality improvement. She also worked in East Kent for 4 years, until November 2018. She is now the Network Clinical Lead for Cellular Pathology in University Hospitals Coventry and Warwickshire. 


Further resources

Further resources on A3 problem solving, including templates and published examples of A3 problem solving projects, are available from the quality improvement section of our website. 


Podcast 3: Mis-dosed gentamicin might be dangerous to patients. A conversation with Dr Tom Lewis

We discuss innovative approaches to gentamicin prescribing for sepsis with Dr Tom Lewis and learn the importance of approaching improvement from the patient perspective.

About Dr Tom Lewis

Dr Tom Lewis was appointed as Consultant Microbiologist in North Devon in 2010. As Lead Clinician for Antibiotic Stewardship, he has been involved in a number of interventions to improve prescribing habits, focussing on the behavioural science behind this. Over the last few years, he has been particularly interested in how pathology can be used to redesign health systems. He has recently been appointed as one of the national leads for the pathology GIRFT programme.



Podcast 4: Why does quality improvement matter in transfusion medicine? A conversation with Dr Shubha Allard and Dr Lise Estcourt

We are joined by Dr Shubha Allard and Dr Lise Estcourt to discuss why quality improvement matters in transfusion medicine and what you can do in your own hospital to improve patient care in relation to pre-operative anaemia.

About Dr Shubha Allard and Dr Lise Estcourt

Dr Shubha Allard is a Consultant Haematologist at Barts Health NHS Trust and NHS Blood and Transplant (NHSBT). She is the Clinical Director of NHSBT Patient Blood Management Consultants’ Team and Secretary National Blood Transfusion Committee. She is the Lead Consultant in Transfusion across the merged Barts Health NHS Trust.  She is actively involved in undergraduate and postgraduate education and training. She is also the Chair of the British Society for Haematology Guidelines Committee developing UK guidelines and a Board member of the International Society of Blood Transfusion.


Dr Lise Estcourt is a Consultant Haematologist for NHS Blood and Transplant (NHSBT), and Senior Clinical Lecturer in Transfusion Medicine at the University of Oxford. She is the Clinical Lead for the National Comparative Audit in Blood Transfusion, Director of NHSBT Clinical Trials Unit and Clinical Tutor for NHSBT. She is the co-ordinating editor of Cochrane Haematological Malignancies and an editor of the journal Transfusion Medicine.

Her work in transfusion medicine focuses on the safe and appropriate use of blood components (red blood cells, platelets, plasma, cryoprecipitate) and their alternatives. Her research work involves systematic reviews (Cochrane and non-Cochrane); clinical trials; and clinical studies.



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