Implementation of improvements

Articles in this category

1. When 'never' happens: what two wrong-side nerve blocks taught us about patient safety

   • Never event
   • Organisational learning
   • (and 5 more)

     Tagged with:

     • Never event
     • Organisational learning
     • Anaesthesia
     • Patient safety incident
     • Implementation
     • Transformation
     • Human factors

   By Patient Safety Learning, 12 May

   • 1 comment
   • 993 views
   • 
   • Comment by Aditi Desai
   • 15 May

2. Quiet nights, better care: How tackling noise in hospitals supports recovery

   • Hospital ward
   • Quality improvement
   • (and 4 more)

     Tagged with:

     • Hospital ward
     • Quality improvement
     • Physical environment
     • Person-centred care
     • Patient
     • Feedback

   By Patient Safety Learning, 20 April

   • 0 comments
   • 1,751 views
   • 
   • Added by Patient Safety Learning
   • 20 April

3. The checklists: A help or a hassle? (August 2020)

   • Checklists
   • Implementation
   • (and 4 more)

     Tagged with:

     • Checklists
     • Implementation
     • Standards
     • Paediatrics
     • Communication
     • Risk management

   By Patient Safety Learning, 6 March

   • 0 comments
   • 206 views
   • 
   • Added by Patient Safety Learning
   • 6 March

4. From rhetoric to reality: what is the neighbourhood health service? (Macmillan Cancer Support, February 2026)

   • Clinical governance
   • Neighbourhood services
   • (and 1 more)

     Tagged with:

     • Clinical governance
     • Neighbourhood services
     • Cancer

   By Patient_Safety_Learning, 24 February

   • 0 comments
   • 277 views
   • 
   • Added by Patient_Safety_Learning
   • 24 February

5. Why safety recommendations don’t (always) work: understanding the problems and exploring some solutions (June 2025)

   • Recommendations
   • Quality improvement
   • (and 5 more)

     Tagged with:

     • Recommendations
     • Quality improvement
     • Engagement
     • Accountability
     • Standards
     • Organisational culture
     • Organisational learning

   By Patient Safety Learning, 17 February

   • 0 comments
   • 446 views
   • 
   • Added by Patient Safety Learning
   • 17 February

6. An experience of managing change in the NHS: A blog by Amy Wood

   • Organisational development
   • Organisational culture
   • (and 6 more)

     Tagged with:

     • Organisational development
     • Organisational culture
     • Technology
     • Human factors
     • Patient factors
     • Staff factors
     • Change management
     • Electronic Patient Record

   By Patient Safety Learning, 26 January

   • 1 comment
   • 1,057 views
   • 
   • Comment by JULES STORR
   • 26 January

7. Health Innovation East: Martha’s Rule in action – a patient’s story (11 November 2025)

   • Speaking up
   • Patient / family involvement
   • (and 2 more)

     Tagged with:

     • Speaking up
     • Patient / family involvement
     • Patient / family support
     • Organisational culture

   By Mark Hughes, 18 November, 2025

   • 0 comments
   • 590 views
   • 
   • Added by Mark Hughes
   • 18 November, 2025

8. Northumbria Healthcare NHS Foundation Trust: What happened when we went decaf – the story so far (February 2025)

   • Slip/ fall
   • Quality improvement

   By Patient Safety Learning, 11 November, 2025

   • 0 comments
   • 386 views
   • 
   • Added by Patient Safety Learning
   • 11 November, 2025

9. The future of patient safety: A conversation with Helen Hughes, Chief Executive of Patient Safety Learning (30 October 2025)

   • Implementation
   • Technology
   • (and 2 more)

     Tagged with:

     • Implementation
     • Technology
     • Private sector
     • Leadership

   By Mark Hughes, 3 November, 2025

   • 0 comments
   • 387 views
   • 
   • Added by Mark Hughes
   • 3 November, 2025

10. Learning from the Best – celebrating patient experience innovations to help deliver the 10 Year Plan (Picker, October 2025)

    • Quality improvement
    • Person-centred care
    • (and 3 more)

      Tagged with:

      • Quality improvement
      • Person-centred care
      • Innovation
      • Patient engagement
      • Collaboration

    By Patient Safety Learning, 16 October, 2025

    • 0 comments
    • 564 views
    • 
    • Added by Patient Safety Learning
    • 16 October, 2025

11. Picker Experience Network 2025 - Book of Best Practice

    • Person-centred care
    • Quality improvement

    By Patient Safety Learning, 3 October, 2025

    • 0 comments
    • 300 views
    • 
    • Added by Patient Safety Learning
    • 3 October, 2025

12. Healthcare Improvement Scotland: A national framework for reviewing and learning from adverse events in NHS Scotland (25 February 2025)

    • Recommendations
    • Implementation
    • (and 2 more)

      Tagged with:

      • Recommendations
      • Implementation
      • Patient safety incident
      • Organisational learning

    By Patient Safety Learning, 29 September, 2025

    • 0 comments
    • 817 views
    • 
    • Added by Patient Safety Learning
    • 29 September, 2025

13. What's the point of quality and safety auditing in healthcare if nurses don't use data to drive improvement? (1 July 2025)

    • Audit
    • Data
    • (and 2 more)

      Tagged with:

      • Audit
      • Data
      • Feedback
      • Nurse

    By Patient Safety Learning, 22 July, 2025

    • 0 comments
    • 1,084 views
    • 
    • Added by Patient Safety Learning
    • 22 July, 2025

14. NHS England podcast: Implementing Scan4Safety through people-first engagement (13 May 2025)

    • Implementation
    • Safety II

    By Patient Safety Learning, 13 May, 2025

    • 0 comments
    • 410 views
    • 
    • Added by Patient Safety Learning
    • 13 May, 2025

15. Martha’s Rule: Detecting deterioration (NHS England, 31 March 2025)

    • Speaking up
    • Patient / family involvement
    • (and 3 more)

      Tagged with:

      • Speaking up
      • Patient / family involvement
      • Patient / family support
      • Organisational culture
      • Deterioration

    By Patient Safety Learning, 8 May, 2025

    • 0 comments
    • 1,169 views
    • 
    • Added by Patient Safety Learning
    • 8 May, 2025

16. The NHS is drowning in recommendations (HSJ, 29 November 2024)

    • Recommendations
    • Organisational learning
    • (and 2 more)

      Tagged with:

      • Recommendations
      • Organisational learning
      • Investigation
      • Collaboration

    By Patient Safety Learning, 12 March, 2025

    • 0 comments
    • 452 views
    • 
    • Added by Patient Safety Learning
    • 12 March, 2025

17. Nurses leading the way: enhancing Parkinson's care in nursing homes (3 March 2025)

    • Nurse
    • Parkinsons disease
    • (and 1 more)

      Tagged with:

      • Nurse
      • Parkinsons disease
      • Care home

    By Patient_Safety_Learning, 11 March, 2025

    • 0 comments
    • 499 views
    • 
    • Added by Patient_Safety_Learning
    • 11 March, 2025

18. A Knowledge Management System for health emergencies: facilitating knowledge continuity and timely decision-making for frontline responders using experiential knowledge captured during action reviews (27 August 2024)

    • Knowledge issue
    • Organisational learning
    • (and 3 more)

      Tagged with:

      • Knowledge issue
      • Organisational learning
      • Global health
      • Pandemic
      • Emergency medicine

    By Patient Safety Learning, 5 February, 2025

    • 0 comments
    • 445 views
    • 
    • Added by Patient Safety Learning
    • 5 February, 2025

19. From red tape to green: admin that works for everyone (The King's Fund, 10 October 2024)

    • Clinical administration
    • Communication
    • (and 3 more)

      Tagged with:

      • Clinical administration
      • Communication
      • Care coordination
      • Primary care
      • Patient

    By Patient Safety Learning, 22 November, 2024

    • 0 comments
    • 490 views
    • 
    • Added by Patient Safety Learning
    • 22 November, 2024

20. Virtual wards: no place like home? (15 March 2024)

    • Virtual ward
    • Data
    • (and 4 more)

      Tagged with:

      • Virtual ward
      • Data
      • Digital health
      • Technology
      • Home
      • Patient

    By Patient Safety Learning, 25 September, 2024

    • 0 comments
    • 536 views
    • 
    • Added by Patient Safety Learning
    • 25 September, 2024

21. Grenfell Tower Inquiry 2024: A report on a system that never learns

    • Patient death
    • Public health
    • (and 4 more)

      Tagged with:

      • Patient death
      • Public health
      • Health and safety
      • Investigation
      • System safety
      • Organisational learning

    By Patient Safety Learning, 20 September, 2024

    • 0 comments
    • 9,436 views
    • 
    • Added by Patient Safety Learning
    • 20 September, 2024

22. One amazing outcome from an After Action Review (Judy Walker, 4 April 2024)

    • Patient safety incident
    • Organisational learning
    • (and 3 more)

      Tagged with:

      • Patient safety incident
      • Organisational learning
      • Organisational Performance
      • After action review
      • PSIRF

    By Patient Safety Learning, 9 April, 2024

    • 0 comments
    • 922 views
    • 
    • Added by Patient Safety Learning
    • 9 April, 2024

23. The impact of devolution on local health systems: Evidence from Greater Manchester, England (May 2024)

    • Organisational Performance
    • Public health
    • (and 2 more)

      Tagged with:

      • Organisational Performance
      • Public health
      • Quality improvement
      • Research

    By Patient Safety Learning, 4 April, 2024

    • 0 comments
    • 782 views
    • 
    • Added by Patient Safety Learning
    • 4 April, 2024

24. Transforming the NHS patient journey using time-based analysis

    • Systems modelling
    • Task analysis
    • (and 4 more)

      Tagged with:

      • Systems modelling
      • Task analysis
      • Workload analysis
      • Organisational development
      • Organisational Performance
      • Transformation

    By R C Barker, 3 April, 2024

    • 2 comments
    • 1,972 views
    • 
    • Comment by R C Barker
    • 9 June, 2024

25. Addressing inpatient crowding by smoothing occupancy at children's hospitals (24 May 2011)

    • Lack of resources
    • Research
    • (and 3 more)

      Tagged with:

      • Lack of resources
      • Research
      • USA
      • Organisation / service factors
      • Children and Young People

    By Patient Safety Learning, 21 March, 2024

    • 0 comments
    • 521 views
    • 
    • Added by Patient Safety Learning
    • 21 March, 2024