Learn: Learn

Acute Data Alignment Programme (ADAPt)

Tue, 04 Aug 2020 10:07:00 +0000

The aims of ADAPt:

To make it easier to monitor the quality and safety of services by including private healthcare data within healthcare reporting systems.
To help staff keep accurate and complete records when a patient journey spans both private and public providers.
To ensure transparency for patients by publishing comparable performance measures relating to quality of care and patient safety for both privately funded and NHS funded healthcare.
To identify where the burden of data collection and reporting by NHS and private care providers can be reduced.

Find out via the link below.

NHS England: Organisation patient safety incident reports

Sat, 25 Jul 2020 16:00:00 +0000

2019 Pennsylvania Patient Safety Reporting: An analysis of serious events and incidents from the nation’s largest event reporting database (June 2020)

Mon, 18 May 2020 11:37:00 +0000

The 10-year impact of a ward-level quality improvement intervention in acute hospitals: a multiple methods study

Mon, 02 Mar 2020 12:18:00 +0000

This NIHR (National Institute for Health Research) funded study, published in the Health Services and Delivery Research journal, used quantitative and qualitative methods to evaluate the programme in six acute hospitals in England. It found some evidence of a lasting impact, such as wards continuing to display metrics and using equipment storage systems. But most hospitals that adopted the programme had stopped using it after three years, often due to a change in their approach to quality improvement.

Productive Ward resources are still available from NHS England’s Sustainable Improvement team, but are under review. This evaluation may be helpful in designing future similar schemes.

Estimating health care-associated infections and deaths in U.S. hospitals, 2002

Sun, 16 Feb 2020 16:22:00 +0000

A Mindful Governance model for ultra-safe organisations

Sun, 09 Feb 2020 11:54:00 +0000

Highlights of the paper:

Principles of mindful organising are operationalised in a Mindful Governance model.
The model is grounded in two cases studies in contrasting aviation organisations.
The case studies led to the development of three prototype web applications.

Corridor Care: Survey results (Royal College of Nursing, February 2020)

Tue, 04 Feb 2020 11:43:00 +0000

Resilient Health Care as the basis for teaching patient safety – A Safety-II critique of the World Health Organization patient safety curriculum

Mon, 03 Feb 2020 11:45:00 +0000

Should we trust algorithms?

Fri, 31 Jan 2020 10:59:00 +0000

An improved patient safety reporting system increases reports of disruptive behaviour in the perioperative setting (May 2019)

Mon, 27 Jan 2020 09:10:00 +0000

Data saves lives - a series of animations

Sat, 04 Jan 2020 14:54:00 +0000

Better use of data is essential to speed up diagnosis, research new treatments, plan better NHS services and monitor the safety of drugs. And yet, more than two thirds of the population feel they don’t know how patient data is used in the NHS.

These animations have been developed in partnership with charities, patients and clinicians.

Find out why and how patient data is used.

GMC: Preventable patient harm across healthcare services (November 2017)

Wed, 01 Jan 2020 10:49:00 +0000

Key findings:

The majority of studies typically classify patient harm as preventable if it occurs as a result of an identifiable modifiable cause and its future recurrence can be avoided by reasonable adaptation to a process or adherence to guidelines.
At least 6% of patients experienced preventable harm across the healthcare service.
13% of the identified preventable harm causes prolonged or permanent disability or leads to death.
The main types of patient safety incidents which contribute to preventable harm are medication incidents, diagnostic incidents and incidents occurring following the receipt of suboptimal clinical management/therapies.
Despite the large number of studies included in this review, the quality and depth of data presented on preventable patient harm is very low. Preventability was reported as a secondary outcome across the vast majority of the studies – ie broadly, most of the studies were not focused on preventability.
Research to identify the major preventable sources of severe patient harm as well as the stages, the systems and the practitioners involved in the occurrence of preventable harmful incidents is needed.

The global state of patient safety (Imperial College London, 2019)

Mon, 02 Dec 2019 13:11:00 +0000

Global burden of unsafe care

The clinical burden of unsafe care
The economic burden of unsafe care
The broader impact of unsafe care
Reducing the burden.

How are countries around the world doing?

The importance of measurement and comparisons
International variation in safety and quality
Opportunities for learning.

Future outlook

Healthcare means safe care
Threats and opportunities from innovation
Ambitious capacity building.

"Beyond Projects" – a systematic approach to improving quality, patient-focused care (October 2016)

Sat, 30 Nov 2019 10:48:00 +0000

NHS Improvement: National patient safety incident reports (September 2019)

Mon, 11 Nov 2019 12:56:40 +0000

NHS Improvement publish two sets of National patient safety incident reports (NaPSIRs) simultaneously. This publication includes reports covering incidents to June 2019 and to March 2019; the commentary analyses data to March 2019. NaPSIRs were previously called Quarterly Data Summaries (QDS).

The difficulty of moving the needle on patient safety (July 2014)

Wed, 09 Oct 2019 14:07:00 +0000

NHS England: Never Events data

Thu, 25 Jul 2019 16:04:00 +0000

What’s leadership got to do with it? Exploring links between quality improvement and leadership in the NHS (January 2011)

Wed, 26 Jun 2019 13:02:00 +0000

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study (9 February 2016)

Sat, 16 Mar 2019 15:50:00 +0000