Patient_Safety_Learning
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Everything posted by Patient_Safety_Learning
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Content ArticleNHS England are looking for new patient safety partners (PSPs) to join NHS England’s National Patient Safety team. PSPs play a vital role in ensuring the voices of patients, carers, and families are at the heart of our work to improve safety across the NHS. Click on the link below for all of the role information and to apply. Deadline: 21 December 2025
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Content ArticleWriting for HSJ, Andi Orlowski says the NHS has clung to false hopes that interventions, prevention programmes and AI will unlock spare cash, but real change requires decommissioning services and moving money, not just reducing activity.
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Content ArticleThis article published by Boehringer Ingelheim, looks at how anchoring research and development and policy in patients' lived experience will ensure that healthcare decisions and innovations align with the realities of living with a condition - driving progress that truly reflects patients’ needs.
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Content ArticlePatient_Safety_Learning posted an article in Human factors (improving human performance in care delivery)In this LinkedIn article Risk Advisor, Paul Chivers argues that: "We continue to talk about “human error” as if it is a meaningful explanation for why things go wrong. It isn’t. It never was. And clinging to it holds organisations back from real improvement."
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Content ArticleThere are huge benefits when patient data is used responsibly to save lives and improve health and care. However, it is true that collecting and using patient data will never be totally risk-free. There must be robust measures in place to reduce the risks as much as possible. In this article (link below), Understanding Patient Data, looks at the concerns people have and what’s being done to reduce the risks.
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Content ArticleOn 28 November 2025, the Covid-19 Airborne Transmission Alliance (CATA) sent an open letter to Baroness Heather Hallett, Chair of Covid-19 Public Inquiry. The letter outlines a number of concerns regarding the response of State bodies to the findings and recommendations contained in the Module 1 Report.
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Content ArticleAn American Hospital Association report found patient safety in hospitals and health systems across the nation continues to improve. The report, which uses data analysed by Vizient, examined key safety and quality metrics from the fourth quarter of 2019 to the second quarter of 2025. It found that despite caring for a sicker patient population, hospitals’ focus on safety led to improved patient outcomes and reduced infections. The report also found: • Hospitalised patients in the second quarter of 2025 were on average nearly 30% more likely to survive than expected given the severity of their illnesses compared to the fourth quarter of 2019. • Hospitals’ efforts to improve safety led to more than 300,000 Americans hospitalised from April 2024 through March 2025 surviving episodes of care they would not have in 2019. • Hospitals cared for more patients in the second quarter of 2025 compared to the fourth quarter of 2019, with increases in volume by 4% and case mix index by 5% during this period. Patients in 2025 also had more complex and severe conditions. • Hospitals’ central line-associated bloodstream infections and catheter-associated urinary tract infections in the second quarter of 2025 were at lower rates than the fourth quarter of 2019. • Key screenings for breast and colorectal cancer increased 95% from the fourth quarter of 2019 to the second quarter of 2025. Read the report via the link below.
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Clive Flashman is Chief Digital Officer at Patient Safety Learning. In this long-read article, Clive shares his reflections on the digital patient safety landscape and how it has developed in the last year. Before he looks ahead to 2026, Clive offers his insights on several critical safety topics including: Digital incidents, alerts and early warning Electronic patient records How not to deploy an AI tool Patients at the centre of digital design Governance, culture and skills for trusted AI -
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Elizabeth Wood is an Editor at EIDO Healthcare, who manages the production of their Easy Reads. In this blog, she explains what an Easy Read is, and why accessible, written information is critical to fighting inequality. Elizabeth offers advice on where to find Easy Reads, and who can support you to create them. -
Content ArticleAmbient voice technology (also known as AVT) is changing how clinicians document care. But is it safe, effective, and ready for widespread use? AVT uses AI to create written summaries of clinical consultations. Those behind the creation of the tools believe it will make the process of writing up consultations quicker and more accurate. But current evidence is limited. In this video from THIS Institute, panelists share what is known about AVT in healthcare and consider the risks, challenges, and opportunities.
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Content ArticleHow can we create cultures where healthcare staff feel safe to speak up about concerns and confident that they will be heard? This video explores what it really takes to foster psychological safety and drive meaningful organisational change. Join Nnenna Osuji (CEO, North Middlesex University Hospital NHS Trust) and Graham Martin (Director of Research, THIS Institute, University of Cambridge) for an honest conversation about why speaking up remains difficult despite well-intentioned policies and what leaders must do differently to create genuine change.
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Content ArticleThis independent external review has assessed governance within the Breast Surgery Services at County Durham and Darlington NHS Foundation Trust. The review also examined wider Trust governance to identify lessons learned and support ongoing improvement. The review was commissioned to provide objective assurance, highlight areas of good practice, and address systemic issues that may affect patient safety, clinical standards, or regulatory compliance. The original review period from 2018 to 2024) was extended to cover 2012 to 2025 to ensure key milestones and persistent issues predating the initial timeframe were captured.
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Content ArticleIn this blog for the Care Quality Commission, Professor Bola Owolabi, Chief Inspector of Primary Care and Community Services, discusses the State of Health and Adult Social Care in England 2024/25 report.
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Content ArticleIn April 2025, the Care Quality Commission (CQC) asked National Voices to explore people’s experiences of care after leaving hospital, with a focus on older people living with frailty and people from groups experiencing health inequalities. Using a mixed‑methods approach, we combined a follow‑up questionnaire with in‑depth interviews to understand what helps or hinders good recovery at home. The research examines four areas: transitions from hospital to community, support to stay well at home, barriers to accessing quality health and social care, and the impacts of unmet needs.
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EventThis conference focuses on recognising & responding to the deteriorating patient and ensuring best practice in the use of NEWS2. The conference will include National Developments including recommendations on NEWS2, the national PIER approach to the effective management of acute physical deterioration in health and care, the forthcoming 2025 NICE Sepsis Guidance and implementation of Martha’s Rule. The conference will also include reflections on implementing the recommendations from the Healthcare Safety Investigation Branch Report Investigation into recognising and responding to critically unwell patients. We are pleased to offer a 20% discount with code hcuk20PSL Find our more and to book your place
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EventThis conference focuses on recognising and responding to deterioration in mental health settings, and looks ahead to the implementation of Martha’s Rule in mental health which is now established in the acute sector and currently being piloted in mental health. This conference brings together leading experts at the forefront of recognising and responding to deterioration in mental health, and learning from implementation of Martha’s Rule. Throughout the day, there will be interactive sessions, small breakout groups, and collaborative exercises, providing a dynamic learning experience. The conference will explore implementation of Martha's Rule across mental health wards and in the community and reflect on the recognition of both physical deterioration in people with mental health conditions, and deteriorating mental health including the role of early intervention and averting crisis. A legal update will also be provided. We are pleased to offer a 20% discount with code hcuk20PSL Find out more and book your place
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EventThis course is aimed at those who wish to lead and conduct thematic reviews and those who are part of an themed review team. Through national updates and practical case studies, the conference will explore how thematic reviews can identify recurring safety issues and drive meaningful improvements in patient care. Sessions will provide insights into conducting system-based reviews, analysing qualitative data, and developing actionable safety recommendations. The conference will also focus on building confidence and competence in thematic review processes to support a proactive, learning-centred approach to patient safety. hub members can receive a 20% discount with code hcuk20PSL. If you are a member of the Patient Safety Management Network or Patient Safety Education Network you can book for only £195 +vat with code HCUK195psl. Register here.
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EventThis National Virtual Summit focuses on supporting staff to deliver good complaint handling and implementing and monitoring adherence to the PHSO National NHS Complaint Standards which are now being used and embedded across the NHS. Through national updates, practical case studies and in depth expert sessions the conference aims to improve the effectiveness of complaints handling within your service, and ensure that complaints are welcomed and lead to change and improvements in patient care. The conference will identify how you can improve response times to complaints in line with the government ambition to “reform the complaints process and improve response times to patient safety incidents and complaints” (10 yr plan for health 2025) through expanding on the Complaint Standards as outlined in the Dash review. The conference will also reflect involving people and their families in complaints and integrating the process with the new Patient Safety Incident Response Framework (PSIRF) to ensure patient safety actions and learning. The use of AI and technology in the management of complaints data and responses will also be discussed. This conference will enable you to: Network with colleagues who are working to improve complaints handling Update your knowledge on the NHS Complaint Standards and how implementation can improve complaints handling Reflect on the implications of the 10 year plan and Dash patient safety review Improve response times to patient safety incidents and complaints Understand how to manage complaints alongside the Patient Safety Incident Response Framework (PSIRF) Reflect on the perspective of a complainant who has been through the system to understand what person centred really means in Practice Understand how AI and technology can improve your analysis and response to complaints Learn how to bring kindness and compassion into complaints management, investigation, responses and learning Understand what PHSO and the CQC look for in a good complaint response Self assess your service against the NHS Complaint Standards Improve the way complaints and investigations involving serious incidents are handled Develop your skills in complex complaints handling including disputes, vexatious complainants and complaints across organisations Understand how you can improve frontline resolution of complaints in real time Develop your skills in de-escalation and conflict and dispute resolution Support staff through the complaints process including inquests Identify key strategies for ensuring change occurs as a result of complaints Ensure you are up to date with the latest legal issues including ensuring adherence to the duty of candour Self assess, reflect and expand your skills in complaints handling Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes We are pleased to offer a 20% discount with code hcuk20PSL Find our more and register here
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Content ArticleJudy Walker, specialist After Action Review facilitator and training provider, joined Joanna Lloyd for a discussion on how PSIRF is impacting on clinical negligence claims, the inquest process, and how different learning responses are received by families. The presentation slides can be found in Bevan Britain's On Demand library, via the link below. The presentation slides are also available to download and share.
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Content ArticleThis report presents the findings of Healthcare Inspectorate Wales (HIW) from inspections of mental health and learning disability services across Wales between April 2024 and March 2025. During this period, HIW undertook 25 onsite inspections across NHS and independent hospitals, as well as community mental health teams (CMHTs), to assess the quality, safety, and effectiveness of care provided. Of the 25 inspections conducted, 14 were of NHS hospitals and 11 were of independent providers. This total includes two separate inspections of the same independent provider.
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The London Branch of SaRS is delighted to announce a joint collaboration webinar between SaRS and the International Ergonomics Association (IEA) Maritime & Ergonomics Technical Committee examining the fatigue risks in healthcare and the maritime industry. Fatigue is an insidious risk in all industries, one that is often misunderstood, undiagnosed and unregulated and is arguably the biggest performance shaping factor that affects safety and reliability in most industries, particularly those with time and commercial pressures allied to constraints on team resources. In this webinar the risks of fatigue will be explained, the challenges of managing these risks in healthcare and maritime and potential mitigating strategies will be unpacked. Healthcare and maritime, despite challenging work patterns, are often neglected sectors when talking about fatigue risks and share some common issues in the underpinning contribution of fatigue to safety. This webinar will support safety professionals to understand fatigue risk in more depth, providing more information on the systemic and practical contributors, and provide insight into how fatigue risks can be pragmatically managed. It will also draw from the experience of other industries, specifically rail, who have systematically embedded fatigue management over the last 3 decades. The webinar will be applicable to a wide range of safety professionals including, managers, operators, members of safety departments, analysts, auditors, investigators, etc. To register for the webinar please click here. -
Content ArticleIn this Q&A article on Medical Xpress, author Susanne Clara Bard says innovation can make health care systems vulnerable to sophisticated cyberattacks, threatening not only data, but patient lives. From pacemakers to patient portals, modern health care systems are increasingly reliant on connected technologies.
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In partnership with the Maternal Mental Health Alliance (MMHA) and the Centre for Mental Health, The Motherhood Group recently launched the UK's first dedicated Black Maternal Mental Health Report at a landmark parliamentary event. In this blog, Sandra Igwe, Founder and CEO of The Motherhood Group, and Topic leader for the hub, reflects on this ground-breaking report, its recommendations, and what comes next.
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