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PatientSafetyLearning Team

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Everything posted by PatientSafetyLearning Team

  1. Content Article
    This US White Paper from the Institute of Healthcare Improvement shares the experience of senior leaders who have decided to address patient safety and quality as a strategic imperative within their organisations. It presents what can be done to make the dramatic changes that are necessary to ensure that patients are not harmed by the very care systems they trust will heal them.
  2. Content Article
    Effective communication is critical to successful large-scale change. Yet, in our experience, communications strategies are not formally incorporated into quality improvement frameworks. The 1000 Lives Campaign was a large-scale national quality improvement collaborative that aimed to save an additional 1000 lives and prevent 50 000 episodes of harm in Welsh health care over a two year period. This research, published in the Journal of Communication in Healthcare, used the campaign as a case study to describe the development, application, and impact of a communications strategy embedded in a large-scale quality improvement initiative.
  3. Content Article
    Spreading successful improvement work across the NHS is an essential part of improving health care quality and efficiency. Yet all too often an idea that has been shown to work well in one place is not adopted by others who could benefit from it. This guide from the Health Foundation, intended for those actively engaged in health care improvement, draws on this experience and empirical evidence, to provide practical information about how communications approaches can be used to spread improvement ideas. 
  4. Content Article
    A Quality Account is a report about the quality of services offered by an NHS healthcare provider.The reports are published annually by each provider, including the independent sector, and are available to the public. Quality Accounts are an important way for local NHS services to report on quality and show improvements in the services they deliver to local communities and stakeholders. The quality of the services is measured by looking at patient safety, the effectiveness of treatments patients receive, and patient feedback about the care provided.
  5. Content Article
    The Health Foundation policy team carried out this project to communicate clear recommendations for enabling successful change in the NHS, grounded in the UK’s experience of what has gone before, where the NHS is now, and the principles of quality improvement.
  6. Content Article
    This guide aims to support NHS organisations to apply a framework for measuring and monitoring safety. It describes some broad principles to bear in mind when using the framework and provides some prompts for each of the framework’s dimensions to help people focus on some of the main challenges to understanding safety. The guide also provides a brief summary of the research underpinning the framework and details of further resources available to find out more.
  7. Content Article
    Continuous improvement of patient safety: A case for change in the NHS synthesises the lessons from the Health Foundation’s work on improving patient safety.
  8. Content Article
    Starfish tells Tom and Nic Ray's truly inspirational story of their life before, during and after sepsis which claimed Tom's lower arms, legs and a portion of his face. Heart-breakingly honest and affecting, their story charts the devastating effects of Tom's illness, Nic's heroic struggle to cope and, ultimately, the love and hope that has held their family together in the ensuing years.
  9. Content Article
    The Patient Safety Climate in Healthcare Organizations (PSCHO) is a tool, outlined by Singer et al. in their 2007 paper Workforce Perceptions of Hospital Safety Culture: Development and Validation of the Patient Safety Climate in Healthcare Organizations Survey (available on the Health Services Research website). Designed in the US, it is used to assess healthcare employees' perception of the safety culture in their organisation. PSCHO is available to download via the Measurement Instrument Database for the Social Sciences (MIDSS).
  10. Content Article
    The Agency for Healthcare Research and Quality (AHRQ) has produced a series of Surveys on Patient Safety Culture (SOPS™). The SOPS ask healthcare providers and other staff in hospitals, medical offices, nursing homes, community pharmacies and ambulatory surgery centres about their organisational culture’s support for patient safety. Each SOPS survey kit contains survey instruments, instructions on administering the survey and any supplemental items for those surveys.
  11. Content Article
    The Safety Attitudes Questionnaire (SAQ) was developed in the US with funding from the Robert Wood Johnson Foundation and Agency for Healthcare Research and Quality. It is commonly used to assess healthcare workers' perceptions of patient safety related attitudes in various clinical areas and healthcare settings.
  12. Content Article
    In this interview with Nick Robinson from the BBC, Jeremy Hunt (then Foreign Secretary) speaks passionately about patient safety and the statistics surrounding avoidable patient deaths. Listen from 9:30 for this section. They veer away from the topic but return to it at 12:20 where he speaks about the importance of learning from mistakes in healthcare.
  13. Content Article
    The Safety Climate Assessment Tool (S-CAT) is a free tool, initially developed for the construction industry by researchers at the Center for Construction Research and Training and Washington State University Vancouver. It is now available to anyone who wants tailored and actionable information to improve the safety of every employee in their working environment. The S-CAT allows you to obtain information regarding employee safety perceptions. 
  14. Content Article
    The Manchester Patient Safety Framework (MaPSaF) is a tool to help healthcare teams and organisations assess their progress in developing a safety culture. It has been adapted for different healthcare teams including, but not limited to; mental health, ambulance and primary care.   Assessment is carried out in workshops, led by a facilitator from the healthcare organisation.
  15. Content Article
    In his blog, published by onthewards website, Joe Farmer (a doctor working in psychiatry) discusses rudeness in the workplace and the impact it can have on clinical performance and subsequently patient safety.
  16. Content Article
    The Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008, presents evidence-based recommendations on the preferred methods for cleaning, disinfection and sterilisation of patient-care medical devices and for cleaning and disinfecting the healthcare environment. This is an American guidance from the Centers for Disease Control and Prevention.
  17. Content Article
    The American based ECRI Institute Patient Safety Organization (PSO), identified 234 events in its database pertaining to dirty surgical instruments. This report contains several recommendations based on the findings.
  18. Content Article
    This American report describes events involving dirty instruments submitted to ECRI Institute Patient Safety Organization and other reporting agencies. It provides recommendations to improve reprocessing practices, with a focus on instrument decontamination and the cleaning that occurs before disinfection or sterilisation.
  19. Content Article
    This is a Health Technical Memorandum (HTM) published by the Department of Health and Social Care (DHSC) called Management and decontamination of surgical instruments (medical devices) used in acute care. Part A: Management and provision. The purpose of this HTM is to help health organisations to develop policies regarding the management, use and decontamination of reusable medical devices at controlled costs using risk control, which will enable them to comply with Regulations 12(2)(h) and 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 . It is designed to reflect the need to continuously improve outcomes in terms of: patient safety clinical effectiveness patient experience.
  20. Content Article
    This quality standard from the National Institute of Health and Care Excellence (NICE), covers preventing and controlling infection in adults, young people and children receiving healthcare in primary, community and secondary care settings. It includes preventing healthcare-associated infections that develop because of treatment or from being in a healthcare setting. It describes high-quality care in priority areas for improvement.
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