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Found 1,117 results
  1. Content Article
    Effectiveness Matters is a summary of reliable research evidence about the effects of important interventions for practitioners and decision makers in the NHS and public health. It is extensively peer reviewed. This issue focuses on reducing harm from polypharmacy (the use of multiple medicines) in older people.
  2. Content Article
    Guidance from the Medicines and Healthcare products Regulatory Agency (MHRA), explains how to package medicines for sale and what information you must provide to consumers and healthcare professionals.
  3. Content Article
    This report is part of a technical series on safer primary care, published by the World Health Organization. The series explores the magnitude and nature of harm in the primary care setting from a number of different angles and provides some possible solutions and practical next steps for improving safety. The patient engagement report examines why it is important to involve people using services in improving safety and how this might best be done.
  4. Content Article
    Prescribing errors in general practice are an expensive, preventable cause of safety incidents, illness, hospitalisations and even deaths. Serious errors affect one in 550 prescription items, while hazardous prescribing in general practice contributes to around 1 in 25 hospital admissions. Outcomes of a trial published in the Lancet showed a reduction in error rates of up to 50% following adoption of PINCER. PINCER is a methodology for reducing medication errors and, thereby, improving medication safety. Using clinical audit tools alongside quality improvement methodology to review groups of patients taking high risk medicines/combinations of medicines, PINCER ensures that any risks are mitigated.
  5. Content Article
    Of the nearly 237 million medication errors occurring in England each year, 28% have the potential to cause harm. This article published in The Pharmaceutical Journal outlines the immediate steps to be taken following identification of a medicines safety incident.
  6. Content Article
    People should not be given medicines without their knowledge if they have the mental capacity to make decisions about their treatment and care. This guide from the National Institute for Healthcare Excellence (NICE) and Social Care Institute for Excellence (SCIE) is aimed at care home managers or anyone providing medicines support in care homes.
  7. Content Article
    This study from Westbrooke et al. published in BMJ Quality and Safety evaluates the effectiveness of a ‘Do not interrupt’ bundled intervention to reduce non-medication-related interruptions to nurses during medication administration.
  8. Content Article
    This film, by the Health Foundation, tells the story of how the well-being of older care home residents is enhanced by making sure they are only prescribed the medicine they really need, and the positive impact this has had on the people who work on the project too.
  9. Content Article
    Several factors contribute to medication errors in clinical practice settings, including the design of medication labels. The objective of this study from Estock et al., published in the Journal of Patient Safety, was to quantify the impact of label design on medication safety in a realistic, high-stress clinical situation.
  10. Content Article
    Everyone, including patients and health care professionals, has a role to play in ensuring medication safety. This video is part of WHO’s campaign to reduce medication-related harm by improving practices and reducing medication errors.
  11. Content Article
    This National Institute for Health and Care Excellence (NICE) Pathway describes in an interactive flowchart the process of what to do next if someone has a possible drug allergy/reaction. 
  12. Content Article
    The Black Country Partnership NHS Foundation Trust's medication error policy and pathway describes the procedure that must be followed when a medication error occurs.
  13. Content Article
    This document by the Care Quality Commission (CQC) sets out what needs to be reported to the CQC if working within social care.
  14. Content Article
    The Professional Record Standards Body (PRSB) speaks to Ann Slee, Associate CCIO, Medicines at NHS England, in this podcast on making medications safer.
  15. Content Article
    Reducing medicines-related harm requires a clear understanding of where and when errors occurs. This infographic published in The Pharmaceutical Journal shows visually the latest estimates in England per year and offers potential solutions.
  16. Content Article
    Healthcare Safety Investigation Branch (HSIB) report on the inadvertent administration of an oral liquid medicine into a vein. This report indicated the importance of using human factors in the investigation process. The investigation reviewed the effectiveness of the current processes for the storage of medicines, equipment design, and the prescribing, preparation, checking and administration of medication. It also considered the contextual, environmental and human factors that influenced the inadvertent administration of an oral solution into a vein. The effectiveness of current processes for implementation of local safety standards for invasive procedures was also considered. A human factors expert was involved in the investigation and a dedicated report was written based on the evidence reviewed, a reconstruction of the event and a simulation of what should have happened.
  17. Content Article
    It is important for the whole of the multidisciplinary team to have guidelines and standards, and that is the reason for the collaborative Core Standards for Pain Management Services in the UK (CSPMS UK). Representatives of the Faculty of Pain Medicine, the British Pain Society, the Royal College of Nurses, the Royal Pharmaceutical Society, the College of Occupational Therapists, the Chartered Society of Physiotherapy, the Royal College of General Practitioners, the British Psychological Society and patient representatives have jointly been the authors of this document.
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