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Found 543 results
  1. Content Article
    This study, published in the Journal of the Royal Society of Medicine, analyses safety incidents on acute medical wards in the NHS over a period of 10 years. A total of 377 reports of severe harm or death were confirmed, with the most common types of incident the result of diagnostic errors, medication-related errors and failures monitoring patients.
  2. Content Article
    This original research article describes how patients with mental health issues face similar risks as to those patients in other areas of healthcare, particularly in relation to measures taken to address unsafe behaviours from patients which may result in further risks to their safety. The authors of this research conducted a systematic review and meta-synthesis to identify and synthesise the literature on patient safety within inpatient mental health settings, and found patient safety research in this area of healthcare was under researched in comparison to other inpatient settings that are not related to mental health.
  3. Content Article
    People experiencing mental health issues face unique patient safety issues when receiving healthcare. This document helps the reader understand some of the mental health patient safety issues, including suicide and self-harm, violence and aggressive behaviour, restraint use and seclusion and absconding, all of which directly impact patient care. Learning objectives for this downloadable module aims to help the reader understand systems thinking and understand system-engineering approaches to patient safety in mental health.
  4. Event
    WHO Patient Safety Flagship invites you to participate in a virtual event for the launching of the “Global Patient Safety Action Plan 2021-2030”. This global action plan aspires for “a world in which no one is harmed in health care, and every patient receives safe and respectful care, every time, everywhere.” The event marks the achievement of an important and historic milestone, and prominent health leaders and patient safety champions will take you through the global patient safety journey. Speakers include: Dr Tedros Adhanom Ghebreyesus, Director-General, WHO Mr Jeremy Hunt, Chairperson, Health and Social Care Select Committee, UK Sir Liam Donaldson, WHO Patient Safety Envoy Dr Neelam Dhingra, Unit Head, WHO Patient Safety Flagship Further information and registration
  5. Content Article
    This flyer promotes the WHO medsafe mobile app, powered by the World Health Organization (WHO). It highlights the 5 Moments for Medication Safety as is part of the 'Medication without harm' global patient safety challenge.
  6. Content Article
    This document describes Never Events, and the revised list of reportable patient safety incidents to be classed as Never Events from 1 April 2018.
  7. Content Article
    This poster, published by the World Health Organization (WHO) in 2017, summarises in a visual way the '5 Moments for Medication Safety', which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s. It is part of the 'Medication without harm' global patient safety challenge.
  8. Content Article
    This leaflet, published by the World Health Organization (WHO) in 2017, summarises the '5 Moments for Medication Safety', which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s. It is part of the 'Medication without harm' global patient safety challenge.
  9. Content Article
    This information sheet, published by the World Health Organization (WHO) in 2017, summarises the '5 Moments for Medication Safety', which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s. It is part of the 'Medication without harm' global patient safety challenge.
  10. Content Article
    This pamphlet, published by the World Health Organization (WHO), is part of the 'Medication without harm' global patient safety challenge, launched in 2017. It aims to engage patients in their care by looking at the 5 Moments for Medication Safety, which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s.
  11. Content Article
    At the end of June, Sajid Javid MP was appointed as the new as Secretary of State for Health and Social Care in the UK Government. In this blog, Patient Safety Learning Chief Executive, Helen Hughes, outlines why patient safety should be at top of his agenda, setting out six patient safety priorities for the new Minister.
  12. Content Article
    In this blog Patient Safety Learning outlines key points included in its response to the consultation on the Medicines and Healthcare products Regulatory Agency’s (MHRA) proposed Patient and Public Involvement Strategy 2020-25. It sets out its feedback to this consultation and describes the change required for the regulator to improve its approach to engaging and involving patients to improve patient safety.
  13. Content Article
    In this short film, National Specialty Advisor for Diabetes, Partha Kar shares 4 steps for improving the safety of diabetic inpatients.  Highlighting practical resources along the way, Partha focuses on the following key areas to help colleagues understand how they can improve outcomes locally: Identifying support needs quickly Self-management policy Peri-operative safety policy Free insulin safety training. Links to all of the resources mentioned in the film can be found at the bottom of this page. 
  14. News Article
    The Royal College of Nursing (RCN) has submitted evidence to a consultation run by the Department of Health and Social Care. The RCN has raised concerns that female patients are not listened to which results in delayed diagnosis and poor patient outcomes. It has also been suggested that there needs to be a bigger focus on designing services for women's needs and provide better support for women in the workplace, particularly in the healthcare sector. Read full story. Source: RCN, 10 June 2021
  15. Content Article
    This is Patient Safety Learning’s submission to the Women’s Health Strategy: Call for evidence. In seeking to inform the development of its Women’s Health Strategy, the UK Government has requested written submissions of data, research, and other reports of relevance. In its response, Patient Safety Learning outlines the risk to patient safety of sex and gender bias. The consultation is now closed.
  16. Content Article
    In this blog Patient Safety Learning outlines the key points included in its response to the consultation on a proposed Patient Safety Commissioner role for Scotland. This sets out their feedback to this consultation and describes the powers and resources this role will require if it is to effectively influence change and improve patient safety.
  17. Content Article
    The WHO's Global Patient Safety Action Plan aims to provide a strategic direction for concrete actions to be taken by countries, partner organisations, care facilities and World Health Organization (WHO). It sets out a vision of a “world in which no patient is harmed in healthcare, and everyone receives safe and respectful care, every time, everywhere” and a goal of achieving the maximum possible reduction in avoidable harm as a result of unsafe care.
  18. Content Article
    The Global Patient Safety Action Plan aims to provide a strategic direction for concrete actions to be taken by countries, partner organisations, care facilities and World Health Organization (WHO). It sets out a vision of a “world in which no patient is harmed in healthcare, and everyone receives safe and respectful care, every time, everywhere” and a goal of achieving the maximum possible reduction in avoidable harm as a result of unsafe care.
  19. Content Article
    The Care Quality Commission's (CQC) new strategy strengthens its commitment to deliver their purpose: to ensure health and care services provide people with safe, effective, compassionate, high-quality care and to encourage those services to improve.
  20. Content Article
    Jordan is a middle-income country located in the Middle East. Health services in Jordan are provided by the public and private sectors Jordan's health indicators have been internationally lauded. In 2010, Jordan was ranked the leading medical tourism destination in the Arab world and fifth globally by the World Bank. In 2003, the Minister of Health and other health sector leaders from the RMS, the Private Hospital Association (PHA), the healthcare professional councils, and medical schools met to discuss how to address some of the health system challenges and how they might improve the quality of healthcare services. In 2007, the bylaws of the new organization were endorsed by all sectors, and in December of that year, the Health Care Accreditation Council (HCAC)—a private, non-profit, shareholding company—was created to act as the national healthcare accreditation agency of Jordan.  The mission of the HCAC was to foster the continuous improvement of the quality and safety of healthcare facilities, services, and programs through developing internationally accepted standards, building capacity, and awarding accreditation.
  21. Content Article
    In this article, published in Human Factors and Ergonomics in Manufacturing & Service Industries, the authors present a model for integrating Human Factors/Ergonomics (HFE) into healthcare systems to make them more robust and resilient. They believe that to increase the impact of HFE during and after the Covid-19 pandemic this integration should be carried out simultaneously at all levels (micro, meso, and macro) of the healthcare system. This new model recognises the interrelationship between HFE and other system characteristics such as capacity, coverage, robustness, integrity, and resilience.
  22. Content Article
    The NHS is in the process of changing the way it embraces patient safety, moving from a focus on individual incidents and issues to a more comprehensive look at system learning. The changes are set out in NHS England/Improvement’s Patient Safety Strategy, released in July 2019 and updated in February 2021. This was followed by the Patient Safety Investigation Framework in March 2020, due for full implementation by Spring 2022. They are important not just in relation to incident management but also because of the implications they have for strategy and board responsibilities in relation to patient safety. So they need careful attention at all levels of NHS organisations. This article from the Good Governance Institute highlights the safety roles and responsibilities of organisations and moving to a proactive approach to safety management.
  23. Content Article
    Health Education England (HEE) has published the first NHS-wide Patient Safety Syllabus which applies to all NHS employees and will result in all NHS employees receiving enhanced patient safety training.  Written by the Academy of Medical Royal Colleges and commissioned by HEE the new National Patient Safety Syllabus outlines a new approach to patient safety emphasising a proactive approach to identifying risks to safe care while also including systems thinking and human factors. Level one and two learning materials will be available on the E Learning for Health platform for staff to access and complete from August and September 2021. 
  24. Content Article
    The Patient Safety Movement Foundation has compiled all of their achievements over the past year into their first-ever annual report. Despite the global COVID-19 pandemic, they have stayed loyal to their vision of achieving ZERO preventable patient harm and death across the globe by 2030.
  25. Event
    until
    On 29 November 1999, the Institute of Medicine released a report called To Err is Human: Building a Safer Health System, the report reviewed the status of patient safety in the US and UK, 20 years on and the NHS have released The NHS Patient Safety Strategy. Within the newly developed strategy, the NHS has three strategic aims that will support the development of patient safety culture and a patient safety system. Register
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