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Showing results for tags 'Patient safety strategy'.
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Content Article
Leading for improvement, a blog by Sally Howard
Sally Howard posted an article in Leadership for patient safety
Sally Howard, topic leader for the hub, shares her insight on the imminent NHS Improvement Framework after she attended a webinar with National Director of Improvement for NHS England and NHS Improvement, Hugh McCaughey.- Posted
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- Leadership
- Organisational learning
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Content ArticleAt the second annual Patient Safety Learning conference, held on 2 October 2019, we interviewed Tom Kark QC. QEB Hollis Whiteman and Verita, Tom joined a conversation with Ted Baker and Dr Elaine Maxwell on the topic of 'Leadership for patient safety'.
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- Leadership
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Content ArticleAn Institute for Healthcare Improvement expert puts landmark patient safety report into perspective.
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- Perception / understanding
- Patient safety strategy
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Content ArticleThe Quality and Patient Safety Team in West Norfolk Clinical Commissioning Group (CCG) works to ensure that safe, effective and high quality health services are commissioned and delivered for its population. The team works to promote a culture of openness and transparency where mistakes are learnt from and where a culture of service improvement is influenced across the health and social care community. This is their quality strategy for 2018-2021.
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Safe practices for drug allergies using CDS and health IT (2019)
Claire Cox posted an article in Allergies
The Partnership for Health IT Patient Safety, a national collaborative convened by ECRI Institute, has released a new report on drug allergy interactions and how clinical decision support (CDS) and health information technology (IT) can be used to improve safety. Drug allergy alerts, a feature of clinical decision support (CDS), incorporated within the electronic health record (EHR), act as a safeguard against prescribing or dispensing a medication to which a patient has a documented allergy that could cause an adverse event for a patient. Drug allergy interactions are an important patient safety concern. Inadequate communication and display of drug allergy interaction information may result in incorrect treatment, delay care, or result in additional or prolonged care for a patient.- Posted
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- Patient
- Medication
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Content ArticleBen Tipney and Vikki Howarths' presetation on Human Factors in practice. This presentation covers: an introduction to human factors human factors training implementation of human factors in practice new initiatives.
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Content ArticleReducing the burden of harm and instilling better practice requires both systems thinking and committed local ownership. Comparisons of health systems across the world can help visualise best practice, opportunities for learning and potential for diffusion of innovations. Most importantly, depicting the global state of patient safety showcases exemplar safety systems and facilitates exploration of their characteristics and enablers. This report seeks to stimulate ambitious visions and bold action to significantly reduce harm and improve the lives of millions of patients and their families.
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- Patient safety strategy
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Safety myths, a blog by Suzette Woodward
Claire Cox posted an article in By researchers and academics
This is the first in a series of blog posts by Suzette Woodward around implementing patient safety. Part one describes the growing sense of unease about the way we do safety in healthcare and how we can do it differently. It describes the dominant approach to patient safety in healthcare we use today – which has been coined by some as Safety I.- Posted
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- Latent error
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Health Education England: Human Factors Toolkit
Patient Safety Learning posted an article in Techniques
Health Education England have produced a toolkit on human factors in healthcare looking at example of training, simulation and speaking up. -
Content ArticleThis report was prepared for the World Health Organization (WHO) Patient Safety’s Methods and Measures for Patient Safety Working Group.
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Content ArticleOne important strategy for system-wide safety improvement involves investigating and addressing the system-wide sources of risk that contribute to unsafe care. Carl MaCrae in his paper published in the Journal of the Royal Society of Medicine highlights five strategies to ensure patient safety investigations actually improve patient safety.
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- Investigation
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Content ArticleEast Kent Hospitals University NHS Foundation Trust is delighted to have been the recipients of the Patient Safety Learning Award 2019 for ‘Professionalising Patient Safety’ for our FallStop programme.
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Content ArticleKhudeja Amer-Sharif, Patient Partner at University Hospitals of Leicester NHS Trust, presented at the recent Patient Safety Strategy Discussion Forum the work he is doing with the National Patient Safety team and others to develop the basis of the Patient Safety Partners (PSP) framework. Khudeja shared the work being done to co-produce principles for involving patients both in their own safety and in the wider delivery of healthcare.
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Content ArticleOn the 18 November 2019, Health Law from Browne Jacobson LLP hosted a Patient Safety Strategy Discussion Forum. This was focused on discussing the key proposals within the NHS Patient Safety Strategy, published in July 2019, and what they mean in practical terms. It also provided an opportunity for Trusts to share and hear about the work being done by others to implement the Strategy. The event was attended by a number of leading patient safety and quality experts and investigators from across the Midlands.
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- Investigation
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Content ArticleEngaging patients and their families in quality and safety is considered central to providing truly patient-centred care. This systematic review included 48 studies involving the input of patients, family members, or caregivers on health care quality improvement initiatives to identify factors that facilitate successful engagement, patients' perceptions regarding their involvement, and patient engagement outcomes.
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- Patient involvement
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Content ArticleObjective: To determine whether patients/family members interviewed could identify at least one contributing factor for the event they experienced. Secondary objectives included understanding the way patients/family members became aware of adverse events, the types of contributing factors patients/family members identified for different types of adverse events, and recommendations provided by patients/family members to address the contributing factors. Originally published in Health Services Research.
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- Patient involvement
- Teamwork
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Content ArticleAn audio recording of Harry Cayton, Chief Executive of the Professional Standards Authority, speaking at the Kings Fund conference, Patient voice and power in the new NHS. Harry talks about the importance of the patient voice and the impact that different leadership styles can have within the NHS. A transcript is also available to download.
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Content ArticleThe North West London Integration Toolkit is intended to support communities, people and partners as they work towards the shared vision of integrated care. The toolkit is the culmination of over 200 individuals and organisations across North West London coming together to share knowledge and develop ideas as to how to implement whole systems integrated care. The toolkit is a living document and repository of collective learnings. It will evolve and be updated as local areas start to implement their plans and lessons are learned and shared.
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- Digital health
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WHO: Patient Safety – Making health care safer (May 2017)
PatientSafetyLearning Team posted an article in WHO
Patient Safety: Making health care safer illustrates the importance of safe care for everyone, what the burden and impact of unsafe care is, and WHO’s approach to tackling the issue of unsafe care. The brochure also contains a comprehensive collation of key WHO materials and activities in to generate improvements at the front line.- Posted
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Content Article"...many factors can hinder effective implementation, including: failure to appreciate the complexity of a problem or the context in which change is required; complicated or unclear guidance; or using an inappropriate method of dissemination such as top-down instruction." In this blog for the Kings Fund, Suzette talks about the barriers to implementation and the importance of choosing the right approach.
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- Organisational development
- Patient safety strategy
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Content ArticleA US based study to determine whether medical errors, family experience and communication processes improved after implementation of an intervention to standardise the structure of healthcare provider-family communication on family centered rounds.
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- Communication
- Quality improvement
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Content ArticlePresentation from Mandy Townsend, Associate Director Patient Safety and co-lead for North West Coast Patient Safety Collaborative, at the 'A New Strategy for Patient Safety - Insight, Involvement, Improvement' conference held in Manchester on the 16 October 2019.
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Content ArticleThis report is a practical guide to developing an organisation-wide approach to improvement. It summarises the benefits of such an approach and outlines the key elements and steps that NHS trust leaders should adopt when pursuing this agenda.
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- Leadership
- Organisational learning
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Content Article
Radio Ombudsman
Patient Safety Learning posted an article in Recommended video and audio resources
The Radio Ombudsman features full and frank conversations with special guests on a range of topics such as NHS investigations, good complaint handling and improving public services. Hosted by Parliamentary and Health Service Ombudsman Rob Behrens, it generates lively discussion and interesting ideas. The Ombudsman makes final decisions on complaints about government departments, other public organisations and the NHS in England.- Posted
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- Patient safety strategy
- Policies
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Content ArticleThe 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.
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- Transformation
- Recommendations
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