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Found 544 results
  1. Content Article
    An 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.
  2. Content Article
    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.
  3. 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.
  4. Content Article
    Patient Safety Learning held it's second annual conference on Wednesday 2 October, launching the hub and issuing a call for action on patient safety; with inspiring and practical presentations on issues that can be addressed and ways to address them. This blog summarises the themes of the conference and the presentations and discussions that took place. Read more
  5. Content Article
    Implementation of the Swabsafe™ management system at the The Princess Grace Hospital following a never event.
  6. Content Article
    The National Institute for Healthcare Research (NIHR) are the nation's largest funder of health and care research and provide the people, facilities and technology that enables research to thrive. Working in partnership with the NHS, universities, local government, other research funders, patients and the public, they deliver and enable world-class research that transforms people's lives, promotes economic growth and advances science.
  7. Content Article
    FallStop is a quality improvement programme from the Falls Prevention Team at the East Kent Hospitals University NHS Foundation Trust. It was developed in 2016 when they found there was a high rate of falls at one of their hospitals and a failure to learn from incidents. A FallStop Practitioner co-ordinates the programme and delivers training.
  8. Content Article
    The NHS is in crisis – it's in record demand, and care services are at breaking point – but what if the solution to rescuing the NHS is in the hands of the patients themselves? In this refreshingly positive and remarkable book, David Gilbert shares the powerful real-life stories of 'patient leaders' – ordinary people affected by life-changing illnesses, disabilities, or conditions, who have all gone back into the fray to help change the healthcare system in necessary and inspiring ways. Charting their diverse journeys – from managing to live with their condition, and their motivation to change the status quo, right through to their successes in improving approaches to health and social care – these moving and courageous stories aim to motivate others to take back control and showcase the pivotal importance of patients as genuine decision-making leaders. 
  9. Content Article
    ‘Letter from America’ is a Patient Safety Learning blog series highlighting fresh accomplishments in patient safety from the United States. The series will cover successes large and small. I share them here to generate conversations through the hub, over a coffee and in staff rooms to transfer these innovations to the frontline of UK care delivery.
  10. Content Article
    This blog has been written by a healthcare worker and demonstrates the reality of what it is like caring for patients and families while being chronically low on staff. They describe the impact this has on staff morale and the impact it has on patients, patients family members and the relationship between staff and patients.
  11. Content Article
    A brief, heartfelt piece presented purely from the harmed patient's perspective and urging those involved in making decisions about whether or not to investigate to consider the impact of a good investigation on the ability of the harmed patient and their family to heal... Well received on twitter and described by a number of patients as 'you've said what I feel'. A reminder that a crucial purpose of the investigation is to give a harmed patient and their family a full explanation to help them understand, process and share for learning their experience. All necessary to their recovery. All necessary to their own 'safety' following an incident (we know poor responses cause additional suffering to those already harmed). The author also highlighted (via twitter) how much of this blog relates to the needs of staff involved in incidents too...
  12. Community Post
    I have been thinking recently about the challenges which is posed towards larger trusts with regards to patient safety. Particularly with getting information disseminated to all staff and being reliant on endless emails. I have recently done some work with our Action Card App which has posed its own challenges particularly with physically getting around the Departments, spreading the word, and assisting people on the app itself. What really helped us iare screen savers, twitter and having those key conversations with stakeholders within the trust. I was wondering what everyone elses perspectives were?
  13. Content Article
    The Institute for Safe Medication Practices (ISMP) is the only nonprofit organisation in the US devoted entirely to preventing medication errors.  In this video, produced by ISMP in partnership with the Temple University School of Pharmacy, experts discuss medication safety concerns and offer practical error prevention recommendations. 
  14. Content Article
    The patient is the biggest stakeholder in the NHS with the most to lose when things go wrong. Suzie Shepherd and Dr Kate Granger share their experiences in this video.
  15. Content Article
    This 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.
  16. Content Article
    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.
  17. Content Article
    PatientSafe Network in Australia has been promoting the theatre cap challenge across the world. By wearing your name on your theatre cap it can improve team work and patient safety.  Here, Rob Hackett discusses the challenges in trying to change the 'system'.
  18. 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.
  19. 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.
  20. Content Article
    Helen Haskell, co-chair of the WHO Patients for Patient Safety Advisory Group, brings the patient leader perspective to her take on World Patient Safety Day in this essay published in the BMJ.
  21. Content Article
    NHS Resolution's primary focus for the future is to resolve concerns fairly. They also have a duty to use what we know to help to prevent the same thing happening again. While they are not a patient safety body, they do have a unique contribution to make to the patient safety system.
  22. Content Article
    Through collaboration with patients, caregivers and people working in healthcare, Healthcare Excellence Canada turns proven innovations into lasting improvements in all dimensions of healthcare excellence. Healthcare Excellence Canada focuses on improving care of older adults, bringing care closer to home with safe transitions, and supporting pandemic recovery and resilience – with safety and quality embedded across all our efforts. They are committed to fostering inclusive and equitable care through meaningful partnerships with different groups, including patients and caregivers, First Nations, Inuit and Métis, healthcare providers and more.  Launched in 2021, Healthcare Excellence Canada brings together the former Canadian Patient Safety Institute and Canadian Foundation for Healthcare Improvement. Healthcare Excellence Canada is an independent, not-for-profit charity funded primarily by Health Canada. 
  23. Content Article
    This short video describes how the staff at NHS Imperial College Healthcare are at the heart of patient safety and showcases some of the achievements of their teams in improving patient safety.
  24. Content Article
    This strategy sets out how the Royal College of Pathologists will support patient safety. Through this strategy, the College aims to engage and empower pathologists and their teams, at all stages in their careers, to continuously improve the safety of the services and care they provide. The College will support the development of safer cultures and systems with patient-centred collaborative working across the interfaces of care.
  25. Content Article
    Patient safety has finally been recognised as a top global health priority, but much more work needs to be done to eliminate patient harm. However, on World Patient Safety Day there are reasons for optimism. Fontana et al, in a commentary published in The Lancet, reflect on how the momentum for patient safety has never been stronger and why the global health community should harness this opportunity to create a foundation for sustainable and resilient health systems that addresses persistent patient safety challenges and strengthens resilience in the face of future needs. 
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