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Found 543 results
  1. Content Article
    Pressure ulcers are an unwanted and often avoidable complication of care that affect over 700,000 UK patients per year. They are a common occurrence, particularly in patients whose mobility is limited due to illness, severe physical disability or increasing frailty. Pressure ulcers can lead to increased mortality, morbidity, and reduced quality of life for the patient. Pressure ulcers can also result in longer hospital stays, with hospital acquired pressure ulcers increasing length of stay by an average of 5-8 days per pressure ulcer. In addition, they represent a substantial financial cost to local NHS trusts and care providers. In 2015, the cost per pressure ulcer was estimated to vary between £1,214 and £14,108 depending on its severity. Given the often preventable nature of pressure ulcers, the occurrence of this harm to patients is a key indicator of nursing standards.
  2. Content Article
    The Academic Health Science Network’s (AHSN) plan 'Patient safety in partnership' has been developed to support the NHS Patient Safety Strategy and sets out how England’s 15 AHSNs, and the Patient Safety Collaboratives (PSCs) they host, will work more closely with their local health and care organisations to improve safety both in hospitals and community-based services such as care homes.
  3. Content Article
    The national Patient Safety Improvement Programmes (SIPs) collectively form the largest safety initiative in the history of the NHS. They are delivered by 15 Patient Safety Collaboratives (PSCs), each hosted by an Academic Health Science Network (AHSN). However, while they have done some work in out-of-hospital settings in the five years since PSCs launched, there is massive potential to explore improving patient safety outside of acute hospital trusts and expanding into more community settings. Natasha Swinscoe, patient safety national lead for the AHSN Network, looks at the importance of safer care in community settings, such as care homes.
  4. Content Article
    In this blog for Patient Safety Movement, Pranjal Bora, Head of Product Management at Digital Authority Partners, looks at the ways in which digital technologies improve outcomes and safety in healthcare. The blog examines areas in which digital technologies are currently being used, and looks at the potential future uses of AI and other digital technologies.
  5. Content Article
    A report by the Centre for Health Policy at Imperial College London, an academic partner to Health Education England and the Commission on Education and Training for Patient Safety. The project team studied study the innovations taking place in the four corners of our healthcare system; to listen to the voices of patients, carers, students, and NHS staff; and to absorb the experiences of local and international education experts in patient safety. Their findings suggest that effective education and training for patient safety is realised through efforts on two equally important fronts: designing curricula and training interventions based on what we know to work, and shaping a culture which supports safe learning and care.
  6. Content Article
    Patient safety continues to be a significant issue in healthcare and a focus of both quality improvement and academic research. The NHS published its first Patient Safety Strategy in July 2019. As part of this, it was agreed that the first NHS-wide Patient Safety Syllabus would support a transformation in patient safety education and training in the NHS. The Patient Safety Strategy includes ambitions to develop training in the fundamentals of patient safety that would be relevant to all NHS staff, clinical and non-clinical, as well as more detailed training and education that could be incorporated into clinical and non-clinical undergraduate and postgraduate healthcare education and continuing professional development. T The syllabus is designed for all NHS staff and is structured to provide both a technical understanding of safety in complex systems and a suite of tools and approaches that will: Build safety for patients. Reduce the risks created by systems and practices. Develop a genuine culture of patient safety. The patient safety syllabus comprises five sequential domains of safety and forms the basis of the detailed curriculum guidance designed for specific levels of the NHS.
  7. 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. 
  8. Content Article
    The 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 and applies to all NHS employees. This page provides access to learning materials (via the E-Learning for Health platform) for staff relating to Level one – Essentials for patient safety and Level two – Access to practice of the training associated with this.
  9. Content Article
    How are trauma-informed approaches being implemented by public services – and what are the barriers to embedding the approach more widely? Produced jointly by the Centre for Mental Health and the Agenda, the alliance for women and girls at risk, this reports explores how trauma-informed approaches are being implemented by public services including women’s centres, prisons and mental health services. Evidence has shown that there are strong links between traumatic experiences and poor mental health. The need for public services to be trauma-informed has been repeatedly demonstrated. A sense of safety summarises the findings of interviews and site visits to a range of public services for women, including substance misuse, homelessness, mental health, the criminal justice system, and domestic and sexual abuse and exploitation. It found that services taking a holistic approach to supporting women’s needs were best able to make the change to becoming trauma-informed. However, many organisations faced barriers including short-term and fragile funding.
  10. Content Article
    THIS Institute at the University of Cambridge has undertaken a rapid response project to develop an ethical framework for COVID-19 testing for NHS workers. It sought to identify and characterise the ethical considerations likely to be important to the testing programme, while recognising the tension between different values and goals. The project was guided by an expert group and by an online consultation exercise held between 27 May and 8 June 2020 to characterise the range and diversity of views on this topic. The 93 participants in the consultation included NHS workers in clinical and non-clinical roles, NHS senior leaders, policy-makers, and relevant experts. The project report emphasises that getting the COVID-19 swab testing programme for NHS workers right is crucial to support staff and patient safety and broader public health. It also recognises that COVID-19 does not affect all population groups equally. People who are socio-economically disadvantaged or members of Black, Asian and Minority Ethnic (BAME) groups may face distinctive issues in relation to testing.
  11. Content Article
    This editorial in the Journal of Patient Safety & Risk Management discusses the significant role patients and their families can have in improving patient safety. The author argues that having a patient present shifts the conversation to the patient perspective, results in a kinder and more respectful tone and promotes a greater urgency to find solutions. He describes patient engagement and empowerment as "perhaps the most powerful tool to improve patient safety" and discusses the significance of the World Health Organization's Patients for Patient Safety program (PFPS).
  12. Content Article
    Shaped by the contributions and learning of the Beryl Institute community, these foundational frameworks provide a path for organisations to guide and assess their experience journey. Each framework offers strategic concepts, suggests practical actions and links to applicable resources. There are three frameworks available: Guiding principles - Foundational commitments to build your experience strategy Experience framework - Integrated strategy to frame your experience efforts The new existence- Roadmap to transform human experience in healthcare
  13. Content Article
    The World Health Organization (WHO) Patients for Patients Safety (PFPS) programme was set up in 2005 with its first workshop held in November 2005, in London. Its vision, expressed in the London Declaration, is to engage, empower, encourage and facilitate patients and families to build and/or participate in global network advocating for, and partnering with health professionals and policy-makers to make health-care services safer, more integrated and people-centred for all.
  14. Content Article
    Read the latest monthly letters from the Chairman of the Patient Safety Movement Foundation.
  15. Content Article
    The official voice of the Foundation for Patient Safety - CHILE, to spread knowledge and share advances in clinical practices, which allow us to provide safe and quality care, in all areas of health care, from high complexity to home care. Download the latest issue below. (In Spanish, but option to translate to English when you download.)
  16. Content Article
    Since To Err is Human was published in 1999, the patient safety evidence-base has expanded exponentially in alignment with continued maturity of the field. This publication is the 4th in a series of reports from the Agency for Healthcare Research and Quality (US-based), that reviews research supporting established patient safety practices to reduce patient harms. The current report is being published as updates are finalised to provide recommendation and share strategies highlighted in the literature to drive implementation of the practices discussed in areas such as:  opioid stewardship patient and family engagement telehealth implicit bias failure to rescue computerised decision support deprescribing.
  17. Content Article
    Patient Safety Learning has developed a unique set of patient safety standards, resources and tools to help organisations not only establish clearly defined patient safety aims and goals, but also support their delivery and demonstrate achievement. This page provides an overview of our Standards with links to further information.
  18. Content Article
    Following Jeremy Hunt’s appointment as chancellor, HSJ is now hosting the Patient Safety Watch newsletter, written by Patient Safety Watch trustee James Titcombe.  Read the latest newsletter: Patient Safety Watch: What can be done to improve duty of candour?
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