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Found 538 results
  1. Content Article
    While the US healthcare system is considered one of the best in the world, many American’s may not realise the potential risks they face when seeking and receiving healthcare. The most recent figures put the rate of preventable healthcare deaths at around 400,000 each year. To put this in perspective, that is more than Alzheimer’s disease, lung cancer, and breast cancer combined kill each year and means that healthcare is the third leading cause of death in the US. That figure does not even reflect the hundreds of thousands of patients who are harmed during their care but do not die. In this article for The Hill, Jill Steiner Sanko explores how we can address preventable healthcare deaths.
  2. Content Article
    Every year, avoidable harm leads to the deaths of hundreds of thousands of patients, each an unnecessary tragedy. Despite many people doing good work to improve patient safety, this remains a persistent problem. At the recent Future of Hospitals event from Health Plus Care Online, Helen Hughes, Patient Safety Learning's CEO, and Donna Prosser, Chief Clinical Officer of the Patient Safety Movement, consider the need for patient safety to be a core purpose of healthcare and how we can best achieve this. They also discuss whether patient safety can become a social movement - uniting clinicians, patients, leaders, policy-makers and communities.
  3. Content Article
    This report brings together an elected group of experts from across international organisations, G20 Governments, the global health community and civil society to address the challenges that patients and health workers have faced and are currently facing amidst the COVID-19 pandemic. It demonstrates how the safety of patients and health workers is inexorably linked to all global health challenges, including infectious and non-communicable diseases.
  4. Content Article
    The Republic of Ireland's Health Service Executive Patient Safety Strategy makes six commitments: Empower and engage patients to improve patient safety. Empower staff to improve patient safety. Anticipate and respond to risks to patient safety. Reduce common causes of harm. Measure and learn to improve patient safety. Provide effective leadership and governance to improve patient safety.
  5. Content Article
    In this blog, Patient Safety Learning outlines the key points included in its response to the Care Quality Commission’s (CQC) consultation on their new strategy from 2021, identifying the opportunities this presents for the health and social care regulator to help improve patient safety.
  6. Content Article
    The pandemic has impacted on all aspects of NHS care, with elective and diagnostic activities among those services that have been disrupted. This has led to a considerable backlog of people waiting for NHS treatment.  This briefing, from the NHS Confederation, explores what lies ahead for the health service and patients, based on their modelling of referral-to-treatment waiting trajectories in 2021. It offers an outline policy framework, drawn up by their members, for starting to reduce waiting lists in an effective, equitable and efficient way. 
  7. Content Article
    The NHS patient safety strategy was published in 2019. While the principles and high-level objectives of the strategy remain unchanged, NHS England and Improvement recognised the need for some shift in scope. They have updated their tables of deliverables to include the extra work they will be doing, including the new commitment to address patient safety inequalities and to reflect the disruption and uncertainty arising from the pandemic.
  8. 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.
  9. Content Article
    This document sets out guidelines for recommended nurse/midwife to patient ratios in the Kingdom of Saudi Arabia. It describes the rationale for introducing national regulations for safe staffing ratios, considers concerns and challenges in this respect, and then outlines specific ratios in different areas of care. This has been produced by the Saudi Patient Safety Center, in collaboration with the Saudi Commission for Health Specialties and the Saudi Nurses Association.
  10. Content Article
    This is the first of two blogs by Patient Safety Learning looking at the key patient safety issues faced by the healthcare system in the UK in tackling the care and treatment backlog created by the Covid-19 pandemic. This blog outlines the scale of the challenge and sets out the key patient safety considerations associated with this. It stresses the need for national and local plans to address the backlog, with an emphasis on patient engagement and placing patient safety at their core.
  11. Content Article
    This article discusses the prevalence and cost of hospital-acquired conditions (HACs) and patient safety events (PSIs) associated with procedures that may below value, and reports on the prevalence of adverse events associated with potential low-value procedures and the additional hospital length of stay (LOS) and costs. 
  12. Content Article
    This article examines the challenges in regulating patient safety during hospital discharges in England through the lens of liminality. In addition, this article proposes that by positioning the new role of Patient Safety Commissioner (PSC) as that of a ‘Representative of Order’, it could be a means by which this poorly regulated space could be navigated more successfully.
  13. Content Article
    This is the response submitted by the Patients Association to the Department of Health and Social Care as part of its consultation seeking views on the proposed legislative details on the appointment and operation of the Patient Safety Commissioner for England. In this they argue for arrangements for the Commissioner's appointment and operation to guarantee their independence as securely as possible, and express disappointment that the role will not cover all aspects of patient safety.
  14. Content Article
    This article by Dean K Wright describes the definition of 'advocate' and discusses how a doctor can best support their patient, particularly in regards to advocating for their patients rights and/or needs and in cases of child abuse and barriers to effective patient care.
  15. Content Article
    This research article aimed to provide Registered Nurses with a description of patient advocacy in the clinical setting. Through a series of semi-structured interviews with 25 participants, the results of this study found the nurses had an adequate understanding of patient advocacy and were willing to advocate for patients, describing patient advocacy as promoting patient safety and quality care.
  16. Content Article
    In this blog Patient Safety Learning outlines the key points included in its response to the consultation on establishing a Patient Safety Commissioner for England. 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
    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.
  18. 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.
  19. 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.
  20. 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.
  21. 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.
  22. 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.
  23. 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.
  24. 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.
  25. 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.
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