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Found 56 results
  1. Event
    until
    The Westminster Health Forum is a division of Westminster Forum Projects, an impartial and cross-party organisation which has no policy agenda of its own. Forums operated by Westminster Forum Projects enjoy considerable support from within Parliament and Government. The agenda: The impact of investigations in the NHS and the priorities of the Healthcare Safety Investigation Branch Progress of improving patient safety in the NHS Maintaining patient safety during COVID-19 - rapid learning to respond to the virus, continuity of care, and adapting care delivery practices
  2. News Article
    In a report published today, AvMA, the charity Action Against Medical Accidents, reveals serious delays in NHS trusts implementing patient safety alerts, which are one of the main ways in which the NHS seeks to prevent known patient safety risks harming or killing patients. The report, authored by Dr David Cousins, former head of safe medication practice at the National Patient Safety Agency, NHS England and NHS Improvement, identifies serious problems with the system of issuing patient safety alerts and monitoring compliance with them. Compliance with alerts issued under the now abolishe
  3. Content Article
    The Committee identified the following health-related objectives of the lockdown withdrawal strategy: 1. Reduce spread of the COVID-19 virus. 2. Minimise loss of healthcare professionals and maximise their safety and availability to continue the work. 3. Increase case management capacity in existing hospitals and new hospitals. 4. Increase testing to eliminate community spread. 5. Ensure access to normal healthcare requirements of the population. 6. Maintain normal healthcare capacity during the coronavirus period. 7. Maintain public health initiatives (vacci
  4. Content Article
    The Yorkshire Contributory Factors Framework (YCFF) is a tool which has an evidence base for optimising learning and addressing causes of patient safety incidents by helping clinicians, risk managers and patient safety officers identify contributory factors of PSIs. Incidents that occur in a hospital setting have been well studied and all contributory factors have been mapped. Based on this research, a team of practicing clinicians with human factors experts has adapted the evidence to a two page framework. The YCFF includes all sixteen domains of the evidence-based domains. The doc
  5. Content Article
    This policy covers how Dorset Healthcare (DHC) University NHS Foundation Trust responds to patient deaths in care generally, not just those amounting to 'serious incidents', which will continue to be dealt with under the existing NHS Improvement’s 2015 'Serious Incident Framework'.
  6. Content Article
    High level findings There is an opportune ‘policy window’ for change in patient safety. The burden of unsafe care is clear and evidence-based both locally and globally. Momentum towards safer care is building at local, national and international levels. Culture is equal to policy and public momentum in order for safety innovations to land, take root and flourish. In order for safety opportunities to materialise, they require a concerted effort towards collaboration, innovation and education. Agreed actions Create national learning systems. Ensure me
  7. News Article
    Change course or a quarter of a million people will die in a "catastrophic epidemic" of coronavirus – warnings do not come much starker than that. The message came from researchers modelling how the disease will spread, how the NHS would be overwhelmed and how many would die. The situation has shifted dramatically and as a result we are now facing the most profound changes to our daily lives in peacetime. This realisation has happened only in the past few days. However, it is long after other scientists and the World Health Organization had warned of the risks of not going all-o
  8. News Article
    Paging systems used across B.C could be exposing sensitive health data of patients, and the privacy researcher who first discovered the data breach believes it’s likely happening across the country. “I wouldn’t be surprised to find this everywhere in Canada,” said privacy researcher Sarah Jamie Lewis, in an interview with CTVNews.ca in Vancouver. Lewis first discovered and reported the breach to Vancouver Coastal Health in November 2018. Now, internal emails released this month through a Freedom of Information request show that the vulnerability is not limited to Vancouver. Read full
  9. Content Article
    This report is not exclusive to the NHS, they set out recommendations for all industries. In this report, the APPG sets out its findings as follows: The UK regulatory framework of whistleblower protection is complicated, overly legalistic, cumbersome, obsolete and fragmented. The remedies provided by PIDA are mainly retrospective and largely not understood. A general obligation for public and private organisations to set up whistleblowing mechanisms and protections is missing. The definition of whistleblowing and whistleblowers is too narrow. Consequently, the prot
  10. Content Article
    This review was carried out in response to the very low numbers of investigations or reviews of deaths at Southern Health NHS Foundation Trust. Over a four-year period, fewer than 1% of deaths in Southern Health’s learning disability services and 0.3% of deaths in their mental health services for older people were investigated as a serious incident requiring investigation. Throughout this review, families and carers have told the CQC that they often have a poor experience of investigations and are not always treated with kindness, respect and honesty. This was particularly the case for f
  11. Content Article
    This document is for those wishing to implement the SJR process at a regional or local level, with specific reference to clinicians, managers, commissioners and trainers in secondary and tertiary care. It should also be useful as a reference for community and primary care providers.
  12. Content Article
    Never Events continue to happen despite the hard work and efforts of front line staff. Findings in this report have led to the conclusion that this continual recurrence means that if healthcare staff are to give patient safety the priority it requires, the culture of the NHS needs to change. to one that is orientated around safety
  13. Content Article
    Overview in numbers (2018/19) 12 national investigations launched. 440 maternity referrals received. 100 safety awareness notifications submitted for national investigations. 127 investigators trained. 174 members of staff recruited.
  14. Content Article
    This document contains a raising concerns step-by-step guide, support and resources.
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