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Found 67 results
  1. Content Article
    Here you can find patient safety resources including: Mortality reports Quality reports National Patient Safety Strategy Blogs.
  2. Content Article
    This framework highlights the following five dimensions, which the authors believe should be included in any safety and monitoring approach in order to give a comprehensive and rounded picture of an organisation’s safety: Past harm: this encompasses both psychological and physical measures Reliability: this is defined as ‘failure free operation over time’ and applies to measures of behaviour, processes and systems Sensitivity to operations: the information and capacity to monitor safety on an hourly or daily basis Anticipation and preparedness: the ability to anticipate, and be prepared for, problems Integration and learning: the ability to respond to, and improve from, safety information.
  3. Content Article
    There is an urgent need to respond to the challenges experienced by carers at the point of transition and beyond, by ensuring early and coordinated planning, effective information sharing and communication and clear transition processes and guidelines. A person‐centred and family‐centred approach is required to minimise negative impact on the health and well‐being of the young adult with intellectual disabilities and their carers.
  4. Content Article
    CARS estimates the risk of death following emergency admission to medical wards using routinely collected vital signs and blood test data. The aim of the study was to elicit the views of: Healthcare practitioners (staff) and service users and carers on the potential value, unintended consequences and concerns associated with CARS. Practitioner views on the issues to consider before embedding CARS into routine practice.
  5. Content Article
    Nine key reasons why there should be more investment in analytical capability: Clinicians can use the insights generated by skilled analysts to improve diagnosis and disease management. National and local NHS leaders can evaluate innovations and new models of care to find out if expected changes and benefits were realised. Board members of local NHS organisations and systems can use analysis to inform changes to service delivery in complex organisations and care systems. Local NHS leaders can improve the way they manage, monitor and improve care quality day-to-day. Senior NHS decision makers can better measure and evaluate improvements and respond effectively to national incentives and regulation. Managers can make complex decisions about allocating limited resources and setting priorities for care. Local NHS leaders will gain a better understanding of how patients flow through the system. New digital tools can be developed and new data interpreted so clinicians and managers can better collaborate and use their insights to improve care. Patients and the public will be able to better use and understand health care data. Action and investment is needed across the system so the NHS has the right people with the right tools to interpret and create value from its data. This could result in an NHS that can make faster progress on improving outcomes for patients.
  6. Content Article
    The authors conducted a qualitative interview study with 22 accident investigators from different domains in Sweden. They found a wide range of factors that led investigations away from the ideal, most which more resembled factors involved in organisational accidents, rather than reflecting flawed thinking. One particular limitation of investigation was that many investigations stop the analysis at the level of “preventable causes”, the level where remedies that were currently practical to implement could be found. This could potentially limit the usefulness of using investigations to get a view on the “big picture” of causes of accidents as a basis for further remedial actions.
  7. Content Article
    This study confirmed that the most influential factors in the decision to use assistive devices for patient transfers are time constraints and difficult patient-handling situations. These factors lead to infrequent use of assistive devices, especially mechanical devices that are difficult to retrieve or not readily available.
  8. Content Article
    Darzi Alumni, Claire Cox , who was hosted by the Kent Sussex and Surrey Academic Health Science Network, summarises the barriers and assumptions held with in the system of learning from deaths and serious incidents. 1 deaths and serious incidents.pdf
  9. Content Article
    Here, Dr Sara Ryan questions whether inquiries or investigations are an effective way of holding stakeholders to account and discusses the need for more qualitative research to better understand bereaved family experiences of inquiries and investigations. Political Quarterly (1).pdf
  10. Content Article
    Patient Safety - March 2023 Patient Safety - December 2022 Patient Safety - September 2022 Patient Safety - June 2022 Patient Safety - March 2022 Patient Safety - January 2022 Special Issue: Pharmacy Education and Practice Patient Safety - December 2021 Patient Safety - September 2021 Patient Safety - June 2021 Patient Safety - March 2021 Patient Safety-December 2020 Patient Safety - September 2020 Patient Safety Journal - June 2020 Patient Safety March 2020 Patient Safety - December 2019 Patient Safety - September 2019
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