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Found 757 results
  1. Content Article
    Dr Helen Higham, Co-Director of the Patient Safety Academy, presented at the 'A New Strategy for Patient Safety - Insight, Involvement, Improvement' conference on how we can effectively learn from serious incidents.
  2. Content Article
    In 2019, the US-based National Quality Forum (NQF), is convening a new multi-stakeholder expert committee to revisit and build on the work of the Diagnostic Quality and Safety Committee. This report updates a scan done when the National Quality Framework (NQF) diagnostic measures framework first came out in 2017. The assessment of the current state of diagnostic errors measurement, themes that have emerged since the earlier document and new measures that have been published may be of interest to researchers in the UK doing work in this important segment of patient safety work.
  3. Content Article
    In a new instalment of the Profiles in Improvement series from the US based Institute for Healthcare Improvement (IHI), Patricia McGaffigan describes her healthcare journey and why the safety movement needs a “reboot.”
  4. Content Article
    A US based study to determine whether medical errors, family experience and communication processes improved after implementation of an intervention to standardise the structure of healthcare provider-family communication on family centered rounds.
  5. Content Article
    Presentation from Dr Devina Halsall, NHS England & NHS Improvement Northwest Region, at the 'A New Strategy for Patient Safety - Insight, Involvement, Improvement' conference held in Manchester on the 16 October 2019.
  6. Content Article
    Presentation from Mandy Townsend, Associate Director Patient Safety and co-lead for North West Coast Patient Safety Collaborative, at the 'A New Strategy for Patient Safety - Insight, Involvement, Improvement' conference held in Manchester on the 16 October 2019.
  7. Content Article
    Presentation from Dr Helen Highham at the 'A New Strategy for Patient Safety - Insight, Involvement, Improvement' conference held in Manchester on the 16 October 2019.
  8. Content Article
    The debate around the presence of medical error in healthcare today still solicits debate. While it is agreed that one death due to medical error is too many, Mazer and Nabhan in this perspective discuss the intense interest by the media and others in numbers that are shared – whether they are accurate or not. They suggest instead that the focus of discussion and interest should not be solely on how many... but the "why."
  9. Content Article
    It is now accepted that healthy cultures in NHS organisations are crucial to ensuring the delivery of high-quality patient care. The Kings Fund developed a tool to help organisations assess their culture, identifying the ways in which it is working well, as well as the areas that need to change.
  10. Content Article
    Published in the BMJ journal Quality & Safety, the authors draw out high-level learning about culture and behaviour in NHS organisations; what influences culture and behaviour; and what needs to change to give effect to the vision of a safe, compassionate service in which patients and their families could have trust and confidence.
  11. Content Article
    This US White Paper from the Institute of Healthcare Improvement shares the experience of senior leaders who have decided to address patient safety and quality as a strategic imperative within their organisations. It presents what can be done to make the dramatic changes that are necessary to ensure that patients are not harmed by the very care systems they trust will heal them.
  12. Content Article
    Effective communication is critical to successful large-scale change. Yet, in our experience, communications strategies are not formally incorporated into quality improvement frameworks. The 1000 Lives Campaign was a large-scale national quality improvement collaborative that aimed to save an additional 1000 lives and prevent 50 000 episodes of harm in Welsh health care over a two year period. This research, published in the Journal of Communication in Healthcare, used the campaign as a case study to describe the development, application, and impact of a communications strategy embedded in a large-scale quality improvement initiative.
  13. Content Article
    Spreading successful improvement work across the NHS is an essential part of improving health care quality and efficiency. Yet all too often an idea that has been shown to work well in one place is not adopted by others who could benefit from it. This guide from the Health Foundation, intended for those actively engaged in health care improvement, draws on this experience and empirical evidence, to provide practical information about how communications approaches can be used to spread improvement ideas. 
  14. Content Article
    A Quality Account is a report about the quality of services offered by an NHS healthcare provider.The reports are published annually by each provider, including the independent sector, and are available to the public. Quality Accounts are an important way for local NHS services to report on quality and show improvements in the services they deliver to local communities and stakeholders. The quality of the services is measured by looking at patient safety, the effectiveness of treatments patients receive, and patient feedback about the care provided.
  15. Content Article
    Children and young people in the UK suffer worse health and well-being outcomes than their peers in comparable countries across a range of physical and mental health measures, including overall mortality and deaths from long-term conditions such as epilepsy, asthma and diabetes. While social determinants, in particular relatively high rates of child poverty, account for some of this mortality gap, there is growing evidence that many deaths could be prevented through more accessible and higher quality NHS care.
  16. Content Article
    In this briefing, the Improvement Analytics Unit (a partnership between the Health Foundation and NHS England) identifies some early signals of changes in hospital use by vanguard care home residents in Wakefield, in order to inform local learning and improvement.
  17. 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.
  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
    Parliamentary and Health Services Ombudsman makes final decisions on complaints that have not been resolved by the NHS in England, UK government departments and other public organisations.  Here is a selection of video case studies, commissioned by the Parliamentary Health Services Ombudsman, to highlight how they can help people who feel they have been let down by these services. 
  20. Content Article
    Motivation and how to use it is a complex science, motivating yourself is hard, motivating others is even harder. When trying to make improvements in the NHS we need to think carefully about how we motivate our staff to bring about change and improve patient outcomes. This blog by Adam Burrell,  Improvement Lead for Imperial College Healthcare NHS Trust, discusses staff motivation and incentives. 
  21. Content Article
    As improvement practice and research begin to come of age, Mary Dixon-Woods in this BMJ feature considers the key areas that need attention if we are to reap their benefits. Mary Dixon-Woods is the Health Foundation Professor of Healthcare Improvement Studies and Director of The Healthcare Improvement Studies (THIS) Institute at the University of Cambridge, funded by the Health Foundation. Co-editor-in-chief of BMJ Quality and Safety, she is an honorary fellow of the Royal College of General Practitioners and the Royal College of Physicians.
  22. Content Article
    NHS Resolution has reported on the first year of its innovative scheme to drive improvements in maternity and neonatal services and to ensure that families are better supported whose babies suffer rare, but tragic, avoidable brain injuries at birth.
  23. Content Article
    Driver diagrams are a useful tool within quality improvement, but how do you complete one? This short video by NHS Health Education England explains, using sepsis as an example.
  24. Content Article
    The World Health Organization (WHO) began when the Constitution came into force on 7 April 1948 – a date that is now celebrated every year as World Health Day. The WHO are now more than 7000 people from more than 150 countries working in 150 country offices, in six regional offices and at headquarters in Geneva.
  25. 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. 
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