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Found 479 results
  1. Content Article
    Over the last two decades, safety improvements have flat-lined (as measured in fatalities and serious injury rates, for instance) despite a vast expansion of compliance and bureaucracy. The cost of compliance and bureaucracy can be mind-boggling – up to 10% of GDP, with every person working some 8 weeks per year just to cover the cost of compliance, paperwork and bureaucratic accountability demands. This is non-productive time. It has also stopped progressing safety.
  2. Content Article
    The Multi-professional Patient Safety Curriculum Guide (2011) was developed by the World Health Organization to assist in the teaching of patient safety in universities and schools in the fields of dentistry, medicine, midwifery, nursing and pharmacy. It also supports the on-going training of all healthcare professionals.
  3. 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.
  4. Content Article
    Report of handling of complaints by NHS hospitals in England by Ann Clwyd MP and Professor Tricia Hart.
  5. Content Article
    Patient Safety Learning held it's second annual conference on Wednesday 2 October, launching the hub and issuing a call for action on patient safety; with inspiring and practical presentations on issues that can be addressed and ways to address them. This blog summarises the themes of the conference and the presentations and discussions that took place. Read more
  6. Content Article
    The National Guardian’s Office (NGO) was established following recommendations made in the Freedom To Speak Up Review by Sir Robert Francis QC. The NGO works to effect cultural change in the NHS so that speaking up becomes business as usual. The office leads, trains and supports a network of Freedom to Speak Up, Guardians (FTSUGs) in England, conducts case reviews, and works in partnership with the wider health system to support learning and improvement.  The office is not a regulator, but is sponsored by the Care Quality Commission (CQC), NHS England and NHS Improvement. 
  7. Content Article
    The Institute for Safe Medication Practices (ISMP) is the only nonprofit organisation in the US devoted entirely to preventing medication errors.  In this video, produced by ISMP in partnership with the Temple University School of Pharmacy, experts discuss medication safety concerns and offer practical error prevention recommendations. 
  8. Content Article
    This guidance note is for general information purposes only. It is not exhaustive but does cover the essential elements needed for parties involved with pharmacy appeals.
  9. Content Article
    This report by NHS Resolution provides an in-depth examination of these rare but tragic incidents and the investigations that follow them. For the purposes of this study they focused on 50 cases of cerebral palsy where the incidents occurred between 2012 and 2016 and a legal liability has been established. Working in partnership with other organisations, including the Royal College of Obstetricians and Gynaecologists, the Royal College of Midwives, NHS England and NHS Improvement, NHS Resolution have highlighted areas for improvement and made clear recommendations to help trusts prevent further incidents. The study draws upon the unique data set NHS Resolution holds to address two key areas for improvement: training to prevent future incidents and the quality of serious incident investigations.
  10. 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.
  11. Content Article
    The US Agency for Healthcare Research (AHRQ): invests in research on the US's health delivery system that goes beyond the "what" of healthcare to understand "how" to make healthcare safer and improve quality creates materials to teach and train health care systems and professionals to put the results of research into practice generates measures and data used by providers and policymakers.
  12. Content Article
    For more than 25 years, the US Institute for Healthcare Improvement (IHI) has used improvement science to advance and sustain better outcomes in health and health care across the world. They bring awareness of safety and quality to millions, accelerate learning and the systematic improvement of care, develop solutions to previously intractable challenges, and mobilise health systems, communities, regions, and nations to reduce harm and deaths. They work in collaboration with the growing IHI community to spark bold, inventive ways to improve the health of individuals and populations. They generate optimism, harvest fresh ideas, and support anyone, anywhere who wants to profoundly change health and health care for the better.
  13. Content Article
    The Care Quality Commission (CQC) are the independent regulator of health and adult social care in England. The CQC make sure health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.
  14. Content Article
    NHS Improvement supports foundation trusts and NHS trusts to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable. From 1 April 2019, NHS England and NHS Improvement came together to act as a single organisation.
  15. Content Article
    The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to improve health and social care.
  16. Content Article
    Engaging with general practices during inspections gives valuable insight into their experiences. Feedback shows that although inspection reports highlight the areas of concern and risk that need to improve, practices want to know more about how to actually improve from a rating of 'requires improvement' or 'inadequate'. The Care Quality Commission (CQC) selected 10 practices throughout the country that had each made significant improvements from their initial inspection to their most recent, and whose overall rating had improved. These 10 case studies highlight some clear actions that other practices can use to help them learn and improve.
  17. Content Article
    In 2016, thirteen organisations from health, social care and local government came together to create the Developing People Improving Care framework, an evidence-based national framework to guide action on improvement skill-building, leadership development and talent management for people in NHS-funded roles. One year on, NHS Improvement highlight some of the work taking place, demonstrating the steps people are already taking to ensure systems of compassion, inclusion and improvement are at the core of the health and care system. They also set out plans for the year ahead and some of the steps you can take to learn more about the framework.
  18. Content Article
    Connor Sparrowhawk died in July 2013 while he was in the care of Southern Health NHS Foundation Trust. An independent report concluded that Connor’s death was preventable and that there were significant failings in his care and treatment. Following publication of this report in February 2014, Oxfordshire Safeguarding Adults Board and NHS England (South) commissioned a second report in June 2014 to find out whether there were wider commissioning, leadership or management issues that could have contributed to the inadequate care that Connor received.
  19. Content Article
    The Healthcare Safety Investigation Branch (HSIB) became operational on 1 April 2017. Their purpose is to improve safety through effective and independent investigations that don't apportion blame or liability. Although funded by the Department of Health & Social Care and hosted by NHS England and NHS Improvement, HSIB operates independently. It is also independent from regulatory bodies like the Care Quality Commission (CQC). By offering a new perspective and developing meaningful and influential recommendations, they aim to drive positive change at a wider level.
  20. Content Article
    Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to encourage prevention and treatment. The US-based Agency for Healthcare Research and Quality created On-time pressure ulcer healing to help nursing homes with electronic medical records address pressure ulcers that are slow to heal.
  21. Content Article
    Good communication between patients and their doctors can reduce harm and keep patients safe. Produced in the US and designed to prime patients to communicate well, this short film shows patients and clinicians talking about why it's important to talk to your doctor and ask questions during medical appointments.
  22. Content Article
    Medical errors can occur anywhere in the healthcare system: hospitals, clinics, surgery centres, doctors' offices, nursing homes, pharmacies and patients' homes. Errors can involve medicines, surgery, diagnosis, equipment or lab reports. These tips tell what you can do to get safer care.
  23. Content Article
    This brochure from the Agency for Healthcare Research and Quality (AHRQ) gives you tips to use before, during and after your medical appointment to make sure you get the best possible care. One way you can make sure you get good quality healthcare is to be an active member of your healthcare team. Patients who talk with their doctors tend to be happier with their care and have better medical results.
  24. Content Article
    Guidance from the Medicines and Healthcare products Regulatory Agency (MHRA), explains how to package medicines for sale and what information you must provide to consumers and healthcare professionals.
  25. Content Article
    Caring for patients in their homes holds many potential benefits, yet the safety of care provided in the home has not received as much attention as patient safety in hospitals and other clinical settings. In this video, Chief Clinical and Safety Officer Tejal Gandhi provides an overview of the Institute of Healthcare Improvement report, No Place Like Home: Advancing the Safety of Care in the Home.
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