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Found 163 results
  1. Content Article
    Following the publication of the Health and Care Professions Council (HCPC) whistleblowing policy, this blog post provides more details on who to raise your concerns with, and how and when to do so.
  2. Content Article
    This paper from Kneebone et al, published in BMC's Advances in Simulations proposes simulation-based enactment of care as an innovative and fruitful means of engaging patients and clinicians to create collaborative solutions to healthcare issues.
  3. Content Article
    Inno-Veristy presents 'Greatness' by Captain David Marquet, based on his best selling book 'Turn this ship around'.
  4. Content Article
    This joint project with East Berkshire CCG was highlighted within the AKI Programme within Oxford Patient Safety Collaborative. Fewer residents are suffering urinary tract infections (UTIs) following the introduction of a hydration programme in care homes. UTIs are closely associated with dehydration. This project was designed to encourage residents to drink more fluids with the aim that this would lead to fewer UTIs requiring medication or hospital admission. This approach involved introducing structured drinks rounds seven times a day, designed and delivered by care home staff. The initial focus was in four care homes which had higher than average UTI admission to hospital rates.
  5. Content Article
    Human Factors (Ergonomics) is the study of human activity (inside and outside of work). Its purpose as a scientific discipline is to enhance wellbeing and performance of individuals and organisations. A number of different definitions of Human Factors exist. The key principles are the interactions between you and your environment both inside and outside of work and the tools and technologies you use. This webpage from NHS Education Scotland (NES) provides links to a number of useful Human Factors resources used in healthcare. Topics include: Training Culture Leadership Systems Thinking Communication.
  6. Content Article
    For any nurse working in a direct care setting, preparing medications and administering them to patients is part of the daily routine. Mistakes can happen at any point in the process. Administration errors are one of the most serious and most common mistakes made by nurses. The result may lengthen a hospital stay, increase costs, or have life and death implications for the patient. So, what can you do to safely administer medications? This blog gives some tips on good practice.
  7. Content Article
    This article, published in Drug Safety, Robust, argues that active cooperation and effective, open communication between all stakeholders is essential for ensuring regulatory compliance and healthcare product safety; avoiding the necessity for whistle-blowing; and, most essentially, meeting the transparency requirements of public trust.
  8. Content Article
    This editorial, published by the Lancet, highlights that racism is the root cause of continued disparities in health and mortality rates between black and white people in the USA and a global public health emergency. It discusses what medical journals can and must do to help.
  9. Content Article
    As the NHS takes it's first steps out of lockdown, the safety of the workplaces is crucial. Kim McAllister spoke to three experts in psychology, human factors and ergonomics to discuss the physical, emotional, psychological and cognitive issues around returning to work safely. This podcast, from the Chartered Institute of Ergonomics and Human Factors Group offers advice to employers and employees alike.
  10. Content Article
    Safety Differently are a safety news site, crafted by professionals and enthusiasts from various industries around the globe. They share innovative and critical safety ideas to empower a community of change-makers to make an impact and do safety differently.
  11. Content Article
    This interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insights during the coronavirus pandemic. Here Martin interviews an advanced specialist paramedic working in central London with four years' experience of working on the frontline. 
  12. Content Article
    Patients in inpatient mental health settings face similar risks (e.g., medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (e.g., self-harm), and the measures taken to address these (e.g., restraint), may result in further risks to patient safety. The objective of this review from Thibaut et al., published in BMJ Open, was to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology. The authors found that patient safety in inpatient mental health settings is under-researched in comparison to other non-mental health inpatient settings. Findings demonstrate that inpatient mental health settings pose unique challenges for patient safety, which require investment in research, policy development, and translation into clinical practice.
  13. Content Article
    There has been an increase in the number of units providing anaesthesia for magnetic resonance imaging and the strength of magnetic resonance scanners, as well as the number of interventions and operations performed within the magnetic resonance environment. More devices and implants are now magnetic resonance imaging conditional, allowing scans to be undertaken in patients for whom this was previously not possible. There has also been a revision in terminology relating to magnetic resonance safety of devices.  These guidelines, by the Association of Anaesthetists, have been put together by organisations who are involved in the pathways for patients needing magnetic resonance, reinforce the safety aspects of providing anaesthesia in the magnetic resonance environment and suggest that hospitals should develop and audit governance procedures to ensure that anaesthetists of all grades are competent to deliver anaesthesia in the magnetic resonance environment.
  14. Content Article
    The prevention of healthcare associated infections (HAIs) is an integral component of good medical practice; anaesthetists have a central role in ensuring every patient receives the best protection against HAIs. In this guideline, written by the Association of Anaesthetists, recommendations include that there should be a named lead consultant in each department of anaesthesia who is responsible for liaising with their trust’s infection prevention and control team and occupational health department to ensure best antimicrobial practice is maintained in all areas of anaesthetic practice.
  15. Content Article
    In this blog, Martin Hogan shares his experience of working as an agency nurse and how different behaviours can impact on the safety of both staff and patients.  
  16. Content Article
    The NHS Staff Survey is one of the largest workforce surveys in the world and has been conducted every year since 2003. It asks NHS staff in England about their experiences of working for their respective NHS organisations. The survey provides essential information to employers and national stakeholders about staff experience across the NHS in England. Participation is mandatory for trusts and voluntary for non-trust organisations (CCGs, CSUs, social enterprises). The survey does not cover primary care staff. The report below provides a concise summary of key national results. Detailed local (organisation-level) results are also available here.
  17. Content Article
    First, do no harm. Doctors, nurses, and clinicians swear by this code of conduct. Yet, medical errors are made every single day - avoidable mistakes that often cost lives. Inspired by two such mistakes, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Safe Patients, Smart Hospitals shows how Dr. Pronovost started a revolution by creating a simple checklist that standardised a common ICU procedure. His reforms are being implemented in all fifty states of the US and have saved hundreds of lives by cutting hospital-acquired infection rates by 70%. Atul Gawande profiled Dr. Pronovost's reforms in a New Yorker article and his bestselling book The Checklist Manifesto is based upon Dr. Pronovost's success in patient safety. But Safe Patients, Smart Hospitals is the real story: an inspiring, thought-provoking, accessible insider's narrative about how doctors and nurses are improving patient care.
  18. Content Article
    Emma Plunkett, Consultant Anaesthetist and Adrian Plunkett, Paediatric Incentivist, talk about what inspired them to establish the Learning from Excellence approach to patient safety and care, how it has made an impact in the West Midlands and why it won a coveted HSJ Patient Safety Award.
  19. Content Article
    The PRAISe project tests the hypothesis that, together, positive reporting and appreciative inquiry can be used as an intervention to facilitate behavioural change and improvement in the related areas of sepsis management and antimicrobial stewardship.
  20. Content Article
    This paper, published by BMJ Quality & Safety, looks at the global rise in patient complaints which has been accompanied by growing research to effectively analyse complaints for safer, more patient-centric care. Most patients and families complain to improve the quality of healthcare, yet progress has been complicated by a system primarily designed for case-by-case complaint handling.  If healthcare settings are better supported to report, analyse and use complaints data in a standardised manner, complaints could impact on care quality in important ways. This review has established a range of evidence-based, short-term recommendations to achieve this.
  21. Content Article
    Expanding on his previous commentary 'What does all this safety stuff have to do with me', Dan Cohen, Patient Safety Learning's Trustee and former Chief Medical Officer at DATIX, has written this article for the hub on personal responsibility in patient safe care.
  22. Content Article
    The World Health Organization has produced a number of resources, in response to the coronavirus outbreak, to help members of the public know when they should wear a mask and how to put on, use, take off and dispose of a mask.
  23. Content Article
    A poster created by the Royal College of Physicians to help frontline workers understand how to wear personal protective equipment safely.
  24. Content Article
    By addressing new challenges and forming Actionable Patient Safety Solutions (APSS) the Patient Safety Movement Foundation believe they can reduce the number of preventable deaths in hospitals to zero. Here you will find links to 18 challenges and over 30 solutions to overcome some of the leading patient safety challenges facing hospitals today. Resources are available to download and share.
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