In May 2019, the World Health Assembly recognised patient safety as a key health priority, acknowledging the need to “take concerted action to reduce patient harm in healthcare settings”. They asked the World Health Organization (WHO) to formulate an action plan to help improve patient safety, resulting in the first draft Global Patient Safety Action Plan 2021-2030, published for consultation in August 2020.
Patient Safety Learning is pleased to have contributed to the development of this global initiative, with our Chief Executive, Helen Hughes, having attended the initial consulta
In August last year, WHO published the first draft Global Patient Safety Action Plan 2021-2030. It outlined the scale of the patient safety challenge we face globally, with WHO estimating that unsafe care is one of the 10 leading causes of death and disability worldwide. The Action Plan set out a goal of achieving the maximum possible reduction in avoidable harm as a result of unsafe care, accompanied by actions required from WHO, governments, healthcare organisations and key stakeholders over 2021-2030 to help achieve this.
We responded to WHO with our feedback. As part of its o
As an agency scrub nurse, I was booked to work out of London in a private clinic. This was to work two nights and two days in theatres. It was my very first agency shift.
On the way to the theatres, escorted by a porter, I slipped on the stairs whilst holding on to the rails and fell, sustaining a right dislocated shoulder. I had it relocated in A&E in a local NHS hospital and was given entonox and morphine.
I returned to London the next morning – the taxi fare of £220 was not covered by the clinic.
I have now been unemployed for many weeks due to the injury. The Ag
Learning from Excellence (LfE) is a system for capturing examples of good practice in healthcare as a complementary approach to traditional incident reporting.
The LfE philosophy proposes that learning from what works well in a system enables improvements in the quality and safety of the work, and the morale of staff performing it.
LfE systems comprise simple reporting forms for peer-to-peer positive feedback with sharing of examples to enable wider learning.
LfE reporting identifies excellence and learning opportunities in both process and outcome.
WHO's definition of an After Action Review and resources
Guidance for After Action Review
After Action Review infographic
3 minute video explaining the AAR practice as promoted by WHO, including the definition, the different methodologies and available resources.
After Action Reviews and simulation exercises
CAHPS surveys ask patients to report on their experiences with a range of health care services at multiple levels of the delivery system. Some CAHPS surveys ask about patients' experiences with providers, such as medical, groups, practice sites, and surgical centers, or with care for specific health conditions. Other surveys ask enrollees about their experiences with health plans and related programs. Finally, several surveys ask about experiences with care delivered in facilities, including hospitals, dialysis centers, and nursing homes.
For each sur
This virtual conference will focus on measuring, understanding and acting on patient experience insight, and demonstrating responsiveness to ensure Patient Feedback is translated into quality improvement and assurance. Through national updates and case study presentations the conference will support you to measure, monitor and improve patient experience in your service, and ensure that insight leads to quality improvement.
Book your place or email email@example.com
hub members can receive a 20% discount by quoting HCUK20psl when booking
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Actions the National Guardian's Office will take:
Improve the office’s offer of support and guidance.
Further enable existing guardians to support each other.
Take positive action to support guardians in trusts with less positive speaking up cultures.
Improve understanding of the impact of the guardian role, and Freedom to Speak Up culture in the NHS .
Develop governance arrangements and explore further the office’s standing and role in the wider system.
Increase reach into the primary care landscape.
Join-up cross system drivers for improving fre