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Found 92 results
  1. Content Article
    The six patient safety priorities outlined by Jeremy Hunt are: Develop a credible and comprehensive NHS and social care workforce plan Reform primary care by bringing back individual GP lists Provide a timetable by which the recommendations from the Ockenden Review will be implemented Scrap national NHS targets Join forces with the Treasury and radically reform our litigation and compensation systems Revamp the Learning from Deaths programme so that all Trusts are publishing data on the avoidable deaths that happen in their services
  2. Content Article
    The Measure Dx Guide is organised into four sections that outline a series of steps to begin and sustain measurement of diagnostic safety: Part I outlines ways to engage people in the organisation to ensure adequate resources to implement measurement and learning activities. Part II contains a self-assessment checklist to gauge readiness for implementation, as well as guidance for choosing a measurement strategy that fits with your organisation's resources. Part III describes four different strategies (systematic approaches to measurement) based on different types of data s
  3. Content Article
    For the last 40 years, mainstream nursing workforce research has emphasised that having more registered nurses leads to better patient outcomes, and yet staffing policies have failed to implement this crucial concept. Meanwhile, global nursing shortages have become rampant, a problem that only dilutes the skill-mix ratios in the nursing workforce. There remains a dearth of well-researched evidence for a clear threshold on optimal safe staffing levels that could maximise quality of care relative to cost given limited healthcare financial budgets and which could also be fitted into each care set
  4. Content Article
    Organisers of the HSJ Patient Safety Congress are pleased to confirm that three of the UK’s most influential figures in the field will be speaking at the event – which is taking place on 15-16 September in Manchester Central. The Congress is the only event of its kind which brings together stakeholders from across the health and care spectrum to debate the most critical patient safety issues, sharing practical solutions to enable progress, in line with the national Patient Safety Strategy. The 2-day annual meeting provides a welcome opportunity to demonstrate best practice, innovatio
  5. Content Article
    Semi-structured interviews were conducted with eleven key stakeholders involved in the implementation and/or use of online patient feedback. Data were analysed using deductive thematic analysis with Normalisation Process Theory used as the analytical framework. Participants viewed the implementation of online feedback as an opportunity to learn, change and improve. Factors found to facilitate implementation were often linked to engagement, support and promotion. Although less frequently described, barriers to implementation included staff anxieties about time pressures, moderation processes an
  6. Content Article
    Morris et al. concluded that the current state of knowledge of time lags is of limited use to those responsible for R&D and knowledge transfer who face difficulties in knowing what they should or can do to reduce time lags. This effectively ‘blindfolds’ investment decisions and risks wasting effort. The study concludes that understanding lags first requires agreeing models, definitions and measures, which can be applied in practice. A second task would be to develop a process by which to gather these data. Further reading: Patient Safety Learning - Mind the implementation gap: Th
  7. Event
    This masterclass will cover the new guidance and provide participants with an in-depth knowledge of what needs to be done to comply with the duty of candour; clarify ‘grey areas’ and provide advice on dealing with difficult situations which may arise. It will provide participants with an understanding of good practice in implementing the duty and, in particular doing so in a meaningful way with empathy, to not only comply, but to work with patients and loved ones in a way that puts the emotional experience at the heart of communication. Anyone with responsibility for implementing the duty
  8. News Article
    Patients continue to experience avoidable harms from unsafe care because the NHS fails to learn from its mistakes, a report that tracked what actions the NHS took following safety reviews over several decades has found. Patient Safety Learning looked at the findings of a variety of investigations, including widespread public inquiries, Healthcare Safety Investigation Branch (HSIB) reports, Prevention of Future Deaths reports, incident reports, and complaints and legal action by patients and their families. It found an “implementation gap” in learning lessons and taking action to prev
  9. Content Article
    The World Health Organization states that unsafe care is one of the top ten leading causes of death and disability worldwide, with the NHS estimating that there are around 11,000 avoidable deaths annually due to safety concerns. However, despite a range of international and national initiatives aimed at reducing avoidable harm, it remains a persistent, wide-scale problem. A key reason for this is the implementation gap, the difference between what we know improves patient safety and what is done in practice. In this report Patient Safety Learning highlights six specific policy areas where
  10. News Article
    An NHS hospital where a woman bled to death in childbirth has been given an "urgent" deadline to keep patients at its maternity unit safe. A letter seen by the BBC reveals the Care Quality Commission (CQC) found unsafe staffing levels at the unit at Basildon Hospital throughout August. The CQC said the trust that runs it had until next Monday to implement appropriate measures. The trust said it had a "robust improvement plan in place". The seven-page document, sent by the CQC on 7 October, puts the Mid and South Essex NHS Foundation Trust on notice that it has to "implement an e
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