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Found 127 results
  1. Content Article
    As part of the Medicines and Medical Devices Act 2021, the UK Government formally committed to establishing the new role of a Patient Safety Commissioner for England.[1] This was a key recommendation set out in the First Do No Harm report, published in July 2020 by the Independent Medicines and Medical Devices Safety Review (also known as the Cumberlege Review).[2] Here we will briefly provide the background to the creation of this role, before then outlining the key elements of our response to the Department of Health and Social Care consultation on this under the following headings:
  2. Community Post
    Way back in March I applied to re-join the NHS to help with COVID-19. I am a mental health nurse prescriber with an unblemished clinical record. I have had an unusual career which includes working in senior management before returning to clinical work in 2002. I have also helped deliver several projects that achieved nation recognition, including one that was highly commented by NICE in 2015, and one that was presented at the NICE Annual Conference in 2018. Several examples of my work can be found on the NICE Shared Learning resource pages. Since applying as an NHS returner. I ha
  3. Content Article
    Key takeaways A core strategy for organisational leaders to establish safe environments for both patients and staff members is taking responsibility for creating and nurturing a culture of safety. Leaders can strive to reach this goal in their facilities by implementing a just culture – a model and framework in which staff members are empowered to share concerns, near misses, or errors freely without fear of punishment. In a just culture, leaders focus not only on why a mistake occurs, but also on the individual’s intent, and then hold that individual accountable for the behaviour.
  4. Content Article
    In September 2020, the Scottish Government formally announced as part of its Programme for Government 2020-21 that it would establish a Patient Safety Commissioner for Scotland.[1] This was one of the key recommendations set out in the First Do No Harm report, published earlier that year by the Independent Medicines and Medical Devices Safety Review (more commonly known as the Cumberlege Review).[2] Here we will briefly provide the background to this proposal before outlining the key elements of our response to the public consultation on this under the following headings: Initial re
  5. Content Article
    The following guideline will help to support a consistent and fair approach to the management of staff following events involving healthcare associated harm. It is based on the following premises: Healthcare is a complex and high risk activity prone to healthcare associated harm. Weak systems create the conditions for and the inevitability of human error. Latent conditions preceding adverse events include poor decisions, poor designs, poor supervision, inadequate tools and equipment, and the cumulative actions of individuals. Capturing, tracking and learning from health
  6. Community Post
    The Academy of Medical Royal Colleges have published the first National patient safety syllabus that will underpin the development of curricula for all NHS staff as part of the NHS Patient Safety Strategy: https://www.pslhub.org/learn/professionalising-patient-safety/training/staff-clinical/national-patient-safety-syllabus-open-for-comment-r1399/ Via the above link you can access a ‘key points’ document which provides some of the context for the syllabus and answers to some frequently asked questions. AOMRC are inviting key stakeholders to review this iteration of the syllabus (1.0)
  7. Content Article
    The first presentation draws on a recent National Institute for Health Research (NIHR) funded mixed-methods evaluation of the translation into practice of several ‘post-Francis’ policies that have aimed to improve openness in the NHS, and identifies key conditions necessary for policies to make sustainable impact on culture and behaviour. The second presentation reflects on material from a forthcoming book which will offer unfiltered accounts from patients, carers and healthcare professionals about their good and bad experiences of how care is organised, from birth up to the end of life.
  8. Content Article
    Every healthcare professional must be open and honest with patients when something that goes wrong with their treatment or care causes, or has the potential to cause, harm or distress. This means that healthcare professionals must: tell the patient (or, where appropriate, the patient’s advocate, carer or family) when something has gone wrong apologise to the patient (or, where appropriate, the patient’s advocate, carer or family) offer an appropriate remedy or support to put matters right (if possible) explain fully to the patient (or, where appropriate, the patient’s a
  9. Content Article
    Guidance for NHS trust and NHS foundation trust boards on Freedom to Speak Up Freedom to Speak Up supplementary information Freedom to Speak Up self-review tool
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