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Found 409 results
  1. Content Article
  2. Content Article
  3. Event
    This Westminster Health conference will discuss the next steps for professional healthcare regulation in the UK. It is being structured as an opportunity to consider: issues emerging from the Government’s consultations on regulating healthcare professionals measures in the Health and Social Care Act aimed at simplifying and modernising the legal framework for the regulation of health and care professions the impact of the pandemic on the landscape for professional healthcare regulation. Overall, areas for discussion include: priorities - changes in the ap
  4. Content Article
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    As AvMA begins their 40th anniversary celebrations, it is looking for an inspirational, entrepreneurial and dynamic leader. You will have the opportunity to help us build on AvMA's achievements over the last 40 years and to shape its future, defining the strategic direction, driving progress and results and leading a team of more than 20 individuals who are committed to and passionate about patient safety for years to come. Your responsibilities will include strategic development, leadership, trustee support, partnership and business development, operations and delivery, policy and campai
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    It is 22 years since the publication of To Err is Human and An Organisation with a Memory. Patient Safety has become a priority worldwide with the passing of the WHO Global Action Plan on Patient Safety. Almost every country has a plan or set of interventions to decrease harm and make healthcare safer. And the development of the science of patient safety has been exponential with increasing evidence of what is required to be safe. We now know what we need to do to prevent harm. In the report led by Sir Liam Donaldson it was stated that four actions were needed to improve safety in the NHS
  9. Content Article
    The recent Patient Safety Learning report, 'Mind the implementation gap: The persistence of avoidable harm in the NHS', highlights some important challenges and barriers to patient safety improvement, not only for the NHS in the UK but globally for health systems across the world. In many countries, including my country, Ethiopia, various investments have been made to improve the safety of healthcare delivery. We have been setting national minimum requirements/standards for health facilities, ethics and competence review systems for health professionals, but we have never had the confiden
  10. Content Article
  11. 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
  12. Content Article
  13. News Article
    Press release: 7 April 2022 Today the charity Patient Safety Learning has published a new report, ‘Mind the implementation gap: The persistence of avoidable harm in the NHS'. The report is an evidence-based summary of the failures over decades to translate learning into action and safety improvement. It highlights that avoidable unsafe care kills and harms thousands of people each year in the UK and costs the NHS billions of pounds for additional treatment, support, and compensatory costs. The report highlights how we fail to learn lessons from incidents of unsafe care and are not
  14. 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
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    At Patient Safety Learning we believe that to reduce avoidable harm in healthcare we need a transformation in our approach to patient safety. Patient safety should not be treated as one of several strategic priorities, but instead as a core purpose of health and social care. This requires us not just to respond to, and mitigate the risk of, harm, but also to design healthcare to be safe for patients and the staff who work within it. This approach extends to how we source, supply and monitor the use of healthcare equipment and products. Procurement and supply chains can be complex and may
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    Example 1. Organisational learning – AARs post-Covid One of the many hospitals that had to rapidly reconfigure services and respond to the first Covid-19 surge invited clinical and operational teams to participate in AARs on any topic of their choice. Over 140 staff, including porters, mortuary technicians, matrons, consultants, junior doctors and nurses at every grade participated in 10 AARs, focusing on learning from different aspects of the response, including the emergency and the elderly care units, the respiratory intensive care team and the redeployment and training activities.
  20. Content Article
    BMJ 2022;376:e055084
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    In 2020-21, the number of people visiting the A&E department at the East Kent University Hospital Trust (EKHUFT), one of the largest trusts in the south east, increased by up to 25%. At that time, we noted a surge in cases of falls in A&E, particularly those resulting in severe harm. The risk factors were clear: A&E departments were busier than they had ever been The quality of health in patients seeking help at A&E was declining Those seeking help had longer-than-usual waiting times in A&E departments There was no clear way for staff to indic
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