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Found 141 results
  1. Event
    The Deteriorating Patient Summit focuses on recognising and responding to the deteriorating patient through improving the reliability of patient observations and ensuring quality of care. The conference will include National Developments including the recent recommendations on NEWS2 and Covid-19, and implementing the recommendations from the Healthcare Safety Investigation Branch Report Investigation into recognising and responding to critically unwell patients. The conference will include practical case study based sessions on identifying patients at risk of deterioration, improving practice
  2. Content Article
    ADRe is designed for use by nursing staff (NVQ level 3-5 or above), the professionals closest to patients. By using ADRe complex information on drugs is combined into a checklist providing advice on common problems. This helps nurses recognise and act on adverse drug reaction, including pain, dental pain, aggression, peptic ulcers, and sedation. In doing so, it greatly enhances the administration of medicines, and by capturing this individualised picture of the patients’ health and well-being prompts prescribers to refine dosages. ADRe is very simple to use: Nurses use the Profile
  3. News Article
    Families involved in a major review into maternity failings at Nottingham University Hospitals Trust (NUH) have criticised the decision of the review team to press ahead with the publication of an interim report, despite serious concerns about its terms of reference and methodology. A “thematic review” into NUH was first announced last year after reports that dozens of babies died or were brain damaged after errors were made at the trust over the last decade. More than 460 families have since contacted the review team. The review has been overseen by NHS England and local commissione
  4. Content Article
    Key findings from the 2021 survey include: 95% of respondents said they reported errors to improve pharmacy practice and 80% said they reported in order to help others learn from mistakes. The vast majority (91.4%) of respondents said the reporting procedure was “clear” or “very clear” and a similar proportion (91.6%) said they felt “fairly confident” or “completely confident” following reporting procedures correctly. Almost two thirds (65%) of respondents were aware of the change to the law, introduced in 2018, which provides a legal defence from criminal prosecution in th
  5. Content Article
    On the 30 March 2022 the NHS published the results of its annual staff survey for 2021. 648,594 staff from 280 organisations took part in this, providing a snapshot of their experiences of working in the NHS.[1] This survey provides an important insight into attitudes and feelings towards reporting and acting on patient safety concerns in the NHS and how safe staff feel to speak up on these issues. At Patient Safety Learning we’ve previously highlighted the survey’s results in this regard in 2020 and 2021 and here we consider the most recent results and what they tell us about the safety
  6. Event
    This one day masterclass will focus on improving Patient Safety through enhancing psychological safety and safety culture. It looks at effective ways to encourage health professionals to routinely embed high-quality clinical evidence into their everyday work. We will explore the characteristics of relatively successful behaviour change interventions. All Clinical Staff and Team Leads should attend. Key learning objectives: psychological safety safety culture behaviour human factors how to improve safety reporting. For further information and
  7. Content Article
    What are PFD reports? Coroners have a duty to decide how somebody came by their death and also, where appropriate, to report about that death with a view to preventing future deaths.[1] [2] These reports follow a set template format and are issued by the Coroner to any person or organisation where, in their opinion, action should be taken to prevent future deaths. These reports are made publicly available online and the persons/organisations involved having a duty to respond within 56 days. PFD reports relating to deaths in health and social care settings can help to identity what wen
  8. Event
    This webinar from The European Hospital and Healthcare Federation (HOPE) on 29 March at 14:00 BST (15.00 CEST) will look at the Flemish Institute for Quality of Care (VIKZ). VIKZ is a network organisation financed by the Flemish government that has as primary goal to measure, follow up and publicly report quality and safety of care in the Flemish healthcare sector for the purpose of quality improvement. The objectives of the webinar are to: present the methodology used. give an overview of preliminary results. discuss challenges and future objectives of the VIKZ.
  9. Content Article
    I love and support the NHS. But when things go wrong for patients and service users, the system is often too slow to change or respond effectively. I have been through complaints, the Ombudsman and Inquest processes around the poor end of life care of my late mother. Those processes took years and were almost as stressful as those last few days of my mother’s life. I would not do it again. At the time, I reported the incident in detail to the CQC (inspectors), to the CCG (commissioners), to Healthwatch (local and national), but I noted no evidence of change. In fact, the CQC continued for
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