Tag Archives: Ethic of Learning

Berwick Report One Year On: NHS England’s Progress on Patient Safety (NHS England / Health Foundation)

Posted on August 21, 2014 by Dementia and Elderly Care News

Summary It is just over one year since Professor Don Berwick published the “A promise to learn: a commitment to act” report on the safety of patients in England in the wake of the Francis Inquiry. This is a brief review of progress since … Continue reading →

Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, Local Interest, Management of Condition, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Academic Health Science Networks (AHSNs), Action Against Medical Accidents, Airline Industry (Zero Harm), BBC Health News, Berwick Review of Patient Safety, Collaborative Leadership, Collaborative Projects, Collaborative Working, Continuous Learning, Continuous Learning Culture, Culture Change, Culture of Zero-Harm, Dr Mike Durkin: NHS England’s Director of Patient Safety, Ethic of Learning, Fitness to Practise, Fitness to Practise Policy Team: General Medical Council, Francis Inquiry Report, General Medical Council (GMC), GMC Sanctions Guidance, GMC Sanctions: Consultation, Good Medical Practice, Harm Free Care, High Quality Care, Hospital Mortality Rates, Hospital-Acquired Infections, IHI: Institute for Healthcare Improvement, Improvement Collaboratives in Health Care, Incident Reports, Incorrect Priorities, Information Centre for Health and Social Care, Institute for Healthcare Improvement (IHI), Institute of Healthcare Improvement (IHI) Trigger Tool, Kaizen, Leadership, Learning From Mistakes, Local Patient Safety Collaboratives, Local Patient Safety Collaboratives Programme, Measures of Harm, Measuring Safety Culture, Medical Practitioners Tribunal Service (MPTS), Mid Staffordshire NHS Foundation Trust, Mortality Rates, MPTS Panels, National Patient Safety Alerting System (NPSAS), Never Events, Never Events Data, NHS Culture, NHS England National Patient Safety Alerting System, NHS Improving Quality (NHS IQ), NHS Improving Quality (NHSIQ), NHS Regulation, NHS Safety Thermometer, NHS Safety Thermometer Patient Data, No Harm Culture, Open Culture, Openness, Openness and Transparency, PANICOA (Prevention of Abuse and Neglect in the Institutional Care of Older Adults), Patient Harms, Patient Safety, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Patient Safety Indicators, Patient Safety Strategies, Professor Don Berwick, Quality Control, Quality Improvement, Quality Improvement Approaches, Quality of Care, Quality Patient Care, Regulation, Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report, Sign Up to Safety Campaign, Sign Up to Safety Pledges, Target-Chasing (Hitting the Target Missing the Point), Training and Capacity-Building, Transparent Learning Culture, Zero Harm, Zero Tolerance Healthcare | Leave a comment

Proposals for Zero Harm Culture in NHS (BBC News / Department of Health)

Posted on August 6, 2013 by Dementia and Elderly Care News

Summary Professor Don Berwick of the Institute for Healthcare Improvement (IHI), which he co-founded in Cambridge (Massachusetts), is expected to release plans to create a “zero harm” culture in the NHS in England today. Prof. Berwick, being a world expert on patient safety, was asked by ministers … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, Falls, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, Nutrition, Patient Care Pathway, Physiotherapy, Practical Advice, Proposed for Next Newsletter, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Abuse, Abuse of Vulnerable Adults, Action Against Medical Accidents, Action against Medical Accidents (AvMA), Airline Industry (Zero Harm), BBC Health News, Berwick Review of Patient Safety, Best Practice, Catheters and UTIs, Culpability, Culture Change, Culture of Zero-Harm, DVT, Elder Abuse, Empowerment, Enforcement, Engagement, Ethic of Learning, Experimental Statistics, Falls, Fear is Toxic, Francis Inquiry Report, Harm Free Care, High Quality Care, Hospital Mortality Rates, Hospital-Acquired Infections, IHI: Institute for Healthcare Improvement, Imperial College Centre for Patient Safety and Service Quality, Incident Reports, Incorrect Priorities, Information Centre for Health and Social Care, Institute for Healthcare Improvement (IHI), Institute of Healthcare Improvement (IHI) Trigger Tool, Leadership, Learning From Mistakes, Liability, Measures of Harm, Measuring Safety Culture, Mid Staffordshire NHS Foundation Trust, Mortality Rates, National Advisory Group on the Safety of Patients in England, Neglect, NHS Culture, NHS Regulation, NHS Safety Thermometer, NHS Safety Thermometer Patient Data, No Harm Culture, Old Pressure Ulcers, Open Culture, Openness, Openness and Transparency, PANICOA (Prevention of Abuse and Neglect in the Institutional Care of Older Adults), Patient and Public Involvement (PPI), Patient Harms, Patient Safety, Patient Safety Indicators, Patient Safety Strategies, Patient Voice, Patients First and Foremost, Pre-Surgery Checklists, Pressure Ulcer Incidence, Pressure Ulcer Prevalence, Pressure Ulcers, Professor Don Berwick, Quality Control, Quality Improvement, Quality of Care, Quality Patient Care, Regulation, Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report, Review of Central Returns Steering Committee (ROCR), ROCR Approval, ROCR: Review of Central Returns, Safe Staffing, Safe Staffing for Older People in Hospitals, Shaping Culture, Staffing, Staffing (Hospitals), Staffing Levels, Target-Chasing (Hitting the Target Missing the Point), Training and Capacity-Building, Transparent Learning Culture, Urinary Catheterisation, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Venous Thromboembolisms (VTEs), VTE (Venous Thromboembolism), VTE Prophylaxis, VTE Risk Assessment, Zero Harm, Zero Tolerance Healthcare | Leave a comment

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