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Tag Archives: National Patient Safety Agency (NPSA)
The Financial and Human Costs of Mistakes (BBC News / Frontier Economics / CQC / NHS England / NHS IQ / BMJ Quality and Safety / Department of Health / BMC Family Practice)
Summary The NHS in England is being urged to reduce mistakes by half, as mistakes in hospitals cost the NHS around £2.5bn per year. Four aspects of poor patient safety include falls, bed ulcers, urinary infections caused by poorly fitted … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Academic Health Science Networks (AHSNs), Adverse Events, AHSNs, Australia, Australia's Safety Alert Broadcasting Systems, Avoidable Harm, Avoiding Litigation, Avon and Wiltshire Mental Health Partnership NHS Trust, BBC Health News, BBC Shared Data Unit, Bed Sores, Bed Ulcers, Behavioural Insights Team, Berwick Review, Berwick Review of Patient Safety, Birmingham Children’s Hospital (BCH), Birmingham Children’s Hospital NHS Foundation Trust, Blood Clots, BMC Family Practice, BMJ Quality and Safety, Bradford, Bradford Institute for Health Research, Bradford Royal Infirmary, Capping Lawyers' Payments (Negligence Claims), Care Quality Commission (CQC), Centre for Clinical Governance Research: University of New South Wales, Consequences of the Francis Inquiry Report, Costs of NHS Mistakes (Statistics), Costs of Unsafe Care in NHS, County Durham and Darlington NHS Foundation Trust, CQC Hospital Inspections, Decubitus Ulcers, Dr Chris Streather: Managing Director of Health Innovation Network (AHSN for South London), Dr Liz Mear: Chief Executive, Dr Mike Durkin: NHS England’s Director of Patient Safety, DVT, Effectiveness, Ensuring Correct Personal Information, Falls Prevention, Financial Incentives, Financial Penalties, Former Health Secretary Jeremy Hunt, Francis Inquiry, Frontier Economics Ltd, Guy's and St Thomas' NHS Foundation Trust, Haelo (Innovation and Improvement Centre), Harm Free Care, Harm Free Care Website (Run by Haelo Team), HC 691, Healthbus, Healthcare Quality Improvement, Hospital Aquired VTE, Hospital Discharge, IHI Outpatient Adverse Event Trigger Tool, Improving Patient Safety, Incentives, Infection Prevention, Institute of Psychological Sciences, Institute of Psychological Sciences: University of Leeds, Leeds, Legal Costs: Negligence Claims, Litigation Claims, Local Area Teams (LATs), Local Patient Safety Collaboratives, Medical Negligence Claims, Medicines Safety, National Audit Office (NAO), National Patient Safety Agency (NPSA), National Reporting and Learning System (NRLS), Negligence Claims Against the NHS, Never Events, Never Events Policy Framework, Never Events Policy Framework Review, Never Events Policy Framework Review Consultation, NHS Area Teams (ATs), NHS England's Sign Up to Safety Campaign, NHS Improving Quality (NHS IQ), NHS IQ, NHS Litigation Authority (NHSLA), NHS Resolution, NHS Safety Thermometer, NHS Standard Contract, NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre: University of Manchester, North West Coast AHSN, Northamptonshire Healthcare NHS Foundation Trust, NRLS Harm Definitions, Parliamentary and Health Service Ombudsman (PHSO), Patient Safety, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Patient Safety Thermometer, Pay-Outs by NHS Litigation Authority, Payments in Respect of Negligence Claims Against the NHS, Performance Incentives, Positive and Negative Deviance, Positive Behaviours, Positive Deviance, Pressure Sores, Pressure Ulcer Avoidance, Pressure Ulcers, Pressure Ulcers: Prevention, Preventable Adverse Events, Productivity, Professor Don Berwick, Promise to Learn: Berwick Report, Prospective and Proactive Thinking, Quality Improvement Methodologies, Raising Concerns, Raising Questions, Reducing Clinical Negligence Claims, Reducing Litigation Costs, Reduction in Bureaucracy, Rotherham Doncaster and South Humber NHS Foundation Trust, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Safety Alert Broadcasting Systems (Australia), Safety Initiatives, Safety Standards in Hospitals, Safety Standards in Hospitals in England, Safety Thermometer, Salford Royal NHS Foundation Trust, School of Community Health Sciences: University of Nottingham Medical School, Serious Incident Framework, Service Redesign for Productivity, Severe Pressure Ulcers, Sign up to Safety, Sign Up to Safety Campaign, Sign Up to Safety Pledges, STEIS, Strategic Executive Information System (StEIS), Suzette Woodward: Sign Up to Safety, Tools for Primary Care Patient Safety, UK NHS Institute for Innovation and Improvement Primary Care Trigger Tool, University College London Hospitals NHS Foundation Trust, University of Leeds, University of Manchester, University of New South Wales, University of Nottingham, University of Nottingham Medical School, Unsafe Care in NHS, Urinary Catheters, Urinary Infections, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Venous Thromboembolisms (VTEs), VTE (Venous Thromboembolism), Winterbourne View, Zero Harm
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Parkinson’s Disease: Information for Hospital Pharmacists (Parkinson’s UK)
Summary This brief guide from Parkinson’s UK has been released for hospital pharmacists (and other healthcare professionals) as an aid to improve awareness and education about the condition. This booklet is aimed at hospital pharmacists, but another guide for community … Continue reading
Posted in Charitable Bodies, National, Parkinson's Disease, Pharmacological Treatments, Practical Advice, Quick Insights, UK, Universal Interest
Tagged Anti-Emetics, Anticholinergics, Awareness and Understanding, Awareness Raising, Catechol-O-Methyl Transferase Inhibitors, Dopamine, Dopamine Agonists, Drug Charts, Get It On Time Campaign, Glutamate Antagonist, Harm From Omitted and Delayed Medicines, Hospital Pharmacists, Levodopa, Medicines Management, Medicines Management Audits, Medicines Optimisation, Medicines to Avoid (Parkinson's Disease), Monoamine-Oxidase B Inhibitors, National Patient Safety Agency (NPSA), Neurological Disorders, NICE Guideline on Parkinson’s Disease, Parkinson's Awareness Week, Parkinson’s Awareness Week (2014), Parkinson’s Disease: for Hospital Pharmacists, Parkinson’s UK, Parkinson’s UK (Parkinsons Disease Society), Parkinsonian Symptoms, Pharmacists, Pill Timers, Self-Administration, SIGN Guideline on Parkinson’s Disease, Timely and Accurate Medication, Wearing Off
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Patient Safety Reporting Systems: Integrated Development (E-Health Insider)
Summary NHS England and the MHRA are working to integrate the two national reporting systems for patient safety in the NHS. The National Reporting and Learning System (NRLS), previously run by NPSA, and one run by MHRA are being merged … Continue reading
Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), In the News, Integrated Care, National, NHS, NHS England, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest
Tagged Consequences of the Francis Inquiry Report, DATIX (Patient Safety Healthcare Incidents Software), Health Information Technology, Improving Patient Safety, Information Technology, Medicines and Healthcare Products Regulatory Agency, Medicines and Healthcare Products Regulatory Agency (MHRA), Medicines Healthcare Products Regulatory Agency (MHRA), National Medical Devices Safety Network, National Patient Safety Agency (NPSA), National Reporting and Learning System (NRLS), Patient Safety, Patient Safety Alerts, Patient Safety Collaborative Programmes, Patient Safety Improvement Collaboratives, Patient Safety Incidents, Patient Safety Indicators, Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report
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Government’s Response to Francis Inquiry Report (Department of Health)
Summary The Government has published a full response to Robert Francis QC’s report into poor standards of care at Mid Staffordshire NHS Foundation Trust. “These documents build on the government’s initial response: Patients First and Foremost, which was published in … Continue reading
Posted in Acute Hospitals, Age UK, BBC News, Commissioning, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Local Interest, Management of Condition, National, NHS, NHS Digital (Previously NHS Choices), NHS England, Quick Insights, Standards, UK, Universal Interest
Tagged Acute Care, Acute Hospitals, Adverse Events, Adverse Incidents, After Francis: Making a Difference, Avoidable Harm, Behind the Headlines, Care Home Inspections, Care in General Hospitals, Care Quality, Care Quality Commission (CQC), Caring for older people, Chief Inspector of Hospitals, Clinical Involvement in Policy Decisions, Compassionate Care, Complaints Handling, Consequences of the Francis Inquiry Report, Coroners and Inquests, Corporate Accountability, CQC Access to Complaints Information, Culture, Culture of Compassionate Care, Department of Health Culture, Department of Health Leadership, Dignity, Dignity and Respect, Duty of Utmost Good Faith, Effective Complaints Handling, Fit and Proper Person’s Test, Foundation Trust Governors, Foundation Trust Status, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Report, Fundamental Standards, Fundamental Standards of Behaviour, General Hospitals, General Medical Council, Government Response to Francis Inquiry Report, Handbook to the NHS Constitution, Health and Safety Executive, Health and Safety Executive (HSE), Health Protection Agency (HPA), Healthcare Standards, Hospital Inspections, House of Commons Health Select Committee (HSC), Inspection Teams, Inspections and Bureaucracy, Leadership, Local Scrutiny, Medical Training and Education, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid Staffordshire NHS FT Public Inquiry: Government Response, Mid-Staffordshire NHS Trust, Monitor, Monitor (Regulator of Health and Care Providers), Monitor’s Quality Governance Framework, Monitoring, Monitoring Media Reports, National Patient Safety Agency, National Patient Safety Agency (NPSA), Negative Culture, NHS Constitution, NHS Constitution Handbook, NHS Culture, NHS Litigation Authority, NHS Regulation, NHS Trust Development Authority (NTDA), NHS Values and Constitution, Nursing, Nursing Standards, Offence for Death or Serious Injury to Patients, Openness, Overview and Scrutiny Committees, Patient and Public Involvement, Patient Experience, Patient Safety Alerts, Patient-Led Hospital Inspection Regime, Patients Not Heard, Performance Management and Strategic Oversight, Poor Governance, Positive Culture, Prioritising Patients, Professional Bodies, Professional Disengagement, Professional Regulation, Putting Patients First, Quality Accounts, Quality and Risk Profiles (QRPs), Quality and Sustainability, Quality Improvement, Quality Standards, Raising Concerns, Raising Concerns Around Deaths, Reactions to the Francis Inquiry Report, Regulating Healthcare Systems, Regulating Healthcare Systems: Health and Safety Executive, Regulating Healthcare Systems: Monitor, Regulation, Regulation of Governance, Regulators, Regulators Sharing Information, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting of Incidents, Responses to the Francis Inquiry Report, Safety and Quality Standards, Scrutiny, Serious and Untoward Incidents (SUIs), Serious Incidents, Shaping Culture, Single Regulatory Process, Sir Robert Francis QC, Staff Commitment, Staffing Levels, Stafford, Strengthening Corporate Accountability, Subcontractors and NHS Values, Suspected Breach of Standards, Sustainability, System Regulatory Functions, Values, Warning Signs, West Midlands, Whistleblowing
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Quality Standards in Nutritional Care: a Toolkit for Commissioners and Providers in England (BAPEN)
Summary The British Association for Parenteral and Enteral Nutrition (BAPEN) toolkit, entitled “Malnutrition matters: meeting quality standards in nutritional care – a toolkit for commissioners and providers in England”, contains guidance on defining relevant, measurable outcomes related to nutritional care … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), Management of Condition, National, Nutrition, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest
Tagged BAPEN Commissioning Toolkit, BAPEN Quality Group, BAPEN: British Association of Parenteral and Enteral Nutrition, British Association of Parenteral and Enteral Nutrition (BAPEN), Care Quality Commission (CQC), CCQ, Community Care, Council of Europe, Department of Health, Department of Health QIPP Safe Care Work Stream, Dignity and Nutrition Inspection Programme (CQC), Enteral Tube Feeding, Hospitals, Hydration, Malnutrition, Malnutrition Community Pathway, National Association of Care Catering (NACC), National Patient Safety Agency (NPSA), NICE, NICE Guidance on Nutrition Support in Adults, Nutrition and Hydration, Nutritional Care, Nutritional Care Standards, Nutritional Supplements, Oral Nutritional Supplements (ONS), Parenteral Nutrition, Patient Environment Action Team (PEAT), Person-Centred Nutritional Care, Quality Standards in Nutritional Care: a Toolkit, RCN, RCP: Royal College of Physicians, Royal College of Nursing (RCN), Screening for Malnutrition, Undernourishment
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Falls Prevention Resource Pack (RCP’s FallSafe Project)
[A version of this item appears in: Dementia: the Latest Evidence Newsletter (RWHT), Volume 2 Issue 12, July 2012]. Summary Over 280,000 patient falls occur in hospitals and mental health units annually, costing approximately £15 million per annum. Most persons … Continue reading
Posted in Acute Hospitals, Falls, Falls Prevention, For Doctors (mostly), For Nurses and Therapists (mostly), Guidelines, Health Foundation, Management of Condition, National, NHS, Non-Pharmacological Treatments, Practical Advice, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest
Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Care Bundle, Care Bundle Approach, Care in General Hospitals, Closing the Gap: FallSafe Project, Falls, Falls and Fractures, Falls Assessment, Falls Reduction, FallSafe Leads, FallSafe Project, FallSafe Wards, General Hospital Care, General Hospitals, Health Foundation’s Closing the Gap Programme, Interventions to Reduce Falls in Acute Care Hospitals, Medicines and Falls in Hospital, Multifactorial Assessment (Falls), National Patient Safety Agency, National Patient Safety Agency (NPSA), Productivity and Prevention (QIPP) Programme, Quality Innovation, RCP: Royal College of Physicians, RCP’s Clinical Effectiveness and Evaluation Unit (CEEU), Safety Express: Quality Innovation Productivity and Prevention (QIPP) Programme
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Patient Safety Function Transfers to the NHS Commissioning Board (NHS Commissioning Board)
Summary The key functions and expertise for patient safety have transferred to the NHS Commissioning Board from the National Patient Safety Agency (NPSA). Patient safety is to be at the heart of the NHS. Learning and expertise developed by the NPSA will … Continue reading
Posted in Acute Hospitals, In the News, National, NHS, Quick Insights, UK, Universal Interest
Tagged National Patient Safety Agency, National Patient Safety Agency (NPSA), National Reporting and Learning System (NRLS), NHS Commissioning Board (NHSCB), NHS Commissioning Board Authority (NHSCBA), NHSCB, NHSCBA, Patient Safety
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