Tag Archives: NHS Resolution

Towards Safer Culture and Safer Systems: Launch of the NHS Patient Safety Strategy (NHS England / NHS Improvement)

Posted on July 6, 2019 by Dementia and Elderly Care News

Summary The NHS Patient Safety Strategy explains how the NHS aims to improve patient safety continuously, across the board. The main section headings in this strategy document comprise: Summary Insight Involvement. Improvement. Introduction Our vision for patient safety. Foundations for … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, NHS Improvement, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Academy of Medical Royal Colleges: Patient Safety Syllabus, Acute Data Alignment Programme (ADAPt), Adoption and Spread: Priorities, Ageing Population, Aidan Fowler: National Director of Patient Safety (NHS England), Antimicrobial Resistance (AMR), Antimicrobial Resistance and Healthcare Associated Infections (ARHAI), Antimicrobial Resistance: Patient Safety, Artificial Intelligence and Machine Learning From NHS Records, Ask Listen Do, Care and Treatment Reviews (CTRs), Care Education and Treatment Reviews (CETRs), Caring to Change (King’s Fund), Central Alerting System (CAS), Civility Plus Kindness and Respect, Clinical Negligence and Litigation, Clinical Negligence Scheme for Trusts (CNST), Clinical Quality Improvement, Community Empowerment, Community Engagement, Community Involvement, Compassionate Leadership, Compassionate Leadership: Cultural Elements, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Cyber Security Programme, Defensive Culture, Defensive Culture: Deny Delay Defend and Deceive, Defensive Leadership, Digital Minor Illness Referral Service, Digital Systems Supporting Patient Safety Learning, Diversity, Diversity and Inclusion, Donna Forsyth: Head of Patient Safety Investigation, Dr Frances Healey: Deputy Director of Patient Safety (Insight), Dr Helen Smith: National Clinical Director of Mental Health Safety Improvement Programme (MHSIP), Dr Sonya Wallbank: National Clinical Advisor to Culture Leadership and Engagement Project, Dr Suzette Woodward: Former Director of the Sign Up to Safety Campaign, Each Baby Counts, Early Notification of Incidents, Education and Training, Empowerment, Engagement, Evidence-Based Quality Improvement, Extensivists, Faculty of Learning, Falls Collaborative Programme, General Practice Development Programme, Getting It Right First Time (GIRFT), Good Governance, GP IT Futures Digital Care Services Framework, Health and Social Care Reform, Healthcare Associated Infections: Patient Safety, Healthcare Quality Improvement, Healthcare Safety Investigation Branch (HSIB), Holistic Quality Improvement, Honesty and Transparency, Hugh McCaughey: National Director of Improvement, Implementation Space: Work As Imagined Versus Work As Done, Improving Safety Measurement Across Whole System, Inclusion and Diversity, Inclusive and Compassionate Leadership, Independent Sector, Information Exchange, Information Sharing, Innovation and Improvement, Insight: Using Intelligence From Multiple Sources of Patient Safety Information, Involvement in the Independent Sector, Involvement: Involvement of Patients Staff and Partners to Improve Patient Safety, Joan Russell: Head of Patient Safety Policy and Partnerships, Just Culture Guide, Kaizen, Kate Cheema: Head of Patient Safety Measurement Unit, Lauren Mosley: Head of Patient Safety Implementation, Leadership and Teamwork, Learning Culture, Learning Disabilities Mortality Review Programme (LeDeR), Learning Disabilities: Patient Safety, Learning From Clinical Negligence Claims, Learning from Deaths, LeDeR: Learning Disabilities Mortality Review, Lucie Musset: National Reporting and Learning System (NRLS), Machine Learning, Management Standards: Managerial Support, Managerial Disrespect, Managerial Incivility, Managerial Unkindness, Maternity and Neonatal Safety Improvement Programme, Maternity and Neonatal Safety Improvement Programme (MNSIP: Formerly the Maternity and Neonatal Health Safety Collaborative, Medical Examiner System, Medicines Safety Improvement Programme (MSIP), Mental Health Safety Improvement Programme, MHSIP: Mental Health Safety Improvement Programme, MNSIP Drivers, Mothers and Babies: Reducing Risk Through Audits and Confidential Enquiries (MBRRACE), National Clinical Improvement Programme (NCIP), National Medical Examiner System, National Paediatric Early Warning System (PEWS), National Patient Safety Alerting Committee (NaPSAC), National Patient Safety Alerts, National Patient Safety Alerts Committee, National Patient Safety Improvement Programme, National Reporting and Learning System (NRLS), Negligence and Litigation, New Ways of Working, NHS Culture, NHS Culture Change, NHS Digital’s Cyber Security Programme, NHS Improvement Patient Safety Alerts, NHS Patient Safety Strategy, NHS Patient Safety Strategy Consultation, NHS Patient Safety Strategy: Equality Impact Assessment, NHS Resolution, Online Repositories of Quality Improvement (QI), Openness and Honesty When Things Go Wrong, Overbearing NHS Managerial Style, Paediatric Early Warning System (PEWS), Participatory and Citizen Involvement, Patient and Public Involvement, Patient Empowerment, Patient Engagement, Patient Experience, Patient Involvement in Quality Improvement, Patient Safety, Patient Safety and Learning Disabilities, Patient Safety Culture, Patient Safety Education and Training: Patients Carers Families and Lay People, Patient Safety in Primary Care, Patient Safety Incident Reporting, Patient Safety Incident Response Framework, Patient Safety Incident Response Framework (PSIRF), Patient Safety Incidents, Patient Safety Incidents in England, Patient Safety Learning (Digital Systems), Patient Safety Measurement Unit, Patient Safety Partners (PSPs), Patient Safety Specialist Networks, Patient Safety Specialist Role, Patient Safety Specialists, Patient Safety Syllabus, Patient Safety Systems, Patient Safety Translational Research Centres (PSTRCs), Patients as Partners in Safety, Patients Carers Families and Lay People: Patient Safety Education and Training, Pharmacist-Led Information Technology Intervention (PINCER), Pride and Positivity in Workplace (Compelling Vision), Private Healthcare Information Network (Phin), Professor Wendy Reid: Executive Director of Education and Quality at Health Education England (HEE), Professor Wendy Reid: National Medical Director at Health Education England (HEE), PSIRF: Patient Safety Incident Response Framework, Psychological Safety for Staff: Supportive Compassionate and Inclusive Environments, QI Adoption and Spread Approach, Quality and Sustainability, Quality Improvement, Quality Improvement Approaches, Quality Monitoring, Roles of Patient Safety Partners (PSPs), Rudeness (Managerial), Safety I and Safety II, Safety II, Safety II Principles, Safety Improvements for Elderly Patients, Saving Babies Lives Care Bundle (SBLCB), Scan4Safety, Serious Incident Framework, Service Improvement in Healthcare, Service Redesign, Service Transformation, Service User Experience, Service User Involvement, Sign Up to Safety Pledge: Honesty, STOMP and STAMP, Stop the Pressure Programme (STPP), Stopping Over Medication of People with Learning Disabilities (STOMP), Strategic Executive Information System (StEIS), Supporting Treatment and Appropriate Medication in Paediatrics (STAMP), Surgical Specialties Litigation Data Pack, Transparent Learning Culture, Trust Blame and the Culture of Defensiveness, User Experience, User Involvement, Wayne Robson: Head of Patient Safety Cross-System Development, Work As Imagined Versus Work As Done, World As Imagined Versus World As Done | Leave a comment

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)

Posted on October 16, 2014 by Dementia and Elderly Care News

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 | Leave a comment

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