Tag Archives: Openness

Medication Errors: an Open Learning Culture Recommended to Reduce Patient Harm (BBC News / Department of Health / EEPRU / Department of Health and Social Care)

Posted on February 25, 2018 by Dementia and Elderly Care News

Summary Medication errors, which include (i) wrong medications given, (ii) incorrect doses and (iii) delays in medication being administered, cause an estimated 700 deaths per year and might play a role in something between 1,700 to 22,300 further avoidable deaths. … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Acute Care and Quality, Acute Care and Workforce, Adult Psychiatric Intensive Care Services, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, BBC Health News, Blame Culture, Care Home Culture, Care Home Environments, Care Homes, Centre for Health Economics: University of York, Choosing Wisely Campaign, Choosing Wisely in the NHS, CHUMS Study, Clinical Pharmacists, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Community Pharmacists, Continuous Learning Culture, CQC Investigations and Quality Policy, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Department of Health Policy Research Programme, Division of Population Health Health Services Research and Primary Care: University of Manchester, Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, EQUIP Study, Former Health Secretary Jeremy Hunt, Global Patient Safety Challenge (WHO), HePMA, Hospital E-Prescribing and Medicines Administration, Hospital Electronic Prescribing and Medicines Administration (HePMA), Hospital Pharmacists, Learning Culture, Making Choices Together (Previously Choosing Wisely Wales), Manchester Centre for Health Economics: University of Manchester, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Safety Programme (WHO), Medicines Value Programme (NHS England), NHS Culture, NHS Culture Change, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, No Harm Culture, Old Age Psychiatry, Open and Transparent Culture, Openness, Openness and Collaboration, Openness and Honesty When Things Go Wrong, Openness and Transparency, Partnering with Patients and Families, Patient and Family Engagement, Patient and Public Engagement (PPE), Patient and Public Involvement, Patient and Public Involvement (PPI), Patient Engagement, Patient Engagement Strategies, Patient Harm, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist Buddy Scheme (County Durham and Darlington NHS Foundation Trust), Pharmacist-Led Information Technology Intervention (PINCER), Pharmacists, PINCER Intervention, Policy Research Programme (PRP), Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Potentially Preventable Complications in Hospitalis, PREPARE: Partnership for Responsive Policy Analysis and Research, PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study, Prescription Errors in Psychiatry, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Primary Care Adverse Drug Reactions, PROTECT Programme, Putting Patients First, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, SDM: Shared Decision Making, Secondary Care Adverse Drug Reactions, Serious Mistakes, Severe Harm, Shared Care and Education, Shared Decision-Making, Short Life Working Group (SLWG), Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, UK Department of Health Policy Research Programme, United States National Coordinating Council for Medication Error Reporting and Prevention, University of Manchester, University of Sheffield, University of York, University of York Centre for Health Economics (CHE), WHO Domain: Health Care Professionals, WHO Domain: Medicines, WHO Domain: Patients and the Public, WHO Domain: Systems and Practice of Medication, WHO Domains, WHO Global Patient Safety Challenge | Leave a comment

Professionalism in Nursing and Midwifery (NMC)

Posted on May 18, 2017 by Dementia and Elderly Care News

Summary The Nursing and Midwifery Council has published a guide to professionalism in the practice of nursing and midwifery, covering advice on applying the values from the Code (the code of professional conduct). This was launched on International Nurses Day, … Continue reading →

Posted in For Nurses and Therapists (mostly), For Researchers (mostly), National, Northern Ireland, Person-Centred Care, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales | Tagged Best Interests, Best Interests of Patients, Chief Nursing Officers (CNOs), Compassionate Care, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Culture of Compassionate Care, Good Practice in Nursing and Midwifery, International Nurses Day (2017), International Nurses' Day, Jackie Smith: Chief Executive and Registrar of Nursing and Midwifery Council, Jane Cummings: Chief Nursing Officer for England, Leadership for Compassionate Care, Leading Professionally, Learning and Developing Continuously, NMC and CNOs, Nursing and Midwifery Council (NMC), Nursing and Midwifery Council (NMC) Code of Conduct, Openness, Patient Safety, Professionalism, Professionalism in Nursing and Midwifery, Professor Charlotte McArdle: Chief Nursing Officer for Northern Ireland, Professor Fiona McQueen: Chief Nursing Officer for Scotland, Professor Jean White: Chief Nursing Officer for Wales, Putting Patients First, Safe and Compassionate Care, Transforming Care Environments | Leave a comment

Guidance on Raising Concerns (RCN / BBC News)

Posted on January 18, 2017 by Dementia and Elderly Care News

Summary The Royal College of Nursing (RCN) has issued guidance to support nurses concerning raising concerns, wherever they work i.e. whether in the NHS or in private / independent sector. Section headings cover: Raising Concerns Raising concerns or whistle blowing? … Continue reading →

Posted in For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), National, Northern Ireland, Person-Centred Care, Practical Advice, Quick Insights, RCN, Scotland, Standards, UK, Universal Interest, Wales | Tagged BBC Health News, BBC Shropshire News, Confidentiality, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Culture Free From Bullying, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Culture of Valuing Staff, Fear of Being Labelled Troublemaker, Fear of Raising Concerns About Care, Freedom to Speak Up Guardians, NHS Whistleblowing Policy, NNC Code of Conduct, Nursing and Midwifery Council (NMC) Code of Conduct, Open and Honest Incident Reporting, Open Culture, Openness, Patient Safety, Putting Patients First, Putting Things Right, Quality Improvement, Raising and Reporting Concerns, Raising Concerns, Raising Concerns (Whistleblowing) NHS Policy, Raising Concerns About Dignity and Comfort of Patients, Raising Concerns About Safety, Raising Concerns About Staffing, Raising Concerns Policy, Raising Concerns: Step-By-Step Guide, Raising Standards, RCN Guidance on Raising Concerns, RCN Raising Concerns Policy, Reflective Practice, Repercussions From the Francis Inquiry Report, Royal College of Nursing (RCN), Shrewsbury and Telford Hospital NHS Trust, Stages in Raising Concerns, Whistleblowing, Whistleblowing Guidance, Whistleblowing in the Independent Sector, Whistleblowing in the NHS | Leave a comment

Professional Behaviour: Guidance For Medical Schools and Students (GMC / MSC / HEE)

Posted on June 1, 2016 by Dementia and Elderly Care News

Summary The General Medical Council (GMC) and Medical Schools Council (MSC) have released guidance for medical students concerning professional behaviour and “fitness to practise”. This broad-ranging guidance is based on the GMC’s core “Good medical practice” code of ethics for … Continue reading →

Latest NHS Whistleblowing Policy (NHS Improvement)

Posted on April 21, 2016 by Dementia and Elderly Care News

Summary NHS Improvement has released a summary of NHS whistleblowing policy, in the form of a practical handbook. The aim is to promote an open and supportive culture which encourages staff to raise concerns about patient care quality or safety … Continue reading →

NHS England Publishes Official Mazars Report into Southern Health NHSFT (BBC News / Mazars / NHS England / NHS Improvement / CQC)

Posted on December 20, 2015 by Dementia and Elderly Care News

Summary NHS England has released the independent report by Mazars (an early copy of which was leaked a week before) concerning the deaths of people with learning disabilities or mental health problems at Southern Health NHS Foundation Trust. “The report … Continue reading →

Posted in Acute Hospitals, 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, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, NHS Improvement, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, Universal Interest | Tagged Avoidable Premature Mortality, BBC Health News, BBC Panorama, Buckinghamshire, Care for Vulnerable Older People, Care of Vulnerable Adults, Care Quality Commission (CQC), Clinical Commissioning Groups (CCGs), Connor Sparrowhawk, Critical Incidents, Disability Mortality Review Programme, Discrimination, Dorset, FOI: Freedom of information, Freedom of Information, Guardian, Hampshire, Health Inequalities, Health Inequalities and Premature Mortality for People With Learning Disabilities, Health Inequalities in England, Hospital Episode Statistics Linked to Mental Health Minimum Data Set, Inquest (Charity), Jim Mackey: Chief Executive of NHS Improvement, Katrina Percy: Chief Executive of Southern Health NHSFT, Learning, Learning Disabilities, Learning Disabilities: Data and Information, Learning Disabilities: Improving Health Outcomes, Learning Disabilities: Monitoring Service Quality, Learning Disabilities: NHS England Initiatives, Learning Disabilities: Regulation and Inspection, Learning Disability (LD) Transforming Care Programme, Liberal Democrats, Mazars, Mazars Report into Southern Health NHSFT, Mental Health and Learning Disabilities Data Set (MHLDMDS), Mental Health Minimum Data Set (MHMDS), Mental Health Trusts, Monitor, National Learning Disabilities Mortality Review Programme, National Learning Disability Mortality Review Programme, National Reporting and Learning System (NRLS), NHS England South, Openness, Openness and Transparency, Oxfordshire, Panorama (BBC TV), Parity of Esteem, Patient Safety and Advancing Change Teams (From NHS England), People With Learning Disabilities, Prejudice, Premature Mortality, Protecting Vulnerable People, Quality Improvement, Reducing Health Inequalities, Reducing Premature Mortality, Serious Incidents Requiring Investigation (SIRIs), SIRI: Serious Incident Requiring Investigation, Southern Health NHS Foundation Trust, St rategic Executive Information System ( StEIS ), Transforming Care for People with Learning Disabilities, Transforming Care for People with Learning Disabilities Programme, Transparency, Transparency and Public Trust, Unexpected Deaths in Hospital, Unexpected Deaths in Mental Health Trusts, University of Bristol, Vulnerable Groups, Vulnerable Older People, Wiltshire, Working With Families | Leave a comment

The Foundations for a Patient-Centred NHS Learning Culture? (Department of Health / BBC News)

Posted on July 21, 2015 by Dementia and Elderly Care News

Summary This “Learning Not Blaming” report presents the government’s response to (i) the Francis Freedom to Speak Up review, (ii) the Morecambe Bay Investigation, and (iii) the Public Administration Select Committee’s report on clinical incidents. The common theme for addressing … Continue reading →

Professional Duty of Candour: Openness and Honesty When Things Go Wrong (NMC / GMC / Nursing Times / BBC News)

Posted on July 2, 2015 by Dementia and Elderly Care News

Summary The General Medical Council (GMC) and the Nursing and Midwifery Council (NMC) have jointly published guidance explaining the standards expected of doctors, nurses and midwives in the UK when things go wrong during healthcare. Professionals, in turn, require the … Continue reading →

Posted in Acute Hospitals, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), In the News, National, Northern Ireland, Person-Centred Care, Practical Advice, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales | Tagged Apologising to Patients, BAPEN: British Association of Parenteral and Enteral Nutrition, British Association of Parenteral and Enteral Nutrition (BAPEN), Buckinghamshire Healthcare Trust, Candour, Candour: Safety and Improvement, Common Professional Standards (NMC / GMC), Consent, Consent: Patients and Doctors Making Decisions Together, Consequences of the Francis Inquiry Report, Culture Change in the NHS, Culture of Candour, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Dehydration, Dehydration in Frail Older People, Duty of Candour, Ethical Considerations, Face to Face Explanations / Apologies from Doctors Nurses and Midwives, Freedom to Speak Up Report: Principle 1: Culture of Safety, Freedom to Speak Up Report: Principle 2: Culture of Raising Concerns, Freedom to Speak Up Report: Principle 7: Raising and Reporting Concerns, General Medical Council (GMC), GMC: General Medical Council, GMC’s Good Medical Practice, Good Medical Practice, Hampshire Hospitals Foundation Trust, Health and Social Care Services in Northern Ireland, Healthcare Quality Strategy for NHS Scotland, Honesty, Honesty and Transparency, Hospital Nurse Staffing and Quality of Patient Care, Hydration and Nutrition, Implications of the Francis Inquiry Report, Incident Reporting, Incidents Errors and Near Misses, Learning Culture, Learning From Mistakes, Misdiagnosis, Moderate Harm, National Health Service (Concerns Complaints and Redress Arrangements) (Wales) Regulations 2011, Near Misses, NHS Culture, NHS Patient Safety Culture, Nurse Staffing Levels, Nursing and Midwifery Council (NMC), Open and Honest Working Environment, Openness, Openness and Honesty When Things Go Wrong, Openness and Honesty When Things Go Wrong (GMC / NMC), Openness and Transparency, Patient Harms, Patient Safety, Professional Duty of Candour, Professional Duty of Candour: NMC's Nursing Case Studies, Professional Standards, Professional Standards and Ethics, Professional Standards of Practice and Behaviour for Nurses and Midwives, Prolonged Psychological Harm, Protection From Unfair Criticism Detriment or Dismissal, Repercussions From the Francis Inquiry Report, Reporting Culture in the NHS, Reporting Systems, Scottish Patient Safety Programme, Severe Harm, Severe Harm Attributable to Problems in Healthcare, Severe Harm Leading to Death, Statutory Duty of Candour, Statutory Duty of Candour For Care Organisations (UK), Transparency, Transparency and Public Trust, Transparent Learning Culture, Welsh Government’s Health and Care Standards Framework | 1 Comment

More on Complaints Handling in the NHS (BBC News / PHSO / NHS England / Patients’ Association)

Posted on June 13, 2015 by Dementia and Elderly Care News

Summary Research commissioned by the Parliamentary and Health Service Ombudsman (PHSO) indicates that around only one-third of people who experience poor service from public bodies, including the NHS, in England actually make a complaint. Common reasons for not to complaining … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, 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, National, NHS England, Patient Care Pathway, Patients Association, Person-Centred Care, Quick Insights, Standards, Statistics, UK | Tagged Anna Bradley: Chairwoman of Healthwatch England, BBC Health News, Care Quality Commission (CQC), Comments and Complaints, Commissioning Bodies, Communication With PHSO Too Time-Consuming, Compassionate Care, Compassionate Complaints Handling System, Complainant and Non-Complainant Survey (PHSO), Complaint Themes, Complaints, Complaints About Acute Trusts (2014-15) Report, Complaints About Acute Trusts in England, Complaints Advocacy, Complaints Handling, Complaints Support Services, Consumer Experiences of Health and Social Care, Culture, Culture Change, Culture of Candour, Customer Contact & Complaints, Dame Julie Mellor: Parliamentary and Health Ombudsman Service, Defensive Culture: Deny Delay Defend and Deceive, Dismissive or Insensitive Attitude of PHSO Assessors / Investigators (Alleged), Effective Complaints Handling, End-User Experience, Experiences, Fear of Raising Concerns About Care, Feeling In the Wrong When Complaining, Formal Complaints, Formal Complaints Process, Future for Health and Social Care Complaints Handling, Governance, Health and Social Care Complaints System, Healthwatch England, Hospital Complaints, Katherine Murphy: Chief Executive of the Patients Association, Kerry Thompson: NHS England Senior Customer Service Centre Manager, Negative Culture: Deny Delay Defend and Deceive, Negative Experiences of Care, NHS and Local Authority Red Tape, NHS Complaints Advocacy, NHS Complaints Process, NHS England Complaints Policy, NHS England National Customer Contact Centre, NHS Governance and Accountability, NHS Governance in Complaints Handling (PHSO), NHS Governance of Complaints Handling, NHS Hospital Complaints, NHS Hospital Complaints System, No Apology, Openness, Openness and Transparency, Parliamentary and Health Service Ombudsman, Parliamentary and Health Service Ombudsman (PHSO), Parliamentary and Health Service Ombudsman: Labyrinth of Bureaucracy (Patients Association), Patient Complaints, Patient Complaints Handling, Patient Experience, Patient Experiences of Complaints Handling, Patients Association, Patients Association Findings from November 2014 PHSO Report, Patients Feel Completely Let Down, Patients Feel Emotionally Debilitated, Patients Made to Feel In the Wrong For Complaining, Patients Not Listened To or Not Believed, PHSO Failure to Challenge NHS Organisations (Alleged), PHSO Recommendations are Ineffective (Allegation), PHSO: Alleged to Overlook or Ignore Evidence, Principles of Good Complaint Handling, Public Services Complaints, Quality Improvement, Raising Concerns, Raising Concerns Policy, Raising Standards, Reducing Complexity, Reluctance to Raise Concerns About Care, Scope of Complaints Narrowed (Allegation), Service User Experience, Sir Robert Francis QC, Speaking Up: Resolving NHS Complaints and Preventing Problems Recurring, Statutory Duty of Candour, Sub-Standard Final Complaints Reports, Table of Complaints About Acute Trusts (2014-15), Themes of Complaints (For PHSO Reflection), Transparency, Transparency and Accountability, Transparent Learning Culture, User Complaints, User Experience, User-Led Vision for Raising Concerns and Complaints, User-Led Vision of the Complaints System, Valuing Complaints | Leave a comment

Government Consultation on Francis Freedom to Speak Up Report (Department of Health)

Posted on March 13, 2015 by Dementia and Elderly Care News

Summary The Government has launched a public consultation to assess recommendations from the Francis Freedom to Speak Up review, to support NHS staff in speaking up about poor care and patient safety. This open consultation allows staff, patients and the … Continue reading →

Tag Archives: Openness

Professionalism in Nursing and Midwifery (NMC)

Guidance on Raising Concerns (RCN / BBC News)

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