Tag Archives: Patient Safety Incidents

Statutory Duty of Candour Moves Closer (BBC News / Royal College of Surgeons)

Summary The review commissioned by the Government in the wake of the Francis Inquiry report has recommended that the NHS must be open and honest about mistakes. The report calls for a statutory duty of candour in the case of … Continue reading

Posted in BBC News, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, NHS, Patient Care Pathway, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 1 Comment

How Patients Develop Severe Pressure Ulcers: the Organisational Context (BMJ Open)

Summary The authors investigated the role played by organisational context at six sites in Yorkshire (England) in the development of severe pressure ulcers. Lessons concerning potential failures in the delivery of treatment, and some root-causes of sub-optimal care, are explored. … Continue reading

Posted in Acute Hospitals, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

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 , , , , , , , , , , , , , , , , , , | Leave a comment

NHS England Plans for Improving Patient Safety (NHS England)

Summary NHS England plans to launch a number of patient safety collaborative programmes, create an NHS Improvements Fellows Programme, ensure patient safety data is easily accessible, publish never events data and refresh the Patient Safety Alerts system. These steps to … Continue reading

Posted in Acute Hospitals, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), National, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Preventable Deaths Due to Problems in Care in English Acute Hospitals (BMJ Quality and Safety)

Summary This retrospective case record review found that incidence of preventable hospital deaths, while lower than previous estimates, is still substantial. This study reviewed estimated life expectancy upon hospital admission, identified problems in care contributing to death and assessed whether … Continue reading

Posted in Acute Hospitals, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), National, NHS, Patient Care Pathway, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment