Pursuing Zero – a winning approach to safety

June 25, 2014

Source:  The Health Foundation

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Date of publication:  May 2014

Publication type:  News item

In a nutshell: In May, a team from Great Ormond Street Hospital Foundation Trust was named Berwick Patient Safety Team of the Year at the BMJ Awards. The team have helped the Trust to develop a culture where every member of staff focuses on the importance of providing safe, high quality care for children. The ‘Zero harm, no waits, no waste’ programme was established by Great Ormond Street Hospital (GOSH) seven years ago, with the aim of eliminating all harm to children in their care. The programme aims to embed a culture of improvement and safety throughout the organisation and key to this has been developing strong leadership for change. Throughout the programme the team has also made a point of involving patients and carers.

Length of Publication:  1 web page


NHS Scotland learns from safest hospital in world

January 29, 2014

Source:  Wired-GOV.net

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Date of publication:  December 2013

Publication type:  News item

In a nutshell:  The NHS in Scotland is sharing learning about patient safety with Cincinnati Children’s Hospital in Ohio, USA, which is widely regarded as a world leader in patient safety. Cincinnati Children’s Hospital has influenced how the Scottish Patient Safety Programme is managed and it pioneered morning safety and flow huddles, which have now been adopted at Yorkhill Children’s Hospital in Glasgow. The Cincinnati hospital is also learning from the Scottish approach to ensuring children have the best start in life through the Early Years Collaborative, which is a programme set up to help make Scotland the best place to grow up.

Length of Publication:  1 web page


Missed diagnosis of fractures in children

April 30, 2012

Source:  National Reporting and Learning System, NPSA

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Date of publication: Feb 2012

Publication type:  Report

In a nutshell:  This report highlighted the issues relating to missed fractures in children.  These issues include morbidity if diagnosis and treatment is delayed.

Length of publication:  1 web page


Improving practice and reducing risk in the provision of parenteral nutrition.

February 8, 2012

Source:  Royal Pharmaceutical Society

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Date of publicationNovember 2011

Publication type:  Report

In a nutshell:  This report looks at parenteral nutrition and how to reduce the risk to neonates and children. 

Length of publication:  37 pages


Adverse drug reactions: ‘six rights’ to ensure best practice for children

July 28, 2011

Source: Nursing Children & Young People  vol 23, iss 5 p2046-2050

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Date of publication: Jun 2011

Publication type: Journal article

In a nutshell:  This article looks at the ‘six rights’ governing the safety in administration issued by the National Patient Safety Agency in regards to adverse drug reactions in children and young people.

Length of publication: 4 pages

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text.  Follow this link to find your local NHS Library

Acknowledgements:  BNI


Focus on: emergency and urgent care pathway for children and young people

June 28, 2011

Source: NHS Institute for Innovation and Improvement

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Date of publication: May 2011

Publication type: Guide

In a nutshell: The NHS Institute or Innovation and Improvement are promoting this guide which was published in March 2011.  This guide looks at improving the care children receive when the require emergency and urgent care.

Length of publication: I web page

Some important notes: Registration of the NHS Institute of Improvement and Innovation is requried to access this guide.


Signals: emerging issues from national review of serious patient safety incidents

November 28, 2010

Source:  National Reporting and Learning Service, NPSA

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Date of publication:  October 2010

Publicaton type:  Report

In a nutshell:  Key risks have been identified from a review by the Patient Safety division of the NPSA into serious incidents which have been reported to the NHS.  These issues are in the form of Signals.  10 new ones have been published including ‘Wrong site nerve block’; ‘Non-invasive ventilation’ and ‘Overdose of intravenous paracetamol in infants and children’.

Length of publication:  Webpage

Acknowledgements:  National Patient Safety Agency