November 26, 2014
Source: Journal of the Royal Society of Medicine 107/9 pp. 365-75.
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Date of publication: September 2014
Publication type: Journal article
In a nutshell: The authors set out to determine if applying change analysis to the narrative reports made by reviewers of hospital deaths in acute NHS Trusts in 2009 increases the utility of this information in the systematic analysis of patient harm. The change analysis approach enabled explicit characterisation of multiple problems in care, both across the admission and also at the boundary between primary and secondary care, and illuminated how these problems accumulate to cause harm. The method was straightforward to apply to multiple records and achieved good inter-rater reliability. Analysis of case narratives using change analysis provided a richer picture of healthcare-related harm than the traditional approach.
Length of Publication: 11 pages
May 28, 2011
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Date of publication: May 2011
Publication type: Guidance
In a nutshell: These guidance notes look at implementing Lean as a method of improving patient safety. This approach looks at reducing costs, time and supplies. It can also reduce the number of near misses through events that can result in severe death or harm to a patient.
Length of publication: 27 pages
December 22, 2010
Source: BBC News
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Date of publication: 28 November 2010
Publication type: News item
In a nutshell: This article looks at the results of a survey into the patient care in England, especially the death rates. It highlights the fact that Trusts which need to improve in this area to ensure there is equality of care especially for those less well off. The article also provides comments from hospital staff regarding the usefulness of these results.
Length of publication: 1 web page
Acknowledgement: Dr Foster’s Hospital guide 2010