The commission on education and training for patient safety: improving patient safety through education and training

March 23, 2016

Source:  Health Education England

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Date of publication: March 2016

Publication type:  Report

In a nutshell:  Produced by the Commission on Education and Training for Patient Safety and supported by Imperial College the report sets out ambitions, the case for change, what is working well including case studies and where improvements need to be made to make the greatest difference to patient safety both now and in the future. It sets out the future of education and training for patient safety in the NHS over the next ten years, making twelve recommendations to Health Education England and the wider system.

Length of publication:  60 pages

Simulation-based training: the missing link to lastingly improved safety and health?

March 23, 2016

Source: Postgraduate Medical Journal [Epub ahead of print]

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Date of publication: February 2016

Publication type:  Journal article

In a nutshell:  Medical education has traditionally relied on on-the-job training. However, the often used ‘see one, do one, teach one’ approach may be detrimental to patient safety and health, as it exposes patients to inexperienced healthcare practitioners. In an effort to reduce human errors and improve operational safety, simulation-based training (SBT) has been recognised as an effective methodology.

Contents of SBT include conceptual understanding, technical skills, decision-making skills, and attitudes and behaviours summarised as teamwork. Thus, theoretical advantages of SBT over traditional educational methodologies are manifold. This article reviews available evidence about the effectiveness of SBT of technical and non-technical skills with regard to improvements in medical care, patient safety and health.

Length of publication:  3 pages

Some important notes:  Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library

Responding to concerns

February 24, 2016

Source:  Health Education England

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Date of publication: January 2016

Publication type:  Video

In a nutshell:  ‘Responding to Concerns’, is a new educational film developed by Health Education England that aims to improve patient safety. Developed with input from patient safety experts, including our raising concerns network, the film aims to equip staff with the knowledge, skills and confidence to adequately and safely respond to patient safety concerns.

Length of publication:  1 webpage

Accounting for actions and omissions: a discourse analysis of student nurse accounts of responding to instances of poor care

February 24, 2016

Source:  Journal of Advanced Nursing [epub ahead of print]

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Date of publication:  January 2016

Publication type:  Journal article

In a nutshell:  Failure to report cases of poor care may have serious consequences for patient safety. The aim of this study was to explore how nursing students account for decisions to report or not report poor care witnessed on placement and to examine the implications of findings for educators.

The findings were that participants took care to present themselves in a positive light regardless of whether or not they had reported an episode of concern. Those who had reported tended to attribute their actions to internal factors such as moral strength and a commitment to a professional code. Those who had not or would not report concerns provided accounts which referred to external influences that prevented them from doing so or made reporting pointless.

This study provides information about how students account for their actions and omissions in relation to the reporting of poor care. Findings suggest ways educators might increase reporting of concerns.

Length of publication:  Unspecified

Which non-technical skills do junior doctors require to prescribe safely? A systematic review

January 27, 2016

Source:  British Journal of Clinical Pharmacology

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Date of publication:  November 2015

Publication type:  Systematic review

In a nutshell:  The aim of this review was to develop a prototype non-technical skills (NTS) taxonomy for safe prescribing, by junior doctors, in hospital settings.  As a result of this research, a prototype taxonomy of relevant categories (situational awareness, decision making, communication and team working, and task management) and elements was constructed.  This prototype will form the basis of future work to create a tool that can be used for training and assessment of medical students and junior doctors to reduce prescribing error in the future.

Length of publication:  12 pages

Evaluating the effectiveness of a peer-led education intervention to improve the patient safety attitudes of junior pharmacy students: a cross-sectional study using a latent growth curve modelling approach

January 27, 2016

Source:  BMJ Open

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Date of publication:  December 2015

Publication type:  Journal article

In a nutshell:  Researchers in Australia tested using senior pharmacy trainees as peer educators to improve knowledge about patient safety. Junior trainees were surveyed before, immediately after and one month after taking part in a patient safety education programme. Feedback was compared with those who had not taken part. The programme covered introductory patient safety topics including teamwork, communication skills, systems thinking and open disclosure. Two lectures were provided by a lecturer and a workshop was provided by final-year pharmacy students. Trainees’ safety attitudes improved, particularly with regards to questioning behaviours and open disclosure of incidents.

Length of publication:  1 webpage

Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety

August 26, 2015

Source:  Postgraduate Medical Journal [Epub ahead of print]

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Date of publication:  August 2015

Publication type:  Journal article

In a nutshell:  The authors of this review say that developing patient safety skills and knowledge among advanced trainee doctors is essential. They aimed to establish the use of clinical supervision and other workplace training to develop non-technical patient safety competency in advanced trainee doctors. The findings showed that clinical supervision is not identified as an avenue for embedding patient safety skills in the workplace and is therefore not evaluated as a method to teach trainees these skills. Workplace training in non-technical patient safety skills is limited, but one-off training courses are sometimes used. It is of utmost importance to support supervisors to identify teaching moments during supervision and to give weight to non-technical skills and technical skills equally.

Length of Publication:  11 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library