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


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


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


Health Education England projects improve safety and patient care

February 20, 2015

Source:  Health Education England

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Date of publication: January 2015

Publication type:  News item

In a nutshell: Healthcare staff and patients are benefiting from a new two-year programme of work at Health Education England (HEE) that is delivering direct improvements to patient care and safety. Projects in the HEE Better Training Better Care (BTBC) Programme have enhanced the quality of postgraduate medical education. The award winning pilot run at Mid Cheshire Hospitals NHS Foundation Trust focused on improving clinical handovers, and training staff in the handover process. Another of the projects focused on reducing serious incidents through simulation training in East London NHS Foundation Trust.

Length of Publication:  1 web page


Cutting medical training by years could harm patient safety, doctors warn

February 20, 2015

Source:  The Telegraph 30 January 2015

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Date of publication:  January 2015

Publication type:  News item

In a nutshell: According to leading doctors’ groups, proposals to shorten medical training could seriously compromise patients’ safety. Plans outlined in an independent review included shortening consultant training from between eight to 10 years to between six to eight years. Junior doctors would become fully registered immediately after completing medical school, but would then spend four to six years in broad-based speciality training. The BMA has called on the government to “pause” such policy development whilst safety concerns are addressed and the changes are piloted in small studies.

Length of Publication:  1 web page


The commission on education and training for patient safety

December 22, 2014

Source:  Health Education England

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Date of publication:  October 2014

Publication type:  News item

In a nutshell: Health Education England (HEE) has established the Commission on Education and Training for Patient Safety to ensure that patient safety is at the heart of education and training for the health and healthcare workforce. The Commission will bring together experts and the public, as well as those responsible for and receiving training in healthcare to focus on the primary requirement of patient safety and safeguarding. It will collect evidence from a range of sources, including best practice from HEE’s Local Education and Training Boards, HEE’s advisory structures including its patient advisory forum and by hearing directly from experts from across the sector. The four key themes are also explained here. The Commission will report in autumn 2015 and the recommendations will consider how HEE can fill any gaps and enable uptake of existing best practice. The Commission is supported by the Learning to be Safer Programme, which drives delivery of HEE’s patient safety, human factors, safeguarding and safe staffing work streams.

Length of Publication:  1 web page


Development of a knowledge, skills, and attitudes framework for training in laparoscopic cholecystectomy

July 30, 2014

Source:  The American Journal of Surgery 207/5 pp. 790-6

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Date of publication:  May 2014

Publication type:  Journal article

In a nutshell:  Resident education and training has been changed by the implementation of duty-hour restrictions and a heightened awareness of patient safety. The authors of this article discuss the development of a training framework for knowledge, skills, and attitudes, and the design of a surgical simulation curriculum. A successful framework for curriculum development was implemented using laparoscopic cholecystectomy as the example. This curriculum developed a structured framework for surgical training, a method that can be applied to any procedure.

Length of Publication:  7 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.


Improving surgical ward care: development and psychometric properties of a global assessment toolkit

June 25, 2014

Source:  Annals of surgery 259/5 pp. 904-9

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Date of publication:  May 2014

Publication type:  Journal article

In a nutshell:  The authors of this study aimed to develop a toolkit to cover the skills required for effective, safe surgical ward care. A comprehensive evidence-based and expert-derived toolkit was developed. It included a novel clinical checklist for ward care (Clinical Skills Assessment for Ward Care: C-SAW-C); a novel team assessment scale for wards rounds (Teamwork Skills Assessment for Ward Care: T-SAW-C); and a revised version of a physician-patient interaction scale (Physician-Patient Interaction Global Rating Scale: PP-GIS). The toolkit can be used to train and debrief residents’ skills and performance.

Length of Publication:  6 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.


The contribution of nurses to incident disclosure: a narrative review

March 26, 2014

Source:  International Journal of Nursing Studies 51/2 pp.334-345

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Date of publication:  February 2014

Publication type:  Journal article

In a nutshell:  Reviewers from England explored how nurses feel about disclosing patient safety incidents to patients and if there are any barriers to disclosure. The findings suggested that nurses have a key role in supporting doctors when disclosing incidents to patients, but that they may not be well prepared to disclose incidents to patients independently. Barriers to nurse involvement in incident disclosure included few opportunities for training and many conflicting roles within nursing. Nurses may have a greater role to play in safety incident error disclosure to patients, but they need better training and support to enable them to do this.

Length of Publication:  12 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.


Transfusion and hemovigilance in pediatrics

February 26, 2014

Source:  Pediatric Clinics of North America 60/6 pp. 1527-1540

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Date of publication:  December 2013

Publication type:  Journal article

In a nutshell:  Hemovigilance is an essential part of the transfusion process. It covers the whole transfusion chain. The UK surveillance scheme demonstrates how information on adverse incidents can be used to improve patient safety, influencing the management of donors and improved education and training for the many people involved in the transfusion process. The scheme has collected data for 16 years.

Length of Publication:  14 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.