Safety standards for invasive procedures: beware the implementation gap

March 23, 2016

Source:  BMJ 352:i1121

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Date of publication: February 2016

Publication type:  Journal article

In a nutshell:  Nick Sevdalis is professor of implementation science and patient safety at King’s College London.  In this editorial he offers advice regarding the implementation of the recent NHS England guideline National Safety Standards for Invasive Procedures (NatSSIPs).  

Length of publication:  2 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


Applying the WHO conceptual framework for the International Classification for Patient Safety to a surgical population

February 24, 2016

Source:  International Journal for Quality in Healthcare [Epub ahead of print]

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Date of publication: January 2016

Publication type:  Journal article

In a nutshell:  Efforts to improve patient safety are challenged by the lack of universally agreed upon terms. The International Classification for Patient Safety (ICPS) was developed by the World Health Organization for this purpose. This study aimed to test the applicability of the ICPS to a surgical population.

The authors conclude that this study demonstrates that a framework for patient safety can be applied to facilitate the organisation and analysis of surgical safety data. Several unique aspects of surgical care require consideration, and by using a standardised framework for describing concepts, research findings can be compared and disseminated across surgical specialties. The codebook is intended for use as a framework for other specialties and institutions.

Length of publication:  Unspecified

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


Patient Safety & Congress Awards 2016

February 24, 2016

Source:  Patient Safety Congress & Awards

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Date of publication: February 2016

Publication type:  Website

In a nutshell:  The Patient Safety Congress 2016, 5 – 6 July, is to be held in Manchester and the theme is inspiring our workforce: finding solutions with staff and patients. The conference will showcase the best work from across the UK, using innovative, proven solutions to tackle everything from large-scale redesign of emergency services to reduce readmissions to new approaches to cost-effective patient-led decision making.

Length of publication:  1 webpage


Prevention and control of healthcare-associated infections overview

October 28, 2015

Source:  NICE

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Date of publicationAugust 2015

Publication type:  NICE Pathway

In a nutshell:  The NICE Pathway on the Prevention and control of healthcare-associated infections overview was updated on 17 August 2015 to include the NICE pathway on antimicrobial stewardship.

Length of Publication:  7 pages


Development and measurement of perioperative patient safety indicators

March 25, 2015

Source:  British Journal of Anaesthesia [Epub ahead of print]

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Date of publication:  February 2015

Publication type:  Journal article

In a nutshell:  Many hospitals are implementing evidence-based perioperative safety guidelines so as to improve patient safety. The authors of this study aimed to develop patient safety indicators. The RAND-modified Delphi method was used to develop a set of patient safety indicators based on the perioperative guidelines. A core group of experts systematically selected recommendations from the guidelines. An expert panel of representative professionals then appraised the recommendations against safety criteria, prioritised them and reached consensus about 11 patient safety indicators. There was great variation in guideline adherence between and within hospitals, identifying opportunities for improvement in the quality of perioperative care.

Length of Publication:  1 web page

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


Guidelines for routine gastrostomy tube replacement in children

March 26, 2014

Source:  Nursing Children and Young People 25/10 pp. 22-25

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Date of publicationDecember 2013

Publication type:  Journal article

In a nutshell:   The safest method of inserting a gastrostomy in children that require full or supplemental enteral feeding for more than six weeks is by endoscopic placement. The device can be changed to a balloon, button or non-balloon type once a stoma tract has formed successfully following initial placement of a gastrostomy tube. Community nursing teams often support children with gastrostomies and their families. The National Nurses Nutrition Group, the Patient Safety Agency and manufacturers have produced guidance for the safe insertion and replacement of balloon and button gastrostomies, but standardised national guidelines are needed.

Length of Publication:  4 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 implementation of nice guidance on venous thromboembolism risk assessment and prophylaxis: a before-after observational study to assess the impact on patient safety across four hospitals in England

June 24, 2013

Source:  BMC Health Services Research Vol 13 pp. 203

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Date of publication:  June 2013

Publication type:  Journal article

In a nutshell:  An international major health requirement is the prevention of Venous thromboembolism (VTE) to improve patient safety. In February 2010 NICE issued guidance on assessing patients for risk of VTE on admission to hospital, assessing patients for bleeding risk and evaluating the risks and benefits of prescribing VTE prophylaxis. This study aimed to evaluate the implementation of NICE guidance and its impact on patient safety. The documentation of risk assessment improved following the implementation of NICE guidance; however, it is uncertain whether this led to improved patient safety with respect to prescribing appropriate prophylaxis.

Length of Publication:  14 pages