New safety collaborative will improve outcomes for patients with tracheostomies

August 27, 2014

Source:  The Health Foundation

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Date of publication:  July 2014

Publication type:  News item

In a nutshell: A new project in South Manchester will improve the safety and quality of care for patients with tracheostomies. The project, funded by the Health Foundation, aims to improve care and outcomes both in the NHS and around the world. The announcement comes as the European Global Tracheostomy Collaborative (GTC) – a multidisciplinary team of physicians, nurses, allied health clinicians and patients working together to disseminate best practice – is launched during an event at the Royal College of Surgeons in central London, which includes a guest talk from Professor Stephen Hawking. About 15,000 tracheostomies are performed each year in England and Wales. A team at the University Hospital of South Manchester will lead the project and local ‘champions’ in four different sites in Manchester will set targets which can be benchmarked against international hospitals and standards through the GTC’s database.

Length of Publication:  1 web page


Northumbria wins national patient safety award

September 25, 2013

Source:  Northumbria Healthcare NHS Foundation Trust

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Date of publication:  July 2013

Publication type:  News item

In a nutshell:  A Foundation Trust in Northumbria has won a national award for improving the safety of patients in its hospitals. Northumbria Healthcare NHS Foundation Trust won the Patient Safety in Acute Care Award at the Patient Safety Awards 2013 for its positive approach which has reduced potential harm to patients. A multi-disciplinary team analyse a random sample of 40 patient case notes across all areas of the Trust each month to look at where safety improvements could be made. The Trust has won awards previously, including the Board Leadership category at the Patient Safety Awards in 2010, when the judges acknowledged that the board of directors is committed to improving patient safety and quality of care.

Length of Publication:  1 web page


Development and content validation of a surgical safety checklist for operating theatres that use robotic technology

August 29, 2013

Source:  BJU International vol/iss 111/7 pp.1161-74

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Date of publication:  June 2013

Publication type:  Journal article

In a nutshell:  The objective of this study was to identify potential hazards in robot-assisted urological surgery and to develop a checklist to be used in operating theatres with robotic technology. A risk assessment tool, Healthcare Failure Mode and Effects Analysis (HFMEA), was employed in a urology operating theatre with robotic technology in a UK teaching hospital in 2011. A multidisciplinary team identified ‘failure modes’ and potential hazards were rated according to severity and frequency and scored using a ‘hazard score matrix’. HFMEA identified hazards in the operating theatre and this led to the development of a surgical safety checklist.

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.


Multiprofessional Team Simulation Training, Based on an Obstetric Model, Can Improve Teamwork in Other Areas of Health Care

June 24, 2013

Source:  American Journal of Medical Quality 2013 May 7. [Epub ahead of print]

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Date of publication:   May 2013

Publication type:  Journal article

In a nutshell:  Multi-professional scenario-based training was run in England to improve the safety culture and teamwork climate of three surgical wards at one hospital. Over a four-month period, 22 team training sessions were run, each comprising teams of four or five medical and nursing staff. Safety culture was measured before and after training using a validated tool. Scenario-based training was associated with an improvement in safety culture on the wards and a trend towards improved teamwork climate. However staff were less likely to think that staffing levels were adequate or have favourable perceptions of hospital management. This may be because the scenarios highlighted flaws in current practice.

Length of Publication:  Unknown

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.


Identifying and categorizing patient safety hazards in cardiovascular operating rooms

July 30, 2012

Source:  BMJ Quality & Safety

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Date of publication:  May 2012

Publication type:  Journal article

In a nutshell:  This article looks at how an interdisciplinary team, working in cardiac surgery, looked at the patient journey from ward to operating room.  They looked at the way patients are transferred, and handoff after surgery trying to identify potential hazards and opportunities to improve patient safety.

Length of publication:  9 pages

Some important notes:   If an item requires an Athens username and password.  This article is available in full text to all NHS Staff using Athens, for more information about accessing full text fllow this link to find your local NHS Library


Think tanks work together to support integrated care for patients.

February 8, 2012

Source:  The Kings Fund

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Date of publication: October 2011

Publication type:  Press release

In a nutshell:  Promoting integrated care is of vital importance to patient care.  Two think tanks – The King’s Fund and Nuffield Trust – have been asked to lead a project to develop a national strategy for promoting this.

Length of publication:  1 web page


WHO patient safety curriculum guide

November 30, 2011

Source:  World Health Organisation (WHO) Patient Safety

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Date of publication: October 2011

Publication type:  Guide

In a nutshell:  This guide was created to support with the education of health-care professionals with priority patient safety concepts.  It also highlights the need to promote patient safety in multi-professional setting. 

Length of publication:  1 web page