Safer Clinical Systems: evaluation findings

February 20, 2015

Source:  The Health Foundation

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Date of publication:  December 2014

Publication type:  News item

In a nutshell: The Health Foundation’s Safer Clinical Systems programme explores how approaches from other industries could be used to improve safety in the NHS. The evaluation team make a number of recommendations in this report and say that further analysis is needed to assess whether this approach is better or more cost-effective than other approaches to improving safety.

Length of Publication:  1 web page


How has the NHS improved patient safety?

December 22, 2014

Source:  The Guardian Healthcare Network

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Date of publication:  November 2014

Publication type:  News item

In a nutshell: John Illingworth, policy manager at the Health Foundation, looks at the impact that the Berwick report has had on patient safety in the NHS. The headline results of a survey sent out to every NHS Provider in England are set out in an infographic. John Illingworth concludes that the survey results show positive signs about how organisations at a local level are pursuing safer care, and cause for thought at a national level as to how further progress can be supported.

Length of Publication:  1 web page


New patient safety Collaboratives launched

October 29, 2014

Source:  National Health Executive

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Date of publication:  October 2014

Publication type:  News item

In a nutshell: A new national programme to improve patient safety will see the establishment of 15 Patient Safety Collaboratives – each led by an Academic Health Science Network (AHSN). Each Collaborative will be funded for the next five years by NHS England. The Collaboratives will support individuals, teams and organisations to build skills and knowledge about patient safety and quality improvement. The Collaboratives are aligned with, and support, the ‘Sign up to Safety’ campaign to make the NHS the safest healthcare system in the world.

Length of Publication:  1 web page


NHS England publishes Never Events Policy Framework Review consultation online

October 29, 2014

Source:  NHS England

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Date of publication:  October 2014

Publication type:  News item

In a nutshell: NHS England has published the Never Events Policy Framework Review consultation. The consultation will help to show what needs to be done, and by whom, to prevent never events. Part of the review will also consider financial penalties for never events, and how this might be included in the NHS Standard Contract for 2015/16. The review is focusing on five key issues: the purpose, definition, list of, management, and application of learning from never events. The overall aim of the review is to keep patient safety as a focus for action, and to foster a culture which aims to share learning and improve, rather than to blame and penalise.

Length of Publication:  1 web page


Patient safety incident reporting continues to improve

October 1, 2014

Source:  NHS England

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Date of publication:  September 2014

Publication type:  News item

In a nutshell: The publication of six-monthly data on patient safety incidents reported to the National Reporting and Learning System (NRLS) between 1 October 2013 and 30 April 2014 shows the NHS is continuing to get better at recognising and reporting patient safety incidents. The increase in the level of reported incidents shows that the NHS is continuing to be more open and transparent about reporting patient safety incidents. Incident reporting is important at a local level because it allows clinicians to learn about why patient safety incidents happen within their own service and organisation, and what they can do to keep their patients safe from avoidable harm.

Length of Publication:  1 web page


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


Patient safety alert on risk of using vacuum and suction drains when not clinically indicated

June 25, 2014

Source:  NHS England

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Date of publication:  June 2014

Publication type:  News item

In a nutshell:  NHS England has issued a patient safety alert on the risk of using vacuum and suction drains when not clinically indicated. The alert has been issued following the report of a serious incident to the National Reporting and Learning System (NRLS). Two further similar incidents had been reported to the NRLS previously. There is a link available to the full patient safety alert.

Length of Publication:  1 web page