Patient Safety Horizon Scanning Volume 1 Issue 1

June 30, 2010

Use of Patient Safety Culture – instruments and recommendations

June 9, 2010

Source:  European Union Network for Patient Safety

For full report click here

Date of publication:  March 2010

Publication type:  Report

In a nutshell:  A report into the culture of patient safety through a survey carried out by EU member states.

Length of publication:  35 pages


How implementing the surgical safety checklist improved staff teamwork in theatre

June 9, 2010

Source:  Nursing Times, 26 March 2010

Click here to access fulltext

Date of publication:  March 2010

Publication type:  Journal article

In a nutshell:  This article is about the experience of Guys’ and St Thomas’ Foundation Trust in implementing a surgical safety checklist published by WHO.

Length of publication: Webpage

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.

Acknowledgements:  WHO.  Link here to access the WHO Surgical Safety Checklist


Design for patient safety: A guide to the design of electronic infusion devices

June 9, 2010

Source:  National Reporting and Learning Service

Click here to link to report 

Date of publication:  March 2010

Publication type:  Report

In a nutshell:   Guidance focused on the safe design of infusion pumps and syringe drivers used in hospital and ambulatory care.

Length of publication:  web page

Acknowledgements:   National Patient Safety Agency


Never Events Framework 2009-10

June 9, 2010

Source:  National Reporting and Learning Service

Follow this link for full-text access

Date of publication:  February 2010

Publication type:  Report

In a nutshell:  A list of reports on Never Events, and the processes and guidance recommended.

Length of publication:  1 web page

Acknowledgements:  National Patient Safety Agency


Organisation Patient Safety Incident Reports March 2010

June 9, 2010

Source: National Reporting and Learning Service

Follow link to access reports

Date of publication:  March 2010

Publication type:  Report

In a nutshell:  Access patient safety incident reports for individual NHS organisations in England and Wales.

Length of publication:  1 web page

Achnowledgements:  National Patient Safety Agency


Patient Safety and Error Management: What Causes Adverse Events and How Can They Be Prevented?

June 9, 2010

Source:  Deutsches Ärzteblatt International.   Vol. 107 Iss. 6DOI:   10.3238/artebl.2010.0092. 

Follow this link for fulltext

Date of publication:  February 2010

Publication type:  Journal article

In a nutshell:  A literature review into how adverse events, which can harm patient safety, can be prevented in hospital and in outpatient settings in Germany.

Length of publication:  7 pages


What every healthcare board needs to understand about patient safety

June 9, 2010

Source: A report from the Good Governance Institute by Andrew Corbett-Nolan and Jonathan Hazan

Follow this link for fulltext

Date of publication:  February 2010

Publication type:  Report

In a nutshell: This report considers many issues that contribute to improving the governance of healthcare organisations.

Length of publication:  20 pages

Published by:  Good Governance Institute


Medication errors fall after patients are given bar codes to match their drugs

June 7, 2010

SourceNew England Journal of Medicine, 2010;362:1698-1707

Follow this link for full-text

Date of publication:  May 6 2010

Publication type:   Journal article

In a nutshell: This research suggests that barcoding patients and drugs, so they can be matched up, will result in a reduction of medical errors. 

Length of publication:  10 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.


1000 Lives Plus to deliver safer care – every time, for every patient in Wales

May 27, 2010

Source: NHS Wales 1000 Lives Campaign

Follow this link to read full story

Date of publication: May 2010

Publication type:   Website

In a nutshell: 1000 Lives Plus, launched 11 May 2010, is a new five year programme which seeks to improve patient safety and reduce avoidable harm across NHS Wales.

Length of publication: 1 web page

Acknowledgement: BBC News story


Further Dissemination

May 6, 2010

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