Patient Safety Horizon Scanning Volume 2 Issue 1

January 28, 2011

Checking in healthcare safety: theoretical basis and practical application

January 28, 2011

Source: International Journal of Health Care Quality Assurance  Vol 28 Iss 8 p699-707

Follow this link for abstract

Date of publication: December 2010

Publication type: Journal article

In a nutshell: A literature review to increase understanding of healthcare checking procedures.  Checking procedures are carried out many times during a patient’s stay in hospital. These procedures are both written (official guidance) and unwritten practices.  The author states that more thorough checking in specific errors e.g. bedside checking, could prevent adverse events.

Length of publication: 8 pages

Some important information:  Please contact your local NHS Library for the full text of the article.  Follow this link to find your local NHS Library.

Acknowledgement: MEDLINE


How to guide to the five steps to safer surgery

January 28, 2011

Source: National Reporting and Learning Service

Follow this link for fulltext

Date of publication: December 2010

Publication type: Guidance

In a nutshell: This guide is to be used in the surgery setting by staff involved in the implementation of the Surgical Safety Checklist.  The aim is to build on non-technical skills and existing learning, to improve patient outcomes and healthcare efficienty

Length of publication: 38 pages

Acknowledgement: National Patient Safety Agency


Best practice in the management of epidural analgesia in the hospital setting

January 28, 2011

Source: NHS Evidence Health Management

Follow this link for  fulltext

Date of publication: November 2010

Publication type: Guidelines

In a nutshell: These guidelines look at best practice in the use of epidural analgesia within hospitals.  The main subjects focused on are continuous influsions, intermittent top-up injections and patient-controlled epidural analgesia (PCEA).  They also look at the features of epidural pain management services.

Length of publication: 15 pages


Understanding the patient safety issues for people with learning disabilities

January 28, 2011

Source: National Reporting and Learning Service, National Patient Safety Agency

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Date of publication: November 2010

Publication type: Guidance

In a nutshell: This report looks at the work the NPSA has done, and is continuing to do to improve the patient safety issues surrounding people with learning disabilities.  It also identifies priority patient safety issues.

Length of publication: 22 pages


Detecting harm following paracetemol overdose – Signal

January 28, 2011

Source: National Reporting and Learning Service

Follow this link for fulltext

Date of publication: October 2010

Publication type: Signal

In a nutshell: This is a notification of the key risks involved when patients have been given an overdose of paracetemol.  It looks at reducing the risk of harm to these patients.

Length of publication: 1 webpage

Some important notes: All signal reports are available from the NPSA website.

Acknowledgement: National Patient Safety Agency


Prevention and management of venous thromboembolism

January 28, 2011

Source: SIGN (Scottish Intercollegiate Guidelines Network)

 Follow this link for fulltext

Date of publication: December 2010

Publication type: Guidelines

In a nutshell: This report provides recommendations on preventing and managing venous thromboembolism (VTE)

Length of publication: 107 pages

Some important notes: Supporting evidence can be found on the SIGN website

Acknowledgement: NHS Evidence