Patient Safety Horizon Scanning Volume 2 Issue 7

August 29, 2011

Misidentification

August 29, 2011

Source: Nursing Times  Volume 107 Issue 25 pp20

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Date of publication: June 2011

Publication type: Journal Article

In a nutshell: Part three of four articles on changes to the Department of Health’s extended ‘never events’ list. Focuses on the use and checking of wristbands to avoid errors arising from wrongly-identified patients. A case study is used to illustrate a ‘nearly never event’ of a patient who almost underwent an invasive procedure intended for another person with the same name, because protocols were not followed correctly.

Length of publication: 1 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

Acknowledgement: British Nursing Index from NHS Evidence


Patient-assisted incident reporting: including the patient in patient safety

August 29, 2011

Source:  Journal of Patient Safety

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Date of publication: June 2011

Publication type: Journal article

In a nutshell: For learning lessons, and a variety of other reasons, it is important to report incidences as they occur.  This article considers the importance of capturing the perspective of the patient involved as a complementary perspective

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.


Safety implications of missed test results for hospitalised patients

August 29, 2011

Source:  BMJ Quality & Safety

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Date of publication: August 2011

Publication type:  Journal article

In a nutshell: This item looks at the potential for improvement in the number of missed test results for patients with the use of Information Technology systems.

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


Understanding patient safety culture, part 1.

August 29, 2011

Source: J Perianesthesia Nursing Volume 26 Issue 3 pp170-2

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Date of publication: June 2011

Publication type: Journal Article

In a nutshell: This is the first in a series exploring factors influencing patient safety in healthcare. The impact of the working environment on nurses’ perceptions of patient safety and the concept of a culture of patient safety are discussed.

Length of publication: 3 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

Acknowledgement: British Nursing Index Database from NHS Evidence


Patient safety incidents associated with obesity: a review of reports to NPSA

August 29, 2011

Source: National electronic Library for Medicines

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Date of publication:25 July 2011

Publication type: Journal article

In a nutshell: this summary looks at the care provision of patients who are obese, especially the area of patient safety incidents.  The authors looked for a link between the safety incidents and obesity and then looked at ways of reducing these.

Length of publication:  8 pages

Some important notes: This article is available in full text to all NHS Staff using Athens.   For more information about accessing full text follow this link to find your local NHS Library


A patient safety curriculum for medical residents based on the perspectives

August 29, 2011

Source: Journal of Patient Safety  Vol 7 Iss 2 pp99-105

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Date of publication: June 2011

Publication type:  Journal article

In a nutshell:  This article looks the development of a patient safety course for medical residents.  These are based on the perspectives of the residents themselves and their supervisors.  The perspectives were taken from questionnaires and the results were analysed.

Length of publication:  7 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.