Patient Safety Horizon Scanning Volume 3 Issue 5

August 31, 2012

Service making pledge on patient safety

August 31, 2012

Source: The Shrewsbury and Telford Hospital NHS Trust

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Date of publication:   July 2012

Publication type:  News item

In a nutshell:  This news article shows how one hospital is turning around their poor track record, putting patients at the heart of ophthalmology care.  The whole service is being redesigned and the team is working with their local Clinical Commissioning Group to ensure that the re-launched service will improve patient safety.


CCGs already improving patient care

August 31, 2012

Source: Kings Fund

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Date of publication: July 2012

Publication type:  Article

In a nutshell:  This article looks at Clinical Commissioning Groups and the impact they are already making in the area of improving patient care.


Good hydration is essential for patient safety

August 31, 2012

Source: NHS Kidney Care

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Date of publication:  August 2012

Publication type: News item

In a nutshell:  A lead nurse in Leeds Teaching Hospitals wrote this news item to show how good hydration helps kidney care.  It also provides links to how-to guides and information on resources to prevent avoidable healthcare conditions.


Patient safety at Sheffield Teaching Hospitals praised as Trust wins two national awards

August 31, 2012

Source: Sheffield Teaching Hospitals

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Date of publication: July 2012

Publication type:  News item

In a nutshell:  An award has been given to a hospital in Sheffield for improving patient safety in gastrointestinal care.  To help patients who are released from hospital after an operation a dedicated community service was set up by the Trust which included a dedicated gastrostomy specialist nurse and two community dieticians.  The number of patients requiring readmission to hospital was significantly reduced after the introduction of the new service.


Exploring error in team-based acute care scenarios: an observational study from the United Kingdom

August 31, 2012

Source:  Academic Medicine

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Date of publication:  June 2012

Publication type:  Article

In a nutshell:  This article follows 38 junior doctors, in their first year after medical qualification, in NHS Lothian.  It looks at the errors made by these doctors and investigates whether there was a single cause. The article reasons that identifying a single cause for each error could identify which knowledge and skills which are most vulnerable to specific errors and enable specially tailored educational strategies to be developed to try to prevent them.

Acknowledgements:  Kings Fund

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.


Improved NHS services through new perspectives: a toolkit for doctors and managers to improve quality for patients

August 31, 2012

Source:  Centre for Innovation in Health Management

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Date of publication: July 2012

Publication type:  Innovation

In a nutshell:  The purpose of this toolkit is to help implement positive changes in NHS Trusts.  It looks at the working relationship between doctors and managers and seeks to make it more productive.

Some important notes:  This toolkit requires free registration in order to access it.

Acknowledgements:  Health Management and Policy Alert