Patient Safety Horizon Scanning Volume 4 Issue 5

May 29, 2013

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Safer Patients Network evaluation

May 29, 2013

Source:  The Health Foundation

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Date of publication:  April 2013

Publication type:  Report

In a nutshell:  The Health Foundation supported a safety improvement collaborative over five years. The Safer Patients Network was created as a platform for those taking part to continue engaging after the collaborative ended. The Network comprised a community of practice with access to virtual meetings and annual learning events. Evaluation of the Network examined the extent to which this approach helped to create a self-sustaining approach to continuous improvement.

Length of Publication:  84 pages


Safety in numbers: an introduction to the Nurse Education in Practice series

May 29, 2013

Source:  Nurse Educ Pract. Vol/iss 13/2 pp. e4-e10

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Date of publication:  March  2013

Publication type:  Journal article

In a nutshell:  This paper introduces this Nurse Education in Practice ‘Safety in Numbers’ series. The background is discussed and the papers provided in the journal that explore the outcomes of a 20-year programme of healthcare education translation research and education action research that focuses on medication dosage calculation problem-solving (MDC-PS) education.

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.


Patient safety during assistant propelled wheelchair transfers: the effect of the seat cushion on risk of falling

May 29, 2013

Source:  Assist Technol. Vol/iss 25/1 pp. 1-8.

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Date of publication:  Spring 2013

Publication type:  Journal article

In a nutshell:  This article is a report of a study of the effect of the seat cushion on risk of falling from a wheelchair. Different types of seat cushion were studied. The findings can contribute to the assessment of risk and care planning of non-ambulatory wheelchair users.

Length of Publication:  8 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.


AQuA Patient Safety resources

May 29, 2013

Source:  Advancing Quality Alliance (AQuA)

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Date of publication:  May 2013

Publication type:  Report

In a nutshell:  A ‘get you started’ package of materials is provided by the AQuA Safety knowledge store for use in local reducing harm improvement initiatives. There are currently nine topics in the store. There are best practice guidelines, improvement materials and case studies to help inform improvement efforts. Information is available on areas including slips, trips and falls, absconding patients and safer site surgery.

Length of Publication:  1 web 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.


Retained surgical sponges, needles and instruments

May 29, 2013

Source:  Ann R Coll Surg Engl. Vol/iss 95/2 pp. 87-92

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Date of publication:  March 2013

Publication type:  Journal article

In a nutshell:  Retained sponges and instruments (RSI) due to surgery are a recognised medical ‘never event’. The aim of this review was to reveal the extent of the problem of RSI and to detect preventative strategies. Vigilance among operating theatre personnel is paramount if RSI is to be prevented.

Length of Publication:  6 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.


What works: a realist evaluation case study of intermediaries in infection control practice

May 29, 2013

Source: J Adv Nurs Vol/iss 69/4 pp. 915-26

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Date of publication:  April 2013

Publication type: Journal article

In a nutshell: A hospital in Wales tested the best ways to get evidence into practice in an infection control programme. Intermediaries or champions were used to highlight and promote good practice. Among frontline staff, the presence of champions helped to improve behaviour. This was particularly useful when champions were highly visible in clinical areas and gave specific feedback to facilitate change.

Length of publication: 12 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.