Patient Safety Horizon Scanning Volume 4 Issue 6

June 24, 2013
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Interest grows in new approach to measuring patient safety

June 24, 2013

Source:  Nursing Times

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Date of publication:  June 2013

Publication type:  News item

In a nutshell:

In an interview with the Nursing Times, the new national director for patient safety, Mike Durkin, has said that frontline nurses and healthcare professionals should have more responsibility for ensuring the services they provide are safe. He has taken up the role of director of patient safety in the chief nursing officer’s directorate at NHS England following the NHS reforms. Dr Durkin said all staff working in a healthcare environment should see themselves as healthcare professionals, whether they have clinical training or not, and take responsibility for making sure care is safe.

Length of Publication:  1 web page


The implementation of nice guidance on venous thromboembolism risk assessment and prophylaxis: a before-after observational study to assess the impact on patient safety across four hospitals in England

June 24, 2013

Source:  BMC Health Services Research Vol 13 pp. 203

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Date of publication:  June 2013

Publication type:  Journal article

In a nutshell:  An international major health requirement is the prevention of Venous thromboembolism (VTE) to improve patient safety. In February 2010 NICE issued guidance on assessing patients for risk of VTE on admission to hospital, assessing patients for bleeding risk and evaluating the risks and benefits of prescribing VTE prophylaxis. This study aimed to evaluate the implementation of NICE guidance and its impact on patient safety. The documentation of risk assessment improved following the implementation of NICE guidance; however, it is uncertain whether this led to improved patient safety with respect to prescribing appropriate prophylaxis.

Length of Publication:  14 pages


The surgical safety checklist survey: a national perspective on patient safety

June 24, 2013

Source:  Irish Journal of Medical Science Vol/iss 182/2 pp. 171-176

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Date of publication:  June 2013

Publication type:  Journal article

In a nutshell:  The World Health Organisation recommended practices to ensure the safety of patients worldwide in 2008. This led to the development of the Surgical Safety Checklist (SSC) which Ireland has endorsed. The authors aimed to determine whether the SSC is being implemented and to identify problems associated with its introduction and on-going implementation. They found that it has not been implemented throughout all operating departments in Ireland, but where it has been introduced there has been a perceived positive change in safety culture. The authors state that a formal audit of morbidity and mortality is required.

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.


New Online Patient Safety Resource Centre

June 24, 2013

Source:  The Health Foundation

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Date of publication:  June 2013

Publication type:  Website

In a nutshell: The Health Foundation has launched a new online patient safety resource centre. The website pulls together existing evidence and new resources to help deliver safe and reliable care. The new resource centre provides fast, reliable access to accurate, up-to-date patient safety information for managers and healthcare professionals and is suitable for all levels of practice.

Length of Publication:  1 web page


Multiprofessional Team Simulation Training, Based on an Obstetric Model, Can Improve Teamwork in Other Areas of Health Care

June 24, 2013

Source:  American Journal of Medical Quality 2013 May 7. [Epub ahead of print]

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Date of publication:   May 2013

Publication type:  Journal article

In a nutshell:  Multi-professional scenario-based training was run in England to improve the safety culture and teamwork climate of three surgical wards at one hospital. Over a four-month period, 22 team training sessions were run, each comprising teams of four or five medical and nursing staff. Safety culture was measured before and after training using a validated tool. Scenario-based training was associated with an improvement in safety culture on the wards and a trend towards improved teamwork climate. However staff were less likely to think that staffing levels were adequate or have favourable perceptions of hospital management. This may be because the scenarios highlighted flaws in current practice.

Length of Publication:  Unknown

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.


Closing the gate before the horse bolts: a new approach to patient safety

June 24, 2013

Source:  The Health Foundation

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Date of publication:  May 2013

Publication type:  Blog post

In a nutshell:  A blog post by Elaine Maxwell that considers whether care is any safer today than it was in 2001 when the National Patient Safety Agency was established.

Length of Publication:  1 web page