Patient Safety Horizon Scanning Volume 5 Issue 12

December 22, 2014

Bradford Teaching Hospitals pilot new patient safety scheme

December 22, 2014

Source:  ITV News

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Date of publication:  November 2014

Publication type:  News item

In a nutshell: Bradford Teaching Hospitals has been named as one of 10 centres which will pilot projects aimed at putting patients at the heart of patient safety. The Bradford PRASE (Patient Reporting and Action for a Safe Environment) scheme intends to advance the wellbeing of patients by using hospital volunteers to record real-time patient feedback about how safe their care is. In this project, the hospital team will harness volunteers to promote the wider implementation of PRASE which will be rolled out across the Bradford Royal Infirmary, St Luke’s Hospital and the district’s community hospitals. It will also be trialled at Barnsley Hospital NHS Foundation Trust, Hull and East Yorkshire Hospitals NHS Trust. Staff from the Bradford Institute for Health Research which is based at Bradford Royal Infirmary will evaluate the project. Dr Robin Jeffrey, the project leader, discusses the project.

Length of Publication:  1 web page


How has the NHS improved patient safety?

December 22, 2014

Source:  The Guardian Healthcare Network

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Date of publication:  November 2014

Publication type:  News item

In a nutshell: John Illingworth, policy manager at the Health Foundation, looks at the impact that the Berwick report has had on patient safety in the NHS. The headline results of a survey sent out to every NHS Provider in England are set out in an infographic. John Illingworth concludes that the survey results show positive signs about how organisations at a local level are pursuing safer care, and cause for thought at a national level as to how further progress can be supported.

Length of Publication:  1 web page


Online patient safety education programme for junior doctors: is it worthwhile?

December 22, 2014

Source:  Irish Journal of Medical Science Epub ahead of print

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Date of publication:  November 2014

Publication type:  Journal article

In a nutshell:  This study looked at online learning about patient safety for junior doctors in Ireland and asked if it is valuable. The participating doctors completed a baseline survey and a follow-up survey. The online initiative resulted in immediate improvements in self-reported knowledge such as knowing when and how to complete incident forms and disclosing errors to patients, and in attitudes towards error reporting. The interactive features were the most positive elements of the programme. The authors conclude that online training about medical errors improved junior doctors self-rated knowledge, attitudes and skills in Ireland.

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


The commission on education and training for patient safety

December 22, 2014

Source:  Health Education England

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Date of publication:  October 2014

Publication type:  News item

In a nutshell: Health Education England (HEE) has established the Commission on Education and Training for Patient Safety to ensure that patient safety is at the heart of education and training for the health and healthcare workforce. The Commission will bring together experts and the public, as well as those responsible for and receiving training in healthcare to focus on the primary requirement of patient safety and safeguarding. It will collect evidence from a range of sources, including best practice from HEE’s Local Education and Training Boards, HEE’s advisory structures including its patient advisory forum and by hearing directly from experts from across the sector. The four key themes are also explained here. The Commission will report in autumn 2015 and the recommendations will consider how HEE can fill any gaps and enable uptake of existing best practice. The Commission is supported by the Learning to be Safer Programme, which drives delivery of HEE’s patient safety, human factors, safeguarding and safe staffing work streams.

Length of Publication:  1 web page


Positive deviance: a different approach to achieving patient safety

December 22, 2014

Source:  BMJ Quality & Safety 23/11 pp.880-3.

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Date of publication:  November 2014

Publication type:  Journal article

In a nutshell: This article argues that a patient safety management system that aims to identify and spread good practice, rather than identify unsafe care and investigate its causes, is more effective in managing and improving patient safety. The positive approach promoted by the article involves following ‘positive deviance’. The article concludes that focusing on negativity sends the wrong message and that healthcare professionals would be better served by receiving positive messages and constructive praise.

Length of Publication:  1 web page


5000 safety fellows

December 22, 2014

Source:  The Health Foundation

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Date of publication:  December 2014

Publication type:  News item

In a nutshell: The Health Foundation and NHS England are working together to develop an ambitious initiative that will connect and support people with safety and wider quality improvement expertise across the UK. It will help share effective improvement ideas throughout the health care system. The initiative will be launched in early 2015.

Length of Publication:  1 web page