Help shape the Independent Patient Safety Investigation Service

September 30, 2015

Source:  Department of Health

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Date of publicationAugust 2015

Publication type:  News item

In a nutshell: Dr Mike Durkin, Director of Patient Safety at NHS England, discusses the plans for the Independent Patient Safety Investigation Service. The consultation runs from 24 Aug 2015 to 31 Oct 2015.

Length of Publication:  1 web page

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Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report

May 22, 2015

Source:  BMJ Quality & Safety 24/5 pp. 337-44

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Date of publicationMay 2015

Publication type:  Journal article

In a nutshell: Staff at Great Ormond Street Hospital developed and tested a tool specifically designed for patients and families to report harm. Processes to report harm were developed over a 10-month period. The tool was tested in different formats and it moved from a provider centric to a person-centred tool analysed in real time. Feedback to staff provided learning opportunities. Improvements in culture climate and staff reporting were noted in the short term. The integration of patient involvement in safety monitoring systems is vital to achieve safety. The testing and introduction of a self-reporting, real-time bedside tool has led to active engagement with families and patients and raised awareness.

Length of Publication:  8 pages


Improving patient safety through feedback on prescribing errors

July 30, 2014

Source:  The Health Foundation

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Date of publication:  June 2014

Publication type:  Webinar

In a nutshell: Discusses a case study video from Imperial College Healthcare NHS Trust. Bryony Dean Franklin from the Trust talks about the Shine 2012 project, which aimed to improve patient safety through feedback on prescribing errors. In UK studies of the causes of prescribing errors, a common theme is that junior doctors are often unaware of making errors and receive little feedback on errors and how to prevent them. According to research, providing feedback on aspects of clinical performance can improve quality of care and lead to professional behaviour change. There is little experience with this approach in the UK hospital setting though so this project proposed a practical low-cost intervention building on hospital pharmacists’ existing practice to identify and rectify prescribing errors.

Length of Publication:  1 web page


Patient safety timeline

January 29, 2014

Source:  The Health Foundation

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Date of publication:  December 2013

Publication type:  News item

In a nutshell:  The Health Foundation has produced an interactive timeline, which is a visual guide through some of the key patient safety events over the past 150 years, both in the UK and internationally. The timeline demonstrates the progress that has been made in many areas of patient safety. The Health Foundation also asks for people’s views and comments on the timeline as they say that it cannot claim to be comprehensive. It merely illustrates some of the key events over time.

Length of Publication:  1 web page


Experience-based co-design toolkit

December 18, 2013

Source:  The King’s Fund

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Date of publication:  November 2013

Publication type:  Toolkit

In a nutshell:  A new version of the experience-based co-design toolkit – a powerful and effective way to help service providers run and assess their own patient-centred care projects – has been launched. The toolkit incorporates learning and feedback from staff and patients involved in more than 60 EBCD projects, including an important adaptation, the accelerated form of EBCD.

Length of Publication:  1 web page


How postcards that asked four simple questions improved patient feedback on safety

July 22, 2010

SourceNursing Times

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Date of publication:  April 2010

Publication type:  Journal article

In a nutshell:  An article on patient feedback by postcard, the latest measure being adopted to improve hospital experiences.

Length of publication:  3.35 minutes

Some important notes:  Please contact your local NHS Library for the fulltext of the article.  Follow this link to find your local NHS Library.

AcknowledgementsPatient Safety First