The role of theory in research to develop and evaluate the implementation of patient safety practices

February 28, 2011

Source: BMJ Quality & Safety Volume 20

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Date of publication: 11 February 2011

Publication type: Article

In a nutshell: This article suggests that theory should be added to interventions as they can provide a way of predicting or mitigating the effects of Patient Safety Practices (PSPs).  It further suggests that adding the theoretical basis to the PSPs will enable learning in different contexts.

Length of publication: 6 pages

Some important information:  This article is available in full text to all NHS Staff using Athens, for more information about accessing full text fllow this link to find your local NHS Library.  Follow this link to find your local NHS Library.


A wake up call – lessons from the first major improvement programme

February 28, 2011

Source: The Health Foundation

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Date of publication: 4 February 2011

Publication type: News item

In a nutshell: The Health Foundation looks at their ‘Safer Patient Initiative’,  evaluating the lessons learned from it.  It also looks at the success achieved on ward level, and raising awareness of these issues across the UK.  However, more lessons are to be learned if this is to have an impact at organisation level, and this article highlights some of the ways to achieve this.

Length of publication: 1 webpage


How to guide to the five steps to safer surgery

January 28, 2011

Source: National Reporting and Learning Service

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Date of publication: December 2010

Publication type: Guidance

In a nutshell: This guide is to be used in the surgery setting by staff involved in the implementation of the Surgical Safety Checklist.  The aim is to build on non-technical skills and existing learning, to improve patient outcomes and healthcare efficienty

Length of publication: 38 pages

Acknowledgement: National Patient Safety Agency


Patient Safety: Round table on Reporting systems in Health Care

January 28, 2011

Source: World Health Organisation Regional Office for Europe

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Date of publication: December 2010

Publication type: Report

In a nutshell: Representatives from the Czech Republic, Slovakia and Slovenia, along with international experts, met and identified common challenges and agreed a set of recommendations to improve patient safety and reporting systems. A follow up meeting, to report progress, will take place after one year.

Length of publication: 25 pages

Acknowledgement: NHS Evidence


Making ‘safety’ the focus of investigations into adverse events

August 28, 2010

Source: New Zealand Medical Journal Vol 123 Iss 1314 p99-105

Click here to access abstract

Date of publication: May 2010

Publication type: Article

In a nutshell: This article looks at the safety features used in aviation and how to apply the lessons learned here to the health sector.

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.

Acknowledgement: PubMed


Design for patient safety: A guide to the design of electronic infusion devices

June 9, 2010

Source:  National Reporting and Learning Service

Click here to link to report 

Date of publication:  March 2010

Publication type:  Report

In a nutshell:   Guidance focused on the safe design of infusion pumps and syringe drivers used in hospital and ambulatory care.

Length of publication:  web page

Acknowledgements:   National Patient Safety Agency


Never Events Framework 2009-10

June 9, 2010

Source:  National Reporting and Learning Service

Follow this link for full-text access

Date of publication:  February 2010

Publication type:  Report

In a nutshell:  A list of reports on Never Events, and the processes and guidance recommended.

Length of publication:  1 web page

Acknowledgements:  National Patient Safety Agency