The missing evidence: a systematic review of patients’ experiences of adverse events in health care

January 27, 2016

Source:  International Journal for Quality in Healthcare 27/6 pp. 423-41

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Date of publication:  December 2015

Publication type:  Systematic review

In a nutshell:  Reviewers from Australia examined patients’ experiences of adverse events. Eight bibliographic databases were searched from January 2000 to February 2015 and 33 studies were included. The most common issues that patients identified with regard to their healthcare were medication errors and issues with communication and coordination of care. Those with higher income levels and education were more likely to report incidents. People said they felt distressed after adverse events and this was exacerbated by not receiving sufficient information about the causes.  The reviewers recommend that information about patients’ experience of adverse events must be routinely captured and utilized to develop effective, patient-centred and system-wide policies to minimise and manage AEs.

Length of publication:  19 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

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Publishing of patient safety data

January 29, 2014

Source:  Rochdale Online 30 December 2013

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Date of publication:  December 2013

Publication type:  News item

In a nutshell:  A pilot initiative, which will see information on patient safety, clinical effectiveness and patient experience published, along with patients’ own stories,  is underway at the Pennine Acute Hospitals NHS Trust. ‘Open and honest care: Driving improvement’ will involve the hospitals run by The Pennine Acute Trust. The published information will include the number of patients that develop bed sores whilst in hospital, the number of falls recorded and hospital infection rates. It will enable the Trust to share and engage in a different way with the public and to assist with discussions about where improvements are needed and the action being taken.

Length of Publication:  1 web page


A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.

February 25, 2013

Source:  BMJ Open 2013;3:e001570

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Date of publication:  January 2013

Publication type:  Journal article

In a nutshell:  This article aimed to explore evidence on the links between patient experience and clinical safety and effectiveness outcomes. The study showed consistent positive associations between patient experience, patient safety and clinical effectiveness for a wide range of disease areas, settings, outcome measures and study designs.

Length of Publication:  19 pages


Skills in improving quality, safety, patient experience and value with peers within primary care

July 30, 2012

Source: NHS Commissioning Board

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Date of publication: June 2012

Publication type: Toolkit

In a nutshell:  A list of products, including frameworks and toolkits to help senior teams, individual leaders and whole CCGs to improve patient experience.


Patient experience in adult NHS services: improving the experience of care

April 30, 2012

Source:  NICE

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Date of publication: Feb 2012

Publication type:  Guidance

In a nutshell:  This publication is generic guidance on adults NHS services.  It focuses on patient experience and aims to provide clear directive recommendations to improve this experience.

Length of publication:  335 pages


Prevalence, reporting and pressure ulcer management

December 22, 2010

Source: Healthcare Quality Improvement Partnership – HQIP

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Date of publication: 3 October 2010

Publication type: Report

In a nutshell: This item looks at how, through incident report monitoring and clinical audit against NICE guidelines, one Trust successfully dealt with the management of pressure ulcers, realising both improved patient care and quality .

Length of publication: 1 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