Keeping patients safe when they transfer between care providers

July 28, 2011

Source: Royal Pharmaceutical Society

Follow this link for fulltext

Date of publication: July 2011

Publication type: Guidance

In a nutshell: This guidance looks at the one of the risks to patient care when the patient is transferred between health care providers.   This risk is the miscommunication or unintended change to medications.  The guidance looks at ways to reduce this risk and reduce preventable incidences.

Length of publication: 11 pages

Acknowledgements:  Kings Fund blog

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BMJ Analysis: Why patient safety is such a tough nut to crack

July 28, 2011

Source:   BMJ  Volume 342, d3447

Follow this link for abstract

Date of publication:  June 2011

Publication type:   Journal article

In a nutshell:  While patient safety is on the forefront of health care worldwide there are still a high number of preventable adverse incidents causing patient harm.  This article looks at four challenges to patient safety and the implementation of interventions – visibility; ambiguity; complexity and autonomy.

Length of publication:  1 web page

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

Acknowledgements:  NELM News service


Learning from mistakes

June 28, 2011

Source: Nursing Standard  Volume 25, Issue 34 p18

Follow this link for abstract

Date of publication: April 2011

Publication type: Journal article

In a nutshell: The article describes what a never event is, and why the Department of Health expanded the list from 8 to 25 in February 2011.  The main focus of the list is on acute.

Length of publication: 1 page

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

Acknowledgement: HMIC


Checking in healthcare safety: theoretical basis and practical application

January 28, 2011

Source: International Journal of Health Care Quality Assurance  Vol 28 Iss 8 p699-707

Follow this link for abstract

Date of publication: December 2010

Publication type: Journal article

In a nutshell: A literature review to increase understanding of healthcare checking procedures.  Checking procedures are carried out many times during a patient’s stay in hospital. These procedures are both written (official guidance) and unwritten practices.  The author states that more thorough checking in specific errors e.g. bedside checking, could prevent adverse events.

Length of publication: 8 pages

Some important information:  Please contact your local NHS Library for the full text of the article.  Follow this link to find your local NHS Library.

Acknowledgement: MEDLINE


Patient Safety and Error Management: What Causes Adverse Events and How Can They Be Prevented?

June 9, 2010

Source:  Deutsches Ärzteblatt International.   Vol. 107 Iss. 6DOI:   10.3238/artebl.2010.0092. 

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Date of publication:  February 2010

Publication type:  Journal article

In a nutshell:  A literature review into how adverse events, which can harm patient safety, can be prevented in hospital and in outpatient settings in Germany.

Length of publication:  7 pages