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Patient safety

The latest patient safety related news

Highlighting learning from practitioners and research from human factors in health care.

Follow this theme to discover what patient safety means as a practice. We share learning from practitioners, and researchers and findings from the developing field of human factors in health care.

Patient safety

Agency for Healthcare Research and Quality

Patients as partners in learning from unexpected events

In this study, investigators interviewed patients and family members following an adverse event to determine whether they could identify any underlying causes of the incident. Each patient and family member was able to identify at least one contributing factor and make recommendations to address these underlying causes. (American).

BMC Health Services Research

Evaluating the implementation of a national disclosure policy for large-scale adverse events in an integrated health care system

This study revealed key problem areas that needed to be addressed during disclosure, including: timely communication, establishing a supportive culture, using patient-approved, effective communications strategies during disclosures; providing follow-up support for employees and patients, and sharing lessons learned.

BMJ Quality and Safety

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care

“A bedside care workforce with a greater proportion of professional nurses is associated with better outcomes for patients and nurses. Reducing nursing skill mix by adding nursing associates and other categories of assistive nursing personnel without professional nurse qualifications may contribute to preventable deaths, erode quality and safety of hospital care and contribute to hospital nurse shortages.”

Canadian Institute for Health Information

Measuring patient harm in Canadian Hospitals

The report suggests that in 2014–15 there were 138,000 patients admitted to a Canadian hospital who suffered some kind of harmful event that could potentially have been prevented. Of those 138,000 patients, about 30,000 had more than one adverse event that compromised their care. The report also reveals that those most at risk for hospital-related harms are patients with multiple conditions.

Department of Health

Reducing infections in the NHS

Health Secretary Jeremy Hunt has launched new plans to reduce infections in the NHS. E. coli infections killed more than 5,500 NHS patients last year and are set to cost the NHS £2.3 billion by 2018.

New England Journal of Medicine

Safety lessons from the NIH Clinical Centre

“The lessons of the NIHCC are that patient safety must be a core value and that health care organizations require a culture of safety, appropriate oversight and expertise, and key safety systems and structures. Patient safety should never take second place.”

NHS Central Alerting System

Risk of death and severe harm from error with injectable phenytoin

This alert has followed a review of incidents which identified several themes. It asks providers to consider if more can be done to strengthen local guidance, training and teamwork related to the use of injectable phenytoin to reduce the risk of error.

NHS Health Education England

Getting it right – education and training for sepsis

Health Education England is to make further changes to sepsis education and training for all health and care staff to help save lives. It is crucial that all health and care staff are able to spot the early signs of this terrible condition and to provide appropriate, timely, high quality care.

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