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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

Health care facility design safety risk assessment toolkit

The goal of the toolkit, developed by the Centre for Health Design Link to Exit Disclaimer, is to assist in the design of a built environment that supports workflow, procedures, and capability while ensuring the safety of patients and staff.

Agency for Healthcare Research and Quality

Fall prevention in hospitals

This content was developed from an AHRQ project that ran from 2014 to 2017. It is based on AHRQ’s Fall Prevention Toolkit and the experiences of 10 hospitals that participated in a 2-year pilot project of the Training Programme.

American Surgeon

Medication errors in injured patients

Errors involving medications are not infrequent. This study looked at such errors in a vulnerable population: trauma patients. This study sought to assess trends in medication errors in trauma patients and the role these errors play in patient outcomes.

Annals of Family Medicine

The nature of blame in patient safety incident reports

A culture of blame and fear of retribution are recognized barriers to reporting patient safety incidents. This study set out to explore the nature of blame in family practice safety incident reports.

Department of Health

Learning from post-accident investigations to ensure patient safety

Health Secretary Jeremy Hunt explains the thinking behind the Health Service Safety Investigations Bill, and recent steps to improve patient safety.

Digitalhealth.net

Nottingham to review digital care record due to patient safety concerns

Nottingham University Hospitals NHS Trust is to urgently review its £14m digital records system after dozens of consultants wrote to the trust medical director expressing concerns about the system and its impact on patient safety.

House of Commons Library

Deprivation of Liberty Safeguards

Deprivation of Liberty Safeguards were introduced into the Mental Capacity Act by the Mental Health Act 2007. This briefing describes recent and proposed changes, including the Law Commission review.

Institute for Healthcare Improvement

Americans’ Experiences with Medical Errors and Views on Patient Safety

The majority of Americans are having positive experiences with the health care system, but 21 percent of adults report having personally experienced a medical error. When errors do occur, they often have lasting impact on the patient’s physical health, emotional health, financial well-being, or family relationships.

International journal for Quality in Health Care

Adverse events related to hospital care

Retrospective records reviews carried out in several countries have shown substantial rates of adverse events (AE) among hospitalized patients, preventable in half the cases.

Joint Commission Journal on Quality and Patient Safety

User-centred collaborative design and development of an inpatient safety dashboard

This article summarizes the iterative participatory development, features, functions, and preliminary evaluation of a patient safety dashboard for interdisciplinary rounding teams on inpatient medical services.

Journal of Health Services Research Services Research & Policy

Patient-reported safety incidents as a new source of patient safety date

This study aims compare a new co-designed, patient incident reporting tool with three established methods of detecting patient safety incidents and identify if the same incidents are recorded across methods.

National Quality Forum

Improving Diagnostic Quality and Safety Final Report

The (US) National Quality Forum convened an expert Committee to develop a conceptual framework for measuring diagnostic quality and safety and to identify priorities for future measure development.

NHS Improvement. Patient Safety Alert

Risk of severe harm and death from infusing total parenteral nutrition too rapidly in babies

From incident reporting, three main types of error were identified: lipids infused at the rate intended for the aqueous solution, incorrect infusion rate, and miscalculation of volumes. NHS organisations should consider if immediate action is needed to be taken locally.

NICE

Sepsis – what NICE says

Read about everything NICE says on treating and managing sepsis. NICE urges hospital staff to treat people with life-threatening sepsis within one hour, in its quality standard.

Nursing Forum

Human factors that contribute to nursing errors

Human and system failures have been the subject of an abundance of research, yet nursing errors continue to occur.

Qualitative Health Research

Recognising and responding to the “toxic” work environment: worker safety, patient safety and abuse/neglect in nursing homes

This study examined how the certified nursing assistant (CNA) understands and responds to bullying in the workplace. Findings highlight the relationship between worker and patient safety, and suggest worker safety outcomes may be an indicator of quality in nursing homes.

Social Care Institute for Excellence

Safeguarding adults

SCIE has identified some common safeguarding challenges. This paper highlights key issues including: local authorities’ decisions about enquiries; implementing the Mental Capacity Act and Deprivation of Liberty Safeguards; and supporting people at risk who do not have care and support needs.

World Health Organization

Antibacterial agents in clinical development

WHO has published a report showing that there is a serious lack of new antibiotics under development to combat the growing threat of antimicrobial resistance.

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