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Confidence in the NHS patient safety, health regulatory and governance framework has been, in my view, seriously damaged by the performance shortcomings of the CQC, and only time will tell whether it...
We are knocking on an open door when it comes to the need to develop an NHS...
No doubt the final Dash report on the CQC will also find that the NHS health regulatory, governance framework, patient safety system is too complex, overlapping, fragmented and ripe for reform. This...
It will be impossible for any nurse or doctor to analyse everything that is relevant to their clinical practice area. They do, however, owe patients a legal duty of care and part of this will be the...
A fundamental question I also ask when considering election manifestos is how much control governments have over NHS patient safety culture development. Governments come and go, as do patient safety...
The progress report from WHO offers important insights into strategies adopted, trends, issues, challenges, opportunities and so on. This will be a key resource for all stakeholders in patient safety...
A free revalidation portfolio and CPD resource for nurses and midwives.
In the legal literature the subject of rights is a hotly debated one. Many legal theorists in a subject area called jurisprudence and elsewhere have debated the matter. It is a useful exercise to look...
Preoperative bathing is a generally accepted practice within surgery as a measure to reduce the risk of avoidable surgical site infections. Evidence to favour the routine use of antimicrobial agents...
An independent expert panel commissioned by the House of Commons Health and Social Care Committee (HSCC) has issued the report of its findings on the Government's progress on meeting patient safety...
The aim was to develop a wide, multifactorial collaborative approach to reduce the risk of such incidents recurring following a serious event..
Patient Safety Learning (2024) is a charity for improving patient safety that provides excellent resources to share learning. It has recently produced a report analysing the results of questions...
Patient safety is central to the delivery of care and is, therefore, an essential component of the education of current and future health professionals.
‘Patients struggle to navigate the complaints system and it may take some time to find the correct organisation to complain to.’ .
‘… costs … have continued to grow at an eye-watering rate. Ten years ago, the NHS paid £900 million in damages; last year it was £2.17 billion – equivalent to the annual running costs of the biggest...
Improvement recommendations are made after a patient safety crisis, often repeated ones, but the system does not change much or at all. Errors are repeated, lessons go unlearnt. This might seem a...
‘I have discovered that we need a seismic shift in the way that patients' and families' voices are heard. This requires changes in legislation, regulation, policy, commissioning, education,...
‘Trusts receive too many safety-related messages from too many different sources. The trusts we spoke to said there needed to be better communication and coordination between national bodies, and...
Despite being a relatively new professional role, the Registered Nursing Associate (RNA) has a key part to play, working alongside registered nurses and other healthcare staff, to ensure patient...
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Rob Behrens, the Parliamentary and Health Service Ombudsman (PHSO), gave evidence to the Times Health Commission (Sylvester, 2023a; 2023b). This was a controversial session during which the PHSO...
The recent conviction of a woman for assisting another person to undertake female genital mutilation (FGM) on a three-year-old British girl during a trip to Kenya, has been hailed as evidence of the...
‘SO1: Make zero avoidable harm to patients a state of mind and a rule of engagement in the planning and delivery of health care everywhere.’ .
In terms of patient safety improvement practices and culture development, a recent report published by Healthcare Excellence Canada (Gilbert et al, 2023) provides some interesting and valuable...
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