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Patient Safety

The chasm between theory and practice in NHS complaint handling

We can add to the long list the Francis report (2013). Chapter 3 of the first volume deals with complaints and in the conclusion the following telling statement highlights the inherent power imbalance...

Failures in NHS lesson learning

Current and past patient safety crises show that these issues have not been sufficiently addressed in the past and are constant themes that require urgent attention in the NHS today..

Improving patient safety by learning from the experiences of others

‘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...

Patient safety unplugged: going back to basics

In researching patient safety and looking at helpful tools and trends there is a lot of deep thinking to do. The area is a complex one with competing underpinning conceptual theories. There is also a...

Patient rights and the cost of health litigation: you don't ‘win’ compensation

The economic argument is often used by those who are arguing for changes to our compensation system and litigation cost containment measures. The argument goes that the money paid out to those injured...

How staying in a single room affects the experiences of haematology inpatients in an Australian cancer hospital

Ethical approval for the study was received from the Peter MacCallum Cancer Centre Human Research Ethics Committee (HREC) [LNR/17/PMCC/282] and the La Trobe University Ethical Committee [based on...

Clinical negligence and the blame, name, shame game

It is easy to agree with statements that we should encourage a no-blame culture in the NHS to greater facilitate openness, transparency and candour by healthcare staff. To develop a no-blame culture,...

Keeping warfarin patients safe during the COVID-19 pandemic: review of an INR self-testing programme

Between June 2020 and January 2021, 71 patients and two nursing homes were trained in the use of the CoaguChek XS device at King's College Hospital NHS Foundation Trust. Only one patient was unable to...

The clinical negligence system reform debate is heating up

‘Former health secretary Jeremy Hunt has questioned whether clinical negligence lawyers are blocking vital reforms because the status quo is too lucrative to change.’ .

Does quality matter to you? Ward accreditation and improving patient care

As a Darzi Fellows Alumni, I'm drawn to Lord Darzi's definition of quality (Darzi and Department of Health (DH), 2008), which has three criteria: patient safety, patient experience and effectiveness...

Don't blame all patient safety errors on COVID-19

‘Aaron Cummins, whose trust serves patients in Lancashire and south Cumbria, wrote in an internal message to staff: “Sadly, despite everyone's best efforts, many of our patients are still receiving...

Should we reform the clinical negligence system in 2022?

‘Ministers are working on a total overhaul of the “outdated” system of clinical negligence compensation within the NHS … the health and social care committee [was told] that a review of the system...

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