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Content ArticleGetting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
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Content Article
Implementation Approaches for Closing the Loop (2019)
Patient-Safety-Learning posted an article in Diagnostic error
Delayed, missed and incorrect diagnoses are common causes of errors that result in patient harm and inappropriate care. However, some diagnostic errors may be avoided by effectively using health information technology. These resources from the Emergency Care Research Institute provide information on how to implement IT processes to close the loop on diagnostic evaluations. -
Content ArticleThis study in the International Journal of Mental Health Nursing presents a qualitative evaluation of staff perspectives of the impact and value of the REsTRAIN Yourself initiative. REsTRAIN Yourself aimed to reduce the use of physical restraint in mental health inpatient wards through training and practice development with whole teams within ward settings. Thirty-six staff participated in semi-structured interviews for this study.
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Content ArticleThis training from the World Health Organization (WHO) is part of WHO's QualityRights Initiative, which aims to change mindsets and practices in a sustainable way to improve the lives of people with psychosocial, intellectual or cognitive disabilities globally. It seeks to empower all stakeholders to promote rights and recovery. These materials can be used to build capacity among mental health practitioners, people with psychosocial, intellectual and cognitive disabilities, people using mental health services, families, care partners and nongovernmental organisations. They offer guidance on how to implement a human rights and recovery approach to mental health in line with the UN Convention on the Rights of Persons with Disabilities, and other international human rights standards.
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Content ArticleThis document by the Restraint Reduction Network offers a framework to support care providers in reducing the use of restrictive practices. Restrictive practices are often a response to behaviours seen by care providers and wider society as ‘behaviours of concern’ or ‘challenging behaviour’. These behaviours can occasionally include wilful acts that have the potential to cause harm, but more often than not, these behaviours are symptoms of distress or frustration and a response to the environment or situation that a person finds themselves in. This document outlines the National Minimum Standards for the content of Restrictive Interventions Reduction Plans in mental health and learning disability settings.
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Content ArticleGetting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
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Content Article
Transvaginal mesh timeline (7 December 2017)
Patient-Safety-Learning posted an article in Women's health
This blog sets out a timeline of the major landmarks for transvaginal surgical mesh since its first approval in 1996. -
Content ArticleThis cross-sectional survey in the British Journal of General Practice looks at the availability and use of emergency admission risk stratification (EARS) tools across the UK and aims to identify factors that influence their implementation. The authors identified 39 different EARS tools in use. They found that the most important factors in encouraging general practices to use EARS tools were: promotion by NHS commissioners involvement of clinical leaders engagement of practice managers. High workloads and information governance were significant barriers to their use. The authors highlight the need to align policy and practice with research evidence.
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Content ArticleThis systematic review in The Journal of Advanced Nursing aimed to synthesise current knowledge about the impact of safety briefings on improving patient safety. The authors found that safety briefings achieved beneficial outcomes and can improve safety culture. Beneficial outcomes included: improved risk identification. reduced falls. enhanced relationships. increased incident reporting. ability to voice concerns. reduced length of stay.
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Content ArticleThis Annual Quality Statement provides a summary of the work of Cardiff and Vale University Health Board in 2019-2020, with a particular focus on community mental health.
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Content ArticleThis systematic review in BMJ Quality & Safety looks at existing research into the impact of hospital-based safety huddles. The authors found that while there are many anecdotal accounts of successful huddle programmes, there is not yet much high-quality peer-reviewed evidence regarding the effectiveness of hospital-based safety huddles. They suggest that additional rigorous research is needed to enhance collective understanding of how huddles impact patient safety and other outcomes. The review proposes a taxonomy and standardised reporting measures for future studies, to enhance comparability and evidence quality.
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Content Article
Diagnostic Errors: Technical Series on Safer Primary Care (2016)
Patient-Safety-Learning posted an article in WHO
This document from the World Health Organization raises awareness about strategies that could reduce diagnostic errors in primary care. It highlights the importance of examining diagnostic errors, identifies the most common types of diagnostic error in primary care and describes potential solutions. -
Content ArticleGetting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
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Content Article
Urology: GIRFT Programme National Specialty Report (July 2018)
Patient-Safety-Learning posted an article in Surgery
Getting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings. -
Content Article
NHS England - Language Matters: language and diabetes (2018)
Patient-Safety-Learning posted an article in Diabetes
The language used by healthcare professionals can have a profound impact on how people living with diabetes, and those who care for them, experience their condition and feel about living with it day-to-day. This guidance by NHS England sets out practical examples of language that will encourage positive interactions with people living with diabetes and subsequently positive outcomes. These examples are based on research and supported by a simple set of principles. -
Content Article
What is clinical audit? (2009)
Patient-Safety-Learning posted an article in Clinical governance and audits
This guide by the University Hospitals Bristol clinical audit team provides a brief summary of what clinical audit is, and what it isn't. It outlines the main stages of clinical audit and describes how it can be used, how to engage patients in the process and which staff members should be involved. -
Content ArticleThese documents are for bereaved families and aim to explain what happens after a bereavement. They include information about how to comment on the care a loved one received and what happens if a death will be looked into by a coroner.
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Content ArticleGetting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
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Content ArticleThis guidance from the NHS National Quality Board details how trusts should support and engage families after a loved one’s death in their organisation’s care. It consolidates existing guidance and provides perspectives from family members who have experienced a bereavement within the NHS. This guide includes explanations of healthcare terms and processes, so that following a bereavement, families can use the information it contains.
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Content ArticleThis declaration was written by participants of the regional workshop on 'Patients for Patient Safety’ in July 2007 in Jakarta, Indonesia. This included patients, consumer advocates, health care professionals, policy-makers and representatives of non-governmental organisations, professional associations and regulatory councils. It was inspired by the WHO World Alliance for Patient Safety, Patients for Patient Safety London Declaration (March 2006).
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Content ArticleThis is the report of the Scottish Government's Ministerial Task Force on Health Inequalities. The report brings together thinking on poverty, lack of employment, children's lives and support for families and physical and social environments, as well as on health and wellbeing. It makes clear that the Scottish Government will not only respond to the consequences of health inequalities, but also tackle its causes.
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Content ArticleThis chapter from Patient Safety and Quality: An Evidence-Based Handbook for Nurses describes a framework for understanding how human factors affect patient safety. It illustrates how different cumulative factors result in errors and suggests that nurses have a unique role to play in identifying problems and their causes. The authors highlight staff mindfulness as a tool to transform healthcare organisations into 'highly reliable organisations'.
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Content ArticleNHS England commissioned this external review of all Independent Investigations following Mental Health Homicides (IIMHH) and related national governance arrangements. The review considered investigations undertaken between 2013 and 2017. NHS England has accepted the report findings and has developed an action plan which is being implemented and monitored via regional and national governance mechanisms.
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Content ArticleGetting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
