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Content ArticleAcademic Health Science Networks (AHSNs) host England’s fifteen Patient Safety Collaboratives. They are experts in supporting quality improvement projects using methodology from the Institute of Healthcare Improvement model for improvement. This resource pack by The AHSN Network provides an overview of the different ways Patient Safety Collaboratives can support safety improvement projects and includes case studies and resources.
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Content ArticleThe Patient Safety Launch Pad training programme aims to improve patient safety skills in hospitals, GP practices, community services and mental health and care organisations in the region. It was hosted by the South West Academic Health Science Network and Patient Safety Collaborative, sponsored by NHS Improvement, and delivered through regional and national experts in patient safety and quality improvement. In this short video, patient safety leads and those working in healthcare discuss the success of the programme.
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West of England AHSN: PReCePT resources
Claire Cox posted an article in Health Innovation Networks (formerly AHSNs)
The PReCePT Programme is a quality improvement project designed to reduce the incidence of cerebral palsy through the administration of magnesium sulphate to eligible preterm mothers across England. -
Content ArticleThis toolkit supports the implementation of the Structured Judgement Review (SJR) process to effectively review the care received by patients who have died. This will allow learning and support the development of quality improvement initiatives when problems in care are identified. This toolkit also provides information and links to resources on change management and quality improvement methodologies.
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Content ArticleThe Prescribing Safety Assessment (PSA) is a 60-question exam required as part of UK medical training to progress from FY1 to FY2. This independent review into the PSA was commissioned by the Medical Schools Council (MSC) together with the British Pharmacological Society (BPS) in the summer of 2022. It suggests a strategic future direction for the PSA and addresses how the PSA has impacted prescribing assessment and practice for medical students and Foundation Year 1 (FY1) doctors. It is intended to support national decision making about the future of UK prescribing assessment in the context of the imminent introduction of the Medical Licensing Assessment (MLA).
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Martin Hogan, Lead Professional Nurse Advocate (PNA) at Central London Community Healthcare NHS Trust, tells us about the PNA training programme and the impact and improvements it can have on both staff and patient safety. He shares his own personal development from taking the programme, how he has used the skills learnt to educate and support his colleagues, and explains why he is championing the PNA to others and has set up a network of PNAs. -
Content ArticleMedication safety events with the potential for patient harm do occur in healthcare settings. Pharmacists are regularly tasked with utilizing their medication knowledge to optimize the medication-use process and reduce the likelihood of error. To prepare for these responsibilities in professional practice, it is important to introduce patient safety principles during educational experiences. The Accreditation Council for Pharmacy Education (ACPE) and the American Society of Health-System Pharmacists (ASHP) have set forth accreditation standards focused on the management of medication-use processes to ensure these competencies during pharmacy didactic learning and postgraduate training. The experience described here provides perspective on educational and experiential opportunities across the continuum of pharmacy education, with a focus on a relationship between a college of pharmacy and healthcare system. Various activities, including discussions, medication event reviews, audits, and continuous quality improvement efforts, have provided the experiences to achieve standards for these pharmacy learners. These activities support a culture of safety from early training.
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Content ArticleJETS is the JAG Endoscopy Training System. It supports high quality endoscopy training in the UK by offering training courses for endoscopists and an ePortfolio for trainees to record their procedure data. JETS is an online framework for trainee certification in a number of endoscopy modalities including OGD, colonoscopy, and flexible sigmoidoscopy.
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Content ArticleThe overall goal for the Quality and Safety Education for Nurses (QSEN) project is to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the healthcare systems they work in. This webpage outlines the competencies in the QSEN competency framework: Patient-Centered Care Teamwork and Collaboration Evidence-based Practice (EBP) Quality Improvement (QI) Safety Informatics
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Personal Care Institute
Patient Safety Learning posted an article in Staff - clinical, non-clinical, social care
The Personalised Care Institute (PCI) is changing the lives of patients by helping to empower them with the knowledge, skills and confidence to feel more in control of their mental and physical health. It does this by educating and inspiring health and care professionals to deliver universal personalised care that takes into account an individual’s strengths, needs and expectations, in order to deliver the right care for them. IPC set the standards for evidence-based personalised care training, providing a robust quality-assurance and accreditation framework for training providers and commissioners along with a central learning hub for health and care professional learners. -
Content ArticleMany healthcare professionals are not trained in menopause care. The British Menopause Society (BMS) runs a training programme for healthcare professionals in the principles and practices of menopause care. The programme comprises progressive theory and practical training components designed to reflect modern NHS practice and meet the ever-increasing requirement for quality menopause education.
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Content ArticleThis innovative educational initiative was developed as a direct and constructive response to the communication inadequacies exposed by the Montgomery case, and subsequent legislation. While it is not difficult to give ‘more information’ it is harder for surgeons and patients to achieve a decision partnership. The ICONS workshop content has been informed by internationally recognised experts in Shared Decision Making, by consensus among senior practising surgeons, by patients and by professional experts in risk management and risk communication. Delegates on the ICONS workshops will acquire skills and knowledge to implement best practice in sharing the complex decisions surrounding informed consent. By participating in a workshop, they will also contribute to the development of resources for future training in the important area of informed consent.
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Content ArticleThe NHS Knowledge Mobilisation Framework is designed to help individuals to develop and use skills to mobilise knowledge effectively in their organisations – to help them to learn before, during and after everything that they do so that pitfalls can be avoided and best practice replicated. It is a re-working of an original concept devised by what was the Department of Health Connecting for Health Knowledge Management Team and the Kent, Surrey and Sussex Library and Knowledge Services Team. The modules introduce eleven techniques to help plan, co-ordinate and implement knowledge mobilisation activities in your organisation. Accompanying the framework are a set of quick reference cards.
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Content Article‘In Safe Hands’ is an interactive guide produced by Health Education England (HEE) who is responsible for delivering education and training that supports safer clinical practice across the NHS. This guide has been produced in response to the recommendations made in the 2016 report ‘Improving Safety Through Education & Training’.
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Content ArticleAll health workers require knowledge and skills to protect themselves and others from the occupational risks they encounter, so that they can work safely and effectively. This course consists of five sections in response to these needs: Introduction Module 1: Infectious risks to health and safety Module 2: Physical risks to health and safety Module 3: Psychosocial risks to health and safety Module 4: Basic occupational health and safety in health services. The target audience for this course is health workers, incident managers, supervisors and administrators who make policies and protocols for their health facilities.
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Content ArticleThe Cappuccini Test is a simple six-question audit designed to pick up issues relating to supervision of anaesthetists in training and non-autonomous SAS grades (NASG) who do not fit the description in Guidelines for the Provision of Anaesthesia Services (GPAS) of 'SAS anaesthetists that local governance arrangements have agreed in advance are able to work in those circumstances without consultant supervision.' The test is named after Frances Cappuccini, who died giving birth to her son at Tunbridge Wells Hospital in 2012. The coroner’s inquest into her death noted that supervision arrangements for anaesthetists at the trust were ‘undefined and inadequate’. The test was developed for hospitals to assess the level of supervision given to their SAS and trainee anaesthetists, and to make improvements with the aim of improving the safety of patients.
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Content ArticleA report by the Centre for Health Policy at Imperial College London, an academic partner to Health Education England and the Commission on Education and Training for Patient Safety. The project team studied study the innovations taking place in the four corners of our healthcare system; to listen to the voices of patients, carers, students, and NHS staff; and to absorb the experiences of local and international education experts in patient safety. Their findings suggest that effective education and training for patient safety is realised through efforts on two equally important fronts: designing curricula and training interventions based on what we know to work, and shaping a culture which supports safe learning and care.
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Content ArticleSee the South West Academic Health Science Network's video from the Institute for Healthcare Improvement (IHI) Patient Safety Officer Training. This training was held over a week for clinical and non clinical staff to understand patient safety and what role they can play.
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Clinical Risk Management Training
HannahMcCann posted an article in Specialist patient safety training
A large part of our role is delivering training in Clinical Risk Management. -
Content ArticleLoughborough University offers online accredited Healthcare Human Factors short courses to support the NHS Patient Safety Strategy and guide the learner into a new way of thinking about safety in healthcare. The professional Learning Pathway provides a complete programme for the Human Factors (Ergonomics) content in the Patient Safety Syllabus that you need to develop your knowledge and skills as a Safety Specialist, integrating both patient safety and staff wellbeing. By completing the pathway through to Level 3, you can achieve a professional qualification as a Human Factors Technical Specialist (TechCIEHF); or alternatively, you can use the individual online learning modules for CPD.
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Content ArticleIn July 2019, NHS England and NHS Improvement launched the NHS National Patient Safety Strategy. A key element of this is the development and implementation of a patient safety syllabus, which was created by Academy of Medical Royal Colleges (AoMRC) based on a proactive approach to the prevention of harm. UCLPartners is working in partnership with the Chartered Institute for Ergonomics and Human Factors’ (CIEHF) Lantern Group to support Trusts across London to assess their readiness to implement the syllabus through the development of an organisational self-assessment tool. This work has been commissioned by Health Education England (HEE). The organisational self-assessment tool has been developed alongside a Facilitator’s Guide.
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Content ArticleThis masterclass, facilitated by Peter Walsh, Chief Executive Action against Medical Accidents (AvMA), and Carolyn Cleveland, Founder and Owner C & C Empathy Training Ltd, will provide participants with an in-depth knowledge of what needs to be done to comply with the duty of candour; clarify ‘grey areas’ and provide guidance on dealing with difficult situations which may arise. It will provide participants with an understanding of good practice in implementing the duty and, in particular doing so in a meaningful way with empathy, to not only comply, but to work with patients and loved ones in a way that puts the emotional experience at the heart of communication. Staff with responsibility for implementing the duty of candour and responsible for quality, safety, clinical governance, safety investigations, complaints or CQC compliance, patient experience and executive teams would benefit from attending this one day masterclass. For more information see the flyer attached. The next events are on the 18 July, 17 October and 12 December.
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Loughborough University and the Chartered Institute of Ergonomics & Human Factors have been working on a Human Factors Healthcare Learning Pathway since the launch of the CIEHF White Paper in 2018 and it’s finally arrived. The Learning Pathway is aligned to the National Patient Safety Syllabus and focusses on Human Factors. Human Factors is a broad, scientific, evidence-based discipline that can help people solve a wide range of problems that they face in what they do, every day. In understanding, for example, why patients struggle to use personal medical devices, the application of Human Factors in the design, implementation and evaluation of the devices or in the equipment we use, and the way people work, individually and together, will lead to more resilient, more productive, more connected and more sustainable systems and ways of working (see HEE and CIEHF report 'Human Factors and Healthcare'). Professor Sue Hignett, one of the developers of the course, explains more. -
Content ArticleHealth Education England, Loughborough University and a range of partners have developed the new Human Factors Healthcare Learning Pathway in response to the NHS Patient Safety Syllabus 2021. It is the first ever system-wide Patient Safety Syllabus and is available as e-learning short courses that can be completed as a Learning Pathway (Levels 1-3) or individually. Fully accredited by the Chartered Institute of Ergonomics and Human Factors (CIEHF) and the CPD Certification Service, the Pathway offers a complete programme for health and social care staff to: develop competence and capability in Human Factors (Ergonomics) focus their knowledge on patient safety and staff wellbeing. Level 1 is available for free on the NHS Education for Scotland TURAS system and Health Education England's e-Learning for Healthcare platform Selected Level 2 modules are available to book on the Loughborough University Healthcare Learning Pathway webpage
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Non-Technical Skills for Surgeons (NOTSS)
Patient Safety Learning posted an article in In surgery
The non-technical skills of surgeons (NOTSS) play a significant role in patient safety. The aim of the NOTSS project was to develop and test an educational system for assessment and training of non-technical skills in the intra-operative phase of surgery. NOTSS is a behaviour rating system based on a skills taxonomy that allows valid and reliable observation and assessment of four categories of surgeons' non-technical skill: situation awareness, decision making, communication & teamwork, and leadership. These are the essential non-technical skills surgeons need to perform safely in the operating room and NOTSS allows measurement of several ACGME (Accreditation Council for Graduate Medical Education) competencies, including professionalism, interpersonal and communication skills, and systems-based practice. The skills taxonomy can be used to structure training and assessment in this important area of surgical competence.
