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Safety culture: What is it and how do we monitor and measure it? – The Health...
Safety culture: What is it and how do we monitor and measure it? – The Health Foundation – March 2013 “On 20 February 2013, the Health Foundation hosted a roundtable event to discuss what is understood...
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Adverse Drug Reaction-Related Hospitalizations Among Seniors, 2006 to 2011-...
Adverse Drug Reaction-Related Hospitalizations Among Seniors, 2006 to 2011- Canadian Institute for Health Information (CIHI) – 26 March 2013 This analysis examines hospital discharge data for seniors...
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Patients First and Foremost – Government publishes initial response to the...
Patients First and Foremost – Government publishes initial response to the Mid Staffordshire NHS Public Inquiry Report – 26 March 2013 The policy paper response: Patients First and Foremost: the...
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Review of the Regulation of Cosmetic Interventions – Department of Health...
Review of the Regulation of Cosmetic Interventions – Department of Health [England] – 24 April 2013 “The report outlines the need for better regulation to bring the cosmetic surgery industry into line...
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The measurement and monitoring of safety – The Health Foundation – April 2013
The measurement and monitoring of safety – The Health Foundation – April 2013 by Charles Vincent; Susan Burnett; Jane Carthey “Over the past 10 years there has been a deluge of statistics on medical...
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NHS Safety Thermometer Report – April 2012 to April 2013 – Health and Social...
NHS Safety Thermometer Report – April 2012 to April 2013 – Health and Social Care Information Centre [UK] – 8 May 2013 “The NHS Safety Thermometer is a local improvement tool for measuring, monitoring,...
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The medical patient at risk: recognition and care of the seriously ill or...
The medical patient at risk: recognition and care of the seriously ill or deteriorating medical patient. Acute care toolkit 6 – Royal College of Physicians – 9 May 2013 Media release: Right patient,...
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Health Information Technology: Patient Safety Action & Surveillance Plan –...
Health Information Technology: Patient Safety Action & Surveillance Plan – [US] Office of the National Coordinator for Health Information Technology (ONC) – 1 July 2013 “This Health IT Patient...
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Quality and Safety in European Union Hospitals – QUASER
Quality and Safety in European Union Hospitals – QUASER A Research-based Guide for Implementing Best Practice and a Framework for Assessing Performance (QUASER) QUASER Guide for Hospitals: A...
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NHS Hospital Data and Datasets: A Consultation – NHS England – 22 July 2013
NHS Hospital Data and Datasets: A Consultation – NHS England – 22 July 2013 News: NHS England and the Health and Social Care Information Centre launch a consultation on hospital data to raise...
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Patient self-monitoring of oral anticoagulation therapy: Advice Statement...
Patient self-monitoring of oral anticoagulation therapy: Advice Statement 007/12 – Healthcare Improvement Scotland – 11 July 2013 “Is patient self-monitoring (including self-testing and...
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A promise to learn: a commitment to act: improving the safety of patients in...
A promise to learn: a commitment to act: improving the safety of patients in England – National Advisory Group on the Safety of Patients in England – NHS England – August 2013 Filed under: Patient...
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Safety at Home: A Pan Canadian Home Care Study – Canadian Foundation for...
Safety at Home: A Pan Canadian Home Care Study – Canadian Foundation for Healthcare Improvement – 26 June 2013 “One out of every six seniors receives home care services in Canada. As the aging...
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Time to act. Severe sepsis: rapid diagnosis and treatment saves lives –...
Time to act. Severe sepsis: rapid diagnosis and treatment saves lives – Parliamentary and Health Service Ombudsman – 12 September 2013 Press release Filed under: Patient Safety
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After Francis: making a difference – House of Commons Health Committee –...
After Francis: making a difference – House of Commons Health Committee – published 18 September 2013 Future of the NHS rests on wholesale shift to an open culture warn MPs Filed under: Clin Governance...
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Hunt sets out tough new approach to turn around NHS hospitals – 19 September...
Hunt sets out tough new approach to turn around NHS hospitals – 19 September 2013 “Health Secretary Jeremy Hunt today set out the Government’s plans to help prevent future failures of care and safety...
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Quality and Safety in the NHS: Evaluating Progress, Problems and Promise –...
Quality and Safety in the NHS: Evaluating Progress, Problems and Promise – Lancaster University Management School – 10 September 2013 Extract from the executive summary: “The NHS in England is facing...
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Learning from adverse events through reporting and review: A national...
Learning from adverse events through reporting and review: A national framework for NHS Scotland – Healthcare Improvement Scotland – September 2013 “This framework outlines consistent definitions and a...
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Safety in Canadian health care organizations: A focus on transitions in care...
Safety in Canadian health care organizations: A focus on transitions in care and Required Organizational Practices – Canadian Health Accreditation Report – 21 October 2013 Accreditation Canada. (2013)....
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Emergency Department Patient Deaths Memphis VA Medical Center Memphis,...
Emergency Department Patient Deaths Memphis VA Medical Center Memphis, Tennessee – Healthcare Inspection – Dept of Veterans Affairs, Office of Inspector General – 23 October 2013 Deaths at VA hosptial...
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Patient safety timeline – The Health Foundation – December 2013
Patient safety timeline – The Health Foundation – December 2013 “Patient safety today has evolved through a combination of inspirational individuals, local initiatives, legal requirements as well as...
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Developing an early warning system for hospital staffing levels – The Health...
Developing an early warning system for hospital staffing levels – The Health Foundation – December 2013 “The transparent reporting of ward-by-ward staffing levels has been highlighted as a key action...
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Final report of the Office of the Trust Special Administrator of Mid...
Final report of the Office of the Trust Special Administrator of Mid Staffordshire NHS Foundation Trust – 18 December 2013 Media release Filed under: Health Mgmt Policy Planning, Patient Safety
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SAFER Guides – Safety Assurance Factors for EHR Resilience – Office of the...
SAFER Guides – Safety Assurance Factors for EHR Resilience – Office of the National Coordinator for Health Information Technology – 15 January 2014 “The SAFER guides consist of nine guides organized...
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Independent review proposes an upgrade of pathology safety checks to improve...
Independent review proposes an upgrade of pathology safety checks to improve patient outcomes [NHS England] – 28 January 2014 Independent review site “A need for transparency, better safety checks on...
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National Patient Safety Alerting System (NPSAS) – new for NHS England – 31...
National Patient Safety Alerting System (NPSAS) – new for NHS England – 31 January 2014 “In January 2014 the new National Patient Safety Alerting System (NPSAS) was launched to strengthen the rapid...
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The Francis Report one year on – Nuffield Trust – 6 February 2014
The Francis Report one year on – Nuffield Trust – 6 February 2014 “Summary To mark the first anniversary of the publication of the report of the Mid Staffordshire NHS Foundation Trust Public...
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FDA Finalizes Electronic Medical Device Reporting Rule – 14 February 2014
FDA Finalizes Electronic Medical Device Reporting Rule – 14 February 2014 “A final rule promulgated by the US Food and Drug Administration (FDA) will require medical device manufacturers and importers...
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Reducing Overuse and Misuse: State Strategies to Improve Quality and Cost of...
Reducing Overuse and Misuse: State Strategies to Improve Quality and Cost of Health Care – Robert Wood Johnson Foundation – 14 January 2014 Full text of the issue brief “Overuse and misuse of health...
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Standardise, educate, harmonise: Commissioning the conditions for safer...
Standardise, educate, harmonise: Commissioning the conditions for safer surgery Report of the NHS England Never Events Taskforce – 27 February 2014 “The main recommendations of the report cover three...
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Safe, compassionate care for frail older people using an integrated care...
Safe, compassionate care for frail older people using an integrated care pathway: Practical guidance for commissioners, providers and nursing, medical and allied health professional leaders – NHS...
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Building a Culture of Candour – Royal College of Surgeons – 6 March 2014
Building a Culture of Candour – Royal College of Surgeons – 6 March 2014 Press release: Building a culture of candour review published “Healthcare organisations, including hospitals and GP practices,...
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Patient safety alert to improve reporting and learning of medication and...
Patient safety alert to improve reporting and learning of medication and medical devices incidents – NHS England – 20 March 2014 “NHS England and the Medicines and Healthcare products Regulatory Agency...
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Reducing harm to patients – The Health Foundation – March 2014
Reducing harm to patients – The Health Foundation – March 2014 “This briefing follows a March 2014 speech by the Secretary of State for Health at Virginia Mason Medical Center in Seattle. In his...
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Hospital Survey on Patient Safety Culture. 2014 User Comparative Database...
Hospital Survey on Patient Safety Culture. 2014 User Comparative Database Report – Agency for Healthcare Research and Quality (AHRQ) [US] – March 2014 “Based on data from 653 U.S. hospitals, the 2014...
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Guidance for Taking Responsibility: Accountable Clinicians and Informed...
Guidance for Taking Responsibility: Accountable Clinicians and Informed Patients – Academy of Medical Royal Colleges [London] – 12 June 2014 “The Francis Report made a number of recommendations on the...
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Registries for Evaluating Patient Outcomes: A User’s Guide 3rd edition – AHRQ...
Registries for Evaluating Patient Outcomes: A User’s Guide 3rd edition – AHRQ – April 2014 Agency for Healthcare Research and Quality (US) “Excerpt This User’s Guide is intended to support the design,...
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Sign up to Safety – NHS England – 24 June 2014
Sign up to Safety – NHS England – 24 June 2014 “Today, the Secretary of State for Health launched a new campaign to make the NHS the safest healthcare system in the world, building on the...
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Eurobarometer – Patient safety and quality of care – European Commission – 19...
Eurobarometer – Patient safety and quality of care – European Commission – 19 June 2014 Patient safety package – European Commission – 19 June 2014 “A patient safety package published on 19 June 2014...
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New checklist makes the cardiac catheterisation lab a safer place for...
New checklist makes the cardiac catheterisation lab a safer place for patients – The Health Foundation [UK] – June 2014 “A team at Royal Brompton and Harefield NHS Foundation Trust have developed a...
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Fundamental standards: improving quality and transparency in care – [England]...
Fundamental standards: improving quality and transparency in care – [England] Department of Health – 7 July 2014 “The government has announced legislation which introduces fundamental standards for...
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Promoting Patient Safety Through Effective Health Information Technology Risk...
Promoting Patient Safety Through Effective Health Information Technology Risk Management – RAND – May 2014 Promoting Patient Safety by Managing Health IT Risks – Health IT Buzz – 10 July 2014Filed...
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Patients for Patient Safety (PFPS) – WHO
Patients for Patient Safety (PFPS) – WHO “Patients for Patient Safety (PFPS) is a programme that brings together patients, providers, policy-makers and those effected by harm, who are dedicated to...
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Australia’s medical indemnity claims 2012-13 – AIHW – 11 July 2014
Australia’s medical indemnity claims 2012-13 – AIHW – 11 July 2014 “This report presents data on the number, nature and costs of public sector and private sector medical indemnity claims for 2012–13 in...
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Biomedical engineering: advancing UK healthcare – Institution of Mechanical...
Biomedical engineering: advancing UK healthcare – Institution of Mechanical Engineers – 25 July 2014 Press release: New report: lack of NHS engineers is putting lives at risk – 25 July 2014 The...
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Patient safety in private hospitals: the known and unknown risks – Centre for...
Patient safety in private hospitals: the known and unknown risks – Centre for Health and the Public Interest CHPI – 20 August 2014 New report highlights patient safety risks in private hospitalsFiled...
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Exploring the costs of unsafe care in the NHS – Frontier Economics – 16...
Exploring the costs of unsafe care in the NHS – Frontier Economics – 16 October 2014 “This report, commissioned by the Department of Health, investigates the costs of unsafe care in the NHS. A rapid...
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NHS England concludes review of children heart surgery at Leeds Hospitals –...
NHS England concludes review of children heart surgery at Leeds Hospitals – NHS England – 28 October 2014 “The review into children’s heart surgery at Leeds Teaching Hospitals Trust concluded today (28...
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Culture change in the NHS: applying the lessons of the Francis Inquiries –...
Culture change in the NHS: applying the lessons of the Francis Inquiries – February 2015 Full report Cm 9009Filed under: Patient Safety Tagged: Culture Change, Francis Report
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Freedom to speak up: an independent review into creating an open and honest...
Freedom to speak up: an independent review into creating an open and honest reporting culture in the NHS – Sir Robert Francis – 11 February 2015 Executive summary Media release Freedom To Speak UpFiled...
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