Patient Safety Evidence Update December 2023

*|MC_PREVIEW_TEXT|*

This Evidence Update is useful to me This Evidence Update is NOT useful to me Request a literature search Patient Safety Evidence Update December 2023   Contents 1. Patient Safety articles 2. NHS / Government Publications 3. Other patient safety publications 4. Statistics  NEWSFLASH The NHS Knowledge & Library Hub is now live Log in with your NHS Athens password here: uhl-library.nhs.uk/hub Latest Patient Safety articles from PubMed Safety culture survey among medical residents in Japan: a nationwide cross-sectional study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study Perception of nudge interventions to mitigate medication errors risk in healthcare service delivery The effect of electronic error-reporting forms on nurse's stress and the rate of error-reporting Medication errors related to high-alert medications in a paediatric university hospital - a cross-sectional study analysing error reporting system data Perception of patient safety culture among nursing students: A cross-sectional study Perioperative Environment Safety Culture: A Scoping Review Addressing Safety Culture, Climate, Enacting Behaviors, and Enabling Factors Sustaining a culture of safety and optimising patient outcomes while implementing zero harm programme: a 2-year project of the nursing services - SBAHC Factors determining safety culture in hospitals: a scoping review Risk factors predicting hospital-acquired pressure injury in adult patients: An overview of reviews Patient safety discourse in a pandemic: a Twitter hashtag analysis study on #PatientSafety Impacts of Huddle Intervention on the Patient Safety Culture of Medical Team Members in Medical Ward: One-Group Pretest-Posttest Design Effectiveness and feasibility of an interprofessional training program to improve patient safety-A cluster-randomized controlled pilot study Is there evidence that length-based tapes with precalculated drug doses increase the accuracy of drug dose calculations in children? A systematic review What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts Inpatient Falls and Orthopaedic Injuries in Elderly Patients: A Retrospective Cohort Analysis From a Falls Register How Safety Culture Surveys Influence the Quality and Safety of Healthcare Organisations Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory settings: a systematic review NHS / Government Publications Department of Health & Social Care David Fuller inquiry: phase 1 report Duty of candour review: terms of reference Thirlwall Inquiry: terms of reference Independent Care (Education) and Treatment Reviews: final report, 2023 Safety warnings to be provided to all patients with every valproate-containing medicine they receive under new law The NHS England (Healthcare Safety Investigation Branch) Directions 2022 The NHS England (Healthcare Safety Investigation Branch) (Revocation, Transitional and Saving Provision) Directions 2023 The Care Quality Commission (Maternity and Newborn Safety Investigation Programme) Directions 2023 Disagreements in the care of critically ill children Health and Safety Executive Priory Healthcare fined following patient death Three companies fined after engineer electrocuted in hospital kitchen House of Commons Infant mortality and health inequalities Duties to report child abuse in England The investigation of stillbirth HQIP Inpatient falls and fractures – 2023 NAIF report on 2022 clinical data MBRRACE-UK: Saving Lives, Improving Mothers’ Care State of the Nation Surveillance report MBRRACE-UK: Saving Lives, Improving Mothers’ Care State of the Nation Themed report MBRRACE-UK: Saving Lives, Improving Mothers’ Care State of the Nation Themed report Medicines and Healthcare products Regulatory Agency Valproate: review of safety data and expert advice on management of risks MHRA instructs health organisations to prepare now for new measures to reduce ongoing serious harms of valproate National Patient Safety Alert: Valproate: organisations to prepare for new regulatory measures for oversight of prescribing to new patients and existing female patients (NatPSA/2023/013/MHRA) NHS England The Learn from Patient Safety Events (LFPSE) Service – patient and family discovery report NHS Providers Learning Disabilities Mortality Review report 2022 UK Covid-19 Inquiry public hearings: module 2, week 1 (03 - 06 October 2023) UK Covid-19 Inquiry public hearings: module 2, week 2 (09-13 October 2023) UK Covid-19 Inquiry public hearings: module 2, week 3 (16-19 October 2023) UK Covid-19 Inquiry public hearings: module 2, week 4 (30 October-2 November 2023) UK Covid-19 Inquiry public hearings: module 2, week 5 (6 November - 9 November 2023) UK Covid-19 Inquiry public hearings: module 2, week 6 (20 November - 23 November 2023) UK Covid-19 Inquiry public hearings: module 2, week 7 (27 November - 1 December) Parliamentary and Health Service Ombudsman (PHSO) Spotlight on sepsis: your stories, your rights report Complaints to the Parliamentary and Health Service Ombudsman, 2022-23   Other patient safety publications CQC State of Care 2022/23 IR(ME)R annual report 2022/23 Demos “I love the NHS, but…”: Preventing needless harms caused by poor communications in the NHS HSIB Investigation report: Continuity of care: delayed diagnosis in GP practices Risks to medication delivery using ambulatory infusion pumps: design and usability in inpatient settings Caring for adults with a learning disability in acute hospitals Safety management systems: an introduction for healthcare Institute for Healthcare Improvement Overlooking Diagnostic Errors: The Grave Potential Consequences for Patient Safety Leading a Culture of Safety: A Blueprint for Success Kings College London Learning from Lives and Deaths - people with a learning disability and autistic people (LeDeR) - 2022 report The King's Fund Culture and regulation: the necessary partnership for quality and safety (blog)   Statistics & data Drug Safety Updates Latest Never Events data Like this alert, but want something more?  Sign up below for more detailed, tailored emails relating to your personal research interests: http://www.uhl-library.nhs.uk/ks_form.html Request a literature search Our mailing address is: louise.hull@uhl-tr.nhs.uk This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Share Tweet Forward

This email was sent to *|EMAIL|* why did I get this?    unsubscribe from this list    update subscription preferences *|LIST:ADDRESSLINE|* *|REWARDS|*