Revised Never events policy

The Never Events policy and framework sets out the NHS’s policy on Never Events. It explains what they are and how staff providing and commissioning NHS-funded services should identify, investigate and manage the response to them. It is relevant to all NHS-funded...

Human Factors in Healthcare Learning Podcasts

The following podcasts feature CHFG Trustees and supporters including: Martin Bromiley, Dr Rhona Flin and Dr Peter Jaye with other patient safety experts discussing patient safety. Part 1: What is quality in the aftermath of healthcare A fictional case study...

Systems thinking – a new direction in healthcare incident investigation

The Health Foundation’s Evidence into Practice Programme sponsored the production of a 3 minute animation led by Thomas Jun and Patrick Waterson at Human Factors and Complex Systems Research Group, Loughborough University. This highly engaging and insightful animation...

NMC Consultation on standards of proficiency for registered nurses

The NMC have currently gone out to consultation on the draft standards in proficiency for registered nurses, the deadline for the consultation is the 12th September 2017. We believe that nurses’s of the future require not only great insight into their patients needs,...

TED Time Escalation Decision Learning package

Hypoxic Ischaemic Encephalopathy (HIE) occurs when the foetal brain does not receive enough oxygen. This can lead to severe impairment or death of the baby and is of course devastating for both families and staff. Whilst there have been a number of similar cases at...

Works system design for patient safety: The SEIPS Model

Most errors and inefficiencies in patient care arise not from the solitary actions of individuals but from conflicting, incomplete, or sub-optimal systems of which they are a part and with which they interact. To improve the design of these systems, the US Institute...