Investigating for Improvement – building a national safety investigator for Healthcare
This thought paper explores how healthcare systems can develop a system-wide approach to investigating and learning from the most serious patient safety issues, and examines the organisational infrastructure that is needed to support this. Many safety-critical...
Patient Safety Collaboratives
England’s 15 Patient Safety Collaboratives play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, ensuring these are shared and implemented throughout the system. They are based in the 15 Academic Health Science...
Emergency Prompt Cards
How does a consultant confirm all the initial steps in management have been completed? How does the doctor new to the emergency department learn how to deal with a condition they have never managed before? How does the team confirm all the safety critical points for a...
Human Factors in Suicide Prevention
Dr Sangeeta Mahajan, a consultant Anaesthetist, tells her story of how her only son took his own life and her subsequent investigation into what went...
