Mind the Implementation Gap

This report was published on the 7 April 2022 as part of the Safety for All campaign.  This Campaign is focused on driving awareness of the interrelationship between healthcare worker safety and patient safety, highlighting how poor healthcare worker safety standards...

Ockenden Report

Donna Ockenden, Chair of the Independent Maternity Review has written this report looking at serious complications and deaths resulting from maternity care.  The families who have contributed to this review want answers to understand the eventssurrounding their...

Pre-Hospital Care Podcast Designing the RSI

The Pre-Hospital Care Podcast is designed to have engaging and inspirational conversations with some of the World’s leading experts relating to pre-hospital care. In this session they will be interviewing flight paramedic Paul Swinton, to talk about how to...

What are the principles of ‘Calling it out with compassion?’

‘Calling it out with compassion’ is an adaptation of the second messenger system first modelled by Gerald Hickson at Vaderbilt University School of Medicine. Instead of the behaviours being called out by the people who were directly involved in the incident either as...

Weight-based medication errors in children HSIB Report

Studies show that prescribing errors are the most frequent type of medication error in children’s inpatient settings.This investigation looks at the risks involved when prescribing, dispensing and administering medicine to children.Prescribing for children is usually...

Patient Experience after Covid

Health and care organisations started warning about the pressures they were under last autumn – this report by the Patient Association shows what those pressures mean for patients in real life.  It analyses the results of a survey, conducted over a period of a month...