You searched for: serious incident guidance

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Distinguishing between haemofilters and plasma filters to reduce mis-selection

Through its core work to review patients safety events recorded on national systems such as the National Reporting and Learning System (NRLS), the new Learn from Patient Safety Events service (LFPSE), and other sources, the National Patient Safety Team identified  issues around distinguishing between haemofilters and plasma filters to reduce mis-selection. Following review of a […]

Violence prevention and reduction

The violence prevention and reduction programme aims to support NHS organisations and systems to embed a culture where our NHS colleagues feel supported, safe and secure at work. The NHS Long Term Plan, NHS People Plan and NHS People Promise demonstrate a commitment to support the health and wellbeing of NHS colleagues, recognising the negative […]

NHS ahead of target in recovery of elective care, and mental health services back to pre-pandemic levels

Operations and other routine care are ahead of ambitions set out in April with mental health services back at pre-pandemic levels, NHS figures show today. The number of people waiting over 52 weeks to begin treatment dropped by more than 50,000 in April, while by May, operations and other elective activity had already climbed to […]

Governance, patient safety and quality

Governance in healthcare is referred to as clinical governance, “a system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish”. It involves monitoring systems and processes to provide assurance of patient safety […]

Revised Never Events policy and framework

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 care. Contents Revised Never Events policy and framework and Never Events list 2018 […]

The National Patient Safety Improvement Programmes

The National Patient Safety Improvement Programmes collectively form the largest safety initiative in the history of the NHS. They support a culture of safety, continuous learning and sustainable improvement across the healthcare system. How the Patient Safety Improvement Programmes work National Patient Safety Improvement Programme Patient Safety Collaboratives Get involved Background to our work How […]

Midwifery-led enhanced recovery following a caesarean section

Leading change Midwives at University Hospitals of Leicester NHS Trust (UHL) led the development and implementation of an enhanced recovery pathway for women having caesarean sections within the Trust’s two maternity service sites, as well as a standalone birth centre and a homebirth team. This change has led to better use of resources, experiences and […]

Vaccination audit for asplenic patients

Leading change Nurse leaders in the Greater Nottinghamshire Clinical Commissioning Partnership Commissioning Group’s Quality Team worked with the Lead Pharmacist and Medicines Management Team. This partnership was led in collaboration with Nottingham North and East (NNE), Nottingham West (NW) and Rushcliffe Clinical Commissioning Groups (CCGs) to conduct an audit and subsequently improve the immunisation care […]