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Patient Safety

Use of ankle–brachial pressure index to assess patient suitability for lower limb compression

The aim of this review is to critically review and analyse findings from contemporary literature to evaluate the effectiveness of the ABPI as a screening tool to assess patients' suitability for the...

Focusing on what went right

Placing patient safety in the hands of nurses at the bedside involves an element of trust: care is not simply about addressing a patient's physical needs, but also about providing psychological...

Moving beyond the rhetoric in NHS patient safety: facing up to failings

The first report to cause me to pose these questions is the long-awaited report by Dr Bill Kirkup (Kirkup, 2022) into the events at the maternity and neonatal services in East Kent. This has just been...

Avoiding litigation and complaints through good communication practices

According to NHS Resolution (2022a) missed fractures can occur at sites throughout the body but one injury in particular, hip fractures in older patients with a history of a fall, stood out when cases...

The slow pace of developing an NHS patient safety culture

‘Too often, valid lessons are drawn from adverse events but their implementation throughout the NHS is very patchy. Active learning is mostly confined to the individual organisation in which an...

Patient safety and clinical negligence: the importance of reflection

The COVID-19 pandemic is still with us as we have moved into the new normality of coping with the virus. There is now time for reflection on how events developed and progressed from a patient safety...

Past cases provide basis to improve patient safety education and training

One way to reflect on errors is to look at closed legal claims and examine the causes of litigation. This is a valuable exercise, as it enables a wealth of important detail to be obtained. Solicitors...

Improving patient communication through the duty of candour and shared decision-making

One way forward to ensuring good communication practices in health care is the proper implementation of the duty of candour..

Patient safety, choice and the law: news round-up

People who feel that they may have been wronged by a particular NHS resource allocation decision can access the courts to try to resolve the dispute. There is a well-developed legal framework on NHS...

Ways of tackling the continuing problem of Never Events

In its seminal report, Opening the Door to Change, the Care Quality Commission (CQC) (2018) stated:.

A way out of pre-registration limbo?

Before the introduction of language tests in 2005, overseas nurses had to undergo an adaptation programme. However, there was a scarcity of NHS-based adaptation places and around 37 000 overseas...

Debating the best way to compensate patients for clinical negligence PART 2

Issues discussed in the HSCC report included the impact of clinical negligence claims on patients themselves, nurses, doctors involved in a case and on the NHS generally. There was a focus on reining...

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