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Patient Safety

Self-harm wounds: assessment and management

The skin is the largest organ in the body and there are two main divisions; the outer epidermis and deeper dermis. The epidermis is made up of five layers of cells. The dermis is divided into two main...

Examining the new NHS National Patient Safety Syllabus

The National Patient Safety Syllabus is to be welcomed as it combines and integrates several important patient safety-related disciplines into a well-focused and proactive syllabus. The syllabus...

Making the NHS safer: learning from case reports and investigations

It is true to say that cultures do not change overnight but, in the case of the NHS, we are talking about decades. Some things never seem to change, and the same patient safety errors can be seen to...

Blood transfusions in adults: ensuring patient safety

The UK national haemovigilance surveillance programme, SHOT, repeatedly identifies that patient are harmed, and some die, as a result of being given the incorrect type of blood..

Will the NHS ever get its complaints system right?

‘Some employers were referring nurses without any investigation at all, while half of initial enquiries to the NMC were rejected or required further work. She told The Independent this emphasis on...

Do not attempt resuscitation decisions during the COVID-19 pandemic

End-of-life care decisions have featured prominently in the popular and professional press in recent years. For example, readers will remember the demise of the Liverpool Care Pathway (LCP), which had...

Developing a just culture in the NHS

‘There is no single definition of “just culture” and most discussion of it is limited to the issue of being fair to healthcare staff.’ .

The urgent need to improve health professionals' communication skills

In a healthcare context these basic expectations of how the communication process between health professional and patient should proceed will take on an increased significance because of the power...

Dispelling anti-vaxxer misinformation about COVID-19 vaccination

Following the launch of mass vaccination programmes against COVID-19 in a number of counties, after timely development of safe, effective vaccines, the conundrum now is how to tackle anti-vaxxers and...

Patient safety: tensions, challenges and opportunities

Another contender for one of my favourite influential patient safety reports is emerging: the NHS Patient Safety Strategy (NHS England and NHS Improvement, 2019). A 2021 update has recently been...

Clinical negligence litigation reform: the link between safety and the law

Over the past 20 years or more there have been frequent discussions about how well our tort-based, civil justice compensation system is working. A key issue in these discussions is the reasons behind...

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