Managing serious incidents in National Screening Programmes – UK – June 2010

Posted on August 28, 2010. Filed under: Preventive Healthcare | Tags: , |

Managing serious incidents in National Screening Programmes – UK – June 2010

This guidance is endorsed by the National Patient Safety Agency and its purpose is to make explicit the requirements for national screening programme related serious incidents and to provide clarity and understanding for all staff providing NHS funded care.

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Medical error. What to do if things go wrong: a guide for junior doctors – NHS National Patient Safety Agency – June 2010

Posted on July 12, 2010. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: |

Medical error. What to do if things go wrong: a guide for junior doctors – NHS National Patient Safety Agency – June 2010 
 
“It is estimated that up to 10 per cent of hospital inpatients suffer adverse events. Medical errors are rarely caused by bad individuals; more often it is as a result of bad systems.

This guide is aimed at junior doctors, who are often in the best position to identify how things could work better on the ground.

The guide outlines the key steps to follow if something does go wrong, including communication, documentation, reporting, learning and how to handle complaints.

It includes case studies based on real-life situations. Senior doctor discuss mistakes they have made and describe how they learnt from them.

This is the second version of Medical error. The first version of Medical error was published in 2005.”

Medical error. What to do if things go wrong: a guide for junior doctors. – 1.48 MB

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Preventing suicide: a toolkit for mental health services – NHS National Patient Safety Agency – 2009

Posted on December 4, 2009. Filed under: Mental Health Psychi Psychol | Tags: , |

Preventing suicide: a toolkit for mental health services – NHS National Patient Safety Agency – 2009

The toolkit, originally published in 2003, has been amended to reflect recent policy changes and has had input from key stakeholders, service users, carers and experts.

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Consultation on a National Framework for Reporting and Learning from Serious Incidents Requiring Investigation – UK – August 2009

Posted on August 24, 2009. Filed under: Patient Safety | Tags: |

Consultation on a National Framework for Reporting and Learning from Serious Incidents Requiring Investigation – UK – August 2009

The National Patient Safety Agency (NPSA) is seeking comments from interested organisations and individuals concerning the National Framework for Reporting and Learning from Serious Incidents Requiring Investigation. This document is the first release of a proposed new National Framework for the management of serious incidents occurring in the NHS and those parts of the independent sector which provide NHS services in England. The consultation closes on 13 November 2009.

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Never Events Framework 2009/10 [UK]

Posted on April 16, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: |

Never Events are serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented.     National Patient Safety Agency UK

Never Events Framework 2009/10 (pdf, 1Mb)

The NPSA has worked with stakeholders to co-produce the Never Events Framework 2009/10 (pdf, 1Mb).  It sets out guidance for PCT commissioners on implementing the Never Events policy and builds on existing processes and mechanisms.

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