Continuous Improvement of Patient Safety: The Case for Change in the NHS.

Book/Report

Continuous Improvement of Patient Safety: The Case for Change in the NHS.

November 25, 2015

Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706.

View more articles from the same authors.

The Francis inquiry uncovered problems in the National Health Service (NHS) and led to many commentaries exploring strategies to enhance safety. This report discusses efforts to augment patient safety in the NHS over the past decade, challenges to sustainable progress, and how policymakers can work toward system-wide improvement.

Information

Free full text (PDF)

Related Resources From the Same Author(s)

The Habits of an Improver. Thinking About Learning for Improvement in Health Care.

December 16, 2015

Exploring the Potential Use of Safety Cases in Health Care.

March 4, 2015

The Measurement and Monitoring of Safety.

May 8, 2013

Using Safety Cases in Industry and Healthcare.

February 13, 2013

The Report of the Morecambe Bay Investigation.

April 29, 2015

Involving Patients in Improving Safety.

January 30, 2013

Non-technical Skills and the Future of Teamwork in Healthcare Settings.

July 10, 2013

Identifying Risks and Monitoring Safety: the Role of Patients and Citizens.

November 6, 2013

Freedom to Speak Up: A Review of Whistleblowing in the NHS.

May 27, 2015

Staff Care: How to Engage Staff in the NHS and Why It Matters.

February 5, 2014

Safely Home: What Happens When People Leave Hospital Care Settings?

August 26, 2015

Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS.

June 22, 2022

Safer Clinical Systems.

May 13, 2015

Safer Clinical Systems: Evaluation Findings.

February 18, 2015

Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients.

March 28, 2018

Culture Change in the NHS: Applying the Lessons of the Francis Inquiries.

March 11, 2015

Global State of Patient Safety 2023.

December 20, 2023

Learning From Mistakes.

August 31, 2016

Guidance on Safe Medical Staffing: Report of a Working Party.

August 1, 2018

Openness and Honesty When Things Go Wrong: the Professional Duty of Candour.

July 15, 2015

Learning Not Blaming.

September 9, 2015

Safety in Doses.

September 16, 2009

Review of Patient Safety for Children and Young People.

July 1, 2009

Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry.

February 20, 2013

Patient Safety Culture: Theory, Methods and Application.

January 21, 2015

Managing the Costs of Clinical Negligence in Trusts.

October 4, 2017

Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer.

June 4, 2014

Clinical Risk Management. Enhancing Patient Safety. 2nd ed.

March 27, 2005

Patient Safety and Managing Risk in Nursing.

January 15, 2014

Improving Safety in Maternity Services: a Toolkit for Teams.

April 25, 2012

Safety and Ethics in Healthcare: A Guide to Getting it Right.

October 10, 2007

WISH Patient Safety Forum 2015.

January 13, 2016

Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders.

November 4, 2015

The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.

May 5, 2010

A Life in Error: From Little Slips to Big Disasters.

November 13, 2013

The Future of NHS Patient Safety Investigation.

April 4, 2018

Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups.

July 1, 2020

An Avoidable Death of a Three-year-old Child from Sepsis.

July 16, 2014

Final Report of the Ockenden Review.

April 27, 2022

Raising and Responding to Concerns.

February 25, 2015

Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report.

August 7, 2013

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.

June 24, 2015

Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human.

December 16, 2015

Deaths in Acute Hospitals: Caring to the End?

November 25, 2009

A Just Culture Guide.

April 18, 2018

Noise: a Flaw in Human Judgement.

August 25, 2021

Improving Patient Safety Culture – A Practical Guide.

August 2, 2023

Avoiding Unconscious Bias: a Guide for Surgeons.

August 24, 2016

Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice.

May 29, 2019

Learning From Invited Reviews.

April 10, 2019

Exploring the Costs of Unsafe Care in the NHS: A Report Prepared for the Department of Health.

November 5, 2014

National Training Survey 2013: Concerns about Patient Safety.

January 8, 2014

National Patient Safety Syllabus 1.0 Training for all NHS Staff.

March 4, 2020

State of Healthcare 2008.

November 15, 2008

An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer.

March 6, 2005

How Safe Is Your Hospital?

January 6, 2010

Patient Safety in Private Hospitals: the Known and the Unknown Risk.

September 10, 2014

Please, write to me. Writing outpatient clinic letters to patients. Guidance.

September 26, 2018

Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic.

September 30, 2020

Managing Patients' Medicines after Discharge from Hospital.

November 11, 2009

Designing Safer Rotas for Junior Doctors in the 48-Hour Week.

October 25, 2006

Standing Up for Doctors, Speaking Out for Patients. Final Report.

June 2, 2010

Standing Up for Doctors, Speaking Out for Patients. Final Report.

June 2, 2010

Health Literacy Toolkit.

January 31, 2018

Hard Truths: the Journey to Putting Patients First.

November 27, 2013

Safety First: a Report for Patients, Clinicians and Healthcare Managers.

January 17, 2007

The Francis Report: One Year On.

February 26, 2014

Broken Trust: Making Patient Safety More than Just a Promise.

July 19, 2023

Learning how to learn: compliance with patient safety alerts in the NHS.

August 3, 2005

Acting on Concerns: Your Professional Responsibility.

March 6, 2013

Never Events--Framework 2010-11.

March 4, 2010

Systems Analysis of Critical Incidents: the London Protocol.

December 19, 2007

'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation.

November 16, 2022

High Quality Care for All: NHS Next Stage Review Final Report.

July 16, 2008

Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005.

January 2, 2008

BMJ Open Quality.

September 17, 2014

Standardise, Educate, Harmonise: Commissioning the Conditions for Safer Surgery.

April 23, 2014

Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.

April 2, 2014

Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust.

January 13, 2021

Sway: Unravelling Unconscious Bias

July 8, 2020

Health Literacy: Past, Present, and Future: Workshop Summary.

September 2, 2015

Patient Safety Tool Kit.

June 24, 2015

Never Events for Hospital Care in Canada: Safer Care for Patients.

September 30, 2015

Complaints and Raising Concerns.

February 4, 2015

A Safer Place for Patients: Learning to Improve Patient Safety.

November 16, 2005

Field Guide to Collaborative Care: Implementing the Future of Health Care.

August 5, 2015

Measuring the Success of the Regional Medication Safety Program for Hospitals.

March 6, 2005

Gosport War Memorial Hospital. The Report of the Gosport Independent Panel.

November 7, 2018

Organizing Patient Safety: Failsafe Fantasies and Pragmatic Practices.

May 8, 2019

Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do.

January 13, 2016

A Socio-cultural Perspective on Patient Safety.

February 22, 2012

Raising and Acting on Concerns about Patient Safety.

January 12, 2012

State of Healthcare 2008.

January 7, 2009

With Safety in Mind: Mental Health Services and Patient Safety.

September 6, 2006

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.

April 1, 2015

When doctors get it wrong: misdiagnoses are getting a closer look.

September 9, 2015

Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance.

March 25, 2015

Patient Safety, 2nd edition.

August 4, 2010

Human Error.

March 27, 2005

Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study.

May 16, 2012

Related Resources

Listening, Learning, Responding to Concerns.

April 12, 2023

Solutions from Professional Regulation and Beyond.

October 5, 2022

Independent Neurology Inquiry.

July 20, 2022

Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS.

June 22, 2022

Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS.

August 4, 2021

Each Baby Counts.

April 1, 2021

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.

February 3, 2021

Textbook of Patient Safety and Clinical Risk Management.

January 20, 2021

Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report

October 28, 2020

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.

July 31, 2019

Medication Safety in Key Action Areas.

July 10, 2019

NHS Improvement.

May 18, 2019

Organizing Patient Safety: Failsafe Fantasies and Pragmatic Practices.

May 8, 2019

Patient Safety: Global Action on Patient Safety.

January 23, 2019

Opening the Door to Change. NHS Safety Culture and the Need for Transformation.

January 23, 2019

Framework for Effective Board Governance of Health System Quality.

January 9, 2019

Quality Improvement and Patient Safety Competencies Across the Learning Continuum.

January 1, 2019

Impact of the Care Quality Commission on Provider Performance: Room for Improvement?

November 21, 2018

A Patient-Safe Future.

November 14, 2018

Crossing the Global Quality Chasm: Improving Health Care Worldwide.

September 12, 2018

Quality and Safety Between Ward and Board: a Biography of Artefacts Study.

August 29, 2018

Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.

May 23, 2018

NHS Resolution.

March 7, 2018

America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017.

January 24, 2018

What we know about designing an effective improvement intervention (but too often fail to put into practice).

June 28, 2017

Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.

April 19, 2017

Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.

March 22, 2017

Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition.

December 7, 2016

Remembering to learn: the overlooked role of remembrance in safety improvement.

December 7, 2016

America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016.

November 23, 2016

See More About The Topic

Hospitals

Health Care Executives and Administrators

Medicine

Epidemiology of Errors and Adverse Events

Quality Improvement Strategies

Continuous Improvement of Patient Safety: The Case for Change in the NHS.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Continuous Improvement of Patient Safety: The Case for Change in the NHS.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site