State of Care.

Book/Report

State of Care.

November 20, 2023

Newcastle Upon Tyne, UK: Care Quality Commission; October 2023.

This website provides access to an annual report that summarizes National Health Service hospital and social care performance across a range of care quality metrics at both the trust and service level. The 2022-2023 report found substantial weaknesses in specialty areas such as emergency and maternal care and recognized workforce wellbeing issues that impact access and quality.

Related Resources From the Same Author(s)

Listening, Learning, Responding to Concerns.

April 12, 2023

Mid Staffordshire NHS Foundation Trust Quality Report.

November 12, 2014

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

January 23, 2019

Safety, Equity and Engagement in Maternity Services.

January 12, 2022

Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England.

February 8, 2017

Shifting the Mindset: A Closer Look at Hospital Complaints.

March 11, 2020

Improving Patient Safety Culture – A Practical Guide.

August 2, 2023

Access to Clinical Information at the Bedside.

March 1, 2023

Harm Caused by Delays in Transferring Patients to the Right Place of Care.

September 6, 2023

Clinical Investigation Booking Systems Failures: Written Communications in Community Languages.

May 31, 2023

Care Delivery within Community Mental Health Teams.

April 5, 2023

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

July 19, 2023

Managing Patients' Medicines after Discharge from Hospital.

November 11, 2009

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013.

November 13, 2013

Just a Cup of Tea – an Introduction to the SEIPS Framework.

May 24, 2023

SHOT Annual Report.

July 19, 2023

National Safety Standards for Invasive Procedures (NatSSIPs2).

February 7, 2023

AHRQ Safety Program for MRSA Prevention.

February 14, 2023

State of Healthcare 2008.

November 15, 2008

Addressing Medical Gaslighting to Improve Maternal Health—Together.

March 29, 2023

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

November 5, 2014

Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.

November 13, 2019

An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust.

November 3, 2021

Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.

April 26, 2023

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

November 6, 2013

Non-accidental Injuries in Infants Attending the Emergency Department.

May 17, 2023

Applying High Reliability Principles to Infection Prevention and Control in Long Term Care.

August 6, 2014

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

December 16, 2015

Joshua’s Story.

December 3, 2014

Healthcare wants to fly as high as the aviation industry. Can it?

November 8, 2023

Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors.

November 8, 2023

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

January 24, 2018

Improving Patient and Worker Safety—Opportunities for Synergy, Collaboration and Innovation.

December 19, 2012

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2007.

November 21, 2007

Medical Errors.

April 5, 2006

Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.

August 25, 2010

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

February 5, 2014

National Diabetes Inpatient Audit -- Harms.

July 8, 2021

Safety Management Systems - an Introduction for Healthcare.

November 29, 2023

Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition.

February 28, 2018

The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide.

August 17, 2022

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

November 23, 2016

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

September 26, 2012

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

January 27, 2010

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

December 10, 2008

America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015.

December 2, 2015

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

September 29, 2010

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.

September 28, 2011

America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014.

November 26, 2014

Improving Quality and Safety in Healthcare.

October 26, 2022

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

December 7, 2016

The Joint Commission Big Book of Checklists. 2nd Edition.

September 7, 2016

New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes.

February 15, 2023

Challenge Competition: Impact of Patient Safety Tools.

June 14, 2023

Meeting the Joint Commission's 2013 National Patient Safety Goals.

November 10, 2010

Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.

August 16, 2023

Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors.

August 2, 2023

TeamSTEPPS Core Curriculum.

July 19, 2023

Medical Office Survey on Patient Safety Culture.

September 1, 2021

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.

November 7, 2023

Serious Reportable Events in Massachusetts.

May 22, 2023

Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas.

October 25, 2023

Understanding and Improving Diagnostic Safety in Ambulatory Care.

September 6, 2023

Australian Commission on Safety and Quality in Health Care.

March 6, 2005

Using Human Factors Engineering to Improve Patient Safety, Second edition.

June 29, 2005

The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients.

February 1, 2023

NHS Safety Thermometer Reports.

January 27, 2016

Safer Clinical Systems.

May 13, 2015

The Nurse's Role in Medication Safety, Second Edition.

January 11, 2012

Manchester Patient Safety Framework (MaPSaF).

March 8, 2006

National Healthcare Quality and Disparities Report Chartbook on Patient Safety.

March 22, 2023

Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18).

March 8, 2023

Network of Patient Safety Databases Chartbook.

November 8, 2023

NPSD Data Spotlight: Patterns of Fall Interventions.

November 15, 2023

Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS.

May 4, 2022

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

August 26, 2015

Patient Stories 2013: Time for Change.

December 11, 2013

Involving Patients in Improving Safety.

January 30, 2013

Learning to Use Patient Stories.

December 8, 2010

Complaints to the Parliamentary and Health Service Ombudsman.

December 17, 2021

Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families.

October 5, 2005

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.

February 15, 2023

Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care.

August 16, 2023

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

HSIB Education.

October 19, 2022

HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work.

September 21, 2022

Learning From Invited Reviews.

April 10, 2019

Independent Review of Gross Negligence Manslaughter and Culpable Homicide.

July 17, 2019

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

May 29, 2019

National Patient Safety Syllabus 1.0 Training for all NHS Staff.

March 4, 2020

Avoiding Unconscious Bias: a Guide for Surgeons.

August 24, 2016

National Training Survey 2013: Concerns about Patient Safety.

January 8, 2014

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

TQIP Mortality Reporting System Case Reports.

May 10, 2023

Windows into Safety and Quality in Health Care 2008.

November 12, 2008

Suicidal patient slips through the cracks.

December 4, 2019

eHealth for Safety: Impact of ICT on Patient Safety and Risk Management.

November 28, 2007

Patient Safety Systems Chapter.

January 1, 2021

Maternity Pre-arrival Instructions by 999 Call Handlers.

March 16, 2022

Weight-based Medication Errors in Children.

February 16, 2022

Related Resources

AHRQ Impact Case Studies: Patient Safety.

October 30, 2023

MHA and MHA Keystone Center Annual Reports.

October 20, 2023

Health Services Safety Investigations Body.

October 1, 2023

Maryland Hospital Patient Safety Program Annual Report.

September 28, 2023

Pediatric Diagnostic Safety: State of the Science and Future Directions.

September 13, 2023

CHPSO Annual Reports.

August 15, 2023

SHOT Annual Report.

July 19, 2023

The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.

June 21, 2023

Ambulatory Surgery Center Survey on Patient Safety Culture.

May 29, 2023

Safety, Equity and Engagement in Maternity Services.

January 12, 2022

Complaints to the Parliamentary and Health Service Ombudsman.

December 17, 2021

National and State Healthcare-Associated Infections Progress Report.

October 2, 2021

Common general surgical never events: analysis of NHS England never event data.

April 7, 2021

Each Baby Counts.

April 1, 2021

Overall Hospital Quality Star Ratings.

April 1, 2021

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.

February 17, 2021

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work.

February 3, 2021

Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.

October 28, 2020

Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments.

October 7, 2020

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

Network of Patient Safety Databases.

July 10, 2019

Learning From Invited Reviews.

April 10, 2019

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

November 7, 2018

Diagnostic Excellence Initiative.

November 7, 2018

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews.

September 19, 2018

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

August 29, 2018

Partnership for Health IT Patient Safety.

August 22, 2018

Midwest Alliance for Patient Safety.

August 8, 2018

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

August 1, 2018

Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review.

July 25, 2018

See More About The Topic

Hospitals

Facility and Group Administrators

Critical Care

Epidemiology of Errors and Adverse Events

Error Reporting and Analysis

State of Care.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

State of Care.

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