The long road to ensuring patient safety in NHS hospitals.

Clare Dyer

Commentary

The long road to ensuring patient safety in NHS hospitals.

June 12, 2013

Dyer C. BMJ. 2013;346:f3029.

View more articles from the same authors.

This commentary highlights efforts to track safety improvements and prevent harm following results of a public inquiry into safety in National Health Services hospitals.

PubMed citation

Available at

Related Resources From the Same Author(s)

UK government to set up small claims scheme for medical mishaps.

June 15, 2005

Intimidation: a concept analysis.

February 24, 2010

Accuracy of laboratory data communication on ICU daily rounds using an electronic health record.

October 12, 2016

Exploring relationships between patient safety culture and patients' assessments of hospital care.

August 8, 2012

Exploring relationships between hospital patient safety culture and adverse events.

December 15, 2010

Making doctors better.

October 17, 2018

Identifying risk factors for medical injury.

June 28, 2006

Why isn't 'time out' being implemented? An exploratory study.

March 31, 2010

Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.

June 12, 2013

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff.

September 22, 2021

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

January 13, 2016

A growth mindset approach to preparing trainees for medical error.

April 26, 2017

Crisis resource management: evaluating outcomes of a multidisciplinary team.

August 1, 2007

Using care bundles to reduce in-hospital mortality: quantitative survey.

April 14, 2010

Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.

February 16, 2022

Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial.

September 4, 2013

Monitoring for medication errors in outpatient settings.

January 28, 2009

Improving medication-related clinical decision support.

March 7, 2018

The Physician Practice Patient Safety Assessment.

November 1, 2006

Major congenital malformations after first-trimester exposure to ACE inhibitors.

June 21, 2006

How well do health professionals interpret diagnostic information? A systematic review.

August 12, 2015

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services.

May 3, 2023

Excess mortality caused by medical injury.

November 8, 2006

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring.

June 28, 2023

The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement.

July 13, 2016

A scoping review of distributed cognition in acute care clinical decision-making.

June 7, 2023

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.

November 22, 2017

A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.

September 21, 2016

A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important?

August 31, 2016

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease.

July 29, 2020

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.

February 23, 2011

Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.

January 23, 2019

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture.

September 12, 2018

High performance teamwork training and systems redesign in outpatient oncology.

April 3, 2013

Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.

August 19, 2020

Related Resources

Complaints to the Parliamentary and Health Service Ombudsman.

October 23, 2023

Moving beyond the weekend effect: how can we best target interventions to improve patient care?

June 30, 2021

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.

February 3, 2021

50 Years of Inquiries in the National Health Service.

July 24, 2019

Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates.

April 3, 2019

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries.

July 27, 2016

Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

June 8, 2016

Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.

August 5, 2015

Initiatives to identify and mitigate medication errors in England.

April 8, 2015

Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.

January 28, 2015

The impact of hospital-acquired conditions on Medicare program payments.

November 26, 2014

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

November 26, 2014

Mid Staffordshire NHS Foundation Trust Quality Report.

November 12, 2014

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

November 5, 2014

The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study.

October 15, 2014

The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation.

September 24, 2014

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

September 10, 2014

After Mid Staffordshire: from acknowledgement, through learning, to improvement.

August 27, 2014

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.

July 16, 2014

Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System.

June 4, 2014

Relationship between preventable hospital deaths and other measures of safety: an exploratory study.

June 4, 2014

Early warnings, weak signals and learning from healthcare disasters.

April 9, 2014

A just culture after Mid Staffordshire.

March 26, 2014

Medication administration errors in hospitals—challenges and recommendations for their measurement.

March 26, 2014

Healthcare-associated infections: a national patient safety problem and the coordinated response.

February 19, 2014

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.

February 5, 2014

National trends in patient safety for four common conditions, 2005–2011.

January 29, 2014

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.

January 29, 2014

Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee.

January 22, 2014

See More About The Topic

Hospitals

Health Care Executives and Administrators

Policy Makers

General Internal Medicine

Hospital Medicine

The long road to ensuring patient safety in NHS hospitals.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The long road to ensuring patient safety in NHS hospitals.

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