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- Communication Improvement 3
- Culture of Safety 2
- Education and Training 4
- Error Reporting and Analysis 8
- Policies and Operations 1
- Quality Improvement Strategies 2
- Technologic Approaches 1
Search results for "Europe"
Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and Development; 2018.
The global economic impact of medical error is substantial. This report expands on a 2017 analysis to address a gap in understanding about the impact of medical mistakes in ambulatory and primary care environments across 29 countries. The authors found iatrogenic harm and associated disease burden in outpatient care to be concerning and suggest the need for policy and leadership to design and implement improvement strategies.
Geneva, Switzerland: World Health Organization; 2016.
Much of patient safety research has focused on the hospital setting, but a majority of health care is delivered in the ambulatory setting. This collection explores key safety topics in the primary care environment: patient engagement, education and training, human factors, administrative errors, diagnostic errors, medication errors, multimorbidity, care transitions, and electronic tools. Each monograph provides an introduction to each area of concern and practical approaches to improvement.
Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice.
Carson-Stevens A, Hibbert P, Williams H, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2016.
Management and analysis of incident reporting data must be enhanced in order to realize the potential for learning and improvement from reporting activities. This publication explored primary care incidents reported in England and Wales over an 8-year period. Investigators found inconsistencies and gaps in information collected, including a lack of defined reasons explaining why incidents occurred. Despite weaknesses in the data, they were able to categorize the types of incidents and prioritize system improvements needed to optimize incident reporting as a patient safety improvement strategy.
Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk.
Geneva, Switzerland: World Health Organization; 2016. ISBN: 9789241510349.
Overuse of diagnostic imaging poses patient safety hazards, particularly for children. This report reviews techniques clinicians can use to discuss risks associated with using radiologic procedures with parents of pediatric patients. The publication includes answers to common questions about various types of tests and tips for enhancing conversations with parents.
London, UK: Parliamentary and Health Service Ombudsman; November 26, 2014.
The National Health Service broadly reports the results of system-level analyses and investigations into trust-specific failures. This publication is the first in a series that will provide information about complaints submitted to trusts (from 2013 to 2014 and in the first half of 2014 to 2015) to track complaints received and responded to, identify common themes, and uncover recurring problems in an effort to enable organizations to improve processes for managing complaints.
Improving Diagnosis: Teenage Cancer Trust Report on Improving the Diagnostic Experience of Young People With Cancer.
London, England: Teenage Cancer Trust; 2013.
This report spotlights challenges to early diagnosis of cancer in pediatrics and offers guidance for clinicians and families to improve care for these patients.
London, UK: All-Party Pharmacy Group; May 2012.
This report discusses the impact of drug shortages in the United Kingdom and describes potential solutions.
Investigating the prevalence and causes of prescribing errors in general practice: The PRACtICe Study.
Avery T, Barber N, Ghaleb M, et al. London, UK: General Medical Council; May 2, 2012.
Examining prescription errors in general practices in England, this report suggests that information technology and incident reporting could address issues that persist since an earlier study.
Retford, Notts, UK: NHS Alliance; 2011.
This publication discusses an initiative to monitor errors and near misses in after-hours care in the United Kingdom and reviews lessons learned during its first year of implementation.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
This report analyzed how medication information is shared among UK practices and patients after a hospital stay and found that 81% of general practices thought that patient information given to them from hospitals was incomplete or inaccurate.
London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.
This publication analyzes 72,482 medication incidents reported to the National Health Service and highlights areas for improvement and prevention.
London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.
Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety Agency, this report identifies adverse events affecting children and emphasizes actions for stakeholders to enhance safety for pediatric patients in the United Kingdom.
The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
This publication summarizes the results of a United Kingdom hospital survey that identified strengths and weaknesses in National Health Service efforts to support organizational patient safety commitment and improvement. The report closes with suggestions to support board-level engagement in this work.
Reynard J, Reynolds J, Stevenson P. Oxford, UK: Oxford University Press; 2009. ISBN: 9780199239931.
This book provides an introduction to key patient safety topics and includes a set of 20 case studies to demonstrate opportunities for error prevention.