Professor Charles Vincent provides an summary of his recently published second edition on Patient Safety. This 61-page free pdf file, which may be used for non-commercial purposes, is essential reading for anyone starting to undertand the scale and complexity of patient safety.

Charles Vincent Essentials of Patient Safety 2012

Crew Resource Management within interprofessional teamwork development: Improving the safety and quality of the patient pathway in health and social care

This paper presents the case for a practical approach for developing the workforce, to safeguard patients and to improve the quality of the patient pathway across health, social care and beyond. Central to this is the inclusion of Crew Resource Management (CRM) (RAeS, 1999) skills learned from the aviation industry, to enhance interprofessional teamwork development and collaborative practice.

Source: The Journal of Practice Teaching and Learning (The Journal of Practice Teaching  in Health and Social Work), Volume 10, Number 2, 2010 , pp. 4-27(24)

Caldwell G (2011) Logging in and logging out: patient safety on ward rounds. British Journal of Healthcare Management 17 (11): 547–53

In this article, Gordon Caldwell argues that tardy access to core clinical information systems may be close to paralysing clinical care processes for doctors, nurses and other health professionals to the detriment of safe high quality patient care.

IOM (Institute of Medicine). 2012. Health IT and Patient Safety: Building Safer Systems for Better Care. Washington, DC: The National Academies Press.

This is an important and accessible report which has come out from the US Institute of Medicine.

Surgical Never Events should never happen

Surgical procedures are intended to save lives and improve the quality of life; however omissions in essential practices (system and human error) contribute to unsafe surgical care, and cause significant harm to patients. Read Jane Reid’s article (above) published in Vol 21 of Journal for Perioperative Practice, Issue 11, pp 373-378.

Read also Jane’s Guest Editorial in the same publication and issue, p363, which signposts the importance of Human Factors awareness amongst perioperative staff.

Patient safety: staff safety – hand in hand?

(Journal of Perioperative Practice, Vol 21, Issue 11, p363)

Just a Routine Operation teaching video

To order your copy on DVD please email your postal address to Safer.care@institute.nhs.uk

Human Factors review of a selection of “Never Events”.  The following report is available for download, however it is still in a raw format and is likely to undergo further edit prior to official launch.  The content is correct.

Never? Draft Version 1.0

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CHFG Open Seminar Survey Results

We got an excellent survey response from delegates who attended the last CHFG Open Seminar at Imperial College London in April 2011. Here are the survey results – the comments and input have provided us with valuable feedback which will help us to shape and improve future CHFG events.  Thanks to all those who responded.

The Weston Report by Professor Brian Toft OBE

The Weston Report was recently published by the South West Strategic Health Authority.  It is a detailed critique of a review undertaken by the United Kingdom British Orthopaedic Association (BOA).

To read more background on this report please visit this News story. Leave a Comment

Safer healthcare depends on in-depth investigation, not quick fixes

Journalist Jane Feinmann, who attended the recent CHFG Open Seminar at Imperial College London, examines the belief that safe healthcare measures should be proactive, building on extensive investigation of the causes of high risk behaviour in medicine, rather than quick fix reactions to harmful incidents in this BMJ article (28 April 2011).

BMJ 2011;342:d2685