New Guidance from General Medical Council on Patient Safety

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On 26 January 2012, the GMC published Raising and acting on concerns about patient safety (2012) (access the guidance below).  This guidance makes clear that doctors have a duty to act when they believe patient safety is at risk, or when a patient’s care or dignity is being compromised, and explains when doctors need to [...]

CHFG Standardisation Survey Results

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Standardisation has been shown to be an effective mechanism for reducing human error in complex processes or situations. Conversely, the lack of it can increase risk and make human error more likely and in some cases inevitable. In order to inform the Department of Health’s Human Factors Reference Group, we conducted a rapid on-line survey [...]

Key messages from the CHFG Impact Assessment

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In the summer of 2011 the CHFG undertook a limited but focused piece of work with the aim of assessing involvement within the CHFG network and exploring perceptions of our impact. This included a review of our web and e-marketing analytics, the supporter database and a short on–line survey which generated a 35% response rate [...]

Award for Cranfield University

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The CHFG has built a solid relationship with Cranfield University over the last few years.  They continue to work with us on a proposal for trialling independent investigation into “never events” for healthcare.  This year, the University has trained a leading clinical investigator in techniques learnt from other industries and is supporting one of our [...]

Survey results from last CHFG Seminar

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. [...]

Patient safety: a core value of nursing – so why is achieving it so difficult?

Jane Reid, Nurse Advisor, National Patient Safety Agency and Senior Academic, Bournemouth University and Ken Catchpole, Senior Post-doctoral Scientist, (Nuffield Department of Surgical Sciences), University of Oxford have just published the above paper in the Journal of Research in Nursing. Patient safety: a core value of nursing – so why is achieving it so difficult? [...]

Weston Report by Professor Brian Toft just published

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).  As a result of the BOA’s significantly flawed review, the Welsh Assembly Government recalled 683 patients who had undergone orthopaedic surgery at the Weston National [...]

Surviving Sepsis – a Human Factors based approach…

“In April 2008, a 70 year old, independent lady with no previous comorbidities became a grandmother for the first time and was looking forward to watching her family grow up. She developed a cough and became breathless and presented to her local hospital. She was admitted, and developed severe sepsis and septic shock secondary to [...]

The Health Foundation’s ‘Safer Clinical Systems’ – call for applications

The Safer Clinical Systems programme is at the heart of the Health Foundation’s work in safety. It was launched in 2008 to test and demonstrate how improving healthcare systems or processes can systematically improve patient safety. They are now inviting applications from safety-minded healthcare organisations who wish to take patient safety in their organisation to [...]

Reform of the fitness to practise procedures at the GMC – get involved

GMC’s public consultation site has a number of ongoing consultations to which individuals can contribute their views. One we believe CHFG supporters might be interested in is entitled: ‘Reform of the fitness to practise procedures at the GMC – changes to the way we deal with cases at the end of an investigation.’ They are [...]