Filter resources by focus area and profession

If you're working in one of the NHS England Patient Safety Collaboratives, we've tagged all of our resources according to the designated focus areas. We've also identified which resources we think are specifically useful to certain professions.

  • This content was commissioned exclusively for this Resource Centre

    UCLPartners, The Health Foundation

    This video discusses the impact of perinatal mental health problems on both maternal and child health from the perspective of both professionals and patients and discusses the use of a perinatal mental health value scorecard which enables health visitors to record the services they are providing for patients.  

  • HQIP

    This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths. Many of the identified avoidable factors remain the same as those identified in previous enquiries. Recommendations for improving care have been developed and are highlighted in this report.

  • IRIS

    This is the first European randomised controlled trial of an intervention to improve the health care response to domestic violence. 

  • This content was commissioned exclusively for this Resource Centre

    Shashikant L Sholapurkar, The Health Foundation

    In this paper, written mainly for obstetricians and midwives with experience of intrapartum fetal monitoring, consultant obstetrician Mr Sholapurkar gives a detailed outline of the main approaches to intrapartum fetal monitoring and details why it is so critical to safe maternity care. He considers some of the controversies regarding its evidence base and examines future developments in fetal monitoring. 

  • This content was commissioned exclusively for this Resource Centre

    Joanna Cook, Susan Bewley, The Health Foundation

    This paper highlights the increased risk of domestic violence in pregnancy and discusses practical approaches to increase its recognition and management to improve the safety of women and children in this vulnerable period. These include embedding routine enquiry into practice and responses to reduce risk once domestic violence is reported or suspected.

  • Reviews in Obstetrics and Gynecology

    This article provides health care practitioners and clinicians with the most current valid assessment and screening tools for evaluating pregnant women for intimate partner violence (IPV) in a health care setting. 

  • Centers for Disease Control and Prevention (CDC)

    This slide pack guides clinicians on possible presentations of partner violence including emotional abuse, signs to look for, questioning strategies and strategies for managing and supporting these patients.  It recommends screening tools to be used at regular intervals during pregnancy and includes advice on creating a safety plan.

  • Women’s Aid

    This campaign summarises evidence surrounding the incidence of domestic violence in pregnancy and contains various resources designed to raise awareness of partner violence both amongst healthcare professionals and resources which can be shared with patients.

  • Royal College of Obstetrics and Gynaecologists

    This guideline covers the recognition and management of serious bacterial illness in the antenatal and intrapartum periods and its management in secondary care.

  • Royal College of Obstetrics and Gynaecologists

    This guideline provides guidance for clinicians in the management of sepsis in the puerperium (sepsis developing after birth until 6 weeks postnatally).

  • National Institute for Health and Care Excellence (NICE)

    Chapter ten of this guidance for the care of healthy women and babies during childbirth outlines recommendations for the monitoring of healthy patients intrapartum.

  • Royal College of Obstetrics and Gynaecologists

    No evidence linking cardiotocography and mobile phone use was identified using the standard clinical query protocol. Additional searching identified advice from the Medicines and Healthcare Products Regulatory Agency on the use of mobile phones in hospitals. 

  • Cochrane Database of Systematic Reviews 2010

    A Cochrane review of antenatal cardiotocography for fetal assessment found no clear evidence that antenatal CTG improves perinatal outcome.

  • Royal College of Midwives

    In 2010, a group of supervisors of midwives from NHS Forth Valley identified current themes of misinterpretation of cardiotocography (CTG) and poor documentation through a process of investigation and case note review. It was decided that a robust and innovative practice known as a ‘buddy system’ would be introduced.  This reduces adverse outcomes and enables effective professional learning.

  • Wellington Hospital Intensive Care Unit, Wellington Regional Hospital

    This modified early obstetric warning score chart is available in a downloadable PDF to be adapted and adopted in other settings, either an intensive care or other secondary or tertiary care settings.

  • Royal College of Anaesthetists

    This document summarises all relevant safety standards in the area of critical care for the pregnant or recently pregnant women.  These recommendations are applicable to either a specialised maternity care or general critical care unit.  This document was particularly created in response to a recognition that there are still significant deaths associated with suboptimal care and that this mortality is higher amongst ethnic minority groups.

  • 1000 Lives Plus

    This proposal paper examines the limitations of existing track and trigger systems for deteriorating maternity patients and sets out guidance for creating a system wide obstetric early warning system.

  • Kidney International

    The 2011 Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline for Acute Kidney Injury (AKI) aims to assist practitioners caring for adults and children at risk for or with AKI, including contrast-induced acute kidney injury (CI-AKI).

  • Kent Surrey Sussex Academic Health Science Network (KSS AHSN)

    This paper summarises a plan to improve AKI management in an organisation, using data collection and analysis.

  • BMJ Quality Improvement Reports

    The NCEPOD report (2009) on Acute Kidney Injury (AKI) found 20% of post-admission AKIs were avoidable and only 50% of AKI care was considered 'good'. The DONUT bundle comprises of six interventions aimed at improving the management of AKI.

  • BMJ Quality Improvement Reports

    The aim of the project was to increase the number of patients returning to a ward post-surgery who receive a serum creatinine measurement within two days of their urological surgery, excluding day cases. 

  • Critical Care 2007

    Describe the formation of a multidisciplinary collaborative network focused on AKI. Authors have proposed uniform standards for diagnosing and classifying AKI which will need to be validated in future studies. The Acute Kidney Injury Network offers a mechanism for proceeding with efforts to improve patient outcomes.

  • Parliamentary and Health Service Ombudsman

    This report summarises the findings of investigations into ten deaths from sepsis which have deemed to be avoidable. It highlights clinical and organisational issues in detail which contributed to the failure of care in each of the ten deaths. The report then goes on to discuss themes across all of these deaths and sets out recommendations and quality standards for safe sepsis care.

  • The UK Sepsis Trust

    This series of videos from the UK Sepsis Trust includes information for patients about sepsis awareness, a video for healthcare professionals about early recognition of sepsis, details of the Sepsis Six intervention bundle, stories from patients who have experienced sepsis and others. They represent a rapid way to highlight the importance of quality care for sepsis and brief educational interventions.

  • Royal College of Obstetricians and Gynaecology

    Sepsis has overtaken VTE as the leading cause of mortality in women in or after pregnancy in the UK. Symptoms of sepsis may be less distinctive than in the non-pregnant population and therefore a high index of suspicion is necessary.

  • Dementia Action Alliance

    This report provides a snapshot of current views regarding early/timely diagnosis, and literature references of potential value for both appreciating each other’s views and progressing together from common ground.

  • Academic Medical Center Patient Safety Organization (AMC PSO)

    The AMCPSO members performed an in-depth analysis of patient safety issues identified in the Emergency Department setting.

  • Clinical Excellence Commission

    The SEPSIS KILLS program aims to reduce preventable harm to patients through improved recognition and management of severe infection and sepsis in emergency departments and inpatient wards throughout New South Wales.

  • BMJ Quality Improvement Reports

    In this report the authors introduced a history based risk tool as part of a chest pain pathway into the ED for use by medical staff assessing patients presenting with chest pain. The intervention involved a nurse from cardiology engaging with clerical, nursing, and medical staff in the ED to ensure success of this quality improvement project.

  • Intensive Care Chapter of the Indian Academy of Pediatrics (IAP)

    Sepsis is a commonly encountered problem and a major cause of mortality in 80% of children worldwide. Previously published pediatric sepsis guidelines were mostly applicable to developed countries; a perceived need for simple guidelines particularly applicable to resource-limited countries inspired the Indian Academy of Pediatrics (IAP) Intensive Care Chapter to formulate such guidelines.