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.  

  • The Health Foundation

    This practical guide aims to support NHS organisations to apply a framework for measuring and monitoring safety. The framework was developed on behalf of the Health Foundation by Professor Charles Vincent, Ms Susan Burnett and Dr Jane Carthey.

  • Charles Vincent, Susan Burnett, Jane Carthey

    Over the past 10 years there has been a deluge of statistics on medical error and harm to patients, many tragic cases of healthcare failure and a growing number of major government and professional reports on the need to make healthcare safer.

  • 1000 Lives Plus NHS Wales

    Achieving High Reliability in NHS Wales is a latest white paper from 1000 Lives Plus. It draws on technical theory and practical work from the NHS and other industries to explore how 'high reliability' could make NHS Wales a better and safer place for both staff and patients.  

  • 1000 Lives Plus NHS Wales

    This guide has been produced to enable healthcare organisations and their teams to successfully implement a series of interventions to improve the safety and quality of care that their patients receive focused around the usage of trigger tools.

  • BMJ Quality and Safety

    This paper describes the use of the “trigger tool”, a relatively low cost and “low tech” technique for capturing medication related harm. The adapted technique appears to increase the rate of adverse drug event detection approximately 50-fold over traditional reporting methodologies.

  • World Health Organisation

    These slides from a Patient Safety Research Introductory Course introduce methods of measuring harm and cover a range of learning objectives.

  • World Health Organisation

    These slides from a Patient Safety Research Introductory Course introduce methods of measuring harm and cover a range of learning objectives.

  • Sapere Research Group

    This report is one of a suite of papers in relation to the measurement of medication-related harm and the evaluation of the electronic medication management (eMM) Programme.

  • BMJ Quality and Safety

    This paper summarises the findings of a more extensive report and proposes a framework which can guide clinical teams and healthcare organisations in the measurement and monitoring of safety and in reviewing progress against safety objectives. The framework has been used so far to promote self-reflection at both board and clinical team level, to stimulate an organisational check or analysis in the gaps of information and to promote discussion of ‘what could we do differently’.

  • Government of South Australia

    The South Australian Patient Safety Reports were developed to provide an overview of some significant achievements in a number of safety and quality programs.

    This is the 8th South Australian Patient Safety Report to be published since 2004 and demonstrates the continued systematic improvement across SA Health in a number of safety and quality programmes.

  • 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.

  • World Health Organisation

    The WHO developed the Pilot Edition of the Safe Childbirth Checklist to support the delivery of essential maternal and perinatal care practices. The Checklist contains 29 items addressing the major causes of maternal death in low-income countries. It was developed following a rigorous methodology and tested for usability in ten countries across Africa and Asia.

     

  • Pediatric and Perinatal Epidemiology

    Evidence for staffing recommendations in labour wards is scant. This study aimed to test association between midwife workload with adjusted process of continuous electronic fetal monitoring (CEFM) and neonatal outcome indicators. This was a prospective workload study in 23 consultant-led labour wards in Scotland.

  • This content was commissioned exclusively for this Resource Centre

    Jean Ball, Marie Washbrook, The Health Foundation

    This paper outlines the challenges of workforce planning in maternity services, particularly in intrapartum care, where demand is highly variable. It discusses some of the key features particular to maternity workforce planning such as the gold standard of providing 1:1 midwifery care, the transfer of care from one community area to a different secondary care area and the “hidden” workload undertaken in intrapartum care units managing patients who are not in labour.

  • 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

    Philip Banfield, Catherine Roberts, Glan Clwyd Hospital North Wales, The Health Foundation

    This discussion paper considers how to detect maternal deterioration during both the antenatal and peripartum periods. It discusses the use and validity of early warning scores, the challenges of altered physiological parameters in pregnancy and the extension of the Sepsis Six care bundle used in non-maternity settings to the Sepsis Six Plus Two which can be applied in maternity care. 

  • 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.

  • Royal Colleges of Midwives, Obstetricians and Gynaecologists, Anaesthetists and Paediatrics and Child Health

    This report is prepared by the Royal Colleges of Midwives, Obstetricians and Gynaecologists, Anaesthetists and Paediatrics and Child Health. It examines the core and minimum standards required for safe maternity care, with a focus on staffing levels.

  • The King's Fund

    This detailed report from the King's Fund addresses the key question of how the safety of maternity services can be improved by more effectively deploying existing staffing resources.

  • The National Patient Safety Agency (NPSA)

    The Intrapartum Scorecard is a tool developed by the National Patient Safety Agency that can be used to collect and monitor data on staffing and activity levels in maternity units.

  • The King's Fund

    In this video, Chris Ham, Chief Executive of The King’s Fund, interviews Sir David Dalton, Chief Executive of Salford Royal NHS Foundation Trust about the lessons learnt on the journey to making Salford Royal one of the safest trusts in the NHS.

  • The Leapfrog Group

    This short animation provides patients with a brief introduction to the basic idea of patient safety. It describes the importance of effective teamwork and learning in hospitals, and some of the hidden dangers of hospital care, particularly medication errors and healthcare acquired infections.

  • 1000 Lives Plus

    This resource from 1000 Lives Plus provides access to all the Annual Quality Statements published by NHS organisations in Wales, along with a range of supporting resources to guide organisations in how to compile these reports. Patient safety is a core component of these reports, and the annual statements provide a mechanism to both reflect on past performance and plan future aspirations.

  • Department of Health, Social Services and Public Safety

    This Framework aims to improve the health and wellbeing of people with a learning disability, their carers and families, by promoting social inclusion, reducing inequalities in health and social wellbeing and improving the quality of health and social care services, especially supporting those most vulnerable in our society. 

  • Healthcare Improvement Scotland

    This report examines how the hospital standardised mortality ratio (HSMR) can be used as a potentially valuable tool to reduce avoidable mortality in acute hospitals. The report acknowledges and contributes to the ongoing debate over the use of HSMR as a measurement approach.

  • 1000 Lives Plus

    In this presentation, Prof Mary Dixon-Woods provides a detailed and engaging review of the key issues and future opportunities for measurement. The presentation frames these issues in terms of the challenges which are involved in understanding the safety performance of healthcare organisations.

  • National Diabetes Audit

    A summary of findings from the National Diabetes Audit 2011–12 for people with diabetes and anyone interested in the quality of diabetes care.