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.

  • National Institute for Health and Care Excellence (NICE)

    This quality standard covers assessment after a fall and preventing further falls (secondary prevention) in older people living in the community and during a hospital stay. Secondary prevention focuses on interventions targeted at older people with a history of falls. Older people are those aged 65 years and over.

  • Advances in Geriatrics

    This research paper looks at the effect of a twelve-month individually tailored multifactorial, interdisciplinary intervention targeting frailty, compared with usual care. The intervention reduced phenotypically defined frailty (weakness, slowness, and low energy expenditure) and improved mobility.

  • BMJ Quality Improvement Reports

    This improvement report looked at how to increase the availability of vision and hearing aids in the intensive care unit of the Bristol Royal Infirmary.

  • BMJ Quality Improvement Reports

    A system of payment by results exists for the management of hip fractures in England and Wales.UCLH performed badly in the 2013 national hip fracture database (NHFD) audit against the national standards.

    Through the introduction of a multi-disciplinary patient pathway and clerking pro forma, the proportion of patients earning the best practice tariff uplift increased from 44.4% to 91.7%.

  • BMJ Quality Improvement Reports

    This quality improvement project was inspired as an answer to a problem many psychiatric trainees have been struggling with while on-call covering the old age mental health hospital which includes a specialist dementia ward.

  • BMJ Quality Improvement Reports

    A large proportion of patients who die in hospital will be under the care of geriatric medicine. Mortality reviews have traditionally used trigger tools to try and identify preventable deaths, but the majority of hospital deaths are not preventable and lapses in care are often very complex.

     

  • Harmfree Care

    This case study describes the implementation of the NHS Safety Thermometer into small units within the independent sector and the impact on patient safety that it had in these units.

  • Agency for Healthcare Research and Quality

    This book chapter identifies six key areas of safety relevant to care at home including falls, wound management and unplanned hospital admissions. It provides guidelines for care in these areas tailored to the home care setting.

  • Harm Free Care Haelo, Guys’ and St Thomas

    The video introduces a new way to introduce patients to important information about their safety during a hospital stay. The information is presented in an ‘airline style’ briefing aimed at reducing avoidable complications – such as blood clots, pressure ulcers, or falls.

  • King's Fund

    This paper produced by Yang Tian and colleagues at the King’s Fund explores the system-wide costs of falls in older people in Torbay. It uses Torbay’s unique patient-level linked data set to explore the cost of the care pathway for older people admitted to hospital as a result of a fall by tracking their care costs in the 12 months before and after their fall.

  • BMJ Quality Improvement Reports

    This quality improvement report documents a simple checklist produced by a team from Addenbrookes Hospital in Cambridge. It was shown to markedly improve the performance and recording of preoperative tasks by SHOs.

  • East Midlands Academic Health Science Network

    This evidence review was commissioned by executive nurses from Derbyshire and Nottinghamshire CCGs. It analyses the risks of elderly patients whilst in hospital including medication errors, delirium, falls, pressure sores, infections and frailty. It also looks at what might be done and how these models can be implemented.

  • NHS Institute for Innovation and Improvement

    Produced by the NHS Institute for Innovation and Improvement, this is a practical step by step guide and toolkit to reducing inpatient falls for ward staff and frontline healthcare clinical teams. It will be useful to all healthcare teams looking after inpatients with risk of falls.

  • Patient Safety First campaign website

    This page produced by the Patient Safety First campaign has links to a number of useful resources which aimed to serve the campaign’s vision “to reduce harm from falls without compromising dignity, independence and rehabilitation”.

  • Accreditation Association of Ambulatory Health Care

    This set of toolkits provide short and easily accessible guides to managing patient safety related to surgery in outpatient (ambulatory) care settings

  • National Confidential Enquiry into Patient Outcome and Death

    This NCEPOD report from 2010 presents a review of a sample of deaths following emergency and elective surgery in older people. 

  • Australian Commission on Safety and Quality in Health Care

    This document, Preventing Falls and Harm From Falls in Older People: Best Practice Guidelines for Australian Hospitals 2009, aims to reduce the number of falls and the harm caused by falls experienced by older people in hospital care.

  • National Institute for Care and Health Excellence (NICE)

    These guidelines updated in June 2013 provide recommendations for the assessment and prevention of falls in older people. The NICE guidelines offers best practice advice on the care of older people who are at risk of falling which all healthcare professionals in England should follow. The guidelines are useful for clinicians in other regions. Specific recommendations to prevent falls in hospital include a multifactorial assessment of falls risk factor.

  • Centres for Disease Control and Prevention

    The Centres for Disease Control and Prevention’s (CDC) Injury Center has created the STEADI Tool Kit to help health care providers who treat older patients in their practice at risk of falling or who may have fallen in the past. 

  • The Health Foundation

    This case study from the Health Foundation's May 2013 newsletter explains how John Pathy Day Hospital, in Cardiff, is reducing visits to A&E through and integrated healthcare programme that helps older people reduce their risks of falls.

  • This content was commissioned exclusively for this Resource Centre

    Claire Ballinger, Charlotte Brooks, The Health Foundation

    This discussion paper by Claire Ballinger and Charlotte Brooks provides an overview of the ways in which occupational therapists can help older people at risk of falls, with a focus on those living in the community.

  • The Health Foundation

    The FallSafe project sought to implement evidence-based multifactorial falls prevention, delivered as care bundles, across 17 wards in a variety of hospital settings across the South Central region of England.

  • Patient Safety First

    This document from Patient Safety First is aimed at managers and teams involved in leading and implementing changes to reduce harm from falls.

  • Institute for Healthcare Improvement

    This how-to guide from the IHI is designed to help healthcare staff learn how to identify patients who are at the highest risk for sustaining a serious injury from a fall and implement interventions to prevent or mitigate these injuries.