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.

  • NPSF Lucian Leape Institute

    A White Paper produced by the National Patient Safety Foundation Lucian Leape Institute in the USA.

     

  • BMJ Quality Improvement Reports

    This improvement report looked at how the introduction of ‘Hypo Boxes’ to diabetes wards over a 4 week period improved the assessment and management of patients with hypoglycaemia.

  • BMJ Quality Improvement Reports

    This Quality Improvement Report carried out an audit on the use of the Malnutrition Universal Screening Tool (MUST). It found that patients did not consistently have a MUST score documented, the scores were calculated incorrectly and that high MUST scores were not being acted on appropriately.

  • 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.

     

  • 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.

  • Patient Stories

    This moving film recounts the harrowing experiences of the Titcombe family during their son, Joshua’s, tragically short life. The film is based on the testimony of James Titcombe, Joshua’s father and now a National Advisor on Safety for the Care Quality Commission. 

  • 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.

  • The Institute for Healthcare Improvement

    The IHI Severe Sepsis Bundles contain elements drawn from the International Guidelines for Management of Severe Sepsis and represent packages of care to be delivered for all patients presenting with severe sepsis or septic shock.

  • Surviving sepsis campaign

    Severe sepsis and septic shock are major healthcare problems, affecting millions of people around the world each year, killing one in four (and often more), and increasing in incidence. 

  • 1000 Lives Plus

    This ‘care bundle’ will help healthcare organisations to be consistently alert to, and to respond to, the needs of people with learning disabilities, and their families and carers, when they access general hospital services.

  • The College of Emergency Medicine, UK Sepsis Trust

    This clinical toolkit has been developed jointly by the College of Emergency Medicine and the UK Sepsis Trust. It is designed to provide operational solutions to the complexities challenging the reliable identification and management of sepsis.

  • Mencap

    The Mencap “Death by Indifference” campaign summarises the initial “Death by Indifference” Report which tells the stories of six deaths of people with learning disabilities, the subsequent Inquiry “Healthcare for All” and the “Confidential Inquiry into Premature Deaths of People with Learning Disabilities”.

  • The King’s Fund

    In this video Professor John Young, national clinical director for the frail elderly and integration, NHS England, explores the challenges frailty presents for health and care - stressing it is not a disease and affects the whole body and each person differently. He also introduces a new cost-effective coding system, currently under trial in primary care, which focuses on earlier detection.

  • Trend UK

    This patient leaflet from Trend UK is a useful introduction for patients about hypoglycaemia. It covers the background to the clinical condition as well as advice on treatment and how to avoid future episodes.

  • Diabetes UK

    This video case study produced by Diabetes UK interviews Sahra, a Muslim with Type 2 diabetes managed with insulin. She talks about her experiences of fasting during Ramadan and is a useful patient education tool for those in a similar situation.

  • Diabetes UK

    This resource from Diabetes UK aims to provide guidance for the Imam to promote the importance of fasting safely through Ramadan.

  • Diabetes UK

    This factsheet produced by Diabetes UK is a useful education resource for patients on managing diabetes during Ramadan and preventing hypoglycaemia.

  • Agency for Healthcare Research and Quality

    The Agency for Healthcare Research and Quality in the US has put together a compilation of a wide variety of resources for use in improving patient safety in nursing homes. This document would be a useful starting point for individuals or teams researching in this area.

  • British Geriatrics Society

    This good practice case study describes the development and commissioning of an innovative healthcare model in nursing homes in South Manchester. The initiative has shown improved outcomes and could be a useful example for those considering a similar approach.

  • British Geriatrics Society

    The British Geriatrics Society (BGS) has launched the first of a two-part guidance on the recognition and management of older patients with frailty in community and outpatient settings. Called Fit for Frailty, it has been produced in association with the Royal College of General Practitioners (RCGP) and Age UK.

  • Stanford Anesthesia Cognitive Aid Group

    This document is an innovative emergency manual for perioperative care, developed by the Stanford Anesthesia Cognitive Aid Group.

  • International Diabetes Federation

    This website from the International Diabetes Federation provides resources to assist diabetes care for patients and health professionals to better understand how to improve diabetes care.

  • BMJ Quality Improvement Reports

    The intervention was a care bundle for chronic kidney disease - a common complication of poorly controlled diabetes. The bundle included three evidence-based, high impact interventions based on National Institute for Care Excellence (NICE, 2008) guidance, with an additional and novel self-management element.