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.

  • Health Service Journal

    A HSJ commissioned report which sets out key actions and best practice for hospital and system leaders, as well as highlighting a need to reset some expectations.

  • Regulation and Quality Improvement Authority (RQIA)

    RQIA conducted unannounced inspections at Northern Ireland's 11 acute hospitals, speaking to over 350 patients and their relatives, observing practice and reviewing patients' notes. This review makes 14 regional recommendations across the areas to improve the quality of care for older people in Northern Ireland's hospitals.

  • 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.

  • 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

    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.


  • 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.

  • NHS England

    Published in June 2014 this national algorithm standardises the definition of AKI in England. The algorithm aims to provides the ability to ensure that a timely and consistent approach to the detection and diagnosis of patients with AKI is taken across the NHS. This algorithm has been endorsed by NHS England and it is recommended that the algorithm is implemented across the NHS.

  • The King’s Fund

    In September 2013, three meaningful activity facilitators were appointed to provide additional support for people with dementia across three older people’s wards at Leicester Royal Infirmary.

    Activities such as reminiscence, music therapy, and arts and crafts support physical, sensory and psychological well-being help to gain a deeper understanding of the person behind the dementia.

  • Alzheimer's Society

    The National Dementia Strategy for England (NDSE), the first of its kind in England, came to end in April this year. 

  • European Society of Delirium

    This five minute video shows a patient’s recollections of post operative delirium. It is a useful teaching resources for all healthcare professionals and highlights the importance of good nursing care and the psychological distress an episode of delirium can cause.

  • American Delirium Society

    The American Delirium Society aims to improve the care of patients at risk of or with delirium through research and education.

    These videos are an excellent educational resource for both patients and healthcare staff which provide practical advice about the recognition, prevention and management of delirium.

  • 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.

  • 1000 Lives, NHS Wales

    This guide to improving dementia care, part of the 1000 lives campaign by NHS Wales, provides guidance on the achievement of several drivers to improve the quality of life and care for people with dementia.

  • The Health Foundation

    ‘My Discharge’ was launched at the Royal Free London NHS Foundation Trust in April 2013. Part of the Health Foundation’s 2012 Shine programme, the project aims to improve patient and carer experiences by ensuring that people with dementia stay in hospital for less time than those who do not have the condition.

  • The King's Fund

    This video, which accompanies the recent report from the Kings Fund entitled 'Making our health and care systems fit for an ageing population' describes a vision of care which would undoubtedly improve patient safety as well as other aspects of quality for older people.

  • 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.

  • Royal College of Nursing

    This learning module produced by the Royal College of Nursing has been primarily designed for health care assistants who make a major contribution to support people’s nutritional needs in all care settings.

  • 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.

  • NHS Benchmarking Network

    The way our intermediate care services are designed impacts hugely on safety and quality of care for frail older people.

  • The King's Fund

    This important report from The Kings Fund authored by David Oliver, Catherine Foot, and Richard Humphries describes some of the problems with systems of care for frailer older people and sets out a framework and tools to help local service leaders improve the care they provide for older people.

  • The Health Foundation, British Geriatrics Society, Sheffield Teaching Hospitals NHS Foundation Trust

    This project, supported by the Health Foundation and led by Sheffield Teaching Hospitals NHS Foundation Trust on behalf of British Geriatrics Society, focuses on a series of measurable harms posing a risk to older patients, including confusion, falls, and adverse drug reactions.

  • Health Protection Agency and The Department of Health

    This best practice document from the Health Protection Agency and Department of Health in England provides a summary of all current clinical recommendations for the management and prevention of clostridium difficile infection.

  • NHS England

    This website was produced by NHS England to support the NHS Stop the Pressure campaign. The project was initially developed by NHS Midlands and East and has now a national project. It includes various useful resources, videos and links.

  • Patient Safety First campaign website

    This subsite of the Patient Safety First collection highlights existing evidence and resources to help healthcare staff prevent pressure ulcers by reliably and promptly delivering all necessary interventions.

  • 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”.

  • British Geriatrics Society

    This good practice guide from the British Geriatrics Society provides up to date information about the prevention and management of pressure ulcers and useful links to external sources of reference. 

  • European Pressure Ulcer Advisory Panel

    This is a link to the quick reference pressure ulcer prevention guidelines produced by the European Pressure Ulcer Advisory Panel. This Quick Reference Guide summarizes evidence-based guidelines on pressure ulcer prevention and treatment.