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.

  • NHS Health Education England

    A short film produced by Health Education England to support healthcare professionals in training and staff at all levels to report and respond to concerns about patient safety.

  • Canadian Patient Safety Institute

    Produced by the Canadian Patient Safety Institute, this report includes a literature review on effective teamwork and communication in healthcare, a needs assessment of Canadian healthcare organisations, a review of teamwork and communication training programmes, and a consultation with national and international experts in teamwork and communication.

  • 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.

  • 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.

  • US Department of Veterans Affairs

    A card for diabetic patients to carry containing information about their condition in the case of emergency

  • US Department of Veterans Affairs

    A guide for patients about how to manage their own blood sugar levels.

  • The American Geriatrics Society

    The Choosing Wisely safety initiative addresses hypoglycaemia amongst US Veterans with diabetes by using a medical record system to identify patients at risk and to plot clinical decision support.

  • 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.

  • 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.

  • BMJ Quality & Safety

    Dr Sinead Millwood, a junior doctor in England, talks through her innovative quality improvement project.

    Junior doctors commonly make mistakes which may compromise patient safety. Despite the recent push by the NHS to encourage a “no blame” culture, mistakes are still viewed as shameful, embarrassing and demoralising events.

    Dr Millwood taught sessions on "learning from mistakes" and discusses how she implemented her project to change attitudes about discussing such mistakes

  • Royal Pharmaceutical Society

    This discussion paper and vision statement calls for a single pharmacist & GP practice for each care home describing the context of major medication safety challenges in care homes. 

  • Royal Pharmaceutical Society

    This good practice guidance describes four core principles for health care professionals and three responsibilities for organisations relating to the transfer of patients and their medications between different areas of care. It includes clear recommendations for the core content of medical records.

  • The King's Fund

    Studies report a reduction in inappropriate polypharmacy, errors, and cost achieved by pharmacist input in care homes. In addition, a pharmacist can identify gaps and lead on targeted actions in key therapeutic areas to support the provision of high quality care and safety for care home residents.

  • The Health Foundation

    In this video, Bryony Dean Franklin from Imperial College Healthcare NHS Trust talks about their Shine 2012 project to improve patient safety through feedback on prescribing errors.

  • World Health Organisation

    This course pack provides a workshop guide and video to train and educate staff about the importance of identifying and learning from errors in healthcare. The focus of the case is in the hospital setting, and the erroneous intrathecal administration of vincristine. The implications and lessons are, however, widely transferrable.

  • NHS Wales

    This document, produced by Aneurin Bevan Health Board, outlines a review process for patients on 10 or more medications. It includes the NO TEARS tool to aid medication review and includes locally developed review processes.

  • SignHealth

    These British Sign Language videos were made by SignHealth with help and information from the NHS.

  • The 5th Diabetic

    This blog written by a person with diabetes describes some of the challenges to having diabetes in the workplace. 

  • Diabetes UK

    This blog from Diabetes UK and written by Helen May describes the challenges of managing insulin use after eating out at a restaurant, ‘guessing’ how much insulin needed and discussing the dangers of making an incorrect calculation.

  • Journal of Diabetes Nursing

    This paper by Anne Cooper and Partha Kar and published in the Journal of Diabetes Nursing examines the role of technology, social media and networks to support people to self manage their diabetes. It also looks at the evidence base for impact.

  • Practical Diabetes

    This improvement work aimed to reduce prescription errors and improve health care professionals’ knowledge by introducing the following initiatives: (1) redesign of the diabetes prescription chart; and (2) implementing a root cause analysis prescription error pathway which involves a targeted approach to education for the individual who made the error.

  • BMJ Quality Improvement Reports

    This quality improvement report describes the experience of formulating a sustainable structure of support in primary schools to promote safe insulin use.

  • BMJ Quality Improvement Reports

    In this quality improvement report the authors from St George's NHS Trust outline their approach to standardise insulin prescribing to improve safety in hospitals.

  • British Geriatrics Society

    This case study illustrates an example of innovative practice to improve medication safety in older people. The team from Tayside in Scotland introduced a collaborative multidisciplinary approach to medication review, which led to a reduction in polypharmacy, improved patient understanding of treatment, and prescribing cost savings.

  • USA Food and Drug Administration

    These educational resources, provided by the US Food and Drug Administration, provide information on the safe use of medicine, including the general use of medicine, driving while using medicine, and safe use of medicine for seniors.

  • British Medical Journal

    This study, published in the BMJ, aimed to evaluate the effectiveness and safety of metformin use in clinical practice in a large sample of pharmacologically treated patients with type 2 diabetes and different levels of renal function. It looked at men and women with type 2 diabetes, registered in the Swedish National Diabetes Register, and on continuous glucose-lowering treatment with oral hypoglycaemic agents (OHAs) or insulin.

  • NHS Education for Scotland

    This e-learning course from NHS Education for Scotland addresses the major issues in the safe management of diabetes for pharmacists.

  • The National Care Forum

    The National Care Forum is an organisation that aims to support and promote high quality care in not-for profit care facilities. They have put together a number of free resources to help with medication safety, including practical tools and guides for use by patients, staff and employers.

  • American Association of Diabetes Educators

    The American Association of Diabetes Educators (AADE) convened a multidisciplinary expert panel to propose guidelines for insulin injection therapy. They examined best practices and explored effective problem solving for patients who have difficulty with insulin injections. 

  • American Diabetes Association

    For children using insulin their diabetes must be carefully managed, including the many hours spent at school. The 'Safe at school' resources from the American Diabetes Association include webinars and educational materials for both parents and teachers. The materials cover the main principles of safe management of insulin in children and will useful in all countries.