Video
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.
Academic papers
An observational study from the USA which examined the impact of high-performance work practices on interventions to reduce central line associated bloodstream infections.
Inquiries and reports
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.
Video
An interview with Dr Kim Holt, Consultant Paediatrician who ‘blew the whistle’ on the Baby P case in Haringey. She also founded Patients First, which is a support group for whistle-blowers.
She discusses her experience and those of other health professionals who have been “whistle-blowers”.
She discusses the need to change the system so that clinical staff feel empowered to speak up.
Discussion papers
Recurrent reports have called for improvement in the way in which obstetric teams work together. The cultural and organisational working practices that differ between these groups can make handover and teamworking a challenge. Dr Edward Prosser-Snelling's article examines the nature of teams and handover in obstetrics and provides some suggested areas for improvement.
Case studies
This paper authored by a service user researcher describes issues for young adults with diabetes which impacted on their attendance at an outpatient clinic. Identifying barriers and facilitators to attendance, it suggests ways hospitals can work with patients to improve access to diabetic services.
Video
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.
Video
This film tells the powerful and hard-hitting story of a tragic incident, in which a simple human and procedural mistake had catastrophic consequences at Doncaster and Bassetlaw Hospitals NHS Foundation Trust.
Other tools and resources
This website provides a broad range of resources relating to the effective use of emergency manuals to enhance patient safety. Emergency manuals are increasingly being used in a wide range of clinical settings, along with other forms of ‘cognitive aid’ such as checklists.
Video
This series of videos presents the powerful and tragic story of Lewis Blackman, who died in hospital following routine surgery, as told by his mother, Helen Haskell. The story is structured in five parts to facilitate learning and teaching, and each video comes with a selection of suggested questions to guide discussions or teaching plans.
