We often hear from frontline staff about the disconnect between 'work as imagined' and 'work as done'. Two recent blogs on the hub highlight this. In 'Bridging the gap between policy and practice', a patient safety lead shares how they implemented a Safety-II approach to patient transfers, highlighting the importance of listening to frontline voices. In 'Patient barcode scanning in NHS hospitals: safety, snags and workarounds', Claire Cox, Patient Safety Learning’s Associate Director, talks about the opportunities to improve patient safety and the risks associated with the use of barcode technology in healthcare.
What are your experiences? What workarounds do you have to use to do your job? Email us at content@pslhub.org
Rapid investigation into maternity services - the right approach?
The Secretary of State for Health and Social Care, Wes Streeting MP, has called out the unacceptable state of current NHS maternity care and ordered a rapid investigation into ten maternity units across England that will take a system-wide look at maternity and neonatal care. But is another investigation the right approach to support the needed improvement? A hub member shares their thoughts on the announcement of this investigation.
Psychological safety is when someone feels they are safe to speak up with ideas, questions, concerns or mistakes without fear of being punished or humiliated. In healthcare, developing a culture of psychological safety is essential to ensuring patient safety. In this ‘Top picks’, we have pulled together resources, blogs and tools from the hub to support staff and organisations in developing a culture where everyone feels psychologically safe.
This article outlines Patient Safety Learning’s response to the UK Government’s announcement that it plans to bring forward secondary legislation to implement a statutory barring system for NHS leaders.
Mary Saunders is a patient with hypothyroidism. She outlines her patient safety concerns relating to the restricted access of a synthetic hormone called L-T3.
Systems-based healthcare safety investigation is an important initiative to improve patient safety worldwide. The authors of this study developed a competency framework for healthcare safety investigators using an empirical research approach.
In this opinion piece, Steve Turner argues that an ethical code of conduct is not sufficient to ensure accountability and that an individuallegal duty of candour is essential for patient safety.
This is the third in a series of HSSIB investigations exploring why medications intended to be given to patients were not given. This investigation explored the systems and processes in place to support staff when a patient spends time in hospital and is then discharged into the community with medications.
In this interview, Anne-Sophie Debue tells us about the charity 101 Fund in France and a tool that they have developed, LifeMapp, which supports patients and their families during and after intensive care.
To help celebrate this year’s WPSD, the Royal College of Surgeons of Edinburgh (RCSEd) are hosting this webinar on the importance of system design in helping to ensure safety for neonates and children. This will feature a panel of paediatric surgery consultants, innovators and human factors experts discussing how we can best design systems and built environments to help ensure safety in paediatric surgical care.
To mark WHO’s World Patient Safety Day 2025, which focuses on safe care for every newborn and child, NIHR has joined forces with Royal College of Paediatrics and Child Health (RCPCH) to host a webinar exploring persistent and emerging safety challenges in paediatric services.
Join the Royal College of Physicians during Falls Awareness Week for the next National Audit of Inpatient Falls webinar. The team are joined by guest speaker Dr Sarah Howie and NAIF clinical lead Dr Julie Whitney, who will introduce the new NAIF clinical resource: post-fall medical assessment.
Recent PSMN meetings included a session from Charlotte Goedvolk, Consultant Paediatric Intensivist, who shared a patient safety incident investigation; Tom Rose presenting on systems thinking; Ruth Yates from Aqua presenting on safety measurement; and Dr William Lea discussing the unconscious biases we all carry.
At the August PSPN meeting, Judy Walker sought Patient Safety Partners' insights on an After Action Review project and there was an update on the PSPN advisory Group
