Patient safety
helpful, Patient Safety Learning adds that there also needs to be a significant focus on practical implementation of these changes. It highlights new research being undertaken in this area by Northumbria University, which is exploring experiences of NHS Trusts who have attended and implemented changes as part of their joint programme with Mersey Care, ‘Principles and Practices of Restorative Just Culture’.19
While
this is to be welcomed, Patient Safety Learning adds that this work needs to be expanded with ongoing, funded, collaboration to drive culture change.
Patient Safety Standards Patient Safety Learning believes that one of the primary reasons for the persistence of avoidable harm is that healthcare does not have or apply standards of good practice for patient safety in the way that it does for other issues. Standards that do exist are insufficient and inconsistent. Patient Safety Learning believes that health and social care organisations need to have standards for patient safety. These can inform ‘what good looks like’ and enable organisations to self-assess against them, helping them prioritise their patient safety improvement activities. Based on Patient Safety Learning’s original
research and policy document A Blueprint for Action, the organisation has developed a set of unique patient safety standards centred around seven key foundations for patient safety.20,21 1. Leadership and Governance 2. Culture 3. Shared Learning 4. Professionalisation of Patient Safety 5. Patient Engagement 6. Data and Insight 7. Delivery of Patient Safety Services.
Key recommendations Ultimately, Patient Safety Learning believes there is a need for a more transformative effort and commitment to creating a safety culture. The report makes the following two recommendations to help deliver on this commitment: 1. NHS England and Integrated Care Systems should set out how they will support and ensure the effective and consistent implementation of safety culture guidance and best practice across the country.
2. NHS England should set out actions to seek to address the discrepancies identified in responses on patient safety and speaking up specifically concerning Ambulance Trusts and the ethnic background of respondents.
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