Chris Brougham

If they are ‘Never Events’, why are they happening so often?

Never Events are serious, largely preventable patient safety incidents that should not occur if healthcare providers have implemented existing national guidance or safety recommendations. The Never Events policy and framework – revised January 2018 suggests that Never Events may highlight potential weaknesses in how an organisation manages fundamental safety processes. Never Events are different from […]

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Easy as 1, 2, 3 – Eva fulfils the NHS’ Patient Safety Strategy criteria

The NHS Patient Safety Strategy, which aims to reduce avoidable patient harm, has three main themes: Insight Involvement Improvement Although these sound positive, Trusts are left to ask what each theme truly means and how they can bring them into their own practices, when CQC inspections and Covid surges lie on the horizon. Luckily, Eva,

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Preparing for PSIRF Eva’s way

What is PSIRF? NHS England’s Patient Safety Incident Response Framework (PSIRF) is due to be rolled out across the NHS and the independent sector next month.  PSIRF will provide guidance to healthcare organisations on how to respond to patient safety incidents. The framework aims to move away from reactive and hard-to-define thresholds for serious incidents

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Why was this year’s World Patient Safety Day focused on maternity care?

Although World Patient Safety Day passed us by a few months ago, it is still important to reflect on this year’s targets and their progress as 2021 slowly draws to a close. The theme chosen by the World Health Organisation (WHO) this year was ‘safe maternal and new-born care’.  It was given the emotive strapline

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NHS investigations- time to dive into the data pool?

Amazon had revenues of $280 billion in 2019- not bad for an online bookshop founded in 1994. According to McKinsey [1], 35% of what Amazon customers buy comes from recommendations generated by the company’s algorithms. Netflix, another company founded at a similar time, has revenues of $20 billion and 75% of what customers watch comes

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Teamwork – Microsoft Teams and its integration with Eva

In March, Microsoft announced that its collaboration platform, Teams, would be made freely available to all NHS workers. This was in direct response to the Coronavirus outbreak and to help organisations deal with the many challenges that came with the virus. Over the proceeding months, we have read story after story of the successful move to Microsoft Teams and how it

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Should we be worried about the end of the National Confidential Inquiry into Suicide and Homicide?

Jonathan Zito and Christopher Clunis? Mary Povey and Raymond Sinclair? Lin and Megan Russell and Michael Stone? I wouldn’t be surprised if these names didn’t mean anything to you. Why should they? Well, Jonathan, Mary, Lin and Megan were all victims of homicides committed by patients in the care of NHS mental health services during

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The power of investigations – ending the loop of ‘lessons must be learned’

‘Lessons must be learned’ It is a sad fact that in many parts of the public sector the phrase ‘lessons will be learned’ has become seriously devalued. There is no doubt that senior leaders are genuine when they include this phrase high-up in their response to families, regulators or media following a public shaming. But

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