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Posts by Patient Safety Learning

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Recognising unsafe surgeons—looking for early warning signs While accountability is essential, patient safety may be better served by asking another question first: Were there earlier signals that something was going wrong?

🗨️Improving patient safety requires moving beyond a simple choice between blaming individuals or fixing systems. Safer care depends on recognising both the human realities of clinical practice and the need for strong organisational oversight.🗨️

A new blog on the hub⬇️

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Nurse did not escalate baby concerns, panel hears A children's nurse has been struck off from practising after the regulator found serious care failings. Elzabeth Lennon, a children's nurse working in Northampton, was reviewed by a Nursing and…

News article on the hub today - Nurse did not escalate baby concerns, panel hears (via BBC News).

11 hours ago 1 0 0 0
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From diagnosis to system change: what rare disease is teaching us about safety, bias and AI Professor Rob Galloway is an Emergency Medicine Consultant and Founder of the charity Rare People. In this article, Rob talks about his daughter’s recent diagnosis of a rare genetic condition. He…

🗨️Rare disease is a diagnostic safety issue, because children are often reassured repeatedly before referral. Developmental differences are attributed to variation. Early signals are softened by probability thinking.🗨️

A new blog by Rob Galloway on the hub this week.

12 hours ago 1 0 0 0
Video

We recently updated our Standards for Regulators and Accredited Registers.

For the first time, both are covered by one set of Standards. Watch this video to find out why and, learn more via the link below:

https://ow.ly/cz9250YIaNf

1 day ago 2 1 1 0
Patients For Patient Safety US | Become a Champion Patient Engagement and empowerment is perhaps the most powerful tool to improve patient safety.

Want to make a difference in patient safety? Healthcare is changing fast with AI and industry changes, and there's never been a better time to join us as a PFPS US champion to help us work toward our goal for diagnostic excellence and safe care for all. Learn more here! www.pfps.us/become-a-cha...

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Launch event: Jay’s Personalised Safety Planning Toolkit for Suicide Prevention On Tuesday 19 May, a new toolkit to support adults at risk of self-harm or suicide will be launched at The University of Manchester’s Whitworth Art Gallery, as part of a free and interactive event ope...

Join us for the launch of Jay’s Personalised Safety Planning Toolkit – a new evidence‑based resource supporting more personalised and meaningful safety planning for #suicideprevention

🗓️Tuesday 19 May
📍The Whitworth, Manchester

👉 Book your place:
www.psrc-gm.nihr.ac.uk/2026/04/09/j...

14 hours ago 2 2 0 0
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RiskReimagined 2026: The NHS Risk Management Conference The RiskReimagined 2026 Conference is a premier event for sharing best practice and innovation, designed to help NHS professionals move from awareness to applied implementation. Delegates will gain…

Upcoming event featured on the hub:

▶️ RiskReimagined 2026: The NHS Risk Management Conference
🗓️ Tuesday 28th April 2026
📍 etc.venues, Prospero House, 241 Borough High St, London

More details below⬇️

13 hours ago 1 1 0 0
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Recognising unsafe surgeons—looking for early warning signs While accountability is essential, patient safety may be better served by asking another question first: Were there earlier signals that something was going wrong?

🆕Recognising unsafe surgeons—looking for early warning signs. A new blog by Aditi Desai featured on the hub today. www.pslhub.org/learn/patien... #patientsafety

14 hours ago 2 0 0 0
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NHS improves genetic testing for minority ethnic cancer patients Thousands of cancer patients from minority ethnic backgrounds will have access to “groundbreaking” genetic testing on the NHS that previously discriminated against them. This routine form of genetic…

News article on the hub - NHS improves genetic testing for minority ethnic cancer patients (via @theguardian.com).

16 hours ago 2 1 0 0
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Can systems modelling help generate safer and faster morbidity and mortality conference preparation? Reflections from a pilot study on coronary angiography Stefan Peil summarises a pilot study he has done to see whether a structured systems model can support the preparation of a morbidity and mortality (M&M) conference discussion.

Can systems modelling help generate safer and faster morbidity and mortality conference preparation? A new blog featured on the hub this month.

17 hours ago 1 0 0 0
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The King's Fund: Social care 360 (8 April 2026) 2024/25 saw the continuation of a new trend in adult social care. Local authorities are spending more on social care, with that investment focused not just on paying higher fees to the providers who s...

New on the hub this week - The King's Fund: Social care 360. www.pslhub.org/learn/patien...

18 hours ago 1 0 0 0
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Recognising unsafe surgeons—looking for early warning signs While accountability is essential, patient safety may be better served by asking another question first: Were there earlier signals that something was going wrong?

🗨️Strong systems should be able to detect emerging risks early, while still ensuring fair accountability when unsafe practice becomes clear.🗨️

Recognising unsafe surgeons—looking for early warning signs. A new blog by Aditi Desai on the hub today. www.pslhub.org/learn/patien... #patientsafety

20 hours ago 1 1 1 0
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Reimagining healthcare regulation to enable improvement, learning, and safety (BMJ, 31 March 2026) Josje Kok and colleagues argue that amid growing pressures on health systems, healthcare regulation must evolve beyond compliance driven approaches.

Reimagining healthcare regulation to enable improvement, learning, and safety - an article via @bmj.com featured on the hub.

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Power and the sound of silence—A blog by Roger Kline Roger Kline, Research Fellow at Middlesex University Business School, explored the literature on patient safety and speaking up, arguing that staff being able to raise concerns safely and effectively…

In a new blog added to the hub last month, Roger Kline reflects on the findings of his review exploring the literature on patient safety and speaking up.

1 day ago 1 1 0 0
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From diagnosis to system change: what rare disease is teaching us about safety, bias and AI Professor Rob Galloway is an Emergency Medicine Consultant and Founder of the charity Rare People. In this article, Rob talks about his daughter’s recent diagnosis of a rare genetic condition. He desc...

🗨️If we build a system capable of recognising rare disease earlier, mitigating cognitive bias, and harnessing AI safely and ethically, we build a safer system for everyone.🗨️

A new blog by @drrobgalloway.bsky.social today🔽
www.pslhub.org/learn/patien... #patientsafety

1 day ago 1 1 0 0
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NHS England: Neonatal choking hazard from colostrum syringe caps (26 January 2026) The National Patient Safety Team were notified by a trust Medical Device Safety Officer (MDSO) of an incident where a baby ingested the cap off a purple colostrum syringe.

Neonatal choking hazard from colostrum syringe caps - a case study from NHS England added to the hub this month.

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From diagnosis to system change: what rare disease is teaching us about safety, bias and AI Professor Rob Galloway is an Emergency Medicine Consultant and Founder of the charity Rare People. In this article, Rob talks about his daughter’s recent diagnosis of a rare genetic condition. He…

🗨️Equity in healthcare must include those with the rarest diagnoses.🗨️

From diagnosis to system change: what rare disease is teaching us about safety, bias and AI - a new blog on the hub today. www.pslhub.org/learn/patien... #patientsafety

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Join us for our SafetyNet webinar - The #AI Human intersection: considerations for #patientsafety. The session will be delivered by Adam Rodman, Assistant Professor and Harvard Medical School Director of AI Programs.

Wed 15 April, 12:30pm
🔗 Book your place: psrc-network.nihr.ac.uk/2026/04/02/s...

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Temporary workers, permanent voices: A Speak Up review (March 2026) The review heard deeply moving stories from temporary workers, with many recounting experiences of unfair treatment at work, not being supported and feeling like an outsider. In addition, temporary…

Temporary workers, permanent voices: A Speak Up review - a report from the National Guardian's Office added to the hub.

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‘I just want to feel like me again’: the women still waiting for breast reconstruction years after lockdown At the height of Covid, hundreds of cancer patients had mastectomies without the reconstruction that would normally accompany them. They would eventually get the surgery, they were told – but for…

News article on the hub - ‘I just want to feel like me again’: the women still waiting for breast reconstruction years after lockdown. www.pslhub.org/blogs/entry/... (via @theguardian.com)

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Professional Standards Authority for Health and Social Care Strategic Plan for 2026-29 The Professional Standards Authority for Health and Social Care (PSA) has launched its Strategic Plan for 2026-29, setting out how it will encourage a more preventative approach to regulation through…

New on the hub, the Professional Standards Authority for Health and Social Care (@prof-standards.bsky.social) Strategic Plan for 2026-29.

1 day ago 1 1 1 0
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From diagnosis to system change: what rare disease is teaching us about safety, bias and AI Professor Rob Galloway is an Emergency Medicine Consultant and Founder of the charity Rare People. In this article, Rob talks about his daughter’s recent diagnosis of a rare genetic condition. He desc...

🆕Rob Galloway (@drrobgalloway.bsky.social) describes the barriers to safe and equitable care for people with rare diseases, and his hopes for future treatment development, supported by AI. www.pslhub.org/learn/patien...

1 day ago 3 1 0 0
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Safe systems, safe cultures: reflections from the Patient Safety Forum 2026 In this article, Patient Safety Last month Public Policy Projects, hosted their annual Patient Safety Forum in partnership with Patient Safety Learning. Learning reflects on the recurrent theme of…

💬... if healthcare systems want to improve patient safety, they must be willing to challenge the norms that have become embedded in everyday practice and redesign systems that allow safe care to happen consistently.💬

Reflections from the Patient Safety Forum 2026⬇️

2 days ago 2 0 1 0
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Top picks: science, research and innovation in patient safety To celebrate WHO's World Health Day, Patient Safety Learning has pulled together 13 blogs and interviews published on the hub showcasing the important work healthcare professionals, scientists and…

Tuesday 7 April was World Health Day 2026, which is focused on the theme “Together for health. Stand with science". In this article we highlight 14 blogs and interviews which showcase the important work scientists and researchers are doing to improve patient safety.

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Can systems modelling help generate safer and faster morbidity and mortality conference preparation? Reflections from a pilot study on coronary angiography Stefan Peil summarises a pilot study he has done to see whether a structured systems model can support the preparation of a morbidity and mortality (M&M) conference discussion.

"A key lesson learnt was that AI can assist with drafting and synthesis, but cannot replace clinical judgement, governance or safety review."

A new blog by Stefan Peil summarising the outcome of a pilot study on the hub this week.

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The surprising history of patient safety reporting systems This article chronicles the development of patient safety incident reporting systems.

New article on the hub this week - The surprising history of patient safety reporting systems.

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Top picks: 16 resources about Parkinson’s Patient Safety Learning has pulled together seven useful resources about Parkinson’s shared on the hub.

Top picks: 16 resources about Parkinson’s featured on the hub, our platform to share learning for patient safety. www.pslhub.org/learn/patien... #WorldParkinsonsDay #patientsafety

3 days ago 2 0 1 0
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Balancing innovation and risk: AI's expanding role in NHS patient safety (30 March 2026) Forgot your password?

Balancing innovation and risk: AI's expanding role in NHS patient safety - a blog from Public Policy Projects available via the hub. www.pslhub.org/learn/digita... #AI #patientsafety #digitalhealth

3 days ago 1 0 0 0
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Complexities and capabilities of Scan4Safety in NHS hospitals: a qualitative study of a national demonstrator site (14 January 2026) A study supported by the NIHR North West London PSRC examined the implementation of the Scan4Safety programme at an NHS demonstrator site to understand the hospital experience of adopting barcoding…

Article added to the hub - Complexities and capabilities of Scan4Safety in NHS hospitals: a qualitative study of a national demonstrator site.

3 days ago 1 0 0 0
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Parkinson's UK: Parkinson's Away-From-Home Kit The Parkinson’s UK Excellence Network has launched a new tool to support people with Parkinson's who are going into hospital: the Parkinson's Away-From-Home Kit.

Featured on the hub today, the Parkinson's Away-From-Home Kit. The @parkinsons.org.uk Excellence Network launched this toolkit to support people with Parkinson's who are going into hospital. www.pslhub.org/learn/patien... #WorldParkinsonsDay

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