Patient Safety Learning

Patient Safety Learning

@patientsafetylearning.org

Patient Safety Learning is a charity and independent voice for improving patient safety. 🔗Our website: https://www.patientsafetylearning.org/ 🔗the hub, our platform to share learning for patient safety: https://www.pslhub.org/

3.3K followers2.5K following4.1K posts

Patient Safety Learning
@patientsafetylearning.org

"The question is not simply why aren't patients adhering? The better question is: what is making adherence so difficult?" Non-adherence to treatment: more than a patient problem - a blog on the hub. www.pslhub.org/learn/patien...

pslhub.orgNon-adherence to treatment: more than a patient problemRisa Mallory is a retired psychotherapist from Canada and a hub Topic leader. After a serious cardiovascular event in 2018 she became a patient advocate, collaborating with organisations across the…
Patient Safety Learning
@patientsafetylearning.org

💬Listening to patients is how we begin to understand what needs to change.💬 Understanding patient experiences of vaginal access procedures - a blog added to the hub. www.pslhub.org/learn/patien...

pslhub.orgUnderstanding patient experiences of vaginal access proceduresIn this blog Stephanie O’Donohue, patient advocate and Founder of TIGER UK, shares the findings from their recent survey on experiences of vaginal access procedures. She explains why patient…
Patient Safety Learning
@patientsafetylearning.org

Is integrated patient experience intelligence finally possible in the NHS? In this blog Ben considers what becomes possible if the systems and infrastructure are designed properly. www.pslhub.org/learn/digita...

pslhub.orgIs integrated patient experience intelligence finally possible in the NHS? Part 3: what integration unlocksIn the final part of a three-part series, Ben Kenyon shows what becomes possible if the systems and infrastructure are designed properly.
Patient Safety Learning
@patientsafetylearning.org

Ethnic minorities in England less likely to get breast cancer diagnosis from routine screening - an article via @theguardian.com added to the hub. www.pslhub.org/news/ethnic-...

pslhub.orgEthnic minorities in England less likely to get breast cancer diagnosis from routine screeningPeople from minority ethnic backgrounds in England are up to a third less likely to be diagnosed with breast cancer via routine screening, and are more likely to be diagnosed in an emergency setting,…
Patient Safety Learning
@patientsafetylearning.org

"Meaningful involvement works best when people are engaged from the earliest stages of planning and design." New blog: How to avoid the 7 most common mistakes in Patient and Public Involvement and Engagement. www.pslhub.org/learn/patien...

pslhub.orgHow to avoid the 7 most common mistakes in PPIEPatient and Public Involvement and Engagement (PPIE) can bring valuable lived experience into decision-making, service improvement, research, and patient safety work. However, even well-intentioned…
Patient Safety Learning
@patientsafetylearning.org

🆕In a new blog on the hub today, @stephodonohue.bsky.social, patient advocate and Founder of @tiger-uk.bsky.social, shares the findings from their recent survey on experiences of vaginal access procedures. www.pslhub.org/learn/patien... #WomensHealth

pslhub.orgUnderstanding patient experiences of vaginal access proceduresIn this blog Stephanie O’Donohue, patient advocate and Founder of TIGER UK, shares the findings from their recent survey on experiences of vaginal access procedures. She explains why patient experie...
Patient Safety Learning
@patientsafetylearning.org

"The challenge is compounded by the perception that Martha's Rule can resolve issues that would traditionally be addressed through complaints or patient experience processes." - A blog on the implementation of Martha's Rule featured on the hub. www.pslhub.org/learn/improv...

pslhub.orgMartha's Rule: A valuable patient safety tool facing new challengesIn an anonymous blog, a critical care outreach nurse in an acute NHS Trust shares their experience of rolling out Martha's Rule
Patient Safety Learning
@patientsafetylearning.org

💬Safety science arguably states ‘if you think that building safety is expensive, try an accident’.💬 Beyond inquiries: reflecting on systems thinking approach in maternity safety. www.pslhub.org/learn/patien...

pslhub.orgBeyond inquiries: reflecting on systems thinking approach in maternity safetyAditi Desai considers whether retrospective inquiries alone are enough to improve maternity safety, arguing that individual errors rarely explain the full picture
Patient Safety Learning
@patientsafetylearning.org

In this blog Victoria Wilkins from @nhsresolution.bsky.social highlights insights from four pilot trusts who recently shared their progress and learning from implementing Martha’s Rule. www.pslhub.org/learn/improv...

pslhub.orgMartha’s Rule—Learning from othersVictoria Wilkins, Associate Safety and Learning Lead (North) at NHS Resolution, shares insights from a recent Northern Safety and Learning network meeting where four pilot trusts discussed their…
Patient Safety Learning
@patientsafetylearning.org

💬Both staff and PSPs described their influence as being strongest through shaping thinking, co-designing solutions, improving patient-facing communications, and helping teams consider patient experience in a different way.💬 A new blog on the hub this week⬇️ www.pslhub.org/learn/patien...

pslhub.orgEvaluating the impact of Patient Safety Partners: sharing our approach and resourcesPatient Safety Partners (PSPs) can be patients, relatives, carers or other members of the public who want to support and contribute to a healthcare organisation’s governance and management processes…
Patient Safety Learning
@patientsafetylearning.org

One size fits no one: why women’s health could be the defining test for AI in healthcare - a blog by @pscommissioner.bsky.social added to the hub. www.pslhub.org/learn/leader...

pslhub.orgOne size fits no one: why women’s health could be the defining test for AI in healthcare (Patient Safety Commissioner for England, 20 October 2026)Summary For too long, women’s experiences, symptoms and outcomes have not been adequately reflected in the evidence and systems that shape their care. Artificial Intelligence (AI) presents an…
Patient Safety Learning
@patientsafetylearning.org

Julie Plumridge is a Senior Safety Partner at Great Ormond Street Hospital. In this video she talks about the importance of supporting staff doing emotionally challenging patient safety work. www.youtube.com/watch?v=M8_O...

youtube.comSupporting staff doing emotionally challenging patient safety workJulie Plumridge is a Senior Safety Partner at Great Ormond Street Hospital. This video is part of a series on paediatric patient safety investigations. The first video focused on involving families…
Patient Safety Learning
@patientsafetylearning.org

💬Whatever approach is taken, the purpose should be to understand what happened, support those affected and reduce the risk of the incident happening again.💬 A new blog by Liam Stratton, a former Care Quality Commission inspector, on the hub this week. www.pslhub.org/learn/improv...

pslhub.orgFrom recording to learning: Six ways general practice can improve its response to significant eventsLiam Stratton, a former Care Quality Commission (CQC) inspector, outlines six ways practices can improve their approach to significant events
Patient Safety Learning
@patientsafetylearning.org

"Digital harm keeps being designed out of the systems built to learn from harm." In this blog @cflashman.bsky.social summarises his response to the national review of the clinical risk management standards DCB0129 and DCB0160. www.pslhub.org/learn/digita...

pslhub.orgMy submission to the national review of clinical risk management standards DCB0129 and DCB0160 (September 2026)Clive Flashman summarises his response to the national review of the clinical risk management standards DCB0129 and DCB0160
Patient Safety Learning
@patientsafetylearning.org

💬The organisations investing in strategic design work now will extract the intelligence this infrastructure can deliver.💬 Is integrated patient experience intelligence finally possible in the NHS? Part 3: what integration unlocks. A new blog on the hub. www.pslhub.org/learn/digita...

pslhub.orgIs integrated patient experience intelligence finally possible in the NHS? Part 3: what integration unlocksIn the final part of a three-part series, Ben Kenyon shows what becomes possible if the systems and infrastructure are designed properly.
Patient Safety Learning
@patientsafetylearning.org

In a new blog on the hub this week, Lea Tiernan shares Imperial College Healthcare NHS Trust's approach to evaluating the impact of Patient Safety Partners alongside a suite of related resources for others to adapt and use. www.pslhub.org/learn/patien...

pslhub.orgEvaluating the impact of Patient Safety Partners: sharing our approach and resourcesPatient Safety Partners (PSPs) can be patients, relatives, carers or other members of the public who want to support and contribute to a healthcare organisation’s governance and management processes…
Patient Safety Learning
@patientsafetylearning.org

Electronic referrals for ongoing care: risk of losing patient referrals - a new interim report from @hssib.bsky.social added to the hub this week. www.pslhub.org/learn/invest...

pslhub.orgHSSIB Interim report: Electronic referrals for ongoing care: risk of losing patient referrals (22 October 2026)This is the second interim report in Health Services Safety Investigations Body (HSSIB)s investigation into electronic patient record systems and electronic referrals for ongoing care.
Patient Safety Learning
@patientsafetylearning.org

🆕Is integrated patient experience intelligence finally possible in the NHS? In this blog Ben explores hat becomes possible if the systems and infrastructure are designed properly. www.pslhub.org/learn/digita...

pslhub.orgIs integrated patient experience intelligence finally possible in the NHS? Part 3: what integration unlocksIn the final part of a three-part series, Ben Kenyon shows what becomes possible if the systems and infrastructure are designed properly.
Patient Safety Learning
@patientsafetylearning.org

Proposals to transfer the Health Services Safety Investigations Body functions to the Care Quality Commission dropped. www.pslhub.org/news/proposa...

pslhub.orgProposals to transfer the Health Services Safety Investigations Body functions to the Care Quality Commission droppedThis week the UK Government has dropped its plans to abolish the Health Services Safety Investigations Body (HSSIB) and transfer its functions to the Care Quality Commission (CQC).BackgroundLast…
Patient Safety Learning
@patientsafetylearning.org

In this blog Risa Mallory makes the case that when patients are listened to, respected, and engaged as partners, treatment adherence becomes about collaboration rather than compliance. www.pslhub.org/learn/patien...

pslhub.orgNon-adherence to treatment: more than a patient problemRisa Mallory is a retired psychotherapist from Canada and a hub Topic leader. After a serious cardiovascular event in 2018 she became a patient advocate, collaborating with organisations across the…
Patient Safety Learning
@patientsafetylearning.org

💬By addressing these common mistakes, organisations can create involvement opportunities that are meaningful, inclusive, and capable of driving real improvement.💬 Blog: How to avoid the 7 most common mistakes in Patient and Public Involvement and Engagement. www.pslhub.org/learn/patien...

pslhub.orgHow to avoid the 7 most common mistakes in PPIEPatient and Public Involvement and Engagement (PPIE) can bring valuable lived experience into decision-making, service improvement, research, and patient safety work. However, even well-intentioned…

Patient Safety Learning reposted

Making Families Count C.I.C
@m-f-c.bsky.social

This is very welcome news. HSSIB investigations are high quality and their independence matters.

Patient Safety Learning@patientsafetylearning.org

🆕We welcome the news that the Government has responded to concerns and dropped its plans to abolish the Health Services Safety Investigations Body and transfer its functions to the Care Quality Commission. www.pslhub.org/news/proposa...

pslhub.orgProposals to transfer the Health Services Safety Investigations Body functions to the Care Quality Commission droppedThis week the UK Government has dropped its plans to abolish the Health Services Safety Investigations Body (HSSIB) and transfer its functions to the Care Quality Commission (CQC).BackgroundLast summe...
Patient Safety Learning
@patientsafetylearning.org

🆕We welcome the news that the Government has responded to concerns and dropped its plans to abolish the Health Services Safety Investigations Body and transfer its functions to the Care Quality Commission. www.pslhub.org/news/proposa...

pslhub.orgProposals to transfer the Health Services Safety Investigations Body functions to the Care Quality Commission droppedThis week the UK Government has dropped its plans to abolish the Health Services Safety Investigations Body (HSSIB) and transfer its functions to the Care Quality Commission (CQC).BackgroundLast summe...