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Clinical Practice

Patients’ safety requires protection in every area of clinical practice, from ensuring the prevention of slips, trips and falls, to eliminating errors in patient identification or drug administration. Clear, well understood and consistent practices can minimise unforeseen risks or errors, while robust reporting systems, which allow positive, rather than punitive lessons to be learned, can ensure that where mistakes are made, they are not repeated. 

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Top Clinical Practice Articles

Click on any of the articles below to find examples of preventing patient harm in different areas of clinical practice.  Please note that this may take you to the HSJ or Nursing Times websites and you may be required to register as a user or subscriber to gain access to full content.

The Care Quality Commission has urged all hospitals and GP practices to ensure they are sharing “timely, complete” information on changes to patient medication.  

The call comes after a recent CQC survey found that information shared between GPs and hospitals when a patient moves between services is often “patchy, incomplete and not shared quickly enough”, increasing the risk of medication related patient safety incidents.

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Luton and Dunstable Hospital NHS Foundation Trust
The view at Luton and Dunstable foundation trust is that while the usual mechanisms for managing patient safety – clinical governance, risk management, regulation etc...
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The nuclear option that's increasing patient safety
A colour-coded early warning score system adapted from nuclear submarines has significantly reduced mortality rates at Luton and Dunstable hospital.
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Pioneer teams are overcoming anger
A new type of treatment programme being trialled in the North West aims to give people with complex histories of aggression the chance to move forward with their lives.
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Media Watch: for and against healthcare
Three-month battle to get health secretary Alan Johnson off the fence and spelling out his policy on the private sector.
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Patient engagement: pull together for a patient-centred NHS
Sustaining the strides made in NHS patient engagement will rely on clinicians and managers embracing change, says Stephen Thornton
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Team Root Cause Analysis
By sending members of its staff on 3 day NPSA root cause analysis training in 2004 Walsall hospitals trust established learning from serious incidents and the prevention of their recurrence as a central aim.
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The Medway Nursing and Midwifery Accountability System (NMAS)
NMAS started in 2004 and was designed to describe the accountability held by the Modern Matrons and the trust’s nursing priorities.
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Foundation trust Systems to safely manage instruments
Many trusts “loan in” specialised surgical instruments on a short-term basis. While this helps...
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Andrew Castle on innovation in obstetrics
A dip into the history of obstetrics shows how inventiveness is one of its trademarks, says Andrew Castle
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Whistleblowing: what influences nurses' decisions on whether to report poor practice?
Reporting poor practice is a professional and moral obligation for nurses, yet they do not always do so. This article explores possible reasons for this failure. Read more...


Collaborative working empowers staff to cut the number of cardiac arrests
A Breakthrough Series collaborative was used to engage staff to change their clinical area, which has resulted in cardiac arrests being viewed as never events. Read more...

How using a patient journey approach helps to educate nurses about patient safety
A children’s hospital redesigned its clinical update sessions, using a patient journey approach to improve staff perceptions of the importance of safety. Read more...


How to ensure observations lead to prompt identification and management of hypotension.
Hypotension is one of the first signs of patient deterioration. Knowing how to identify and act on this observation quickly may prevent further deterioration. Read more...

How to ensure patient observations lead to effective management of patients with bradycardia.
Bradycardia can be an indication of life threatening heart block or impending asystole. It is vital that nurses can detect and respond to this clinical sign. Read more...


How to ensure patient observations lead to effective management of tachycardia.
Tachycardia could indicate serious illness. It is essential that nurses promptly identify and act on this significant sign of patient deterioration. Read more...

Prompt and aggressive management of sepsis gives patients the best chance of survival
Poor knowledge can result in a missed or delayed diagnosis of septic shock or severe sepsis, as well as inappropriate or delayed patient management. Read more...


How to measure and record vital signs to ensure detection of deteriorating patients.
Staff need to recognise and act appropriately when patients deteriorate. This article gives practical advice on using basic observations to monitor patients. Read more...

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