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patientsafetylearning.org
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/
🗨️I think the fact that the implementation was largely left to local NHS organisations was a mistake, given the uncertainty and variability in responses we’ve seen.🗨️

Copilot has arrived in the NHS — But no one told us how to fly it! www.pslhub.org/learn/commis...
Copilot has arrived in the NHS — But no one told us how to fly it!
The senior patient safety manager who shared their concerns with Patient Safety Learning has chosen to remain anonymous, but has given their permission for us to publish their first person reflections...
www.pslhub.org
November 25, 2025 at 5:00 PM
In this short video, Chief Medical Officer for The UK Sepsis Trust, Ron Daniels, lists the signs of sepsis in adults and young people. www.youtube.com/watch?v=ZAe8... #sepsis #patientsafety
Spotting the signs of sepsis in adults & young people
YouTube video by Patient Safety Learning
www.youtube.com
November 25, 2025 at 3:40 PM
News article on the hub today - More than 100 MPs urge Streeting to approve prostate cancer screening. www.pslhub.org/blogs/entry/... (via @theguardian.com)
More than 100 MPs urge Streeting to approve prostate cancer screening
More than 100 MPs, including Rishi Sunak, have urged Wes Streeting to introduce screening for prostate cancer. The UK National Screening Committee, a government agency that advises ministers and the N...
www.pslhub.org
November 25, 2025 at 1:00 PM
New blog featured on the hub this month - Conducting a systems review of pressure ulcers in the intensive care unit. www.pslhub.org/learn/patien... #patientsafety
Conducting a systems review of pressure ulcers in the intensive care unit
Claire Cox shares how she adopted a systems approach using the Systems Engineering Initiative for Patient Safety (SEIPS) model to review pressure ulcers in her ICU.
www.pslhub.org
November 25, 2025 at 11:37 AM
Added to the hub this week, the National Guardian's Office Annual Report April 2024 – March 2025. www.pslhub.org/learn/cultur... #patientsafety #speakingup
National Guardian’s Office: Annual Report April 2024 – March 2025
This Annual Report is the seventh from the National Guardian’s Office, which is required to be laid before Parliament as a commitment made by the Government’s response to the Gosport Independent Panel...
www.pslhub.org
November 25, 2025 at 10:20 AM
🆕Copilot has arrived in the NHS — But no one told us how to fly it! A blog featured on the hub today. www.pslhub.org/learn/commis... #AI #patientsafety #digitalhealth
Copilot has arrived in the NHS — But no one told us how to fly it!
The senior patient safety manager who shared their concerns with Patient Safety Learning has chosen to remain anonymous, but has given their permission for us to publish their first person reflections...
www.pslhub.org
November 25, 2025 at 8:47 AM
🆕Early recognition and treatment of sepsis is vital to save lives. Featured on the hub today, a new series of short videos which aim to raise awareness of the key signs and symptoms of sepsis. www.pslhub.org/learn/patien... #patientsafety
Spotting the signs of sepsis: a series of short videos
This series of short videos (each under two minutes), produced by Patient Safety Learning in collaboration with Ron Daniels and The UK Sepsis Trust, aims to raise awareness of the key signs and sympto...
www.pslhub.org
November 24, 2025 at 4:52 PM
Added to the hub this month - National Quality Board: Making sure safety and quality recommendations actually happen, a letter from the APPG for Patient Safety. www.pslhub.org/learn/organi... #patientsafety
National Quality Board: Making sure safety and quality recommendations actually happen (APPG for Patient Safety, 7 October 2025)
www.pslhub.org
November 24, 2025 at 3:04 PM
New report featured on the hub from @who.int - Artificial intelligence is reshaping health systems: state of readiness across the WHO European Region. www.pslhub.org/learn/commis...
Artificial intelligence is reshaping health systems: state of readiness across the WHO European Region (WHO, 19 November 2025)
The report’s key findings are organized into six sections, corresponding to the survey's themes: the navigators: steering AI strategy and oversight for health systems the change-makers: stakeholder en...
www.pslhub.org
November 24, 2025 at 1:33 PM
News article on the hub - Boards must take their responsibility for cyber security more seriously. www.pslhub.org/blogs/entry/... (via @hsj.co.uk)
Boards must take their responsibility for cyber security more seriously
Cyberattacks keep crippling NHS services not due to missing technology, but predictable board-level governance failures that leave known vulnerabilities unaddressed The Synnovis ransomware attack in J...
www.pslhub.org
November 24, 2025 at 12:07 PM
Added to hub today, an infographic from @hselive.bsky.social intended to share learning on choking incidents in the Health Service Executive (HSE) and or HSE funded services. www.pslhub.org/learn/patien... #patientsafety
Infographic on choking incidents in the HSE and or HSE funded services (21 November 2025)
www.pslhub.org
November 24, 2025 at 10:32 AM
A new series of short videos, produced by Patient Safety Learning in collaboration with The UK Sepsis Trust, is helping to raise awareness of the signs of sepsis in adults and children.
November 24, 2025 at 8:55 AM
🗨️These issues were not isolated; they reflected broader systemic vulnerabilities and opportunities for improvement.🗨️

Conducting a systems review of pressure ulcers in the intensive care unit - a new blog on the hub. www.pslhub.org/learn/patien... #patientsafety
Conducting a systems review of pressure ulcers in the intensive care unit
Claire Cox shares how she adopted a systems approach using the Systems Engineering Initiative for Patient Safety (SEIPS) model to review pressure ulcers in her ICU.
www.pslhub.org
November 21, 2025 at 4:06 PM
In this interview, Ron Daniels explains why doctors have to carefully manage the use of antibiotics in order to protect patients, now and in the future. www.pslhub.org/learn/patien... #WAAW2025 #WorldAMRAwarenessWeek
Why won’t my doctor give me antibiotics? Ron Daniels explains.
Ron Daniels is a Consultant in Critical Care, Vice President of the Global Sepsis Alliance, Chief Medical Officer of the United Kingdom Sepsis Trust, and a Topic leader for Patient Safety Learning’s h...
www.pslhub.org
November 21, 2025 at 2:11 PM
News article on the hub - Barcode errors ‘potentially fatal’, warns patient safety commissioner. www.pslhub.org/blogs/entry/... (via @pharmaj.bsky.social)
Barcode errors ‘potentially fatal’, warns patient safety commissioner
Barcode errors on medicines “pose critical patient safety risks” and could have “potentially fatal consequences,” Henrietta Hughes has warned. The Patient Safety Commissioner for England’s warning com...
www.pslhub.org
November 21, 2025 at 12:49 PM
Book chapter added to the hub - Approaches to Safety: One Size Does Not Fit All. www.pslhub.org/learn/improv...
Approaches to Safety: One Size Does Not Fit All (14 January 2016)
The chapter outlines three different approaches to safety, illustrated by the graphic below:
www.pslhub.org
November 21, 2025 at 11:35 AM
New blog on the hub this week - Avoiding tokenism: ensuring meaningful Patient and Public Involvement and Engagement. www.pslhub.org/learn/patien... #patientsafety
Avoiding tokenism: ensuring meaningful Patient and Public Involvement and Engagement (PPIE)
In this blog, Aurora Todisco, our Topic leader for Patient Engagement, explains why tokenism is a barrier to quality and safety. She shares five steps to help you avoid tokenism in healthcare and incr...
www.pslhub.org
November 21, 2025 at 9:56 AM
Reposted by Patient Safety Learning
Check out the first in a Blog series sharing perspectives from staff, students and public contributors, experiences at @nihrpsrcs.bsky.social - SafetyNet Symposium, Oct 25. psrc-ncl.nihr.ac.uk/2025/11/21/m...

@newcastleuni.bsky.social @medicalsciencesncl.bsky.social @patientsafetylearning.org
My Experience at the NIHR SafetyNet Symposium - PSRC
psrc-ncl.nihr.ac.uk
November 21, 2025 at 9:27 AM
🚨National Patient Safety Alert🚨

A new alert has been issued in response to concerns of patients with penicillin allergies being incorrectly recorded as a penicillamine allergies in electronic prescribing systems. www.pslhub.org/learn/improv... #patientsafety
National patient safety alert - harm from incorrect recording of a penicillin allergy as a penicillamine allergy
This alert has been issued in response to concerns of patients with penicillin allergies being incorrectly recorded as a penicillamine allergies in electronic prescribing systems. This creates a risk ...
www.pslhub.org
November 21, 2025 at 8:23 AM
🆕Conducting a systems review of pressure ulcers in the intensive care unit - a new blog featured on the hub today. www.pslhub.org/learn/patien... #StopThePressure #STOPPUDay2025 #patientsafety
Conducting a systems review of pressure ulcers in the intensive care unit
Claire Cox shares how she adopted a systems approach using the Systems Engineering Initiative for Patient Safety (SEIPS) model to review pressure ulcers in her ICU.
www.pslhub.org
November 20, 2025 at 4:40 PM
Today is Stop Pressure Ulcer Day 2025, which aims to raise awareness of the harm caused by pressure ulcers and the importance of prevention. In the Top Picks article we highlight a selection of resources on pressure ulcers and patient safety. www.pslhub.org/learn/patien... #StopThePressure
Top Picks: Key resources on pressure ulcers
#stoppressureulcers, #stopPUday #stopPUday2022, #EPUAP
www.pslhub.org
November 20, 2025 at 2:03 PM
News article on the hub today - Two more deaths raise alarm over mental health in A&E (via @hsj.co.uk). www.pslhub.org/blogs/entry/... #patientsafety
Two more deaths raise alarm over mental health in A&E
Two further cases of patients absconding from hospital and taking their own lives have been highlighted at a trust which is being prosecuted for a similar case. University Hospitals Sussex Foundation ...
www.pslhub.org
November 20, 2025 at 12:44 PM
This week the Department of Health and Social Care has published the first Men's Health Strategy for England. Find out more on the hub below⬇️
www.pslhub.org/learn/organi... #MensHealth #MensHealthStrategy
Men's Health Strategy for England (19 November 2025)
This document includes the following strategic framework for the Men's Health Strategy:
www.pslhub.org
November 20, 2025 at 11:28 AM
Article added to the hub this week - Preventable maternal deaths in England and Wales, 2013–2023: a systematic case series of coroners’ reports. www.pslhub.org/learn/patien... #patientsafety
Preventable maternal deaths in England and Wales, 2013–2023: a systematic case series of coroners’ reports (4 November 2025)
Key findings The median age at death was 33.5 years and three-quarters (75.9%) of deaths occurred in hospitals. The most common cause of death was haemorrhage. Coroners frequently voiced concerns arou...
www.pslhub.org
November 20, 2025 at 10:04 AM