iiinova — where your digital self keeps evolving

Helen Hughes @helenh49.bsky.social · 30/09/2026

An excellent reflection on the challenges of introducing a valuable and well intended initiative that may have unintended consequences. I guess the author reflects the experience of other organisations too; difficult to tell from the evaluation to date 👇️ www.pslhub.org/learn/improv...

pslhub.org

Martha's Rule: A valuable patient safety tool facing new challenges

In an anonymous blog, a critical care outreach nurse in an acute NHS Trust shares their experience of rolling out Martha's Rule

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Helen Hughes @helenh49.bsky.social · 29/09/2026

Impressive analysis of a long standing complex issue - how we are failing to learn from patients👇 www.pslhub.org/learn/digita...

pslhub.org

Is integrated patient experience intelligence finally possible in the NHS? Part 1: Fragmentation

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Helen Hughes @helenh49.bsky.social · 25/09/2026

These are the clear signs of a healthcare system under immense pressure. While temporary risk mitigation measures can improve safety, long-term solutions require increased capacity, better resource allocation and investment in community-based care to prevent unnecessary admissions.

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Helen Hughes @helenh49.bsky.social · 25/09/2026

Are we normalising an unsafe system? Stark new figures today from a study of 134 A&Es in Wales, Northern Ireland and England highlight the serious patient safety consequences of overcrowding in A&E departments and corridor care. www.pslhub.org/news/overcro...

pslhub.org

Overcrowding in A&E linked to 'hundreds of deaths' every week, study finds

Overcrowding in accident and emergency (A&E) departments and corridor care is linked to hundreds of deaths every week in the UK, a new study has found.A review of more than 19,000 adult patients…

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Helen Hughes @helenh49.bsky.social · 23/09/2026

Very valuable reflections Clive Flashman and highlighting some of the gaps that are risks for patient safety👇 www.pslhub.org/learn/digita...

pslhub.org

Reflections on the National Commission into the Regulation of AI in Healthcare recommendations

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Helen Hughes @helenh49.bsky.social · 17/09/2026

Today is World Patient Safety Day, which calls for global action by all countries and international partners to improve patient safety. Find out more about this year's event and its theme, safe care for noncommunicable diseases, in our new blog: www.pslhub.org/learn/organi...

pslhub.org

World Patient Safety Day 2026

This year’s 2026 World Patient Safety Day on 17 September is focused on the theme ”Safe care for non-communicable diseases”. This article explains the aims of the event and the areas it will cover.

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Helen Hughes @helenh49.bsky.social · 15/09/2026

This quote is very pertinent: "When people do not fully understand their diagnosis, it becomes harder to participate in decisions about their care, manage their symptoms and navigate available support. This isn’t just a quality of care issue, it also affects patient safety."

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Helen Hughes @helenh49.bsky.social · 15/09/2026

Making dementia a patient safety priority. I’ve personal family experience of this awful disease and this blog is excellent. www.pslhub.org/learn/patien...

pslhub.org

Making patient safety work for people living with dementia

Bella Smith, Policy Officer at Alzheimer’s Society, reflects on what safe care means for people living with dementia

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Helen Hughes @helenh49.bsky.social · 04/09/2026

"None of the five actions is a technology problem, which is why AI in the NHS keeps producing good evidence and poor spread." Hope someone is listening and acting on this wise advice. www.pslhub.org/learn/digita...

pslhub.org

After the AI model works is when things get challenging

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Helen Hughes @helenh49.bsky.social · 28/08/2026

Our reflections on AVT and support for @hssib.bsky.social investigation. We outline the value of the proposed approach and suggest a wide range of issues we think need to incorporated into this important work. Great to be collaborating on this review. www.pslhub.org/learn/patien...

pslhub.org

Ambient voice technology: exploring the patient safety risks (Patient Safety Learning)

In this blog, Patient Safety Learning considers the key patient safety risks related to the use of ambient voice technology in healthcare.

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Helen Hughes @helenh49.bsky.social · 27/08/2026

This blog deserves to be shared, read and embraced by every leader in healthcare, especially Board members (execs and non execs). Thank you so much for your insights, reflections and tenacity Beatrice Fraenkel. www.pslhub.org/learn/cultur...

pslhub.org

The relationship between culture, leadership, trust and organisational resilience

Blog exploring the relationship between culture, leadership, and patient safety, and how one organisation’s journey shows both the power of getting it right and the risks when it begins to unravel

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Helen Hughes @helenh49.bsky.social · 21/08/2026

Has a national system really been implemented without going through the required regulatory assessment for patient safety? If so, surely this deserves an immediate review with transparent explanations and risk mitigations? Read more in our latest blog below👇️ www.pslhub.org/learn/invest...

pslhub.org

Advice and guidance services: Patient Safety Learning’s response to the latest HSSIB report (20 August 2026)

Summary On the 18 August 2026 the Health Services Safety Investigations Body (HSSIB) published a new report looking at patient safety risks related to advice and guidance (A&G) services in the NHS in…

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Helen Hughes @helenh49.bsky.social · 10/08/2026

"Digital transformation programmes should be evaluated not just on implementation metrics but on their impact on patient safety, equity and continuity of care." - Darren Kilroy on the challenges of moving a Trust to a new electronic patient record system. www.pslhub.org/learn/commis...

pslhub.org

Implementing an EPR in the middle of a crisis: what I learned about safety, leadership and organisational readiness

Darren Kilroy shares the challenges he experienced of moving a Trust to a new electronic patient record (EPR) system

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Helen Hughes @helenh49.bsky.social · 04/08/2026

The Patient Safety Forum will be be returning in 2027 and is already shaping up to be a collaborative and impactful day.

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Helen Hughes @helenh49.bsky.social · 04/08/2026

In this new blog I talk about some of the themes, challenges and opportunities that emerged across the our Patient Safety Forum earlier this year, hosted by Public Policy Projects in partnership with @patientsafetylearning.org. www.pslhub.org/learn/patien...

pslhub.org

Continuing the conversation: Insights from the Patient Safety Forum 2026

Helen Hughes, Chief Executive of Patient Safety Learning, reflects on this year’s Patient Safety Forum that shed light on some of the key challenges in patient safety today.

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Helen Hughes @helenh49.bsky.social · 09/10/2025

Much more needed for effective #psirf implementation. This matters. We need to learn why avoidable harm happens and act on it. Good report by #hssib and please see our response from Patient Safety Learning

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Helen Hughes @helenh49.bsky.social · 17/09/2025

In our World Patient Safety Day blog we call for action to address the persistence of avoidable harm and share resources specific to this year’s theme “Safe care for every newborn and child”. Please review and share widely.

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Helen Hughes @helenh49.bsky.social · 17/09/2025

In our World Patienr Safety Day blog we call for action to address the persistence of avoidable harm and share resources specific to this year’s theme “Safe care for every newborn and child”. Please review and share widely.

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Helen Hughes @helenh49.bsky.social · 06/08/2025

‘By involving frontline staff in the design, testing and implementation phases of introducing a new electronic system—or any new procedure, policy or tool—you may uncover these workarounds much sooner and be able to design them out.’

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Helen Hughes @helenh49.bsky.social · 23/07/2025

Great to be able to collaborate and support this important #patientsafety issue

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Helen Hughes @helenh49.bsky.social · 27/06/2025

A Trust in Cornwall said to their board that cyber security of health systems underwrites #patientsafety. Absolutely and an avoidable death sadly proves that 😥

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Reposted by Helen Hughes

Patient Safety Learning @patientsafetylearning.org · 26/06/2025

In this she talks about collaborating with the Patient Safety Partners Network, hosted on our patient safety platform the hub, in the past year. Read more about this in the blog below⬇️ www.pslhub.org/learn/leader...

pslhub.org

Championing the patient voice: a recent discussion with the Patient Safety Commissioner at the Patient Safety Partners Network

This blog provides an overview of a Patient Safety Partners Network where the Patient Safety Commissioner presented

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Helen Hughes @helenh49.bsky.social · 27/06/2025

Is there a playbook of tactics used by Trusts to ‘manage’ whistleblowers? Yes, say the interviewees from our speaking up series.

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Helen Hughes @helenh49.bsky.social · 18/06/2025

Impressive networking and sharing on all things #patientsafety. If you’re UK based, do join!

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Reposted by Helen Hughes

Patient Safety Learning @patientsafetylearning.org · 03/06/2025

(1/4) Corridor care is increasingly being used in the NHS as demand for emergency care grows and hospital departments struggle with patient numbers. On the hub you can find a series of blogs highlighting key #patientsafety concerns relating to corridor care. www.pslhub.org/learn/improv...

pslhub.org

Corridor care and patient safety

Corridor care is increasingly being used in the NHS as demand for emergency care grows and hospital departments struggle with patient numbers. In a series of blogs for the hub, we shine a light on som...

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Helen Hughes @helenh49.bsky.social · 12/05/2025

Excellent interview with a leading ergonomics, culture and healthcare leader

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Reposted by Helen Hughes

NIHR Yorkshire and Humber PSRC @yhpsrc.bsky.social · 25/04/2025

We’re thrilled to launch our new podcast series; Stories of Safety! Join us for exclusive conversations with leading figures on what #patientsafety means, how it’s been shaped, & what the future holds. 🎙️Listen now to Episode 1 with @shaunlintern.bsky.social : psrc-yh.nihr.ac.uk/latest/podca...

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Reposted by Helen Hughes

Patient Safety Learning @patientsafetylearning.org · 07/05/2025

🆕In this report we analyse a sample of 13 Patient Safety Incident Response Plans, reflecting on what these tell us about the implementation of new Patient Safety Incident Response Framework (PSIRF) in the NHS. www.pslhub.org/learn/patien...

pslhub.org

What do Patient Safety Incident Response Plans tell us about how the NHS is approaching safety investigations?

Patient Safety Learning analysis of Patient Safety Incident Response Plans

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Helen Hughes @helenh49.bsky.social · 19/03/2025

Powerful and often shocking ‘must view/read’ whistleblowing testimony in the NHS. This led to Bernie’s career change and the most fulfilling work of her life—supporting others to speak up and be heard. For this she has received an MBE and a Churchill Fellowship award.

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Helen Hughes @helenh49.bsky.social · 19/03/2025

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Helen Hughes @helenh49.bsky.social · 18/03/2025

Just announced. Please share widely

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Helen Hughes @helenh49.bsky.social · 14/03/2025

It is difficult to imagine that this type of results in other safety-critical industries—where the consequences of incidents may also be serious injury or loss of life—would be considered acceptable.

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Helen Hughes @helenh49.bsky.social · 13/03/2025

There still remains a significant gap between what NHS organisations say to employees about speaking up and creating the actual conditions where they feel safe to follow this advice. No significant improvement this year. As previous years. This matters

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Helen Hughes @helenh49.bsky.social · 13/03/2025

It was a fantastic event. Planning 2026 already!

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Helen Hughes @helenh49.bsky.social · 13/03/2025

Valuable local-level learning prompts for acute hospitals. A complex set of factors that could apply broadly. Could they affect your organisation, your patients?

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Helen Hughes @helenh49.bsky.social · 13/03/2025

This blog highlights the challenges that patients have in raising concerns about what makes them safe

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Reposted by Helen Hughes

Patient Safety Learning @patientsafetylearning.org · 03/03/2025

Are you a patient, relative or carer frustrated with navigating the healthcare system? Or is your GP practice or Trust doing something innovative to make it easier for patients? Share your experience with us on the hub. www.pslhub.org/forums/topic... #patientsafety

pslhub.org

The challenges of navigating the healthcare system

In a new series of blogs on the hub, patients and their relatives describe the challenges and barriers they have faced when trying to navigate the healthcare system. What has been your experience of n...

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Reposted by Helen Hughes

Patient Safety Learning @patientsafetylearning.org · 03/03/2025

Upcoming Safety For All webinar featured on the hub: ▶️The Invisible Hazard: Tackling Surgical Smoke for Healthcare Worker and Patient Safety 🗓️Wednesday 2 April 2025 ⏰12:00 - 13:00 BST More details below⬇️ www.pslhub.org/events/event...

pslhub.org

Safety For All webinar - The Invisible Hazard: Tackling Surgical Smoke for Healthcare Worker and Patient Safety

The Invisible Hazard: Tackling Surgical Smoke for Healthcare Worker and Patient Safety will delve into the risks posed by surgical smoke, its impact on both healthcare professionals and patients, and ...

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Helen Hughes @helenh49.bsky.social · 26/02/2025

The conversation also explores how target-led approaches and financial incentives have led to cultural changes in healthcare organisations over the past few decades.

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Helen Hughes @helenh49.bsky.social · 24/02/2025

‘The needs of patients should be central to improving health and care services, actively listening and acting on their experiences and insights when things go wrong for safety improvement.’

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Helen Hughes @helenh49.bsky.social · 30/01/2025

We hope this blog has shone a spotlight on some of the challenges people with ME and Long Covid face when accessing care. If you have ME or Long Covid, or care for someone who does, we’re keen to hear about your experiences

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Helen Hughes @helenh49.bsky.social · 27/01/2025

‘When safety culture is strong, staff feel empowered to speak up about concerns and systems are in place to mitigate risks. However, practices like corridor care can undermine these principles by creating environments where safety is compromised, staff morale declines and patient outcomes suffer.’

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