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Patient Safety Learning

@patientsafetylearning.org
3.3K followers 2.6K following 3.9K posts

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

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Patient Safety Learning @patientsafetylearning.org · 4h
💬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 new blog on the implementation of Martha's Rule featured on the hub today. 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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Patient Safety Learning @patientsafetylearning.org · 5h
Conflict, displacement and limited resources create unique challenges for keeping patients safe. In this blog for #WorldPatientSafetyDay earlier this month, staff from @msf.org reflect on how they seek to keep patients living though humanitarian crises safe. www.pslhub.org/learn/improv...
pslhub.org
Safe noncommunicable disease care in humanitarian settings
In this blog, MSF staff from around the world share how they keep patients safe
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Patient Safety Learning @patientsafetylearning.org · 6h
In the first of a new series of blogs about patient experience intelligence, Ben Kenyon examines the challenge of fragmentation, why feedback sources don’t connect, and the safety signals we may be missing as a result. www.pslhub.org/learn/digita... #patientsafety #patientexperience
pslhub.org
Is integrated patient experience intelligence finally possible in the NHS? Part 1: Fragmentation
Is integrated patient experience intelligence finally possible in the NHS? Or will infrastructure without design leave us with expensive technology and limited value?
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Patient Safety Learning @patientsafetylearning.org · 7h
Added to the hub, a series of blogs from the Royal College of Surgeons of Edinburgh (@rcsed.bsky.social) to mark World Patient Safety Day earlier this month. www.pslhub.org/learn/patien...
pslhub.org
Royal College of Surgeons of Edinburgh blogs for World Patient Safety Day 2026 (Safe care for noncommunicable diseases)
Summary To mark World Patient Safety Day and the 2026 theme of ‘Safe care for noncommunicable diseases’, the Royal College of Surgeons of Edinburgh (RCSEd) has produced a series of blogs.Operating as…
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Patient Safety Learning @patientsafetylearning.org · 9h
Giving patients and families a stronger voice is central to Martha’s Rule. But how should organisations respond when that voice raises concerns beyond clinical deterioration? Read more this new blog on the hub. www.pslhub.org/learn/improv... #patientsafety
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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Patient Safety Learning @patientsafetylearning.org · 10h
The missing datasheet in MS: the risk of the disease itself - a blog added to the hub this week. www.pslhub.org/learn/patien...
pslhub.org
The missing datasheet in MS: the risk of the disease itself
MS patients are handed detailed, formalised information about the risks of taking a drug and vague, inconsistent, information about the risks of leaving the disease untreated or undertreated. This…
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Patient Safety Learning @patientsafetylearning.org · 11h
💬Senior leadership is also important, but organisations need more than visible support. They need people with the time and authority to work through the practical detail of implementation.💬 Blog - Scan4Safety: turning stronger evidence into safer care. www.pslhub.org/learn/improv...
pslhub.org
Scan4Safety: turning stronger evidence into safer care
Georgina Lawton, head of healthcare at GS1 UK, reflects on what she has learned from working with healthcare organisations on Scan4Safety
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Reposted by Patient Safety Learning
Helen Hughes @helenh49.bsky.social · 12h
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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Patient Safety Learning @patientsafetylearning.org · 12h
Article added to the hub today - HSJ Patient Safety Awards 2026: Winners revealed. www.pslhub.org/news/hsj-pat...
pslhub.org
HSJ Patient Safety Awards 2026: Winners revealed
The winners of the HSJ Patient Safety Awards 2026 were announced last night, recognising outstanding efforts to make care safer.This year’s event attracted 427 entries, with 217 shortlisted across 25…
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Reposted by Patient Safety Learning
Mark Hughes @markhughes1878.bsky.social · 12h
World Patient Safety Day 2026 took place earlier this month on Thursday 17th September, focused on the theme ‘Safe care for noncommunicable diseases'. To mark this event, @patientsafetylearning.org have shared a series of guest blogs, specially commissioned for the hub, related to this theme.
A picture of the logo for World Patient Safety Day on the 17 September 2026.
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Patient Safety Learning @patientsafetylearning.org · 14h
Martha’s Rule is designed to make sure patients and families are heard when they are worried about deterioration. But what happens when the service is asked to do much more? Read more in this new blog on the hub today ⬇️ www.pslhub.org/learn/improv... #patientsafety
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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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
Is integrated patient experience intelligence finally possible in the NHS? The first in a new blog series by Ben Kenyon on the hub. www.pslhub.org/learn/digita... #DigitalHealth #PatientSafety #PatientExperience
pslhub.org
Is integrated patient experience intelligence finally possible in the NHS? Part 1: Fragmentation
Is integrated patient experience intelligence finally possible in the NHS? Or will infrastructure without design leave us with expensive technology and limited value?
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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
"... for people affected by dementia in the UK, getting an early and accurate diagnosis remains a significant challenge." Blog: Making patient safety work for people living with dementia. www.pslhub.org/learn/patien... #Dementia #PatientSafety
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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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
What does climate change have to do with patient safety? Angela Hayes from the Centre for Sustainable Healthcare explains more in this video.
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Reposted by Patient Safety Learning
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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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
Our award-winning platform the hub is a great place for frontline staff, patients, campaigners and managers to come together to improve patient safety. Sign up for free today to receive the full benefits. Register here: www.pslhub.org/register/
A logo image for Patient Safety Learning and its patient safety platform, the hub.
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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
💬Multiple channels. Different systems. Different governance. Different teams. Rarely connecting, and nobody whose job it is to connect them.💬 Is integrated patient experience intelligence finally possible in the NHS? Part 1: Fragmentation. A new blog on the hub today. www.pslhub.org/learn/digita...
pslhub.org
Is integrated patient experience intelligence finally possible in the NHS? Part 1: Fragmentation
Is integrated patient experience intelligence finally possible in the NHS? Or will infrastructure without design leave us with expensive technology and limited value?
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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
Added to the hub - Prevention of future deaths report: Malcolm Budd. In this report the coroner raises concerns about the management of acute aortic dissection in the East Midlands. www.pslhub.org/learn/invest...
pslhub.org
Prevention of future deaths report: Malcolm Budd (21 July 2026)
Prevention of future deaths report of Malcolm Budd
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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
When waiting-time data becomes a patient decision: what a comparison tool can and cannot make safe - a new blog on the hub this month. www.pslhub.org/learn/patien...
pslhub.org
When waiting-time data becomes a patient decision: what a comparison tool can and cannot make safe
Mustafa Ghafouri discusses why he built HospitalWaits—a free tool for patients—and how it can help close the waiting gap
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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
Three in four UK GPs ‘too busy to talk to their patients in depth’ - an article via @theguardian.com added to the hub. www.pslhub.org/news/three-i...
pslhub.org
Three in four UK GPs ‘too busy to talk to their patients in depth’
A friendly chat with your GP about your life, health and happiness was once a key part of the UK’s family doctor service.But most GPs no longer have time to have pastoral conversations, because they…
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Patient Safety Learning @patientsafetylearning.org · 29/09/2026
Is integrated patient experience intelligence finally possible in the NHS? In the first of a new series of blogs, Ben Kenyon examines the challenge of fragmentation, why feedback sources don’t connect, and the safety signals we may be missing as a result. www.pslhub.org/learn/digita...
pslhub.org
Is integrated patient experience intelligence finally possible in the NHS? Part 1: Fragmentation
Is integrated patient experience intelligence finally possible in the NHS? Or will infrastructure without design leave us with expensive technology and limited value?
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
To mark this #WorldPatientSafetyDay this month, in a new blog we set out the need for a transformation in our approach to patient safety and consider this year’s theme, “Safe care for noncommunicable diseases”. 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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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
What does climate change have to do with patient safety? Angela Hayes from the Centre for Sustainable Healthcare explains more in a new video on the hub today. www.pslhub.org/learn/commis... #ClimateChange #PatientSafety
pslhub.org
What does climate change have to do with patient safety?
Summary Angela Hayes is a Nurse Fellow and Project lead at the Centre for Sustainable Healthcare, she is also a hub Topic leader. In this 2-minute video Angela explains what climate change has to do…
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
"The consistency of the responses suggested that this was not simply an individual knowledge gap, but a wider challenge in how patient safety education translates into practice." A blog by Aderonke Opawande on the hub. www.pslhub.org/learn/improv...
pslhub.org
“I just thought you were supposed to know”: bridging the gap between patient safety knowledge and practice
Nurses are expected to practise patient safety—to escalate, document, report and speak up—yet few are ever explicitly taught how.
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
💬This is not simply a stock management story. Having the right products available, in the right place and at the right time supports staff in providing safe care.💬 Scan4Safety: turning stronger evidence into safer care - a new blog featured on the hub this month. www.pslhub.org/learn/improv...
pslhub.org
Scan4Safety: turning stronger evidence into safer care
Georgina Lawton, head of healthcare at GS1 UK, reflects on what she has learned from working with healthcare organisations on Scan4Safety
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
This month the National Commission into the Regulation of AI in Healthcare published recommendations for a future UK regulatory framework. In this blog Clive Flashman reflects on this, pointing to 5 recommendations he supports and 5 gaps that need to be addressed. www.pslhub.org/learn/digita...
pslhub.org
Reflections on the National Commission into the Regulation of AI in Healthcare recommendations
Patient Safety Learning CDO, Clive Flashman, reflects on the National Commission into the Regulation of AI in Healthcare recommendations
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
What does climate change have to do with patient safety? A new video from Angela Hayes, a Nurse Fellow and Project lead at the Centre for Sustainable Healthcare, featured on the hub today. www.pslhub.org/learn/commis... #climatechange #patientsafety
pslhub.org
What does climate change have to do with patient safety?
Summary Angela Hayes is a Nurse Fellow and Project lead at the Centre for Sustainable Healthcare, she is also a hub Topic leader. In this 2-minute video Angela explains what climate change has to do…
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
Added to the hub, the @healthinnovnetwork.bsky.social National Patient Safety Improvement Programmes 2025-2026 impact report. www.pslhub.org/learn/commis... #patientsafety
pslhub.org
Health Innovation Network: National Patient Safety Improvement Programmes 2025-2026 impact report
Health Innovation Network's National Patient Safety Improvement Programmes 2025-2026 impact report
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
New on the hub today - Understanding black maternal mental health in the UK: Findings from the Black Maternity Experiences Report (Five X More). www.pslhub.org/learn/patien...
pslhub.org
Understanding black maternal mental health in the UK: Findings from the Black Maternity Experiences Report (Five X More)
Five X More report report exploring the experiences of Black women who experienced mental health difficulties during pregnancy and after birth, and what happened when they needed support.
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
This blog reflects on how the Sentinel Stroke National Audit Programme demonstrates that evidence-based standards developed from national guidelines can help drive quality improvement across a complex healthcare pathway. www.pslhub.org/learn/profes... @hqip.bsky.social
pslhub.org
From data to safer care: the role of stroke audit in improving quality of care
World Patient Safety Day blog on the critical role that national clinical audit plays in supporting safer care for patients with stroke.
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Patient Safety Learning @patientsafetylearning.org · 28/09/2026
What does climate change have to do with patient safety? Angela Hayes from the Centre for Sustainable Healthcare (@sushealthcare.bsky.social) explains in this 2-minute video.
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Patient Safety Learning @patientsafetylearning.org · 27/09/2026
💬When a mother says that something is wrong, safety begins with believing her.💬 Sandra Igwe explores why Black maternal mental health needs to be recognised as a patient safety issue — and what safer, more culturally competent care looks like. www.pslhub.org/learn/patien... #BMMHW26
pslhub.org
Black maternal mental health is a patient safety issue
Sandra Igwe draws on her own personal and professional experiences to illustrate why Black maternal mental health is a patient safety issue.
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Patient Safety Learning @patientsafetylearning.org · 26/09/2026
"... simulation can allow people to experience and examine the system together, making visible aspects of care that language alone may struggle to convey." Using simulation to involve patients and communities in shaping safer care. www.pslhub.org/learn/improv...
pslhub.org
Using simulation to involve patients and communities in shaping safer care: The Involvement Intention
The Involvement Simulation-Based Intention focuses on using simulation to structurally involve patients, carers, communities and other diverse and under-represented groups in understanding healthcare…
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Patient Safety Learning @patientsafetylearning.org · 26/09/2026
Reflections on the National Commission into the Regulation of AI in Healthcare recommendations - a new blog this week by @cflashman.bsky.social on the hub. www.pslhub.org/learn/digita...
pslhub.org
Reflections on the National Commission into the Regulation of AI in Healthcare recommendations
Patient Safety Learning CDO, Clive Flashman, reflects on the National Commission into the Regulation of AI in Healthcare recommendations
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Patient Safety Learning @patientsafetylearning.org · 26/09/2026
Added to the hub this week, a World Patient Safety Day 2026 webinar series from the Royal College of Pathologists. www.pslhub.org/learn/organi...
pslhub.org
The Royal College of Pathologists: World Patient Safety Day 2026 webinar series
Royal College of Pathologists series of webinars for World Patient Safety Day
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Patient Safety Learning @patientsafetylearning.org · 26/09/2026
Scan4Safety: turning stronger evidence into safer care - a new blog featured on the hub this week. www.pslhub.org/learn/improv...
pslhub.org
Scan4Safety: turning stronger evidence into safer care
Georgina Lawton, head of healthcare at GS1 UK, reflects on what she has learned from working with healthcare organisations on Scan4Safety
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Patient Safety Learning @patientsafetylearning.org · 26/09/2026
Abandoned, dismissed and gaslighted: there is no excuse for the way ME sufferers have been betrayed - an article via @theguardian.com added to the hub. www.pslhub.org/learn/patien...
pslhub.org
Abandoned, dismissed and gaslighted: there is no excuse for the way ME sufferers have been betrayed (The Guardian, 24 September 2026)
George Monbiot argues that people with ME/CFS have been systematically neglected, disbelieved and harmed by healthcare systems despite the severe, life-limiting nature of the condition.
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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
In this blog Beatrice Fraenkel explores 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. 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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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
💬Healthcare organisations need practical support, reliable data, connected systems and enough capacity to make lasting changes.💬 New blog: Scan4Safety: turning stronger evidence into safer care. www.pslhub.org/learn/improv...
pslhub.org
Scan4Safety: turning stronger evidence into safer care
Georgina Lawton, head of healthcare at GS1 UK, reflects on what she has learned from working with healthcare organisations on Scan4Safety
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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
Médecins Sans Frontières / Doctors Without Borders (MSF) provides humanitarian healthcare, which includes caring for people with noncommunicable diseases living though humanitarian crises. In this blog, MSF staff from around the world share how they keep patients safe. www.pslhub.org/learn/improv...
pslhub.org
Safe noncommunicable disease care in humanitarian settings
In this blog, MSF staff from around the world share how they keep patients safe
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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
Last Thursday was the seventh annual World Patient Safety Day. In this new blog we set out the need for a transformation in our approach to patient safety and consider this year’s theme, “Safe care for noncommunicable diseases”. 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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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
Overcrowding in A&E linked to 'hundreds of deaths' every week, study finds - an article via ITV News added to the hub today. www.pslhub.org/news/overcro... #patientsafety
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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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
🆕In this blog Georgina Lawton, Head of Healthcare at GS1 UK, reflects on what she has learned from working with healthcare organisations on Scan4Safety. www.pslhub.org/learn/improv...
pslhub.org
Scan4Safety: turning stronger evidence into safer care
Georgina Lawton, head of healthcare at GS1 UK, reflects on what she has learned from working with healthcare organisations on Scan4Safety
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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
💬Nearly half (47%) of those who experienced severe pain said they did not feel appropriately supported by healthcare staff.💬 Experiences of vaginal access procedures - a new report from @tiger-uk.bsky.social added to the hub this week. www.pslhub.org/learn/patien...
pslhub.org
Experiences of vaginal access procedures - TIGER UK survey: Report 1
TIGER UK is a not-for-profit community interest company (CIC) set up to help improve experiences of gynaecological care and procedures. It stands for Together Improving Gynaecology Experiences and…
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Reposted by Patient Safety Learning
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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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
This week is Black Maternal Mental Health Week UK. In this blog Sandra Igwe MBE draws on her own personal and professional experiences to illustrate why Black maternal mental health is a patient safety issue. www.pslhub.org/learn/patien... #BMMHW26 #BlackMaternalMentalHealthWeek2026UK
pslhub.org
Black maternal mental health is a patient safety issue
Sandra Igwe draws on her own personal and professional experiences to illustrate why Black maternal mental health is a patient safety issue.
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Reposted by Patient Safety Learning
Mark Hughes @markhughes1878.bsky.social · 25/09/2026
In this blog, pharmacist James Andrews explains the safety risks that come with handwritten prescriptions and the wider impact this has on patients, staff and the system. www.pslhub.org/learn/improv... #WorldPharmacistsDay
pslhub.org
Handwritten outpatient prescriptions: a risk to patient safety
In this blog, James explains the safety risks that come with handwritten prescriptions and the wider impact this has on patients, staff and the system. He highlights the importance of high-quality…
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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
Assessing the macroeconomic and fiscal effects of non‑communicable diseases - a OECD Health Working Paper added to the hub. www.pslhub.org/learn/organi...
pslhub.org
OECD: Assessing the macroeconomic and fiscal effects of non‑communicable diseases (16 September 2026)
An OECD Health Working Paper looking at the economic impact of noncommunicable diseases.
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Patient Safety Learning @patientsafetylearning.org · 25/09/2026
"This is not simply a stock management story. Having the right products available, in the right place and at the right time supports staff in providing safe care." Scan4Safety: turning stronger evidence into safer care - a new blog featured on the hub today. www.pslhub.org/learn/improv...
pslhub.org
Scan4Safety: turning stronger evidence into safer care
Georgina Lawton, head of healthcare at GS1 UK, reflects on what she has learned from working with healthcare organisations on Scan4Safety
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Patient Safety Learning @patientsafetylearning.org · 24/09/2026
Open wounds and eyes that can't close - women warn about cheap bleph eyelid surgery. An article via BBC News added to the hub. www.pslhub.org/news/open-wo... #patientsafety
pslhub.org
Open wounds and eyes that can't close - women warn about cheap bleph eyelid surgery
"Everyone made it out to be so easy, but my face felt like it was on fire and there was a horrible smell of burning skin," says Nikita Morgan, as she describes her eyelid surgery.She decided to get a…
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