Patient Safety Learning
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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/
🗨️We believe patient safety should be core to all EPR systems, with robust safety considerations integrated throughout every stage of their introduction🗨️

Our response to the Health Services Safety Investigations Body's latest report. www.pslhub.org/learn/invest...
Patient safety and electronic patient record systems: Patient Safety Learning’s response to HSSIB report (27 November 2025)
HSSIB investigates patient safety concerns across the NHS in England and in independent healthcare settings where safety learning could also help to improve NHS care. Their latest report, Patient safe...
www.pslhub.org
November 27, 2025 at 4:36 PM
Upcoming event featured on the hub:

▶️ Keep it clean: the crucial pathway to reducing healthcare-associated infections
📅 Thursday 11 December 2025
⏰ 17.45-19.30 GMT

More details on the hub below⬇️
www.pslhub.org/events/event...
Keep it clean: the crucial pathway to reducing healthcare-associated infections
Healthcare-associated infections (HAIs) remain a major, yet largely preventable, burden across all countries—contributing infection in 7% of hospital patients in high income settings, and 15% in Low a...
www.pslhub.org
November 27, 2025 at 3:29 PM
Time for action: The Black Maternal Mental Health Report - a new blog featured on the hub today. www.pslhub.org/learn/patien... #patientsafety
Time for action: The Black Maternal Mental Health Report
In partnership with the Maternal Mental Health Alliance (MMHA) and the Centre for Mental Health, The Motherhood Group recently launched the UK's first dedicated Black Maternal Mental Health Report at ...
www.pslhub.org
November 27, 2025 at 2:11 PM
New on the hub this week from NHS England - Maternity Outcomes Signal System (MOSS) standard operating procedures. www.pslhub.org/learn/organi... #patientsafety
Maternity Outcomes Signal System (MOSS) standard operating procedures (25 November 2025)
www.pslhub.org
November 27, 2025 at 1:03 PM
News article on the hub - NHS trust fined £200k over vulnerable girl's death (via @hsj.co.uk). www.pslhub.org/blogs/entry/...
NHS trust fined £200k over vulnerable girl's death
An NHS trust has been fined £200,000 for failing to provide "safe care and treatment" for a 16-year-old girl who died on hospital grounds after fleeing her ward. Ellame Ford-Dunn, from Upper Beeding, ...
www.pslhub.org
November 27, 2025 at 11:36 AM
Reposted by Patient Safety Learning
🆕 REPORT
➡️ Patient safety issues associated with electronic patient record (EPR) systems – a thematic review
📖 Read the report: buff.ly/eXLd5vK

#PatientSafety #NHS #HSSIB #Healthcare #EPR
November 27, 2025 at 9:15 AM
Podcast episode added to the hub - Getting medicines to NHS patients faster with aligned decisions with the MHRA. www.pslhub.org/learn/improv... #patientsafety
Getting medicines to NHS patients faster with aligned decisions with the MHRA (NICE Talks podcast)
NICE Talks podcast is joined by representatives from the Medicines and Healthcare products Regulatory Agency (MHRA) to discuss how NHS patients will be able to access medicines up to 6 months faster t...
www.pslhub.org
November 27, 2025 at 10:23 AM
🆕In this article we reflect on today's new report by @hssib.bsky.social, which looks at patient safety issues associated with electronic patient record (EPR) systems. www.pslhub.org/learn/invest...
Patient safety and electronic patient record systems: Patient Safety Learning’s response to HSSIB report (27 November 2025)
HSSIB investigates patient safety concerns across the NHS in England and in independent healthcare settings where safety learning could also help to improve NHS care. Their latest report, Patient safe...
www.pslhub.org
November 27, 2025 at 8:56 AM
🗨️Black mothers have been reduced to statistics for too long. It's time for urgent, sustained, and meaningful change.🗨️

Time for action: The Black Maternal Mental Health Report. www.pslhub.org/learn/patien... #blackmaternalhealth #patientsafety
Time for action: The Black Maternal Mental Health Report
In partnership with the Maternal Mental Health Alliance (MMHA) and the Centre for Mental Health, The Motherhood Group recently launched the UK's first dedicated Black Maternal Mental Health Report at ...
www.pslhub.org
November 26, 2025 at 5:47 PM
Article added to the hub - UCL Partners Health Innovation: Complex long term conditions service. www.pslhub.org/learn/improv... #patientsafety
Complex long term conditions service (UCL Partners Health Innovation)
The Complex Long Term Conditions programme is testing new models of care to improve management of LTCs, including fewer appointments, better decision making and easier access to services.
www.pslhub.org
November 26, 2025 at 1:56 PM
News article on the hub today - Maternity warning system hit by IT fault. www.pslhub.org/blogs/entry/... (via @hsj.co.uk)
Maternity warning system hit by IT fault
A maternity unit criticised by the Care Quality Commission is battling a high-risk fault in its new electronic patient record system which causes women’s deterioration scores to display incorrectly. T...
www.pslhub.org
November 26, 2025 at 12:34 PM
Blog added to the hub - COMPASS Pilot shows promise for improving maternity safety culture. www.pslhub.org/learn/invest... #patientsafety
COMPASS Pilot shows promise for improving maternity safety culture (28 October 2025)
www.pslhub.org
November 26, 2025 at 10:26 AM
In this blog Sandra Igwe, Founder of The Motherhood Group & Topic leader for the hub, reflects on the launch of the UK's first dedicated Black Maternal Mental Health Report. www.pslhub.org/learn/patien...
Time for action: The Black Maternal Mental Health Report
In partnership with the Maternal Mental Health Alliance (MMHA) and the Centre for Mental Health, The Motherhood Group recently launched the UK's first dedicated Black Maternal Mental Health Report at ...
www.pslhub.org
November 26, 2025 at 8:51 AM
🗨️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