In 2016 the Health Quality Safety Commission (HQSC) in NZ launched a five-year programme that improved and standardised the way health care systems recognised and responded to deterioration. There were three main work streams…
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‘New principles will help us make the right choices’
Every day we have to make tough choices, balancing benefits and risks. Those choices impact on patient safety, right now or far into the future, with effects that we might have never intended or anticipated. There are too many tragedies where people…
Introducing Ryan’s Rule, the forerunner of Martha’s Rule
Ryan’s Rule was developed in response to the tragic death of Ryan Saunders in 2007. Sadly, Ryan died from an undiagnosed streptococcal infection that led to toxic shock syndrome. Worried that Ryan’s condition was worsening, his parents…
‘It is up to us to seize the opportunities from Darzi’
To celebrate World Patient Safety Day, I have spoken with and learned from global patient safety leaders at the Patient Safety Movement Foundation, the World Health Organisation, the Women in Medicine International Network, and…
‘It is up to us to create a new and safer system for the future’
To celebrate World Patient Safety Day 2024, which this year focused on improving diagnostics for patient safety, I spoke with and learned from global patient safety leaders at the Patient Safety Movement Foundation, the World Health Organisation, the Women in Medicine International Network, and the HSJ Patient Safety Congress.
‘Leaders must be empowered not infantilised’
There is a fragility at the top of the health system, a lack of individual accountability. There is infantilisation of people who have been selected to be expert and dysfunction in the relationships between…