recent publications

  • Read more: The Inevitability of Error in Health Care

    The Inevitability of Error in Health Care

    A recent publication by the WHO seems to have rekindled conversations about the “inevitability of error” in the field of patient safety.

    Empty hospital bed.
  • Read more: Patient Safety and Health Quality in the NHS (National Health Service) in England: A Zip Code Lottery?

    Patient Safety and Health Quality in the NHS (National Health Service) in England: A Zip Code Lottery?

    By John Tingle The independent regulator of health and social care in England, the Care Quality Commission (CQC) regularly produces detailed inspection reports on the health and care organisations that it regulates. These reports show that quality of care and patient safety are not consistent across England’s health and care facilities. Wide variations in quality…

    an ambulance parked at the entrance of an emergency department
  • Read more: Improving the Mindset on NHS Complaint Handling

    Improving the Mindset on NHS Complaint Handling

    By John Tingle History has not served the NHS (National Health Service) complaints system well History has not served the NHS complaints system well. There have been many reports about NHS complaints going back well over two and a half decades, saying the same or similar things about the system. Many have argued and continue…

    An index finger rests on one yellow star while four other stars are shaded to the right, indicating a one star review.
  • Read more: Lost in the Jungle of Patient Safety Reports, Publications and Initiatives?

    Lost in the Jungle of Patient Safety Reports, Publications and Initiatives?

    By John Tingle In terms of the progress of developing a patient safety culture in the National Health Service (NHS) in England, the Daily Telegraph reports comments made by Professor Ted Baker, the Chief Inspector of Hospitals at the Care Quality Commission (CQC) at a recent conference in London. He held the view that “little progress”…

    Hand placing wood toy block on top of a tower. The blocks all have images of medical-related items on them, like pills, stethoscope, syringe
  • Read more: Suicide Prevention and Patient Safety

    Suicide Prevention and Patient Safety

    Suicide prevention needs to be taken more seriously globally by governments, health systems as an urgent public health concern. WHO (World Health Organisation) states that close to 800,000 people die due to suicide every year, which translates to one person dying every 40 seconds. For each adult who died by suicide there may have been…

    Black silhouette of girl with a pony tail looking down in a dark tunnel
  • Read more: Reviewing and Responding to Patient Safety Incidents in the NHS

    Reviewing and Responding to Patient Safety Incidents in the NHS

    Never Events are defined in the report as serious, largely preventable patient safety incidents that should not occur if healthcare providers have implemented existing national guidance or safety recommendations.

  • Read more: Opportunities and challenges for user-generated licensing models in gene-editing

    Opportunities and challenges for user-generated licensing models in gene-editing

    By Timo Minssen,  Esther van Zimmeren & Jakob Wested  An earlier version of this contribution had been published in Life Science Intellectual Property Review (LSIPR). A voluntary pool or clearinghouse model may give rise to a robust commercial ecosystem for CRISPR and could include special provisions for royalty-free research use by academics. Hence, there may be a path through…

  • Read more: Massachusetts Wants To Drive Down Medicaid Drug Costs: Why Is The Administration So Nervous?

    Massachusetts Wants To Drive Down Medicaid Drug Costs: Why Is The Administration So Nervous?

    This new post by Nicholas Bagley and Rachel Sachs appears on the Health Affairs Blog.  Although drug formularies are ubiquitous in Medicare and the private insurance market, they’re absent in Medicaid. By law, state Medicaid programs that offer prescription drug coverage (as they all do) must cover all drugs approved by the U.S. Food and Drug Administration,…