Patient Safety Commissioner
Reports and recommendations from the statutory Patient Safety Commissioner, Professor Henrietta Hughes. Official site.
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Reports
The Safety Gap Report
Report commissioned from Professor Margaret Watson examining safety gaps in medicines and medical devices for people with sensory impairment. Found serious gaps and deficiencies in how people with visual and/or hearing impairment access and use medicines and medical devices safely. …
Redress for Mesh and Valproate: A Pathway to Justice (The Hughes Report)
Report by Professor Henrietta Hughes, the first Patient Safety Commissioner for England, published 7 February 2024. Sets out a pathway to financial and non-financial redress for those harmed by pelvic mesh implants and sodium valproate — two of the interventions …
Recommendation on the Safe Use of the Most Potent Teratogens
A single recommendation made by the Patient Safety Commissioner on 2 November 2023, calling for NHS England to establish a fully funded National Quality Improvement Programme for safe use of the most potent teratogenic medications (starting with sodium valproate, then …
Recommendations from Martha's Rule
Three recommendations made by the Patient Safety Commissioner on 20 October 2023, calling for a structured daily approach to obtaining patient and family information, and 24/7 access to critical care outreach teams for both staff and patients/families. Named after Martha …