Briefing Papers & Final Reports

The briefing papers available for the February 2009 conference formed the First Edition of PSRP Briefing Papers Report. A second/ final edition were released 2010 when the remaining projects had completed their work.

PS 001 Patient safety: a mapping of the research literature
Dr Amanda Sowden, University of York
Final Report  
Briefing Paper  

PS 002 Confronting errors in patient care: report focus groups
Prof Jenny Firth-Cozens, University of Newcastle
Final Report
Briefing Paper

PS 003 Threats to patient safety in primary care: a review of the research into the frequency and nature of error in primary care
Prof Aneez Esmail, University of Manchester 
Final Report
Briefing Paper

PS 004 The reporting of adverse clinical incidents - achieving high quality reporting: the results of a short research study
Prof Ian Shaw, University of Nottingham
Final Report
Briefing Paper

PS 005 Patient safety and clinical information systems 
Prof Jeremy Wyatt, University of Dundee
Final Report
Briefing Paper

PS 006 Patient safety: lessons from litigation 
Prof Aneez Esmail, University of Manchester
Final Report
Briefing Paper

PS 007 Proof of principle study of the effect of individual and team drill on the ability of labour ward staff to manage acute obstetric emergencies 
Ms Bryony Strachan, St. Michael's Hopsital, Bristol
Final Report
Briefing Paper

PS 008 An ethnographic study of threats to patient safety in the operating theatre 
Prof Stephen Harrison, University of Manchester
Final Report 
Briefing Paper

PS 009 Ethnographic study: enhancing the safety of surgical care
Prof Charles Vincent, Clinical Safety Research Unit, Imperial College London 
Final Report 
Briefing Paper 

PS 010 Ethnographic study: enhancing safety in A&E care 
Prof Charles Vincent, Clinical Safety Research Unit, Imperial College London 
Final Report 
Briefing Paper

PS 011 Evaluation of the implementation of the alert issued by the NPSA on the storage and handling of concentrated potassium chloride solution: results of an audit conducted in 20 acute NHS Trusts 
Prof Trevor Sheldon, University of York 
Final Report 
Briefing Paper

PS 012 Ethnographic study: identifying and reducing errors in the operating theatre 
Prof Marc de Leval, Great Ormond Street Hospital for Children 
Final Report 
Briefing Paper

PS 014 Summary of findings from root cause analysis of 36 adverse events and near misses in obstetrics
Brenda Ashcroft, University of Salford 
Final Report 
Briefing Paper

PS 016 Communication with patients in the context of error
Prof Lesley Fallowfield, University of Sussex 
Final Report 
Briefing Paper

PS 018 Medication error 1: A prospective hazard and improvement analysis of medication error in a UK secondary care setting 
Dr Jon Karnon, University of Sheffield 
Final Report 
Briefing Paper

PS 019 Medication error 2: Safer, Faster, Better? Evaluating electronic prescribing 
Prof Nick Barber, The School of Pharmacy, UCL 
Final Report 
Briefing Paper

PS 020 Medication error 2: Development of capacity and evaluations of information technology solutions 
Prof Judy Cantril, University of Manchester 
Final Report 
Briefing Paper

PS 022 Reuse of Single Use medical Devices (SUDs). National survey of current practice and in-depth qualitative study to establish practitioners rationale for re-use 
Prof Robert Dingwall, University of Nottingham 
Final Report
Briefing Paper 

PS 023 Monitoring the incidence of neonatal encephalopathy - what next? 
Dr Jennifer Kurinczuk, University of Oxford 
Final Report 
Briefing Paper 

PS 024 PINCER trial: A cluster randomized trial comparing the effectiveness and cost-effectiveness of a pharmacist led IT-based intervention with simple feedback in reducing rates of clinically important errors in medicines management in general practices. 
Prof Tony Avery, University of Nottingham
Final Report
Briefing Paper 
PINCER Economic Report, 2013

PS 025 Medication errors in nursing homes - the CHUMS study - Care Homes Use of Medicines Study 
Prof Nick Barber, University of London
Final Report
Briefing Paper

PS 026 The COSMIC study - Co-operative of Safety of Medicines in Children: a scoping study to identify and analyse interventions used to reduce errors in calculation of paediatric drug doses 
Dr Ian Wong, The School of Pharmacy, UCL 
Final Report
Briefing Paper

PS 027 Diagnostic errors in primary care: a learning needs analysis
Dr Olga Kostoupoulou, University of Birmingham 
Final Report 
Briefing Paper

PS 028 Reporting systems: a scoping study of methods of providing feedback within an organisation
Prof Louise Wallace, Coventry University 
Final Report 
Briefing Paper

PS 029 The National Observational Study to Evaluate the Cleanyourhands Campaign (NOSEC)" and "The Feedback Intervention Trial (FIT)
Dr Sheldon Stone, UCL
Final Report
Appendices
Abstract
Executive Summary

PS 030 Patient safety in health care professional educational curricula: examining the learning experience
Dr Pauline Pearson, University of Newcastle 
Final Report 
Briefing Paper

PS 034 Do patients have a role to play in their own safety?
Prof Ian Watt, University of York
Final Report
Briefing Paper

PS 035 Prospective Hazard Analysis: Tailoring Prospective Methods To A Healthcare Context
Prof John Clarkson, University of Cambridge 
Final Report 
Briefing Paper

PS 038 Phase 1 of prospective hazard analysis and pre-implementation evaluation of non-luer spinal connectors 'The potential hazards associated with the implementation of the prototype non-luer spinal connectors'
Dr Rebecca Lawton, University of Leeds 
Final Report 
Briefing Paper

PS 041 The cost-effectiveness of hospital design: options to improve patient safety and well-being
Dr Peter West, University of York 
Final Report 
Briefing Paper

PS 044 Evaluation of patient safety alert on correct site surgery
Dr John Wright, Bradford Teaching Hospitals 
Final Report 
Briefing Paper

PS 045 Evaluation of the NPSA 3-Day Root Cause Analysis (RCA) training
Prof Louise Wallace, The University of Coventry 
Final Report 
Briefing Paper

PS 046 A multi-method study of the uptake of advice, directives and guidelines to the NHS concerning patient safety by the Safety Alert Broadcast System (SABS)
Dr Peter West, The University of York 
Final Report 
Briefing Paper

PS 048 Checking procedures for nasogastric tubes: a systematic review, decision analysis and the development of evidence based guidelines
Prof George Hanna at Imperial College London 
Final Report 
Briefing Paper

PS 049 Pre-Implementation Evaluation of Non-Luer Compatible Spinal Equipment
Dr Rebecca Lawton at University of Leeds
Final Report

PS 050 Synthesis of the Outputs from Research Commissioned under the Patient Safety Research Portfolio
Prof Robert Dingwall, University of Nottingham 
Final Report 
Briefing Paper

NPSA 001 An exploration of bedside checking processes for in-patients in the acute care setting
Prof Andrew Smith at Royal Lancaster Infirmary 
Final Report 
Briefing Paper