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04 June 2024 05 June 2024
Training to support the development of core understanding and application of systems-based patient safety incident response throughout the healthcare system - in line with NHS guidance, based upon national and internationally recognised good practice.
This course covers the end-to-end systems-based patient safety incident response based upon the new NHS PSIRF and includes:
purpose of patient safety incident response framework
introduction to complex systems, system thinking and human factors
restorative just and learning culture
duty of candour
involving staff in incident response
involving patients, families and carers in incident response
improvement science and developing system improvement plans
general response techniques
interviewing and asking questions
conducting observations, understanding work as done
systems frameworks
response types
patient safety investigation planning, analysis and report writing
commissioning and oversight of an internal investigation
a high-level overview of system-based response tools.
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05 June 2024
Decades of research has shown that the health of the population in England is unequal, with people who live in more deprived areas experiencing illness earlier in life and dying younger. Previous Health Foundation analysis has projected that 9.3 million people could be living with major illness by 2040, which is 2.6 million, or 39%, more people than in 2019.
In April, the Health Foundation’s REAL Centre published its second report in their ‘Health in 2040’ series, this time exploring how current patterns of ill health vary with deprivation across England, and to what extent this is projected to change by 2040. The findings have important implications for health inequality among the working age population and how it poses a challenge to labour supply and economic growth.
This webinar will convene experts to explore what the findings mean for how we might need to change as a society, and what can we do to better prepare for the future.
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05 June 2024
Delivering high-quality care and ensuring the best patient outcomes and safety levels should be the goal of all health care providers; however, these can only be achieved if staff are able and encouraged to work to the best of their abilities. Leaders play a crucial role in creating a culture that drives good staff and patient experience and, in turn, quality across the system.
In this context, this session from the King's Fund will:
help to provide understanding about the relationship between working culture and high-quality patient care explore how leaders can create a safe and supportive work culture that drives quality discuss how a culture of quality can improve staff wellbeing and resilience provide insight into how successful quality-improvement strategies place a strong focus on staff engagement and staff experience. Register
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15
:00
05 June 2024 15:00 16:15
About this webinar
In many pharmaceutical companies, human error is still addressed reactively through compliance by Deviation Management. While people are involved, they are NOT the root cause in the majority of deviations.
There's an opportunity to set people up for success proactively in regards to risk prevention in a complex work environment through, for example:
Recognition of risk and techniques for prevention of error. A roadmap for investigating repeated, human-related deviations. A means of integrating human performance into operational excellence, such as Gemba and leader standard work. Techniques for interviewing, coaching and improved communication. Recommendations for addressing system-related problems. Who would this be of interest to?
Leaders and supporters of those that perform complex work in any regulated Good Manufacturing Practice (GMP) environment and anyone interested in human and organisational performance.
About the speakers
Bill Farmer has a BS in Microbiology and is an Associate Director for Deviation Management at Merck in North Carolina, USA. He's an experienced pharmaceutical scientist and has had many roles in technical and quality organisations. His philosophy to 'Help others, make it easier to do the 'right' thing, harder to do the 'wrong' thing, drives Bill to continuously improve the Merck Deviation Management Process.
Julie Avery (chair) is former Global Lead for human factors at GSK, with over 20 years in Quality and Operational Excellence. As an independent practitioner, Julie now integrates human performance into existing systems strategically and tactically supporting business goals and KPIs. Julie leads the CIEHF Human Factors Pharmaceutical Manufacturing COP and is a Trustee of the CIEHF representing Associate Members.
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16
:00
05 June 2024 16:00 17:00
Telemetry monitors are patient-worn devices that allow the patient's heart rate, heart rhythm, and other physiologic conditions to be assessed without restricting the patient to a bed. These devices allow cardiac patients to move around the facility while still being monitored. Monitors are designed to transmit an alarm signal to nursing staff if the patient develops a concerning heart rhythm or other condition that requires attention. The safety and effectiveness of a telemetry monitoring program depends heavily on the organization's alarm management strategy. Any failure to recognize or delay in responding to a potentially life-threatening change in the patient's condition could lead to severe harm.
As with any physiologic monitoring system, healthcare organizations must scrutinize all aspects of how telemetry alarms are initiated, how they are communicated, and how staff respond. The use of inappropriate alarm settings or notification processes can prevent staff from learning about a change in the patient's condition or may lead to frequent false alarms or nuisance alarms that overwhelm, distract, or desensitize staff—a phenomenon known as alarm fatigue. Either situation can result in valid alarm conditions being missed by staff, and thus a patient's deterioration going unnoticed.
Improvements in the way that telemetry systems are implemented and managed can help combat alarm fatigue and reduce the risk of alarm-related adverse events.
During this lab webcast, we will discuss:
Alarm fatigue: what it is, why it is a concern, and how telemetry implementation decisions can contribute to this hazard Criteria for selecting patients for telemetry monitoring Policies and procedures for setting and disabling alarms Alarm escalation processes and secondary alarm notification systems Strategies to optimize the monitor watching function Register for the webcast
The webcast will take place at 12:00 ET, 17:00 BST
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