Process improvement

Articles in this category

1. A paradigm shift in the NHS approach to purchasing is coming – and soon (HSJ, 30 April 2024)

   • Process redesign

   By Patient_Safety_Learning, 7 May, 2024

   • 0 comments
   • 284 views
   • 
   • Added by Patient_Safety_Learning
   • 7 May, 2024

2. Putting the writing on the wall: Explaining work as imagined vs work as done (by Claire Cox)

   • Staff factors
   • Process redesign
   • (and 1 more)

     Tagged with:

     • Staff factors
     • Process redesign
     • Safety process

   By Claire Cox, 1 August, 2023

   • 10 comments
   • 6,700 views
   • 
   • Comment by Patient_Safety_Learning
   • 9 October, 2023

3. Hindsight bias critically impacts on clinicians’ assessment of care quality in retrospective case note review (January 2019)

   • Investigation
   • Patient death
   • (and 5 more)

     Tagged with:

     • Investigation
     • Patient death
     • Care record
     • Heuristics
     • Information processing
     • Flawed processes
     • Human factors

   By Patient-Safety-Learning, 22 April, 2023

   • 0 comments
   • 626 views
   • 
   • Added by Patient-Safety-Learning
   • 22 April, 2023

4. Alleviating the burden of documentation to focus on what matters (Institute of Healthcare Improvement, 3 November 2022)

   • Human factors
   • Process redesign
   • (and 3 more)

     Tagged with:

     • Human factors
     • Process redesign
     • Documentation
     • Human error
     • Quality improvement

   By Patient Safety Learning, 17 November, 2022

   • 0 comments
   • 933 views
   • 
   • Added by Patient Safety Learning
   • 17 November, 2022

5. Incidence and impact of physician and nurse disruptive behaviors in the emergency department (23 March 2011)

   • Emergency medicine
   • Staff factors
   • (and 6 more)

     Tagged with:

     • Emergency medicine
     • Staff factors
     • Organisational culture
     • Safety process
     • Behaviour
     • Collaboration
     • Doctor
     • Nurse

   By Sam, 10 November, 2022

   • 0 comments
   • 357 views
   • 
   • Added by Sam
   • 10 November, 2022

6. Moving from error and deviation to learning and meaningful measures. A dream or a plan? Presentation from Julie Avery and Brian Edwards (16 November 2021)

   • Human error
   • Human factors
   • (and 3 more)

     Tagged with:

     • Human error
     • Human factors
     • Organisational learning
     • After action review
     • Leadership

   By Patient Safety Learning, 17 November, 2021

   • 0 comments
   • 1,274 views
   • 
   • Added by Patient Safety Learning
   • 17 November, 2021

7. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle (20 August 2021)

   • Process redesign
   • Clinical process
   • (and 5 more)

     Tagged with:

     • Process redesign
     • Clinical process
     • Diagnostic error
     • Human factors
     • Feedback
     • Qualitative
     • Research

   By Patient-Safety-Learning, 24 September, 2021

   • 0 comments
   • 1,062 views
   • 
   • Added by Patient-Safety-Learning
   • 24 September, 2021

8. Central venous lines – patient safety poster (Sandwell and West Birmingham NHS Trust)

   • Medicine - Renal
   • Medicine - Haematology
   • (and 1 more)

     Tagged with:

     • Medicine - Renal
     • Medicine - Haematology
     • Human error

   By PatientSafetyLearning Team, 16 August, 2021

   • 0 comments
   • 1,778 views
   • 
   • Added by PatientSafetyLearning Team
   • 16 August, 2021

9. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety (2 December 2020)

   • Medicine - Cardiology
   • Human factors
   • (and 2 more)

     Tagged with:

     • Medicine - Cardiology
     • Human factors
     • Distractions/ interruptions
     • Aviation

   By Patient Safety Learning, 10 August, 2021

   • 0 comments
   • 858 views
   • 
   • Added by Patient Safety Learning
   • 10 August, 2021

10. The Joint Commission Big Book of Checklists (2nd edition, 2018)

    • Human factors
    • Checklists
    • (and 7 more)

      Tagged with:

      • Human factors
      • Checklists
      • Emergency medicine
      • Quality improvement
      • Staff factors
      • Technology
      • Leadership
      • Medication
      • Infection control

    By Patient Safety Learning, 20 June, 2021

    • 0 comments
    • 1,761 views
    • 
    • Added by Patient Safety Learning
    • 20 June, 2021

11. Vaccinating a nation: Ten human factors and ergonomics principles (CIEHF, 13 April 2021)

    • Human factors
    • Ergonomics
    • (and 1 more)

      Tagged with:

      • Human factors
      • Ergonomics
      • Vaccination

    By Patient Safety Learning, 14 April, 2021

    • 0 comments
    • 2,483 views
    • 
    • Added by Patient Safety Learning
    • 14 April, 2021

12. Infographic: Improving the flows of reporting within your organisation

    • Human factors
    • Reporting
    • (and 3 more)

      Tagged with:

      • Human factors
      • Reporting
      • Organisational culture
      • Organisational learning
      • Behaviour

    By Patient Safety Learning, 13 April, 2021

    • 0 comments
    • 1,047 views
    • 
    • Added by Patient Safety Learning
    • 13 April, 2021

13. Ergonomics to support the COVID-19 response

    • Virus
    • Pandemic
    • (and 3 more)

      Tagged with:

      • Virus
      • Pandemic
      • Ergonomics
      • Human factors
      • Organisational learning

    By Patient Safety Learning, 4 February, 2021

    • 0 comments
    • 1,344 views
    • 
    • Added by Patient Safety Learning
    • 4 February, 2021

14. Frontiers in human factors: embedding specialists in multi-disciplinary efforts to improve healthcare (9 September 2020)

    • Virus
    • Pandemic
    • (and 5 more)

      Tagged with:

      • Virus
      • Pandemic
      • Human factors
      • Organisational Performance
      • Skills
      • System safety
      • Collaboration

    By Patient Safety Learning, 8 January, 2021

    • 0 comments
    • 941 views
    • 
    • Added by Patient Safety Learning
    • 8 January, 2021

15. The glucose error in arterial sampling: assessing staff awareness and the effect of sampling technique (28 October 2020)

    • Human factors
    • Human error
    • (and 5 more)

      Tagged with:

      • Human factors
      • Human error
      • Medication - related
      • Near miss
      • Training
      • HDU / ICU
      • Research

    By Patient Safety Learning, 15 November, 2020

    • 0 comments
    • 904 views
    • 
    • Added by Patient Safety Learning
    • 15 November, 2020

16. Towards a dynamic balance between humans and automation: authority, ability, responsibility and control in shared and cooperative control situations (18 November 2011)

    • Human factors
    • System safety
    • (and 3 more)

      Tagged with:

      • Human factors
      • System safety
      • Technology
      • Safety process
      • Research

    By Patient Safety Learning, 16 August, 2020

    • 0 comments
    • 680 views
    • 
    • Added by Patient Safety Learning
    • 16 August, 2020

17. A human factors approach to reducing risk: presentation from Maryanne Mariyaselvam at Improving Patient Safety & Care 2020

    • Risk management
    • Human error
    • (and 2 more)

      Tagged with:

      • Risk management
      • Human error
      • Innovation
      • User-centred design

    By Patient Safety Learning, 20 July, 2020

    • 0 comments
    • 1,136 views
    • 
    • Added by Patient Safety Learning
    • 20 July, 2020

18. Impact of environment on human health and performance: Working during extreme heat

    • Risk assessment
    • Health and safety
    • (and 1 more)

      Tagged with:

      • Risk assessment
      • Health and safety
      • Physical environment

    By Patient Safety Learning, 20 May, 2020

    • 0 comments
    • 1,047 views
    • 
    • Added by Patient Safety Learning
    • 20 May, 2020

19. Designing a safe space for neonatal care

    • Paediatrics
    • Obstetrics and gynaecology/ Maternity
    • (and 4 more)

      Tagged with:

      • Paediatrics
      • Obstetrics and gynaecology/ Maternity
      • Organisation / service factors
      • Physical environment
      • System safety
      • Work / environment factors

    By Claire Cox, 13 May, 2020

    • 0 comments
    • 1,361 views
    • 
    • Added by Claire Cox
    • 13 May, 2020

20. Guidance to help design effective and usable work procedures for health and social care teams

    • Safety management
    • Communication
    • (and 5 more)

      Tagged with:

      • Safety management
      • Communication
      • External factors
      • Ergonomics
      • Heuristics
      • Decision making
      • Checklists

    By Claire Cox, 13 May, 2020

    • 0 comments
    • 1,371 views
    • 
    • Added by Claire Cox
    • 13 May, 2020

21. Selecting safe and easy to use products for healthcare (April 2020)

    • Human error
    • Safety process
    • (and 4 more)

      Tagged with:

      • Human error
      • Safety process
      • Latent error
      • Process redesign
      • Labelling / packaging/ signage
      • User-centred design

    By Claire Cox, 1 May, 2020

    • 0 comments
    • 1,188 views
    • 
    • Added by Claire Cox
    • 1 May, 2020

22. EBCD: Experience-based co-design toolkit

    • Patient
    • Quality improvement
    • (and 1 more)

      Tagged with:

      • Patient
      • Quality improvement
      • Patient involvement

    By Claire Cox, 29 April, 2020

    • 0 comments
    • 2,572 views
    • 
    • Added by Claire Cox
    • 29 April, 2020

23. Double checking: a second look (16 November 2015)

    • Research
    • Human error
    • (and 4 more)

      Tagged with:

      • Research
      • Human error
      • Medication
      • Clinical process
      • Safety process
      • Safety management

    By Patient Safety Learning, 24 January, 2020

    • 0 comments
    • 907 views
    • 
    • Added by Patient Safety Learning
    • 24 January, 2020

24. Airway alert card and difficult airway database

    • Anaesthesia
    • Anaesthetist
    • (and 3 more)

      Tagged with:

      • Anaesthesia
      • Anaesthetist
      • Team culture
      • Information sharing
      • Engagement

    By Claire Cox, 11 January, 2020

    • 0 comments
    • 1,396 views
    • 
    • Added by Claire Cox
    • 11 January, 2020

25. Developing an intervention around referral and admissions to intensive care: a mixed-methods study (November 2019)

    • Patient safety strategy
    • Decision making
    • (and 3 more)

      Tagged with:

      • Patient safety strategy
      • Decision making
      • Staff factors
      • Staff engagement
      • HDU / ICU

    By PatientSafetyLearning Team, 9 January, 2020

    • 0 comments
    • 983 views
    • 
    • Added by PatientSafetyLearning Team
    • 9 January, 2020