Implementation of improvements

Articles in this category

1. Participation in a system-thinking simulation experience changes adverse event reporting (June 2020)

   • Simulation
   • System safety
   • (and 2 more)

     Tagged with:

     • Simulation
     • System safety
     • Patient safety incident
     • Reporting

   By Patient Safety Learning, 16 hours ago

   • 0 comments
   • 30 views
   • 
   • Added by Patient Safety Learning
   • 16 hours ago

2. NHS North Tees and Hartlepool: Redesign of OPAT (Out-patient Parenteral Antibiotic Therapy) services to improve capacity and patient experience

   • Medicine - Respiratory
   • Medical device
   • (and 6 more)

     Tagged with:

     • Medicine - Respiratory
     • Medical device
     • Adminstering medication
     • Outpatients
     • Pharmacist
     • Nurse
     • Process redesign
     • Infection control

   By Patient Safety Learning, Friday at 16:02

   • 0 comments
   • 92 views
   • 
   • Added by Patient Safety Learning
   • Friday at 16:02

3. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study

   • User centred design
   • Medication
   • (and 3 more)

     Tagged with:

     • User centred design
     • Medication
     • Human error
     • Patient safety incident
     • Simulation

   By Patient Safety Learning, July 10

   • 0 comments
   • 65 views
   • 
   • Added by Patient Safety Learning
   • July 10

4. Ever made a mistake? The role of aviation-style error management in healthcare (26 April 2019)

   • Organisational learning
   • Simulation
   • (and 1 more)

     Tagged with:

     • Organisational learning
     • Simulation
     • Safety culture

   By Niall Downey, June 4

   • 0 comments
   • 240 views
   • 
   • Added by Niall Downey
   • June 4

5. The sky's the limit (April 2017)

   • Organisational culture
   • Safety culture
   • (and 1 more)

     Tagged with:

     • Organisational culture
     • Safety culture
     • Safety management

   By Niall Downey, June 2

   • 0 comments
   • 43 views
   • 
   • Added by Niall Downey
   • June 2

6. Implementing online patient feedback in a ‘special measures’ healthcare organisation

   • Patient
   • Feedback
   • (and 1 more)

     Tagged with:

     • Patient
     • Feedback
     • Quality improvement

   By Claire Cox, April 29

   • 0 comments
   • 183 views
   • 
   • Added by Claire Cox
   • April 29

7. ReSPECT: Podcast

   • Patient
   • Paramedic
   • (and 1 more)

     Tagged with:

     • Patient
     • Paramedic
     • Information sharing

   By Claire Cox, April 28

   • 0 comments
   • 92 views
   • 
   • Added by Claire Cox
   • April 28

8. ICHA: Resetting priorities in safer healthcare (April 2018)

   • Patient safety strategy
   • Safety process
   • (and 1 more)

     Tagged with:

     • Patient safety strategy
     • Safety process
     • Safety behaviour

   By Dr Akhil Sangal, April 13

   • 0 comments
   • 63 views
   • 
   • Added by Dr Akhil Sangal
   • April 13

9. How we micro-eliminated hepatitis C in Halton (February 2020)

   • Medicine - Hepatology
   • Innovation
   • (and 1 more)

     Tagged with:

     • Medicine - Hepatology
     • Innovation
     • Public health

   By Claire Cox, March 13

   • 0 comments
   • 79 views
   • 
   • Added by Claire Cox
   • March 13

10. Birmingham Women and Children's Hospital NHS Foundation Trust: Reporting & Appreciative Inquiry in Sepsis (PRAISe) presentation

    • Safety process
    • Psychological safety
    • (and 6 more)

      Tagged with:

      • Safety process
      • Psychological safety
      • Civility
      • Safety behaviour
      • Organisational culture
      • Communication
      • Quality improvement
      • Sepsis

    By Claire Cox, February 11

    • 0 comments
    • 131 views
    • 
    • Added by Claire Cox
    • February 11

11. PRAISe Project (Positive Reporting & Appreciative Inquiry in Sepsis )

    • System safety
    • Just Culture
    • (and 4 more)

      Tagged with:

      • System safety
      • Just Culture
      • Leadership
      • Leadership style
      • Motivation
      • Civility

    By Claire Cox, February 11

    • 0 comments
    • 115 views
    • 
    • Added by Claire Cox
    • February 11

12. Hospital’s interoperability harms 15-month-old with brain cancer (February 2018)

    • Patient death
    • Children and Young People
    • (and 2 more)

      Tagged with:

      • Patient death
      • Children and Young People
      • Safety process
      • Innovation

    By Claire Cox, January 25

    • 0 comments
    • 157 views
    • 
    • Added by Claire Cox
    • January 25

13. Fatigue Resources: Association of Anaesthetists and Royal College of Anaesthetists

    • Fatigue / exhaustion
    • Anaesthetist
    • (and 3 more)

      Tagged with:

      • Fatigue / exhaustion
      • Anaesthetist
      • Staff support
      • Motivation
      • Safety culture

    By Claire Cox, January 24

    • 0 comments
    • 95 views
    • 
    • Added by Claire Cox
    • January 24

14. Safer care for the deteriorating patient

    • Patient safety strategy
    • Deterioration
    • (and 1 more)

      Tagged with:

      • Patient safety strategy
      • Deterioration
      • System safety

    By PatientSafetyLearning Team, January 19

    • 0 comments
    • 104 views
    • 
    • Added by PatientSafetyLearning Team
    • January 19

15. I-Hydrate: Quality Improvement project around hydration in care homes (July 2018)

    • Quality improvement
    • Nutrition
    • (and 3 more)

      Tagged with:

      • Quality improvement
      • Nutrition
      • Older People (over 65)
      • Omissions
      • Care home

    By Claire Cox, January 11

    • 0 comments
    • 161 views
    • 
    • Added by Claire Cox
    • January 11

16. Learning from Excellence

    • Safety II
    • Leadership style
    • (and 3 more)

      Tagged with:

      • Safety II
      • Leadership style
      • Motivation
      • Organisational culture
      • Safety behaviour

    By Claire Cox, January 11

    • 0 comments
    • 87 views
    • 
    • Added by Claire Cox
    • January 11

17. Learning from excellence: Presentation from the 2018 Resilient Health Care Network Meeting in Denmark

    • Patient engagement
    • Workforce management
    • (and 1 more)

      Tagged with:

      • Patient engagement
      • Workforce management
      • Confidence

    By Claire Cox, January 11

    • 0 comments
    • 87 views
    • 
    • Added by Claire Cox
    • January 11

18. Documentary: Doing safety differently (December 2019)

    • Safety II
    • System safety
    • (and 2 more)

      Tagged with:

      • Safety II
      • System safety
      • Organisational culture
      • Implementation

    By Claire Cox, January 8

    • 0 comments
    • 163 views
    • 
    • Added by Claire Cox
    • January 8

19. An evening with Robert Kegan and Immunity to Change (July 2012)

    • Transformation
    • Leadership
    • (and 3 more)

      Tagged with:

      • Transformation
      • Leadership
      • Organisational culture
      • Organisational development
      • Personal reflection

    By PatientSafetyLearning Team, January 1

    • 0 comments
    • 152 views
    • 
    • Added by PatientSafetyLearning Team
    • January 1

20. What is restorative justice?

    • Patient harmed
    • Patient
    • (and 3 more)

      Tagged with:

      • Patient harmed
      • Patient
      • Staff safety
      • Staff support
      • Communication

    By Claire Cox, December 24, 2019

    • 0 comments
    • 172 views
    • 
    • Added by Claire Cox
    • December 24, 2019

21. Institute for Healthcare Improvement: Effective strategies for hospitals responding to the opioid crisis

    • Substance / Drug abuse
    • Prescribing
    • (and 3 more)

      Tagged with:

      • Substance / Drug abuse
      • Prescribing
      • Patient death
      • Medication
      • Patient safety strategy

    By PatientSafetyLearning Team, December 17, 2019

    • 0 comments
    • 148 views
    • 
    • Added by PatientSafetyLearning Team
    • December 17, 2019

22. Imperial College Hospital launches new falls safety improvement video (December 2019)

    • Slip/ fall
    • Physical environment
    • (and 2 more)

      Tagged with:

      • Slip/ fall
      • Physical environment
      • Work / environment factors
      • Training

    By Claire Cox, December 12, 2019

    • 0 comments
    • 183 views
    • 
    • Added by Claire Cox
    • December 12, 2019

23. Barts Health: Local Safety Standards for Invasive Procedures based on NatSSIPs (2018)

    • Standards
    • Surgery - General
    • (and 1 more)

      Tagged with:

      • Standards
      • Surgery - General
      • Operating theatre / recovery

    By PatientSafetyLearning Team, December 6, 2019

    • 0 comments
    • 228 views
    • 
    • Added by PatientSafetyLearning Team
    • December 6, 2019

24. NHS East London: QI Essentials. Beyond Projects

    • Quality improvement
    • Methodology
    • (and 2 more)

      Tagged with:

      • Quality improvement
      • Methodology
      • Recommendations
      • Implementation

    By Claire Cox, December 3, 2019

    • 0 comments
    • 150 views
    • 
    • Added by Claire Cox
    • December 3, 2019

25. Health and wellbeing boards and integrated care systems (November 2019)

    • Mental health
    • Organisational development
    • (and 1 more)

      Tagged with:

      • Mental health
      • Organisational development
      • Population health

    By PatientSafetyLearning Team, December 2, 2019

    • 0 comments
    • 152 views
    • 
    • Added by PatientSafetyLearning Team
    • December 2, 2019