Improving systems of care

Articles in this category

1. "I love the NHS, BUT..." Preventing needless harms caused by poor communication in the NHS (DEMOS, November 2023)

   • Communication
   • System safety
   • (and 1 more)

     Tagged with:

     • Communication
     • System safety
     • Engagement

   By Patient_Safety_Learning, 28 November

   • 0 comments
   • 81 views
   • 
   • Added by Patient_Safety_Learning
   • 28 November

2. The rational policy-makers guide to the NHS (October 2023)

   • Policies
   • Funding

   By Patient_Safety_Learning, 7 November

   • 0 comments
   • 71 views
   • 
   • Added by Patient_Safety_Learning
   • 7 November

3. Finance directors, patient safety and seeing the bigger picture: A blog by Norman MacLeod

   • Safety management
   • Leadership
   • (and 3 more)

     Tagged with:

     • Safety management
     • Leadership
     • Non-clinical director
     • Hierarchy
     • Organisational culture

   By NMacLeod, 6 November

   • 0 comments
   • 493 views
   • 
   • Added by NMacLeod
   • 6 November

4. Breaking the Rules for Better Care (IHI resource guide, October 2023)

   • Quality improvement

   By Patient_Safety_Learning, 24 October

   • 0 comments
   • 165 views
   • 
   • Added by Patient_Safety_Learning
   • 24 October

5. HSSIB video: Introduction to safety management systems (16 October 2023)

   • Safety management
   • System safety
   • (and 4 more)

     Tagged with:

     • Safety management
     • System safety
     • Risk management
     • Aviation
     • Nuclear
     • Rail and Maritime

   By Patient Safety Learning, 18 October

   • 1 comment
   • 381 views
   • 
   • Comment by Tom Rose
   • 27 October

6. Personalised Care Institute

   • Quality improvement
   • Patient engagement

   By Patient_Safety_Learning, 9 October

   • 0 comments
   • 104 views
   • 
   • Added by Patient_Safety_Learning
   • 9 October

7. What is a ‘safety management system’? A blog by Norman MacLeod

   • Safety management
   • System safety
   • (and 5 more)

     Tagged with:

     • Safety management
     • System safety
     • Aviation
     • Risk management
     • Just Culture
     • Reporting
     • Investigation

   By NMacLeod, 3 October

   • 1 comment
   • 1,184 views
   • 
   • Comment by Tom Rose
   • 4 October

8. Describing failures of healthcare: a study in the sociology of knowledge (8 December 2020)

   • Quality improvement
   • Knowledge issue
   • (and 5 more)

     Tagged with:

     • Quality improvement
     • Knowledge issue
     • System safety
     • Maternity
     • Organisational Performance
     • Organisation / service factors
     • Patient safety incident

   By Patient Safety Learning, 13 September

   • 0 comments
   • 106 views
   • 
   • Added by Patient Safety Learning
   • 13 September

9. Creating efficiencies by optimising patient pathways: North Staffordshire Combined NHS Trust

   • Resource allocation
   • Process redesign

   By Patient_Safety_Learning, 11 September

   • 0 comments
   • 151 views
   • 
   • Added by Patient_Safety_Learning
   • 11 September

10. The mythbuster: Blaming people will not make the NHS safer (HSJ, 29 August 2023)

    • System safety
    • Human factors
    • (and 2 more)

      Tagged with:

      • System safety
      • Human factors
      • Organisational culture
      • Leadership

    By Patient Safety Learning, 29 August

    • 0 comments
    • 209 views
    • 
    • Added by Patient Safety Learning
    • 29 August

11. Charlotte Augst: Hard cases make bad law (PPL, 22 August 2023)

    • Organisational learning
    • Organisational culture
    • (and 4 more)

      Tagged with:

      • Organisational learning
      • Organisational culture
      • Transparency
      • Accountability
      • Unconscious bias
      • System safety

    By Patient-Safety-Learning, 24 August

    • 0 comments
    • 196 views
    • 
    • Added by Patient-Safety-Learning
    • 24 August

12. Six ways not to improve patient flow: a qualitative study (February 2016)

    • System safety

    By Patient_Safety_Learning, 11 August

    • 0 comments
    • 182 views
    • 
    • Added by Patient_Safety_Learning
    • 11 August

13. Transfer of care discovery report (July 2023)

    • Reports / results
    • Transfer of care
    • (and 1 more)

      Tagged with:

      • Reports / results
      • Transfer of care
      • Discharge

    By Patient_Safety_Learning, 7 August

    • 0 comments
    • 266 views
    • 
    • Added by Patient_Safety_Learning
    • 7 August

14. Healthwatch: Cancelled care research (27 July 2023)

    • Long waiting list
    • Lack of resources
    • (and 6 more)

      Tagged with:

      • Long waiting list
      • Lack of resources
      • Patient suffering
      • Organisation / service factors
      • Impact analysis
      • Health inequalities
      • Health Disparities
      • Staff factors

    By Patient Safety Learning, 27 July

    • 0 comments
    • 206 views
    • 
    • Added by Patient Safety Learning
    • 27 July

15. Secret payments can skew science (Sling the Mesh, 16 July 2023)

    • Transparency
    • Surgeon
    • (and 4 more)

      Tagged with:

      • Transparency
      • Surgeon
      • Medical device
      • Database
      • Pharma / Life sciences
      • Doctor

    By Patient-Safety-Learning, 25 July

    • 0 comments
    • 153 views
    • 
    • Added by Patient-Safety-Learning
    • 25 July

16. Seeing the forest for the trees: The power of systems thinking in healthcare (FutureNHS Community Blog:)

    • System safety
    • Quality improvement
    • (and 1 more)

      Tagged with:

      • System safety
      • Quality improvement
      • Organisation / service factors

    By Patient Safety Learning, 7 July

    • 0 comments
    • 350 views
    • 
    • Added by Patient Safety Learning
    • 7 July

17. Vascular services at Betsi Cadwaladr University Health Board: A review of progress (HIW, 29 June 2023)

    • Surgery - Vascular
    • Wales
    • (and 4 more)

      Tagged with:

      • Surgery - Vascular
      • Wales
      • Organisational culture
      • Electronic Health Record
      • Teamwork
      • Policies / Protocols / Procedures

    By Patient-Safety-Learning, 3 July

    • 0 comments
    • 170 views
    • 
    • Added by Patient-Safety-Learning
    • 3 July

18. Towards a million change agents : a review of the social movements literature : implications for large scale change in the NHS. (2004)

    • Safety culture
    • System safety
    • (and 1 more)

      Tagged with:

      • Safety culture
      • System safety
      • Change management

    By Patient_Safety_Learning, 12 June

    • 0 comments
    • 182 views
    • 
    • Added by Patient_Safety_Learning
    • 12 June

19. Patient safety in the NHS: after Francis (April 2023)

    • System safety
    • Safety culture

    By Patient_Safety_Learning, 12 June

    • 0 comments
    • 157 views
    • 
    • Added by Patient_Safety_Learning
    • 12 June

20. Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals (March 2014)

    • USA
    • Audit
    • (and 4 more)

      Tagged with:

      • USA
      • Audit
      • Reporting
      • Data
      • System safety
      • Organisational Performance

    By Patient-Safety-Learning, 29 May

    • 0 comments
    • 139 views
    • 
    • Added by Patient-Safety-Learning
    • 29 May

21. Gemba walk: Meaning, process and examples (Safety Culture, 4 April 2023)

    • Quality improvement
    • Safety culture
    • (and 6 more)

      Tagged with:

      • Quality improvement
      • Safety culture
      • Engagement
      • Human factors
      • PSIRF
      • Investigation
      • Patient safety incident
      • Risk management

    By Patient-Safety-Learning, 24 May

    • 0 comments
    • 469 views
    • 
    • Added by Patient-Safety-Learning
    • 24 May

22. Revolutionising patient care: How command and control centres are needed to transform healthcare - no ifs, ands or buts (Sukhmeet Panesar, 18 April 2023)

    • Resources / Organisational management
    • Clinical administration
    • (and 3 more)

      Tagged with:

      • Resources / Organisational management
      • Clinical administration
      • Teamwork
      • Collaboration
      • Communication

    By Patient-Safety-Learning, 8 May

    • 0 comments
    • 160 views
    • 
    • Added by Patient-Safety-Learning
    • 8 May

23. What is a Gemba Walk? (SSDSI)

    • Human factors
    • Risk management
    • (and 4 more)

      Tagged with:

      • Human factors
      • Risk management
      • PSIRF
      • Investigation
      • Safety culture
      • Patient safety incident

    By Patient-Safety-Learning, 2 May

    • 0 comments
    • 165 views
    • 
    • Added by Patient-Safety-Learning
    • 2 May

24. The language of LEAN: Gemba Walk (Operations Insider)

    • Human factors
    • Leadership
    • (and 4 more)

      Tagged with:

      • Human factors
      • Leadership
      • Investigation
      • PSIRF
      • Patient safety incident
      • Risk management

    By Patient-Safety-Learning, 1 May

    • 0 comments
    • 156 views
    • 
    • Added by Patient-Safety-Learning
    • 1 May

25. What is a Gemba Walk and why is it important? (17 January 2018)

    • Human factors
    • Investigation
    • (and 4 more)

      Tagged with:

      • Human factors
      • Investigation
      • Risk management
      • Safety culture
      • PSIRF
      • Patient safety incident

    By Patient-Safety-Learning, 1 May

    • 0 comments
    • 169 views
    • 
    • Added by Patient-Safety-Learning
    • 1 May