• Bridging the gap between emotion and cognition
• Behavioural medicine
• Gastrointestinal diseases: psychosocial aspects
• Mental health and social work
• Respiratory disorders: psychosocial aspects
• Functioning, disability and health
• Geriatric psychiatry
• Cultural psychiatry.

The key topics covered in this video are as follows:

• What is human factors/ergonomics and how does it relate to healthcare? (at 2 mins and 20 secs)
• What is the value of high reliability to healthcare? (at 9 mins and 20 secs)
• How can patient insights and contributions help to create more highly reliable organisations? (at 17 mins and 40 secs)
• Reflections on the impact of culture and barriers pose to increasing resilience and learning from safety. (at 20 mins and 45 secs)
• The role of ‘speaking up’ initiatives. (at 25 mins and 40 secs)
• Incident reporting and the importance of using the data from this effectively to improve patient safety. (at 31 mins)

This is part of a joint series of blogs and video conversations exploring how we can improve patient safety through the application of principles of high reliability in healthcare, made collaboratively by Patient Safety Learning and RLDatix. Previous content in this series includes:

• Introductory blog: Improving patient safety through high reliability
• Video conversation: The importance of culture in achieving high reliability in healthcare
• Blog: The link between high reliability and positive reporting

• Introductory blog: Improving patient safety through high reliability
• Video conversation: The importance of culture in achieving high reliability in healthcare

Play video

The key topics covered in this video are as follows:

•  Why is high-reliability important in addressing avoidable harm? (at 4 mins 25 secs).
• How culture impacts on the implementation and use of incident reporting solutions (at 8 mins).
• How incident reporting rates have changed during the pandemic (at 14 mins 25 secs).
• Positive reporting and learning from success (at 16 mins 25 secs).
• The role of Board members and non-executive directors understanding of incident reporting and risk management (at 22 mins 50 secs).
• Considering the importance of Board and non-executive director leadership and patient safety culture (at 26 mins 20 secs).
• Reflections on the role for patients reporting incidents (at 33 mins 35 secs).
• How healthcare can learn from other industries to create high reliability organisations and system (at 37 mins).
• Considering the complexity of healthcare and ensuring patient safety is seen as an issue for everyone involved (at 42 mins 40 secs).

Read other content in this series

• Introductory blog: Improving patient safety through high reliability

• Organisations are more resilient when employee engagement is strong,
• Hiring employees based on talent will help organisations thrive.
• Changes in the employee experience may help retain your top talent.

1. Take leadership – demonstrate commitment.
2. Identify hazards – control risks.
3. Define targets – develop programmes.
4. Ensure a safe and healthy system – be well-organised.
5. Ensure safety and health in machines, equipment and workplaces.
6. Improve qualifications – develop competence.
7. Invest in people – motivate by participation.

• Harm caused by health care affects every health system in the world; the NHS is no exception. Research from the UK suggests that around 8-12% of admissions to hospitals will involve an adverse event, resulting in harm to the patient. Between half and one third of these adverse events are thought to be preventable. Similar figures are reported in international studies.
• The NHS has made great progress in tackling some specific causes of harm in hospitals. The number of people developing infections such as MRSA as a result of their care has remained low during this parliament. The proportion of patients receiving care that is free of four common adverse events, including pressure ulcers, has increased from 91% in July 2012 to 94% in February 2015.
• Staff reporting of hospital safety incidents continues to improve. There has been a sustained increase in the reporting of incidents during this parliament, while the percentage of staff saying they have witnessed an incident has remained roughly the same. This suggests that the proportion of hospital incidents going unreported has declined.
• Some warning signs are emerging among the NHS workforce. During this parliament, the percentage of staff who say there is a blame culture in their organisation has risen, as has the percentage of staff who have reported feeling unwell because of work-related stress. Around 40% of patients feel there aren’t always enough nurses on duty to care for them.
• We don’t know how safe health care services are outside of hospital. There is little published evidence from which to draw conclusions about levels of harm in primary and community care. Less than 1% of all reported incidents are in primary care, despite 90% of all patient contact taking place there, suggesting significant underreporting of harm in this care setting.