Improving systems of care

Articles in this category

1. 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, 2023

   • 1 comment
   • 1,596 views
   • 
   • Comment by Tom Rose
   • 4 October, 2023

2. 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, 2023

   • 1 comment
   • 754 views
   • 
   • Comment by Tom Rose
   • 27 October, 2023

3. Safety III: A systems approach to safety and resilience (7 January 2020)

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

     Tagged with:

     • System safety
     • Safety II
     • Resilience
     • Aviation

   By Patient Safety Learning, 13 April, 2020

   • 1 comment
   • 3,162 views
   • 
   • Comment by Sam
   • 7 February, 2022

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

   • System safety
   • Safety culture

   By Patient_Safety_Learning, 12 June, 2023

   • 0 comments
   • 252 views
   • 
   • Added by Patient_Safety_Learning
   • 12 June, 2023

5. 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, 2023

   • 0 comments
   • 517 views
   • 
   • Added by Patient_Safety_Learning
   • 7 August, 2023

6. 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, 2023

   • 0 comments
   • 375 views
   • 
   • Added by Patient Safety Learning
   • 27 July, 2023

7. 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, 2023

   • 0 comments
   • 270 views
   • 
   • Added by Patient-Safety-Learning
   • 25 July, 2023

8. 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, 2023

   • 0 comments
   • 693 views
   • 
   • Added by Patient Safety Learning
   • 7 July, 2023

9. 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, 2023

   • 0 comments
   • 291 views
   • 
   • Added by Patient-Safety-Learning
   • 3 July, 2023

10. 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, 2023

    • 0 comments
    • 231 views
    • 
    • Added by Patient-Safety-Learning
    • 29 May, 2023

11. 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, 2023

    • 0 comments
    • 312 views
    • 
    • Added by Patient_Safety_Learning
    • 12 June, 2023

12. 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, 2023

    • 0 comments
    • 328 views
    • 
    • Added by Patient Safety Learning
    • 29 August, 2023

13. 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, 2023

    • 0 comments
    • 291 views
    • 
    • Added by Patient-Safety-Learning
    • 1 May, 2023

14. 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, 2023

    • 0 comments
    • 287 views
    • 
    • Added by Patient-Safety-Learning
    • 2 May, 2023

15. 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, 2023

    • 0 comments
    • 351 views
    • 
    • Added by Patient-Safety-Learning
    • 1 May, 2023

16. 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, 2023

    • 0 comments
    • 916 views
    • 
    • Added by Patient-Safety-Learning
    • 24 May, 2023

17. 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, 2023

    • 0 comments
    • 258 views
    • 
    • Added by Patient-Safety-Learning
    • 8 May, 2023

18. Using targets to improve public services (Institute for Government, June 2021)

    • Quality improvement
    • Data

    By Patient-Safety-Learning, 29 April, 2023

    • 0 comments
    • 317 views
    • 
    • Added by Patient-Safety-Learning
    • 29 April, 2023

19. AQUA - Report: What should safety look like at a system level? (6 April 2023)

    • Collaboration
    • Integrated Care System (ICS)
    • (and 5 more)

      Tagged with:

      • Collaboration
      • Integrated Care System (ICS)
      • Leadership
      • Organisational culture
      • Safety culture
      • Health inequalities
      • System safety

    By Mark Hughes, 17 April, 2023

    • 0 comments
    • 888 views
    • 
    • Added by Mark Hughes
    • 17 April, 2023

20. AQUA: What does safety look like at a system level? (30 March 2023)

    • Collaboration
    • Integrated Care System (ICS)
    • (and 5 more)

      Tagged with:

      • Collaboration
      • Integrated Care System (ICS)
      • Leadership
      • Organisational culture
      • Safety culture
      • Health inequalities
      • System safety

    By Patient Safety Learning, 3 April, 2023

    • 0 comments
    • 459 views
    • 
    • Added by Patient Safety Learning
    • 3 April, 2023

21. Recovering elective waits inclusively: where to start? (December 2022)

    • Long waiting list

    By Patient_Safety_Learning, 20 March, 2023

    • 0 comments
    • 415 views
    • 
    • Added by Patient_Safety_Learning
    • 20 March, 2023

22. A transactional approach to patient safety: understanding safe care as a collaborative accomplishment (March 2021)

    • System safety
    • Collaboration
    • (and 4 more)

      Tagged with:

      • System safety
      • Collaboration
      • Healthcare
      • Organisational learning
      • Investigation
      • Patient safety incident

    By Patient Safety Learning, 17 March, 2022

    • 0 comments
    • 287 views
    • 
    • Added by Patient Safety Learning
    • 17 March, 2022

23. "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, 2023

    • 0 comments
    • 504 views
    • 
    • Added by Patient_Safety_Learning
    • 28 November, 2023

24. Prioritising patient experience: Other than experiences of waiting, we measure but we don’t act (19 April 2024)

    • Patient engagement
    • Feedback
    • (and 3 more)

      Tagged with:

      • Patient engagement
      • Feedback
      • Data
      • Implementation
      • Lack of resources

    By Patient-Safety-Learning, 22 April

    • 0 comments
    • 143 views
    • 
    • Added by Patient-Safety-Learning
    • 22 April

25. After action review presentation (Royal College of Surgeons in Ireland)

    • After action review
    • Safety process
    • (and 1 more)

      Tagged with:

      • After action review
      • Safety process
      • Teamwork

    By Patient_Safety_Learning, 15 January

    • 0 comments
    • 252 views
    • 
    • Added by Patient_Safety_Learning
    • 15 January