Florence in the Machine

Articles in this category

1. When learning is still mistaken for blame

   • Investigation
   • Organisational learning
   • (and 5 more)

     Tagged with:

     • Investigation
     • Organisational learning
     • Organisational culture
     • Staff support
     • Regulatory issue
     • Just Culture
     • Culture of fear

   By Anonymous, 7 May

   • 0 comments
   • 1,197 views
   • 
   • Added by Anonymous
   • 7 May

2. Patient safety, speaking up and the role of Royal College reviews in the NHS

   • Safety report
   • Organisational learning
   • (and 6 more)

     Tagged with:

     • Safety report
     • Organisational learning
     • Transparency
     • Quality improvement
     • Staff support
     • Organisational culture
     • Patient harmed
     • Speaking up

   By Anonymous, 18 February

   • 0 comments
   • 1,299 views
   • 
   • Added by Anonymous
   • 18 February

3. "Patient safety is not just a framework—it is a promise". Reflections from a patient safety investigator

   • Patient safety incident
   • Investigation
   • (and 6 more)

     Tagged with:

     • Patient safety incident
     • Investigation
     • PSIRF
     • Organisational learning
     • Patient harmed
     • Recommendations
     • Organisational culture
     • Leadership

   By Anonymous, 28 October, 2025

   • 1 comment
   • 2,142 views
   • 
   • Comment by Greg Swarbrick
   • 21 November, 2025

4. My experience of the 'Wait 45' policy

   • Hospital corridor
   • Ambulance
   • (and 5 more)

     Tagged with:

     • Hospital corridor
     • Ambulance
     • Emergency medicine
     • Patient harmed
     • Additional staff required
     • Long waiting list
     • Lack of resources

   By Anonymous, 20 May, 2025

   • 0 comments
   • 2,894 views
   • 
   • Added by Anonymous
   • 20 May, 2025

5. A nurse's response to the NHSE guidance on their principles for providing safe and good quality care in temporary escalation spaces

   • Organisation / service factors
   • Lack of resources
   • (and 9 more)

     Tagged with:

     • Organisation / service factors
     • Lack of resources
     • Long waiting list
     • Patient harmed
     • Never event
     • Reporting
     • Fatigue / exhaustion
     • Organisational culture
     • Psychological safety
     • System safety
     • Hospital corridor

   By Anonymous, 20 September, 2024

   • 0 comments
   • 2,690 views
   • 
   • Added by Anonymous
   • 20 September, 2024

6. Reflections on a clinical shift: "After 20 years of nursing, this is one of the worst shifts I have ever completed"

   • Hospital ward
   • Lack of resources
   • (and 5 more)

     Tagged with:

     • Hospital ward
     • Lack of resources
     • Additional staff required
     • Organisation / service factors
     • Stress
     • Staff support
     • Nurse

   By Anonymous, 12 June, 2024

   • 3 comments
   • 4,558 views
   • 
   • Comment by HelenH
   • 19 August, 2024

7. A silent safety scandal: A nurse’s first-hand account of a corridor nursing shift

   • Organisation / service factors
   • Lack of resources
   • (and 10 more)

     Tagged with:

     • Organisation / service factors
     • Lack of resources
     • Accident and Emergency
     • Hospital ward
     • Additional staff required
     • Stress
     • Patient suffering
     • Deterioration
     • Nurse
     • Emergency medicine
     • Risk management
     • Hospital corridor

   By Anonymous, 22 February, 2024

   • 2 comments
   • 7,917 views
   • 
   • Comment by Patient Safety Learning
   • 23 February, 2024

8. Can being open and transparent make us more opaque?

   • Transparency
   • Reporting
   • (and 5 more)

     Tagged with:

     • Transparency
     • Reporting
     • Communication
     • Quality improvement
     • Organisational learning
     • Investigation
     • Organisational culture

   By Anonymous, 18 August, 2022

   • 1 comment
   • 1,951 views
   • 
   • Comment by spannaroo
   • 13 October, 2024

9. Marking your own homework

   • Reporting
   • Patient safety incident
   • (and 1 more)

     Tagged with:

     • Reporting
     • Patient safety incident
     • Investigation

   By Anonymous, 4 March, 2020

   • 1 comment
   • 3,600 views
   • 
   • Comment by Sam
   • 9 March, 2020

10. Silent witness – My experience when filing an incident report

    • Organisational learning
    • Investigation
    • (and 2 more)

      Tagged with:

      • Organisational learning
      • Investigation
      • Patient safety incident
      • Staff engagement

    By Anonymous, 14 February, 2020

    • 8 comments
    • 10,175 views
    • 
    • Comment by Sam
    • 20 February, 2020

11. Bitter pill – A paramedic's tale

    • Paramedic
    • Anxiety
    • (and 3 more)

      Tagged with:

      • Paramedic
      • Anxiety
      • Mental health
      • Psychological safety
      • Communication

    By Anonymous, 6 February, 2020

    • 0 comments
    • 2,842 views
    • 
    • Added by Anonymous
    • 6 February, 2020

12. Why I ‘walk on by’

    • HDU / ICU
    • Distractions/ interruptions
    • (and 4 more)

      Tagged with:

      • HDU / ICU
      • Distractions/ interruptions
      • Staff factors
      • Long waiting list
      • Increased length of stay
      • Safe staffing

    By Anonymous, 3 February, 2020

    • 1 comment
    • 4,046 views
    • 
    • Comment by PatientSafetyLearning Team
    • 30 January, 2020

13. Walk on by...

    • Learning disabilities
    • Omissions
    • (and 4 more)

      Tagged with:

      • Learning disabilities
      • Omissions
      • Sepsis
      • Near miss
      • Patient
      • Doctor

    By Anonymous, 16 January, 2020

    • 1 comment
    • 4,817 views
    • 
    • Comment by PatientSafetyLearning Team
    • 17 January, 2020

14. Electronic observations – how safe is it?

    • Observations
    • Care record
    • (and 2 more)

      Tagged with:

      • Observations
      • Care record
      • Innovation
      • Software

    By Anonymous, 2 January, 2020

    • 2 comments
    • 5,166 views
    • 
    • Comment by Mark Hughes
    • 3 January, 2020

15. How do you initiate change within a pressure cooker?

    • Nurse
    • Safe staffing
    • (and 4 more)

      Tagged with:

      • Nurse
      • Safe staffing
      • Safety management
      • Lack of resources
      • Fatigue / exhaustion
      • Work / environment factors

    By Anonymous, 4 December, 2019

    • 1 comment
    • 2,835 views
    • 
    • Comment by PatientSafetyLearning Team
    • 4 December, 2019

16. My experience in a coroner’s court – a nurse perspective

    • Hospital ward
    • Patient
    • (and 7 more)

      Tagged with:

      • Hospital ward
      • Patient
      • Nurse
      • Surgery - General
      • Patient death
      • Confidence
      • Safe staffing
      • protocols and procedures
      • Staff support

    By Anonymous, 20 November, 2019

    • 1 comment
    • 14,387 views
    • 
    • Comment by Patient Safety Learning
    • 16 November, 2019

17. Work as is done, work as imagined

    • Near miss
    • Hospital ward
    • (and 10 more)

      Tagged with:

      • Near miss
      • Hospital ward
      • Doctor
      • Nurse
      • Paramedic
      • Medicine - Acute internal
      • System safety
      • Work / environment factors
      • Communication problems
      • External factors
      • Fatigue / exhaustion
      • Risky behaviour

    By Anonymous, 9 October, 2019

    • 0 comments
    • 3,236 views
    • 
    • Added by Anonymous
    • 9 October, 2019

18. Hitting the target, missing the point

    • Accident and Emergency
    • Nurse
    • (and 5 more)

      Tagged with:

      • Accident and Emergency
      • Nurse
      • Emergency medicine
      • Older People (over 65)
      • Young Adult
      • Staff factors
      • Near miss

    By Anonymous, 1 October, 2019

    • 1 comment
    • 3,119 views
    • 
    • Comment by Pete Smith
    • 7 October, 2019

19. What it feels like working with unsafe staffing

    • Safe staffing
    • Nurse
    • (and 15 more)

      Tagged with:

      • Safe staffing
      • Nurse
      • Relative
      • Care assessment
      • Follow up
      • Handover
      • Medicine - Acute internal
      • Behaviour
      • Near miss
      • Fatigue / exhaustion
      • Physical environment
      • Communication
      • Culture of fear
      • Delegation
      • Patient safety strategy
      • Older People (over 65)
      • Young Adult

    By Anonymous, 1 October, 2019

    • 2 comments
    • 7,522 views
    • 
    • Comment by Danielle Haupt
    • 16 February, 2020

20. Why we need courage to keep our patients safe

    • Hospital ward
    • Nurse
    • (and 7 more)

      Tagged with:

      • Hospital ward
      • Nurse
      • Relative
      • Treatment
      • Communication
      • Culture of fear
      • Older People (over 65)
      • Safety behaviour
      • Hierarchy

    By Patient Safety Learning, 25 September, 2019

    • 3 comments
    • 6,773 views
    • 
    • Comment by PatientSafetyLearning Team
    • 26 September, 2019