Jump to content
  • Content Count

    9
  • Joined

  • Last visited

Keith Bates

Members

Community Reputation

6 Novice

About Keith Bates

  • Rank
    Starter

Profile Information

  • First name
    Keith
  • Last name
    Bates
  • Country
    United Kingdom

About me

  • About me
    I am a patient safety investigations and learning specialist and seeking to improve my knowledge base
  • Organisation
    The Royal Wolverhampton NHS Trust
  • Role
    Investigations & Learning Specialist

Recent Profile Visitors

The recent visitors block is disabled and is not being shown to other users.

  1. Community Post
    Hi Gethin Digital Healthcare is a bit broad and I will just refer to it as the "product". You could consider 1. Collection – search and obtain digital evidence and acquisition of data, consider use of audit logs to confirm actions of humans and systems and their behaviours. 2. Examination - applying techniques to identify and extract data this may require manufacturer reports or expert evidence of hardware/software. 3 Analysis – using data and resources to support case findings. 4. How this relates to other information gathered e.g. normal investigation methodology. 5. Reporting – pr
  2. Community Post
    Earlier I wrote a short piece in relation to investigations, motivations and behaviours that lead to error. Pending the future PSII syllabus I have since adopted a model that enabled me to obtain a wider understanding of cognition and how the journey of decision making is affected by different levels of bias within that journey. The effect of behaviours and system safety will be a key driver, often bias is referenced just as an end point, but like most decision making journeys there is more often than not a beginning, a middle and an end, the failure point (the root cause). Using this mo
  3. Community Post
    This short summary is very much about understanding behaviours and motivations within a safety investigation framework. Daniel Kahneman pioneered the science of behavioural economics and received the Nobel Prize for his work, he developed the concept of “Dual Process Theory” and how humans think fast and slow and how human thinking is affected by heuristics and cognition. It’s about how humans think and make judgements. He identified that there were a wide range of cognitive/thinking biases, cognitive error refers to any errors (SRK) at any level in the hierarchy of thinking processes.
  4. Community Post
    https://improvement.nhs.uk/home/ For information published today
  5. Community Post
    Thanks this is interesting having worked with restorative justice practioners I am (subject to budgets!) looking to adopt this into the learning environment so a useful debate subject Keith
  6. Community Post
    Hi, Sorry meant to attach this scoping document have converted to pdf and hope it is of some use. RCA in this method is just an analytical tool and we are moving away from the term root cause Overview Patient Safety Investigations.pdfOverview Patient Safety Investigations.pdf
  7. Community Post
    If the trust owns the data e.g. records, statements from staff etc it is usually not an issue, the questions is raised when a patient/family may have their own material e.g. video/audio/photograps on smartphones or other correspondence such as letters or emails etc. Personaly I would always ensure I have written consent from them to use it. This could be recorded in for example their witness statement saying that they consent to abc using the material for the purposes of the investigation, and what will happen to the material once the investigation is concluded. I would not want want for ex
  8. Community Post
    Hi all I don't think the documents and the detail will be ready until next year buut I have modelled out an approach taken from my own background and researching a number of sources and unapoligetic for plagerising some ideas also. This short pdf is about my designing of a process that can be adaptive to change and develop some consistency across our trust in due course. I would of course appreciate alternative views, constructive comments and ideas, as I say it lacks areas of detail which I can elaborate on if required as I say just an outline. KeithPatient Safety Inves
  9. Community Post
    I have currently designed an investigation method and a training model which is under consideration with the trust a step/method approach, as soon as it has been agreed I will happily post. It has moved away from RCA per se, but still retaining it as an analytical tool within alongside other approaches. The method looks at investigative foundations, investigative methodology, witness interviewing, support tools and methods of analysis, hierarchy of learning and recomendations, supporting families, staff and establishing what is need for systems change. I am trying to make it a more flexible
×