Everything posted by tikena17
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Rethinking learning from incidents in healthcare: a Safety-II model integrating work-as-imagined, work-as-done, and work-as-experienced
Content Article CommentHello Mark, thank you for sharing this article about the Safety ll Perspective . I completely agree and support the focus on the Safety ll Perspective to strengthen healthcare institutions for a comprehensive understanding of patient safety issues from both perspectives. The Safety l Perspective should be used to conduct investigations and identify root causes, while the Safety ll Perspective should be used for a holistic institutional understanding of patient safety events as they occur and are actually addressed.
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Integrated Institutional Transformation Theory: A new perspective for primary healthcare centres transformation
Content ArticleThe Integrated Institutional Transformation Theory (IITT) introduces a new perspective for understanding institutional transformation in primary healthcare centres. Rather than viewing governance, quality, performance and organisational learning as separate domains, the theory conceptualises primary healthcare centres as integrated institutional systems. It organises transformation into 5 interconnected layers and 17 institutional components, providing a coherent approach to institutional integration, organisational effectiveness, patient safety and sustainable healthcare value.
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The relationship between culture, leadership, trust and organisational resilience
Content Article CommentThank you very much for this crucial article that highlights the relationships between culture, leadership, trust, and organizational resilience. Also, thank you for your work and the amazing results achieved through practical experience. This is an inspiring and impressive experience. I would like to add a more comprehensive and integrated perspective so that this culture becomes an institutional foundation working across all aspects of the healthcare system and at all levels—governance, organizational, and operational—to ensure sustainable high-value health outcomes.
- A complex adaptive systems approach to patient safety
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Spotlight on Sudan: How can we improve healthcare services during war?
Content ArticleFrom Kiev to Khartoum to Gaza, people are losing all their rights, including the right to life itself. From his observations of healthcare conditions in Sudan, Dr Ahmed Khalafalla presents some ideas on how we can improve healthcare services during times of war and uncertainty to make healthcare services accessible for those who need them.
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Putting the writing on the wall: Explaining work as imagined vs work as done (by Claire Cox)
Content Article CommentHi Claire. A great tactic that illustrates complex policies and procedures within healthcare process and to explain the concepts of safety 2 which focuses on the concept of work-as done versus work-as-imagined which reflects the approach to safety 1 for my day-to-day experience working as a family physician I can model what I actually do work-as- done tends towards simplification of policies and procedures The imaginary or the developed as standard that transform it into something like a simple flow chart for all those complex and many policies and procedures litriture .Despite this, I still believe in the need to find a tactic that accommodates the two methodologies as an entry point to simplify policies and procedures so that it achieves its end goals in providing a safe healthcare service that preserves the patients safety and healthcare providers safety Within clinical human factors and health system redesign
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Spotlight on Sudan: Patient safety during wartime when healthcare systems collapse
Content ArticleIn this blog, Dr Ahmed Khalafalla looks at the war in Sudan and its disastrous consequences for the health system. He outlines his observations about the impacts of war and conflict on patient safety, from shortages of medical equipment to disruptions to vital primary care services.
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Falls: Patient safety from the healthcare system culture to the community culture
Content ArticlePatients falling (falling, slipping) is considered one of the most important patient safety risks in the elderly, in health institutions (hospitals, health centres..., etc.) in particular, and more generally in daily life activities at home, out shopping, etc. In this article I call for a cultural transformation for avoiding falls: from a culture of patient safety that focuses on falls within health facilities to a wider societal culture that must be adhered to by all members of society to prevent the risks of falling in the elderly and other groups at high-risk (including those with specific diseases, disabilities due to congenital causes, accidents...).
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Communication is key to building patient trust in ‘the system’
Content Article CommentHi Lotty, I'm glad I came across your vital article on communication as a key to building trust in the healthcare system and finds me empathy to such experiences. I agree with you that the communication problem is one of the major flaws within many health care systems around the world, and I can describe it as now part of the culture of health systems that has a great impact on patients’ experiences and perceptions about medical services, as it often constitutes a barrier to accessing or delaying medical services.Which increases the risk factors for patient safety on the other level effective communication between health care providers and patients, as you mentioned in the article, starting from security and safety personnel, through reception staff and health records, and effective communication between the medical team and patients.The more effective communication lead to greater trust in the health system, and we obtained Excellent results indicators.
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The effect of Covid-19 on access to education and in-school healthcare
Content ArticleEarly-years, primary and secondary education services have been severely affected by the global Covid-19 pandemic. As a result, school healthcare services have also been affected in terms of accessibility and the flow of services. In this blog, Dr Ahmed Khalafalla looks at the effects of this disruption to education-based health services.
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The effect of the Covid-19 pandemic on the psychological state of community members
Content ArticleIn this personal narrative, Dr Ahmed Khalafalla describes his experience of the Covid-19 pandemic as a general practitioner in Saudi Arabia. He describes new mental health issues that he has witnessed in his clinic as a result of infection prevention and control measures, and asks questions about the ongoing impact of the pandemic on the health needs and behaviour of the general population.