HelenH

What is Civility Saves Lives? 'We are a collective voice for the importance of respect, professional courtesy and valuing each other. We aim to raise awareness of the negative impact that rudeness (incivility) can have in healthcare, so that we can understand the impact of our behaviours.' @Patient safety Hub If you go on the site, they reference in their tweets quite a lot of resources including videos. Would be great to get these all on the hub

Don't forget to promote on the hub 'events' - a great initiative that needs to spread

Hi @Sophie Caswell Now that's an interesting question! I'm assuming that you're raising the issue where you would expect there to be written consent? Clearly there are circumstances where verbal consent is appropriate. Maybe you're highlighting where there is a conflict in the views of the patient and the organisation as to whether there was consent at all? This might be of interest to @Joanna Lloyd and @Amelia as they are lawyers and might be able to direct you to advice, case law etc Helen

'Even with mistakes much more consequential than an airplane meal, many or most people just want to hear someone take responsibility and offer a sincere apology.' True

Hello @Blodwen It sounds a ghastly experience. Thank you for sharing with us. We're going to be publishing something very soon on the impact that unsafe care has for patients and their families - not just when harm occurs but the aftermath, both physical and psychological impact. Best wishes, Helen

Fabulous feedback, thanks. @lzipperer I think the PSNet articles are great, especially the RCA gone wrong. There seems to be much criticism of RCA as a tool that doesn't reflect the organisations and cultural context within which its applied. @Keith Bates Looking forward to hearing more of the investigation and training model. We'll be delighted to post to the hub when you're ready @Ed Marsden 'Chris Brougham & I would be happy to discuss our experience building some new technology to support incident investigation.' Yes please! Can you write a blog for us? The thinking behind your eva investigation tool, I'm thinking

@Claire Cox Hi Claire, can you coordinate with Carol to help Louise please. Thx

Great article Kathy. Would like to know more about the petition and whether this should call for more research too. Let's discuss with @Claire Cox and @Mark Hughesand how we can promote through a discussion on the hub community. We can link to social media to get wider attention to this issue. Can you email me at helen@patientsafetylearning.org to follow up?

That's great to hear @Aston02. Disappointing that you had to use the service but shows why it's needed. Shocked that senior management behaved that way. Was there any follow up with them do you know?

Great post, thank you to East Kent and congratulations on your award. Will be really helpful to keep informed of your progress and the impact that engaging with energetic and committed Ward Managers will have. Helen

Dear hub members We've a request to help from New South Wales. They and their RLDatix colleagues request: The public healthcare system in New South Wales (NSW), Australia is changing how we investigate health care incidents. We are aiming to add to our armoury of investigation methods for serious clinical incidents and would love to hear your suggestions. Like many health care settings worldwide, in NSW we have solely used Root Cause Analysis (RCA) for over 15 years. We are looking for alternate investigation methods to complement RCA. So we are putting the call out … Are there other serious incident investigation methods (other than RCAs) you would recommend? What’s been your experience with introducing and/or using these methods? Do you have learnings, data or resources that you could share? Do you have policy or procedure documents about specific methods? Any journal articles – health care or otherwise – that are must-reads? We've many resources on investigations on the hub and recent thinking in the UK and internationally that might be of value including: UK Parliamentary report - Investigating clinical incidents in the NHS and from that the creation of A Healthcare Safety Investigation Branch applying a wide range of methodologies in national learning investigations informed by ergonomics and human factors UK's NHS Improvement recent engagement on a new Serious Incident Framework (due to piloted in early 2020) Dr Helen Higham work with the AHSN team in Oxford to improve the quality of incident investigations Patient engagement in investigations Lessons to be learned from Inquiries into unsafe care and reflections on the quality of investigations Insights by leading investigators and resources written specifically for us by inclusion our Expert Topic Lead @MartinL Do check these out in this section of the hub https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/ Please add to this knowledge and give us your reflections. We'd be happy to start up specific discussions on topics of interest. Thank you all, Helen

Thank you so much for your story. It’s heartening to hear the support you received in what was a difficult tome for you, other staff and especially the family. Does your organisation have guidance/resources that we could share? It would be wonderful if everyone, patients and staff, could have the same experience.

Does also show the contractual vulnerabilities of bank and locum staff in raising issues. Staff shouldn't have to chose between doing the right thing, their professional responsibilities and their livelihood. I'll write to the GMC, NMC and HCPC on this issue. Thanks again to the brave reporter.

Hi @Andrew Ottaway and @Claire Cox Thanks for the discussion and update Andrew. I think it would be helpful to clarify responsibilities and I will write next week to the FTSUG's office, the CQC and NHSI. It does appear to be a loophole. Will keep everyone posted. Helen

'Absolutely 100%' - I so admire you for doing the right thing in reporting and having the integrity, compassion and commitment to patient safety to do so again. As the Chief Executive of Patient Safety Learning, wife, daughter and mother, thank you. I hope the support you receive in telling your story will help with the distress and anguish this incident has caused you. Thank you for sharing