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HelenH
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Community Post
Models of good practice for patient engagement in patient safety
HelenH replied to HelenH's topic in How to engage for patient safety
- Patient engagement
- Information sharing
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Hello Aine Welcome to the hub. Fantatic that you're on it and great to connect again. You'll have seen the resources in Learn, I know https://www.pslhub.org/learn/patient-engagement/ We're looking forward to meeting up with your collegue, Ray Power, tomorrow at our conference. We'll get him regsistered on the hub too! Helen- Posted
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- Patient engagement
- Information sharing
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Content Article Comment
Letter from America: A Grand Adventure
HelenH commented on lzipperer's article in Letter from America
- Benchmarking
- Patient safety strategy
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Fabulous reflective piece, thanks Lorri.- Posted
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- Patient safety strategy
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Community PostHello Jaoine, thank you so much for your post and support. A really good question although I don’t personally know the answer. But let’s hope someone can help you through the hub. I wonder whether Laurie can help you? @Laurence Goldberg FRPharmS
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- Prescribing
- Hospital ward
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Content Article Comment
Why investigate? The patient's perspective
HelenH commented on Joanne Hughes's article in Investigations and complaints
Jo, thank you so much. I defy anyone to read this without welling up and re-committing themselves to do more to makes patients safer.- Posted
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Content Article Comment
Why we need courage to keep our patients safe
HelenH commented on Patient Safety Learning's article in Florence in the Machine
- Hospital ward
- Nurse
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Brilliant artcle but painful to read. I can see why the nurse wants to remain anonymous. The nurse derserves praise for finding the right way to ensure the patient was safe but its clearly tough on the front line. And good on the surgeon for listening and taking action too. I wonder what other nurses would have done?- Posted
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- Hospital ward
- Nurse
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Content Article Comment
Why investigate? Part 1. A series of blogs from Dr Martin Langham
HelenH commented on MartinL's article in Why investigate? Blog series
- Investigation
- Contributing factor
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Briilliant and challenging, thanks Martin. How many investigations would be able to meet this criteria: 'How do I know that I have investigated an incident to allow prevention to occur? Revisit the scenario and see if it could occur again.?' I wonder how much of this insight will be reflected in the new SI framework that is due to be published by NHSI 'soon.' Looking forward to the next blog! @Claire Cox I saw that you've tweeted Martin's blog for wider covergae. Thx- Posted
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- Investigation
- Contributing factor
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Content Article Comment
Interview with Professor Alison Leary, Patient Safety Learning Trustee
HelenH commented on Patient Safety Learning's article in Patient Safety Learning Interviews
- System safety
- Leadership
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“People shouldn’t need courage to come to work." And when people make courageous decisions for safe care, they are too often not applauded and supported but vilified. Ghastly as when that happend, people just keep their heads down. We can't learn and imporve in that kind of environment. We're going to be publishing some blogs about the courage that staff have had to show. Sadly we think many of these will have to be anoymous. Do you have a story to tell? Please contact me @HelenH or Claire at @Claire Cox- Posted
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Community Post
Guerrilla Marketing
HelenH replied to Pete Smith's topic in Culture
Just ordered your 'The Below Ten Thousand' book. And then the amzing @Claire Cox has shared her copy with me. Great stuff! Can't wait to read. Creating the image. That's a really intesting concept and soemthing we should think about too @Sophie Caswell Really awful that clinicians need to be brave. Think @Claire Cox is developing a blog on courage. Won't it be wonderful when all staff and patients are actively encouraged to identify areas for improvement and new ideas are celebrated , actioned and shared?- Posted
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Community Post
Your personal experience of patient safety
HelenH posted a topic in Patient stories
Hello everyone, We know there is much learning to be gained from listening to patient and families. This is particularly true when it comes to patient safety. Have you had an experience that you'd like to share with us? Maybe you identified a risk or shared a concern and were listened to and unsafe care was avoided? Maybe you weren't listenied to or you didn't realise what was going on and you or your family member were harmed? How did you find out about the patient safety incident? Was information shared with you that you needed to know? Were you supported? Was there an invetsigation into the incident and were you invited to contributed to it? Were lessona learned and acted upon? Have others learned from this experience, do you know? -
Content Article Comment
Dr Ron Daniels: Recognising sepsis
HelenH commented on Patient Safety Learning's article in Deterioration and sepsis
And great to be able to share for World Sepsis Day too. Thanks @Ron Daniels- Posted
- 1 comment
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Content Article Comment
How can After Action Review (AAR) improve patient safety?
HelenH commented on Judy Walker's article in Good practice
- Communication
- Feedback
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Judy, an excellent article, thank you. A lot of guidance on formal invetstigations in healthcare but not AARs. Such a missed opportunity. Do you think healthcare organisations will share their AARs? It would be fantastic to learn and share from these. Helen- Posted
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Community Post
How nurses can spot and report error traps and near misses
HelenH replied to HelenH's topic in Stories from the front line
- Latent error
- System safety
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Hi @Ben Tipney, the more I learn about effective safety management systems the more I understand how related everything is! I agree that Professionalising Patient Safety is so vital - having specialist knowledge and capacity to support the design of safer systems, analysing data, improving services and safety and evidencing that change from reporting and shared learning. Expecting over-worked clinicians to report incident and near misses when they don't have the time or confidence that anything will happen with the data will make reporting rates per se an unreliable indicator of safety performance. And with regard to professionalising patient safety, I don't think we have standardised role descriptions, competency frameworks and person specifications for patient safety roles. Or do we? Does anyone know whether these have been developed and if so where these might be?- Posted
- 5 replies
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- Latent error
- System safety
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Content Article CommentAine, i hope you find this useful
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Content Article Comment
Nurse-led use of technology to enable better care - Homerton University Hospital Action Card App
HelenH commented on Luke Brown's article in Apps for health and care
- Accident and Emergency
- Hospital ward
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Wow, impresive work, Luke. Thank you so much for sharing the journey and the learning on the development of the App. It seems that core to this is clinical leadreship (yours and the team) and partnershop with BD (copying to @Simon Noble-Clarke )and others - and the alignment between national initatives and local implementation. We will be interested in how this gets taken further and the models for implementation and spread. How might we help? You might be intersted in this @JULES STORR We're meeting with NHSX soon and this sounds exactly the sort of innovation that adds value and for safer care. Great that you've had such recognition. Have you thought of putting in for one of our awards? @Claire Cox will send you details of these for sure! Tricky question, now. If you had to quantify evidence of impact, patient safety, staff engagment, finnacial etc, what would you say? Thanks again, Luke- Posted
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- Accident and Emergency
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Content Article Comment
How a simple newsletter can improve culture and communication within teams
HelenH commented on Danielle Haupt's article in Good practice
- Hospital ward
- Nurse
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Hi Danielle, Thanks for your post, really interesting and congratulations on the initiative. It's clearly been a huge effort and so much in your personal time too. We know that effective team work and communication are so important to patient safety but it's always a challenge to be able to demonstrate impact on clinical care. I wonder what research has been doen on this area? It would be great to capture other newsletters too - to similarly inform, inspire and improve practice. What do others think? And do share more! Thanks again Danielle and for taking the time to share with us. @Sam just a thoughts - does this conversation automatically get picked up in the community discussion? @Margot Can we tweet about this and link people into th econversation?- Posted
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- Hospital ward
- Nurse
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Community Post
Patient safety and hospital design
- Ergonomics
- Work / environment factors
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- Ergonomics
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Community Post
Patient safety and hospital design
- Ergonomics
- Work / environment factors
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Hi all, I had a great meeting with @Neal Jones yesterday and in a wide ranging discussion we reflected on design and human factors. I recall some great work many years ago on the redesign of ambulances (that the NPSA contributed to) and wondered what happened to that initative and whether this had developed into designing new hospitals for patient safety. @Neal Jones recalled the DOME (designing out medical error) project http://www.domeproject.org.uk/index.html. This web site is dated 2010 and it seems to have been a three year funded project. Is this innovative approach still 'live?' Does anyone know of any work on human factors in hospital design to deliver safer care (processes, equipment, layout, technology etc)? In the UK or internationally? By googling I've found articles on specific departmental inititaives and people calling for more to be done but not much of the 'how' or any requirment to embed patient safety into new build hospital deisgn. Surely there must be soemthing?!!- Posted
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- Ergonomics
- Work / environment factors
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Community Post
Courage
HelenH replied to Claire Cox's topic in Speak Up Guardians
- Speaking up
- Culture of fear
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I once raised with a very senior leader that our approach to managing complaints wasn't leading to learning or action to improve care. I was admonished and clearly told (the words are embedded in my brain) that 'we are managing complaints not doing patient safety.' At that point I knew I had to leave the organisation and that despite best endeavours, a resistant and closed-minded leader would not deliver the change that was written in the organisational strategy. On the scale of courage, it's pretty low compared to clinicians who whistleblow but it had a profound effect on me. From that day onwards I was effectively hounded out of the organisation for challenging 'the system.' Things worked out in the end but it was an interesting change in career that I hadn't planned. How much worse it must be when raising concerns/making suggestions for improvement with your employer challenges your job, future career and livelihood. I wonder how many staff would 'speak up' and share their views if they felt safe to do so and confident that their insights would listened to and acted upon. 1% of staff, 5%, 20%, more? What do people think?- Posted
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- Speaking up
- Culture of fear
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Community Post
Courage
HelenH replied to Claire Cox's topic in Speak Up Guardians
- Speaking up
- Culture of fear
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@alisonleary brought to our attention a recently published book 'Courage in Health Care: A Necessary Virtue or a Warning Sign.' https://www.pslhub.org/learn/miscellaneous/suggested-resources/recommended-books-and-literature/courage-in-healthcare-a-necessary-virtue-or-warning-sign-by-shibley-rahman-and-rebecca-myers-r750/- Posted
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- Speaking up
- Culture of fear
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Community Post
World Patient Safety Day
HelenH replied to Jayne Addison's topic in Improving patient safety
- Safety culture
- Leadership
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Great ideas. We've been thinking of how best Patient Safety Learning should celebrate the day. Two of our team, @Mike Bird and @Margot, shared suggestions with our Board last week. Who also liked them. I'll leave it to them to share details. Helen- Posted
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Content ArticleThe report from The Leapfrog Group analyses eight high-risk procedures to determine which hospitals and surgeons perform enough of them to minimise the risk of patient harm or death, and whether hospitals actively monitor to assure that each surgery is necessary. The report finds that the vast majority of participating hospitals do not meet The Leapfrog Group’s minimum hospital or surgeon volume standards for safety nor do they have adequate policies in place to monitor for appropriateness. Rural hospitals are particularly challenged in meeting the standards. Leapfrog advises "given the variation in patient outcomes between higher-volume and lower-volume hospitals, the importance of patients using Leapfrog results to select a hospital for these high-risk procedures cannot be overstated."
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- Surgery - General
- Organisational Performance
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Community Post
How does it feel to work in a toxic culture and what impact it has on patient safety
HelenH replied to HelenH's topic in Bullying and fear
- Bullying
- Speaking up
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Hi Lorri, I hadn't read that article before. It's brilliant and spot on! Thank you There was an organisation where I eneded up as a 'toxic handler' thought I didn't realise that when i joined. It was the only role that I left without another to go to. After two years, I just couldn't take it anymore! @Claire Cox We defeinitely need to add to the hub- Posted
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Community Post
How does it feel to work in a toxic culture and what impact it has on patient safety
HelenH replied to HelenH's topic in Bullying and fear
- Bullying
- Speaking up
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Me neither @Andrew Ottaway. That's shocking @Claire Cox I wonder whether we should tweet this as well and ask for contributions? If we are truly to work as a integrated health and care system, then having different protections and support systems just doesn't feel right- Posted
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Community PostHi Jayne, Great to hear that you've been welcomed and supported. We agree that more 'how to resources' are needed. We are aiming to collate a repository for these and to contribute with our own ideas. Anyone out there that can help? Annie, I remember when we met last year that you showed me some fabulous governance frameworks, policies and resources that you'd developed at Barts. Can you share some? @Annie Hunningher Also, I'm meeting with Neal Jones at Broadgreen and Liverpool Trust in a few weeks time to capture his insights and experience. They're doing amazing work there too.. Anyone else? Helen
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- 8 replies
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- Patient safety / risk management leads
- Training
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Content Article Comment
HCPC standards in practice: how to report concerns about safety
HelenH commented on Tony Glazier's article in Whistle blowing
- Accountability
- Bullying
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Hi Tony, that's a really good and helpful blog, thank you. I particularly liked the drop down format and clear advice. @Tony Glazier I wonder whether other professional regulators have similar resources to support their registrants and how to report concerns? Do you know, Sam or Claire? @Claire Cox @Sam Helen- Posted
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