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Judy Walker

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Everything posted by Judy Walker

  1. Content Article Comment
    Thank you very much for writing this account. I too admire your tenacity and courage in doing what is right. Being so transparent and open is new and scary for some organisations and people still so we need pioneers like yourself. The reactions I get around the country in response to using After Action Review with patients and families participating illustrates the same concerns. Some trusts are all for it, others, are very hesitant.
  2. Content Article
    NHS England’s Patient Safety Team will be launching the new Patient Safety Incident Response Framework (PSIRF) in the Spring of 2022, and one of the tools it will recommend to enhance learning from events is After Action Review (AAR).  It is likely that each healthcare provider will define its own 'playing field' for AAR as the PSIRF is integrated in daily practice in the months and years ahead, yet this can extend far wider than many assume. In the 12 years since I was trained as an AAR Conductor, I have grown to appreciate its adaptability as well as the many benefits it delivers. The examples of real AARs described here are designed to illustrate some of the many applications. As you will see, these AARs have created opportunities for learning at three levels, all of which contribute to the delivery of safe and effective patient care: the individual, the team and the organisation. 
  3. Content Article
    After Action Review (AAR) is a tried and tested, evidence-based approach that increases learning after events but, despite the clear benefits to patient safety and team resilience, its use in the NHS is still more limited than it should be. Judy Walker explains three of the barriers seen in clinical settings.
  4. Content Article Comment
    I echo Katherine's comments. Do take time to recharge. I worked for the NHS for 34 years and had "mental health" days off for myself and suggested them to my team. You do have the capacity to recover! And the system has a responsibility to support you in doing so.
  5. Content Article Comment
    Thank you for writing and sharing your insights and concerns. Pleased to hear you have found After Action Review so helpful. Ive been using it with corporate teams too to help them through the lockdown response with good outcomes. AAR is a time to make sense, to be heard and to think together about what could be improved.
  6. Community Post
    Reading this dialogue made me think about the "freedom to speak up guardian" role as these people champion and advocate for the right of staff to be heard. A patient safety specialist role could have the same ethos; empowered to challenge the status quo. In other safety critical industries, they deliberately move people with this responsibility on after a fixed period so they don't "go native".
  7. Content Article
    The NHS Long Term Plan highlighted several safety issues that need to be addressed: the fear of blame and retribution which curtails reporting and learning, lack of staff understanding of patient safety matters and workforce issues. This short article summarises what I have learnt about how After Action Review (AAR) can directly address the first two of these and indirectly impact on the third. 
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