Sam
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Content ArticleEach year over 600,000 people die in the United Kingdom and many of these deaths occur in hospital, despite the majority of people saying that they would prefer not to die there. Approximately 70% of people die from long-term health conditions that often follow a predictable course, with death anticipated well in advance of the event. The annual number of deaths in the United Kingdom is predicted to rise to 736,000 by mid-2035. Therefore, the provision of care at the end of life must meet the needs of the population. NCEPOD reviewed the quality of care provided towards the end of life for adults with a diagnosis of dementia, heart failure, lung cancer or liver disease and have made a number of recommendations.
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EventThis course will: Introduce the NHS PSIRF and associated documents (PSIRP, PSII standards), and discuss how they apply in your context. Identify how to effectively oversee and support processes related to incident response. Discuss a just culture approach; maintaining openness, transparency and improvement focus. Consider the restorative aspect of just culture; how to ensure that further harm is prevented to those already harmed. Discuss the importance of communication and involvement of those affected – patients, families and staff. Establish the complexities of PSII commissioning and planning in your organisation. Explore managing complex investigations spanning different organisational, care setting, and stakeholder boundaries. Register
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This course will: Introduce Human Factors For Healthcare; what is it and why does it matter? Ask we mean by ‘Systems Thinking’? Looking beyond the flawed concept of Human Error, utilising the SEIPS tool. Establish difference between simple, complicated and complex work, and how this might impact our approach to safety and performance. Look at different models of safety & risk across the spectrum of working practice; balancing the focus of rule based and adaptive working. Explore the impact of stress and cognitive load on decision making and how we can perform at our best under pressure. Discuss the key components of High Performing Teams, in particular the impact of Psychological Safety and how it can be developed. Provide a practical and tangible tool for addressing our physiological needs. Register -
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This course will: Introduce principles of restorative practice. Allow you to reflect upon the needs of patients, families and carers following an incident, and how an investigation can meet some of those needs. Review the Duty of Candour (regulations and practical application). Help you to signpost support for those suffering trauma, loss or stress. Address sharing findings effectively to facilitate wider learning. Discuss challenges/complexities associated with cases where there is more than on einvestigation. Register -
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This course will: Develop an understanding of PSIRF and systems based learning. Explore how Safety II can be integrated into an Incident Investigation. Facilitate understanding in how to effectively apply a response planning process. Demonstrate a diverse range of tools to investigate incidents, such as SIEPS. Discuss a range of tools for capturing every day work. Demonstrate a range of tools for synthesising information gathered, such as timeline mapping and work system scans. Provide an opportunity to discuss how to respond proportionately to patient safety incidents. Explain how to write an effective investigation report. Explore how to apply principles of safety science to understand causation. Look at conducting interviews; including recognising signs of shock and post-traumatic stress. Register -
Content ArticleResearch publications and data nowadays should be publicly available on the internet and, theoretically, usable for everyone to develop further research, products, or services. The long-term accessibility of research data is, therefore, fundamental in the economy of the research production process. However, the availability of data is not sufficient by itself, but also their quality must be verifiable. Measures to ensure reuse and reproducibility need to include the entire research life cycle, from the experimental design to the generation of data, quality control, statistical analysis, interpretation, and validation of the results. Hence, high-quality records, particularly for providing a string of documents for the verifiable origin of data, are essential elements that can act as a certificate for potential users (customers). These records also improve the traceability and transparency of data and processes, therefore, improving the reliability of results. Standards for data acquisition, analysis, and documentation have been fostered in the last decade driven by grassroot initiatives of researchers and organizations such as the Research Data Alliance (RDA). Nevertheless, what is still largely missing in the life science academic research are agreed procedures for complex routine research workflows. Here, well-crafted documentation like standard operating procedures (SOPs) offer clear direction and instructions specifically designed to avoid deviations as an absolute ne
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Content ArticleThe Covid and non-Covid example models below have been locally developed, and have been through local provider governance sign off. These examples demonstrate what can be done, and are not a prescription for what should be done – providers will need to consider the way their services work, their own population, and take their own SOPs through governance sign off to assure quality and safety as per any service development change.
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Content ArticleStandard Operating Procedures (SOPs) are an essential part of any business operations. They provide a clear and concise set of instructions for employees to follow, ensuring efficiency, consistency, and quality control. However, writing SOPs can be a daunting task, and many companies struggle with creating effective processes and procedures. Too often, common mistakes are made in the creation of these critical documents, resulting in poorly written procedures that fail to achieve their intended purpose. The challenge lies in creating comprehensive yet user-friendly SOPs that foster a streamlined, productive working environment while reducing errors and enhancing overall performance. This blog looks at the common mistakes when writing SOPs and how to avoid them.
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Content ArticleProject proposal to improve equality and reduce health inequalities. This NHS guidance is to assist organisations to develop a Standard Operating Process (SOP) for managing Covid-19 risk assessments.
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Join a conversation with industry experts on cyber risk, response and claims. With increasing and high profile cyber-attacks on both health and care organisations we discuss the issues that organisations face, what can be done prevent and minimise attacks, what to do if your organisation falls victim to an attack and the steps that should be taken to minimise the impact on your organisation which can far ranging in terms of patient safety, work force, and finance. Your panel of expert speakers: Richard Hearn - Divisional Director, Howden Dave Allen - CEO, Cysiam Vicki Bowles - Partner, Bevan Brittan Julie Charlton - Partner, Bevan Brittan Register -
EventTHIS Space is THIS Institute’s annual conference. We welcome anyone with an interest in the evidence for improving the quality and safety of healthcare. THIS Space aims to: share learning on what works in healthcare improvement, what doesn’t, and why stimulate innovation and fresh thinking on how we can improve care explore imaginative ways of understanding problems and evaluating solutions connect people who share a common goal of improving healthcare. Programme and register
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Content ArticleThe Human Factors and Complex Systems Research Group, Loughborough Design School and Loughborough University, UK, have carried out extensive research in applying systems approaches to complex sociotechnical system design and accident analysis across a variety of sectors – marine, rail, nuclear, food, construction, healthcare, etc. They have created three animations and one film to communicate system safety research.
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Content ArticleThe fire in Grenfell Tower in June 2017 was a preventable tragedy that claimed 72 lives. The event has had a devastating impact – not only in terms of loss of life, but also the trauma and displacement that former residents and the wider community have experienced since the fire. A new report from the King's Fund, People power: lessons from the health care response to the Grenfell Tower fire, documents the experiences of people from the community and those responsible for commissioning and providing health care services in the area in the months and years after the fire. The report shows how the community fought to bring their voice to the response, the importance of listening to those voices, and what this meant for how services were provided and commissioned in the area. Grenfell was not a unique event, and many of the lessons learnt and the findings of this report can be applied across the healthcare sector, up and down the country.
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The webinar will be covering: Busting the myths around DSCR’s Pitfalls, tips and tricks Guidance and support for moving suppliers Incorporate changing assured supplier list. Who should attend? These sessions have been designed for adult social care providers in England and are aimed at people who make decisions about the use of technology in care services. This might include: Owners Registered Managers Nurses Senior Care Staff Administrators IT Professionals Quality & Compliance Leads. Register -
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The Royal College of Obstetricians and Gynaecologists (RCOG) is campaigning to address the unequal growth of waiting lists in planned gynaecology services, they would like to hear from a range of healthcare professionals who are involved in the diagnosis, care and treatment of women and people with gynaecological and urogynaecological conditions – including those working in general practice. To gather insight from health professionals working in primary care, they are running a short anonymous survey. Have your say by Wednesday 11 September 2024. -
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The Patient Safety Incident Response Framework (PSIRF) encourages investigations across the NHS to apply SEIPS. This 3 hour introductory workshop will focus upon using SEIPS in Healthcare. Our SEIPS trainer Dr Dawn Benson has extensive experience of using and teaching SEIPS, as a Human Factors tool, in health and social care safety investigation. She will be joined in these workshops sessions by clinical subject experts. The session will be limited to a small group to ensure in-depth learning. Register -
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The Patient Safety Incident Response Framework (PSIRF) encourages investigations across the NHS to apply SEIPS. This 3 hour introductory workshop will focus upon using SEIPS in Healthcare. Our SEIPS trainer Dr Dawn Benson has extensive experience of using and teaching SEIPS, as a Human Factors tool, in health and social care safety investigation. She will be joined in these workshops sessions by clinical subject experts. The session will be limited to a small group to ensure in-depth learning. Register -
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EventPatient and staff experience of health and care are often regarded as two sides of the same coin: separate but inextricably linked. Sometimes this relationship is seen as a functional one: that we should “improve one to improve the other”. But human experience is fundamental to person centred care, and a recognition that high quality services depend on positive personal interactions is vital to meaningful improvement. Individuals’ accounts of their experiences are how we understand the person centredness and the essential humanity of health and care. In this symposium, we will create a space for all of those working to understand, measure, and improve person centred care to come together to reflect, learn, and be inspired. This symposium is unlike any other, in that it focuses on people’s experiences in the round – not just staff experience or patient experience in isolation but also their experience of the relationships between them. This is for all of the people of health and care – for patients, for professionals, and for partners across the system. Further information
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In celebration of World Patient Safety Day 2024, the NIHR Patient Safety Research Collaboration Network (SafetyNet) invites you to an insightful online event focused on the critical theme of “Improving Diagnosis for Patient Safety.” This event brings together leading experts and patient advocates to explore the latest advancements and challenges in medical diagnostics, emphasising the role of accurate diagnosis in ensuring patient safety. Registe -
Content ArticleThis document provides a summary of the evidence to demonstrate the impact of Schwartz Rounds.
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EventIn this webinar, world renown safety experts will share insights and recommendations from a recent report on patient safety and artificial intelligence (AI), including an analysis of the benefits, risks, and monitoring and risk mitigation for three clinical generative AI applications. Register
