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Found 1,203 results
  1. Content Article
    Following the investigation into the Mid Staffordshire Hospital (United Kingdom) and the subsequent Francis reports (2013 and 2015), all healthcare staff, including students, are called upon to raise concerns if they are concerned about patient safety. Despite this advice, it is evident that some individuals are reluctant to do so and the reasons for this are not always well understood. This research study from Fisher and Kiernan, published in Nurse Education Today,  provides an insight into the factors that influence student nurses to speak up or remain silent when witnessing sub-optimal care.
  2. Content Article
    This document provides guidance for nurses, midwives and nursing associates on raising concerns (which includes ‘whistleblowing’). It explains the processes you should follow when raising a concern, provides information about the legislation in this area, and tells you where you can get confidential support and advice.
  3. Content Article
    Back in January 2019, we started a regular team newsletter. Initially this was aimed at only the critical care unit (CCU) team; however, very quickly it developed into an all trust audience.  In this post I discuss the multiple benefits the newsletter has offered as well as the challenges I came across. I want to share my experience on developing the newsletter to encourage other teams to consider writing a regular newsletter if they don’t already have one. This followed on from several outreach teams contacting me personally for assistance in writing their own newsletters. 
  4. Content Article
    In his blog, Dr Rob Hackett explains how new ideas, concepts or practices can spread within a community by using the 'Diffusion of Innovation' theory'. He also discusses the barriers hindering change.
  5. Content Article
    Blog from Mark Hellaby, an Operating Department Practitioner (ODP) and currently leading a regional simulation team for Health Education England, on the effect interruptions can have. Distractions in healthcare are common. Interruptions when clinicians are completing complex tasks are familiar. This is a time when mistakes can be made. Mark led a session around distraction and cognition which allowed him over the day to start to draw together the discussions into some type of working model on how to reduce distractions.
  6. Content Article
    Jane Hulme, District Nurse Team Leader, Jenny Hurst, Deputy Nursing Director, and Debbie Caulfield, Caseload Holder from Liverpool Community Health (LCH), explain how they initiated a safety huddle in a community setting.
  7. Content Article
    This document sets out the General Medical Council's (GMC) expectation that all doctors will, whatever their role, take appropriate action to raise and act on concerns about patient care, dignity and safety. 
  8. Content Article
    The Clinical Human Factors Group (CHFG) had a fantastic one-day conference looking at how design and procurement in medical devices and systems can proactively improve patient safety. Here are the presentations, slides and interviews.
  9. Content Article
    Empowering doctors to speak up when they have concerns is essential to making our NHS safer, say Peter Brennan and Mike Davidson in this BMJ article. They discuss how healthcare can learn a lot from aviation and other high risk organisations, particularly in how they’ve embraced and applied human factors, the importance of looking after ourselves at work, and reducing hierarchy.
  10. Content Article
    The Dignity in Care campaign was launched in November 2006, and aimed to put dignity and respect at the heart of UK care services. The Dignity in Care campaign is led by the National Dignity Council, it operates as a charity, inspiring people to be part of a nationwide movement of champions, working individually and collectively to promote access to dignity as a human right for all.  Before the Dignity in Care campaign launched, numerous focus groups took place around he country to find out what Dignity in Care meant to people. The issues raised at these events resulted in the development of the 10 Point Dignity Challenge (now the 10 Dignity Do's). The challenge describes values and actions that high quality services that respect people's dignity.
  11. Content Article
    This leaflet, produced by the General Dental Council, explains: the role of the General Dental Council knowing what to expect at your visit what to do if you are unhappy with your experience.
  12. Content Article
    Published in HSJ, Annie Laverty, Chief Experience Officer, Northumbria Healthcare Foundation Trust, speaks to Jeremy Taylor, former CEO of patient group National Voices, on the work her and the trust has done on patient experience, her motivation and the impact it has had.
  13. Content Article
    This article looks at encouraging better workplace cultures by encouraging people to be active bystanders. With a few simple facilitated sessions, many organisations have given their workforce the tools to provide interventions when toxic behaviours are displayed.
  14. Content Article
    In this article published in Harvard Business Review, Frost and Robinson discuss toxic handlers – managers who voluntarily shoulder the sadness, frustration, bitterness and anger of others so that high-quality work continues to get done. Managing the pain of others is hard work. Toxic handlers save organisations from self-destructing, but they often pay a high price – emotionally, professionally and sometimes physically. Some toxic handlers experience burnout; others suffer far worse consequences, such as ulcers and heart attacks. This article discusses burn out within healthcare and other industries, how it can happen and offers solutions. Free full text on sign up and registration.
  15. Content Article
    The National Guardian’s Office (NGO) conducted a review of the handling of speaking up at Derbyshire Community Health Services Foundation Trust after receiving information that the trust might not have responded to one of its workers speaking up in accordance with good practice.  The review sought to identify learning on how support for speaking up could be improved, as well as to highlight existing good practice.
  16. Content Article
    The NHS Innovation Accelerator supports the uptake and spread of high impact, evidence-based innovations across England’s NHS, benefiting patients, populations and NHS staff. 
  17. Content Article
    Following the publication of the Health and Care Professions Council (HCPC) whistleblowing policy, this blog post provides more details on who to raise your concerns with, and how and when to do so.
  18. Content Article
    The Caldicott Principles were developed in 1997 following a review of how patient information was handled across the NHS.
  19. Content Article
    In this blog, Dr Amir Hannan, GP, describes how it’s normal for patients to access their electronic health records and easy for them to understand them at Haughton Thornley Medical Centres.
  20. Content Article
    This web page describes how NHS Leeds monitors safety and quality.
  21. Content Article
    In this BMJ blog, Drs Blair Bigham and Amitha Kalaichandran discuss hospital culture of bullying and a culture of not speaking up. When hospitals fail to create a culture where doctors and nurses can speak up, patients pay the price.
  22. Content Article
    Call for Concern is an initiative from the Royal Berkshire NHS Foundation Trust enabling patients and their families to directly refer patients to the critical care outreach team.
  23. Content Article
    This Care Quality Commission (CQC) report focuses on why avoidable harm remains a persistent problem within healthcare.
  24. Content Article
    NHS Improvement have published a number of case studies on appropriate use of clinical risk assessment tools, developing new evidence-based alerting systems and developing personalised risk management plans for people who use services, to manage risks positively.
  25. Content Article
    Dr Dan Cohen, former military officer in the United States Air Force and international consultant in Patient Safety and Clinical Quality, talks to Patient Safety Learning about how he became involved in patient safety and why he thinks human performance is an area that deserves more study. He feels strongly that leaders must stand up and share their own stories and mistakes to encourage others to start talking and sharing more openly.
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