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Found 1,202 results
  1. Content Article
    Healthcare organisations are designed to achieve consistent and reproducible outcomes when faced with planned, predictable or ‘routine’ emergencies. Unfortunately, the more robust the system, the less agile it is when faced with a novel clinical crisis. This is not surprising, as it is impossible to create emergency operating procedures for every new or unforeseen catastrophe. Similarly, many surgeons in positions of leadership have limited exposure to executive decision-making or clinical expertise outside their area of specialist training. It is not unreasonable therefore for surgical leaders and their organisations to feel overwhelmed by complex and evolving crises, such as the recent COVID-19 pandemic. At such times, it is important to reflect on key strategies that can provide pragmatic, timely and cohesive means of restructuring the delivery of surgical care at an organisational level.
  2. Content Article
    Clear communication, awareness of core values and the right incentives are all key to a successful clinical audit, writes George Absi in this HSJ article.
  3. Content Article
    As caseloads soar and new challenges related to the coronavirus keep emerging, efficiently sharing key information is crucial. Use the tips below to learn (or review) five ways to make safety huddles more effective.
  4. Content Article
    RADIO Meso (Receiving a diagnosis of mesothelioma) is a research project, funded by Mesothelioma UK and being carried out by researchers at the University of Sheffield. The project aims to identify ways to improve the patient and family carer experience of receiving a diagnosis of mesothelioma. The researchers carried out interviews with people with mesothelioma and their family members. Additional consultation was conducted with health professionals involved in communicating a mesothelioma diagnosis. People attending a group event at the Mesothelioma UK Patient and Carer Day also contributed their experiences and views regarding diagnosis communication. They were asked to recall their own experience and to tell the team ‘what went well?’ and ‘what could have been better?’. Following analysis the researchers identified key themes and developed ‘ten Top Tips’ for communicating a mesothelioma diagnosis.
  5. Content Article
    Dr Abdulelah Alhawsawi, Abdominal Organs Transplant and Hepato-biliary Surgeon, and Director General of the Saudi Patient Safety Center, discusses why hospitals are falling short of safe care levels. He believes healthcare continues to be structurally weak when it comes to the safety conditions and suggests that there is an urgent need for a paradigm shift in the way we think about patient safety and how we implement it while providing healthcare. In his essay, Dr Alhawsawi proposes four practical solutions.
  6. Content Article
    Shanté Turay-Thomas, a young woman who had a nut allergy, died of an acute anaphylaxis after eating hazelnuts on 18 Spetember 2018. In this report, senior coroner ME Hassell, highlights 20 'matters of concern' surrounding her death and calls for action to be taken for future deaths to be prevented.
  7. Content Article
    This paper, published in the Journal of patient safety, provides evidence from the patient perspective that consent forms are too complex and fail to achieve comprehension. Future studies should be conducted using patients’ suggestions for form redesign and inclusion of supplemental educational tools in order to optimise communication and safety to achieve more informed healthcare decision making.
  8. Content Article
    This article, published in the US-based Journal of healthcare information management, looks at the relationship between consent and patient safety. The author, James E. Gottesman, highlights the benefits of clear communication between clinician and patient.
  9. Content Article
    Compulsory face coverings pose particular challenges when patients are deaf or have dementia. This blog by Lesley Carter give practical advice on how to communicate clearly with patients when wearing a face mask.
  10. Content Article
    This communication skills guide to practice, developed by Ausmed, explores several common communication scenarios that you may find yourself in as a health professional, and help you navigate and master each interaction you have in your day-to-day practice.
  11. Content Article
    This article from Petriceks and Schwartz, published in Palliative & Supportive Care, describes a four-element approach centered on Goals, Options, Opinions and Documentation that serves as an effective structure for clinicians to have conversations with patients and families to address care management when the path forward is unclear.
  12. Content Article
    Do you know the science behind what works and doesn’t work when it comes to keeping people safe in your organisation? Dr Drew Rae and Dr David Provan from the Safety Science Innovation Lab at Griffith University as they break down the latest safety research and provide you with practical management tips.
  13. Content Article
    At its heart, Appreciative Inquiry (AI) is about the search for the best in people, their organisations, and the strengths-filled world around them. It is the art and practice of asking questions that strengthen a system’s capacity to heighten positive potential, (Stavros et. al (2015) Appreciative Inquiry: Organisation Development and the Strengths Revolution). In this area you will find useful resources relating to the aspect covered below. 
  14. Content Article
    Recently there have been several incidents relating to allergens in hospital food reported. The consistent themes are lack of information and/or communication regarding food allergens present in the food and/or details of the patient’s known food allergy. This alert contains actions for providers to take.
  15. Content Article
    The Safe Anaesthesia Liaison Group (SALG)'s quarterly patient safety updates contain important learning from incidents reported to the National Reporting and Learning System (NRLS). The Royal College of Anaesthetists (RCoA) and the Association of Anaesthetists would like to bring these safety updates to the attention of as many anaesthetists and their teams as possible. 
  16. Content Article
    In this blog, Steve Turner provides a guide for patients to help them understand what they should come away with at the end of a consultation. He argues that if these areas have not been covered, the consultation is incomplete and a patient should not accept this.
  17. Content Article
    The National Deaf Children's Society have produced resources to help others understand the impact that mask-wearing can have on the deaf community. Face masks with clear panels in them could help some deaf children who rely on lip-reading or sign language to get a better view of the face. This is not a solution that will suit all deaf people or be suitable in all situations but it will help prevent some people from feeling more isolated during the pandemic and enable them to understand what is happening with their their care if they are accessing healthcare services. Resources include:Infographic video with tips for communicating with deaf children when wearing a maskDIY tutorials for making masks with clear panelsBlog: The impact of face masks on deaf children.
  18. Content Article
    This short creative film, produced by A.O Consultancy, explains what it means to give informed consent to medical treatment.
  19. Content Article
    In this short video, Dr Michael Kaufmann discusses five fundamentals of civility and how to be civil in a healthcare workplace.  Dr Michael Kaufmann is a Consultant in physician health and addiction medicine and Medical Director of the Physician Workplace Support Program (PWSP).
  20. Content Article
    This 53-page document provides guidance for engaging stakeholders in reviewing and providing feedback to the investigator on specific areas of concern before a research project is implemented. The objective is to strengthen research proposals. The process involves a community engagement studio, which operates like a focus group but with key differences. This model and toolkit were developed by the Meharry-Vanderbilt Community Engaged Research Core, a program of the Vanderbilt Institute for Clinical and Translational Research.
  21. Content Article
    SBAR is an easy to use, structured communication format that enables information to be transferred accurately between individuals. SBAR stands for 'Situation, Background, Assessment, Recommendation' and was originally developed in the milatary context to create a reliable consistent process to facilitate concise, clear, focused communication. SBAR communication is normally very focused and relatively brief. Most SBARs are around one page of A4, two at most. The aim is to convey the critical information in an understandable way, clearly and succinctly. The SBAR tool has also been widely used by healthcare teams as a focused way of transferring information about a person's condition.
  22. Content Article
    The Prioritisation Matrix is a structured visual tool to help you decide which improvement ideas to test first and how to focus your activity and energy. It works best in a collaborative environment and can help to build buy-in and communicate why you have chosen to test certain ideas before others. They come in many different forms, but the simplest and easiest to use is the 2 x 2 matrix. The axis of the matrix are usually labelled to enable you categorize the priority of each change idea. Usually the horizontal axis is labelled with a concept such as “effort” or “willingness to adopt”. The vertical axis is usually “impact” or “value”.
  23. Content Article
    A project charter is the statement of scope, objectives and people who are participating in a project.
  24. Content Article
    When patients give feedback to healthcare providers, the topic of "communication" often features prominently. That is because when people are feeling vulnerable, the way they are spoken to, and the words that are used, matter a great deal. There can be few experiences that are more distressing than the death of a baby. So we need to think very carefully about how bereaved parents are spoken to. This paper looks at clinical terms such as "miscarriage", "stillbirth" and "neo-natal death" and finds that "These categorisations based on gestational age and signs of life may not align with the realities of parental experience". This study, published by the International Journal of Obstetrics and Gynaecology, explored the healthcare experiences of parents whose babies had died just before 24 weeks of gestation. Those interviewed "felt strongly that describing their loss as a "miscarriage" was inappropriate and did not adequately describe their lived experience".
  25. Content Article
    This toolkit is available by request to the Department of Defence Patient Safety Programme.
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