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Showing results for tags 'Communication'.
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Content ArticleThe National Guardian’s Office (NGO) was established following recommendations made in the Freedom To Speak Up Review by Sir Robert Francis QC. The NGO works to effect cultural change in the NHS so that speaking up becomes business as usual. The office leads, trains and supports a network of Freedom to Speak Up, Guardians (FTSUGs) in England, conducts case reviews, and works in partnership with the wider health system to support learning and improvement. The office is not a regulator, but is sponsored by the Care Quality Commission (CQC), NHS England and NHS Improvement.
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Content Article
National Guardians Office - case referral form.
Claire Cox posted an article in Speak Up Guardians
The National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the CQC, NHS England and NHS Improvement. -
Content ArticleThe National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the Care Quality Commission (CQC), NHS England and NHS Improvement.
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Why we need courage to keep our patients safe
Patient Safety Learning posted an article in Florence in the Machine
An insightful blog from a nurse on the frontline. The author of this blog has requested to stay anonymous.- Posted
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Leicester Royal Infirmary NHS Trust: SBAR in action!
Claire Cox posted an article in Handover
Pro Mukherjee, Emergency Department Consultant at Leicester Royal Infirmary, briefly defines the SBAR terms and explains how healthcare practitioners can use it to communicate effectively within the emergency department. -
Content ArticleThe Care 24/7 team at Oxford University Hospitals NHS Foundation Trust has been investigating ways of providing integrated, seamless care to patients across all their hospital sites. One of the priorities identified by the team has been the formalisation of the clinical handover process between teams and shifts, but what does this formalisation process involve? How can it make care more consistent and safe? What does it involve for staff? Central to the successful change to clinical handover is the use of a standardised clinical communication tool (SBAR) but how does it work, what benefits can a standardised clinical communication tool bring to staff and the handover process? Formalising the handover process, using clinical communication tools, seems to bring benefit to both staff and patients, but what are the changes like and what impact do they have on staff? Can formalisation empower staff and ensure that their concerns are heard?
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Content ArticleAs part of its commitment to supporting the third sector, The King’s Fund works in partnership with GSK to run the GSK IMPACT Awards, which provide leadership development and funding for award winners.
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Content ArticleHuman factors is an established body of science that is positioned to assist with the challenge of improving healthcare delivery and safety for patients. In this paper published in BMJ Quality & Safety, Russ et al. attempted to clarify the goals of human factors and pave the way for interdisciplinary collaborations that may yield new, sustainable solutions for healthcare quality and patient safety.
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Content ArticleCreating a culture where staff are empowered to speak up is important. Equally important to keep patients safe, is that serious incidents – and the complaints that often follow them – are treated as an opportunity for learning. NHS organisations and their staff must take accountability for making improvements to patient safety. But accountability has too often been taken to mean ‘blame’. If staff fear being blamed, it is much harder to understand what went wrong, why, and how to reduce the chances it will happen again. This blog by Kate Eisenstein, Assistant Director of Insight and Public Affairs at the Parliamentary and Health Service Ombudsman, discusses the importance of learning from mistakes and creating a culture of positive accountability.
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NHS Improvement: A Just Culture guide (updated 14 December 2018)
Claire Cox posted an article in Good practice
The fair treatment of staff supports a culture of fairness, openness and learning in the NHS by making staff feel confident to speak up when things go wrong, rather than fearing blame. Supporting staff to be open about mistakes allows valuable lessons to be learnt so the same errors can be prevented from being repeated. In any organisations or teams where a blame culture is still prevalent, this guide will be a powerful tool in promoting cultural change. -
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NHS Improvement: A Just Culture guide – animation (15 March 2018)
Claire Cox posted an article in Good practice
A Just Culture guide helps NHS managers ensure staff involved in a patient safety incident are treated fairly, and supports a culture of openness to maximise opportunities to learn from mistakes. -
Content ArticleSee how incivility affects all of us in the NHS and how that can impact patient safety. Join the staff of Epsom and St Helier University Hospitals NHS Trust on their journey as they reflect on the real-life effects of both incivility and active kindness. This video was devised, filmed and produced by the Elena Power Simulation Centre.
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Content ArticleTejal K. Gandhi, Institute for Healthcare Improvement's (IHI) Chief Clinical and Safety Officer, reflects on the World Health Organization (WHO) challenge to “Speak Up for Patient Safety” and how broadly it applies to improvement work.
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Content ArticleNo one should be harmed while receiving healthcare. And yet globally, at least five patients die every minute because of unsafe care. The World Health Organization (WHO) will focus global attention on patient safety and launch a campaign in solidarity with patients on the very first World Patient Safety Day on 17 September 2019. Watch the WHO Director General’s statement calling for patients, healthcare workers, policy makers to “Speak up for Patient Safety!”.
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Whistleblowing disclosures joint report 2019
Patient Safety Learning posted an article in Whistle blowing
On April 1 2017, a new legal duty came into force which required all prescribed bodies to publish an annual report on the whistleblowing disclosures made to them by workers. The Nursing and Midwifery Council has published a a joint whistleblowing disclosures report with other healthcare regulators. The aim in this report is to be transparent about how we handle disclosures, highlight the action taken about these issues, and to improve collaboration across the health sector. As each regulator has different statutory responsibilities and operating models, a list of actions has been devised that can accurately describe the handling of disclosures in each organisation. -
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What is the National Guardian Freedom to Speak Up?
Claire Cox posted an article in Speak Up Guardians
The National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the CQC, NHS England and NHS Improvement. -
Content ArticleEveryone should be treated with dignity and respect at work. Bullying and harassment is unacceptable and constitutes a violation of human and legal rights that can lead to criminal prosecution and civil law claims. Employers have a duty of care to provide a safe and healthy working environment for their staff, and this is an implied term of every contract of employment. Bullying and harassment undermines physical and mental health, frequently resulting in poor work performance. Possible consequences include: insomnia and inability to relax loss of confidence and self-doubt loss of appetite hypervigilance and excessive double-checking of all actions inability to switch off from work.
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Content ArticleIn this article published in JAN Interactive, Catherine Best critiques the importance of understanding Human Factors in ensuring the delivery of safe and effective care.
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Birmingham University Hospitals Trust: Poster for staff going home
Claire Cox posted an article in Good practice
This poster from Birmingham University Hospitals Trust is aimed at staff leaving to go home after their shift. -
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10,000 feet - Patient Safety in the operating theatre
Claire Cox posted an article in Process improvement
This video by theatre staff from East Lancashire Hospitals NHS Trust explains how the 10,000 feet initiative promotes patient safety within the operating theatre. -
Content ArticleAn adverse clinical event, patient safety incident or medical error can have a far-reaching impact not only for the patient and their families, the 'first victims', but also the healthcare professionals involved. These are sometimes referred to as ‘second victims’. Often there are few opportunities for second victim healthcare professionals to discuss the details of incidents or events and share how this has affected them personally. The East Midlands Patient Safety Collaborative (EMPSC) funded the University of Leicester as part of their National Safety Culture workstream to develop a Second Victim Support Unit within the Children’s Hospital at University Hospitals Leicester to test whether models of support established in the US could be successfully transferred to UK health settings.
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Supporting second victims: breaking the cycle of harm
Claire Cox posted an article in Second victim
'Second victim' is the term used to refer to healthcare workers who are impacted by patient safety incidents. Whilst patients and families will always be the first priority following safety incidents, the well-being of the staff involved is often overlooked but can leave staff lacking confidence, unable to perform their job, requiring time off or leaving their profession. -
Content ArticleThere is a growing body of evidence to demonstrate that health professionals feel emotionally distressed after a patient safety incident and there is an emerging recognition of the potential negative impact on both the health professionals’ health and on patient safety. The Canadian Institute for Patient Safety partnered with the Mental Health Commission of Canada to develop a new toolkit for peer-to-peer support programmes in healthcare. It includes tools, resources and templates from organisations across the globe who have successfully implemented their own peer support programmes for healthcare providers, and is intended for policy makers and regulators, administrators, managers, healthcare teams and peer supporters.
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CPSI: Communicating after harm in healthcare (2009)
Claire Cox posted an article in Healthcare Excellence Canada
Communicating after harm in healthcare was developed by the Canadian Patient Safety Institute to assist organisations throughout the process of communicating after patient safety incidents that resulted in harm. -
Content ArticlePatient awareness, understanding and engagement is an important aspect to be considered in action plans to improve hand hygiene. This guidance encourages partnerships between patients, their families, and healthcare workers to promote hand hygiene in healthcare settings. Positive engagement with patients and patient organisations in the pursuit of improving hand hygiene compliance by health-care workers has the potential to strengthen infection prevention and control globally and reduce the harm to patients caused by healthcare associated infection.
