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Found 498 results
  1. Content Article
    Dr Clare Dollery reflects on a retained swab 'never event' in Churchill Hospital theatres. Incidents, such as operating on the wrong body part or leaving instruments inside patients are categorised by the Department of Health as 'never events'. Dr Dollery is Oxford University Hospital's Deputy Medical Director. The Surgical Grand Rounds lecture series, hosted by the Nuffield Department of Surgical Sciences at Oxford University, is the key educational meeting for consultants, juniors and medical students. Presentations revolve around clinical cases.
  2. Content Article
    Th British Medical Association provide a number of services to help and advise doctors who are experiencing bullying at work but also to those who may have witnessed examples of bullying and wish to raise concerns. This video offers some advice for staff affected.
  3. Content Article
    A great animated video brought to you by No More Throw Away People – voiced by Brian Blessed, this tale of blobs and squares paints an accurate picture of how co-production matters. This short animation shows why its vitally important to engage and include our patients and service users in clinical system design.  It explains simply what may happen if we don't listen to all parts of our system to make care safer.
  4. Content Article
    This infographic was produced by Matthew Bowker, a junior doctor from Newcastle Upon Tyne. Fifty per cent of older people have asymptomatic bacteraemia in their urine. This infographic advises when to dip urine in older adults. Produced with guidance from the Scottish Intercollegiate Guidelines Network (SIGN).
  5. Content Article
    How can you discuss obesity with your patients in a respectful manner? Many doctors feel uncomfortable bringing up the topic of weight since they are afraid of being rude. So how should you do it? In the fifth part of the low carb for doctors series, Dr Unwin discusses how doctors can talk about obesity to their patients in a respectful way.
  6. Content Article
    In this podcast by the University of Oxford, Ms Sarah Kessler (producer of the feature-length documentary ‘The Checklist Effect’ and past Lead for Lifebox) discusses and shows clips from ‘The Checklist Effect’, the award-winning documentary inspired by the WHO Surgical Safety Checklist. Professor Shafi Ahmed (Consultant Laparoscopic Colorectal Surgeon at the Royal London Hospital and Associate Dean at Barts and the London Medical School) talks about his passion around innovation, technology, global health and education, and how they marry together.
  7. Content Article
    The successful NHS Productives series, from NHS Improvement, are about ‘the how not the what’ and use a learning by doing approach that builds knowledge and skills to support frontline teams to make real and lasting improvements for themselves.
  8. 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.
  9. Content Article
    The objective of this review is to contribute to the development of the GMC's policy in this area. Given the GMC’s role as a regulator of individual healthcare professionals (i.e. doctors) this study focuses on the types of requirements and standards applicable to or having implications for healthcare practitioners, rather than the regulation of healthcare providers (e.g. hospitals, surgeries etc.) or healthcare systems as a whole.  
  10. 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.
  11. Content Article
    In intensive care units (ICU) and operating theatres, arterial lines are used to accurately measure a patient’s blood pressure and take numerous and repetitive blood samples. In order to prevent bacterial contamination and blood spillage from the arterial line, red arterial connectors, which are closed cap coverings, are placed on the sampling port of the arterial line. Doctors from The Queen Elizabeth Hospital NHS Foundation Trust, Kings Lynn have collaborated with Eastern Academic Health Science Network and the Patient Safety Collaborative on this patient safety solution.
  12. Content Article
    Healthcare information technology procurement is critical for healthcare organisations, as procurement decisions on medical devices and IT infrastructure will impact safety, efficiency, staff and patient experiences. In this webinar, Svetlena Taneva, from Healthcare Human Factors, University Health Network, discusses using Human Factors in hospital technology.
  13. 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.
  14. 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.
  15. Content Article
    In this Editorial in the BMJ, Albert Wu introduced the phrase ‘second victim’ in an attempt to highlight the emotional effects for staff involved in a medical error and the need for emotional support to help their recovery.
  16. Content Article
    Engaged and involved patients are key to achieving a healthcare system that is responsive to their needs and values. The British Medical Association(BMA) patient liaison group (PLG) wants to promote patient and public involvement (PPI), also known as PPE (patient and public engagement). GPs and practice managers can use this tool kit to involve patients and the public in healthcare planning and delivery.
  17. Content Article
    This paper from Kneebone et al, published in BMC's Advances in Simulations proposes simulation-based enactment of care as an innovative and fruitful means of engaging patients and clinicians to create collaborative solutions to healthcare issues.
  18. Content Article
    In this video, the General Medical Council (GMC) discusses bullying and harassment and its impact on patient care. This is part of the Professional behaviours and patient safety training programme.
  19. Content Article
    Resuscitation in the pre-hospital setting is very challenging. To give the best possible care, teamwork needs to be optimal. Tom Evens, an emergency physician with Londons Air Ambulance and former coach of the Olympic UK rowing team, shows us how performance psychology will help you in providing critical care at the roadside. Presented at the ResusNL Conference 2019.
  20. Content Article
    Healthcare Safety Investigation Branch (HSIB) report on the inadvertent administration of an oral liquid medicine into a vein. This report indicated the importance of using human factors in the investigation process. The investigation reviewed the effectiveness of the current processes for the storage of medicines, equipment design, and the prescribing, preparation, checking and administration of medication. It also considered the contextual, environmental and human factors that influenced the inadvertent administration of an oral solution into a vein. The effectiveness of current processes for implementation of local safety standards for invasive procedures was also considered. A human factors expert was involved in the investigation and a dedicated report was written based on the evidence reviewed, a reconstruction of the event and a simulation of what should have happened.
  21. Content Article
    This short guide, by the General Medical Council, provides patients with an overview of what they should be able to expect from the doctors providing their care. It is important that patients have clear expectations about the responsibilities and duties of doctors, particularly with regard to patient safety. This web-based resource offers a short, simply written and easily accessible overview that patients can be provided with, outlining the role of doctors in ensuring patient safety. This includes highlighting the importance of patients speaking up if they they safety is being compromised, the responsibility of doctors to report safety incidents, and the role of annual appraisals and peer review in monitoring safety.
  22. Content Article
    The Royal College of General Practitioners (RCGP) have developed this toolkit to disseminate learning highlighted from acute kidney injury (AKI) case notes reviews, part of the RCGP AKI Quality Improvement project. Working with GP practices, they have put together resources, alongside national Think Kidneys guidance, to support the implementation of quality improvement methods into routine clinical practice.
  23. Content Article
    A podcast discussing blogs from Dr Josh Farkas of the PulmCrit blog on the importance of renal protection in sepsis.
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