Search the hub
Showing results for tags 'Fatigue / exhaustion'.
-
Content ArticleEver wondered what a day in the life of a neurosurgeon on-call is like? Watch this video to follow a neurosurgery resident in a UK major trauma centre as he works a 28 hour shift.
-
Content ArticleThis report was prepared for the World Health Organization (WHO) Patient Safety’s Methods and Measures for Patient Safety Working Group.
- Posted
-
- Leadership
- Team leadership
- (and 4 more)
-
Content ArticleIn this study published in BMJ Open, Bourne et al. determined the prevalence of burnout in doctors practising obstetrics and gynaecology, and assess the association with defensive medical practice and self-reported well-being. They carried out a nationwide online cross-sectional survey study of 5661 practising obstetrics and gynaecology consultants, specialty and associate specialist doctors and trainees registered with the Royal College of Obstetricians and Gynaecologists, between December 2017 and March 2018. They found high levels of burnout were observed in obstetricians and gynaecologists and particularly among trainees. Burnout was associated with both increased defensive medical practice and worse doctor well-being. These findings have implications for the well-being and retention of doctors as well as the quality of patient care, and may help to inform the content of future interventions aimed at preventing burnout and improving patient safety.
-
Content ArticleThis edited book concerns the real practice of human factors and ergonomics (HF/E), conveying the perspectives and experiences of practitioners and other stakeholders in a variety of industrial sectors, organisational settings and working contexts.
- Posted
-
- Ergonomics
- Decision making
- (and 4 more)
-
Content Article
Blood gas brain break: a stress management technique
Claire Cox posted an article in High risk areas
When working at the sharpest end of healthcare it can get stressful, especially when caring for the most sick patients in the hospital. This poster, spotted in a hospital in the UK, encourages staff to take a few seconds out of their busy day, have a few deep breaths and try to relax.- Posted
-
- Fatigue / exhaustion
- Staff support
-
(and 1 more)
Tagged with:
-
Content Article"It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
- Posted
-
- Accident and Emergency
- Ambulance
-
(and 30 more)
Tagged with:
- Accident and Emergency
- Ambulance
- Care home
- Community care facility
- HDU / ICU
- Prison
- Operating theatre / recovery
- Mental health unit
- Hospital ward
- AHP
- Anaesthetist
- Care home staff
- Carer
- Doctor
- Nurse
- Paramedic
- Surgeon
- Social care staff
- Radiologist
- Physiotherapist
- Pharmacist
- Health and safety
- Fatigue / exhaustion
- Resilience
- Motivation
- Organisational culture
- Workforce management
- Process redesign
- Time management
- Case report
- Link analysis
- Workload analysis
-
Content ArticleThe Healthcare Safety Investigation Branch (HSIB) latest report highlights that mislabelling of blood samples could pose a deadly risk to patients. The reference event in the report is a case where patient details became mixed up on blood samples sent from a maternity unit. In the case of mislabelling on blood transfusion samples, the impact could be devastating. There’s the potential for serious injuries and even death.
- Posted
-
- Near miss
- Blood / blood products
- (and 4 more)
-
Content Article
Work as is done, work as imagined
Anonymous posted an article in Florence in the Machine
This blog highlights: The juxtaposition of how work is carried out by healthcare staff compared to the work that policy makers are 'imagining' healthcare workers are doing. The need for healthcare staff to be part of patient safety solutions.- Posted
-
- Near miss
- Hospital ward
- (and 10 more)
-
Content Article
What it feels like working with unsafe staffing
Anonymous posted an article in Florence in the Machine
This blog has been written by a healthcare worker and demonstrates the reality of what it is like caring for patients and families while being chronically low on staff. They describe the impact this has on staff morale and the impact it has on patients, patients family members and the relationship between staff and patients.- Posted
- 2 comments
-
- Safe staffing
- Nurse
- (and 15 more)
-
Content ArticleDr Michael Farquhar, Consultant in Sleep Medicine at Evelina London Children's Hospital, gives an ARIES talk on how fatigue affects the body and the potential impact on anaesthetists and patients.
- Posted
-
- Anaesthetist
- Nurse
- (and 3 more)
-
Content ArticleSleep is fundamental to good health. Healthcare professionals receive little teaching on the importance of sleep, particularly with respect to their own health when working night shifts. Knowledge of basic sleep physiology, together with simple strategies to improve core sleep and the ability to cope with working nights, can result in significant improvements both for healthcare professionals and for the patients they care for. This article by Dr Mike Farquhar, published in the Archives of Disease in Childhood: Education & Practice, gives practical advice for night shift workers and, generally, how to improve your quality of sleep.
- Posted
-
- Doctor
- Fatigue / exhaustion
-
(and 3 more)
Tagged with:
-
Content Article
Professor Peter Brennan's top ten tips for making life work better
Claire Cox posted an article in Motivating staff
Professor Brennan gives his ten top tips to improve wellbeing, team working and improved patient safety. Professor Brennan is an Honorary Fellow of the Royal College of Physicians and Surgeons of Glasgow and a Consultant Surgeon at Queen Alexandra Hospital Portsmouth.- Posted
-
- Fatigue / exhaustion
- External factors
- (and 6 more)
-
Content ArticleA collection of resources from NHS Improvement to help you analyse, understand and improve the health and well-being of your workforce. Based on NHS Improvements's learning from the Improving Health and Well-being direct support programme, they have developed and collated some resources which will assist analysis of your quantitative and qualitative workforce data to drive and enable development of impactful evidence-based workforce health and well-being interventions.
- Posted
-
- Fatigue / exhaustion
- Health hazards
- (and 5 more)
-
Content ArticleBrighton and Sussex University Hospitals NHS Trust found a key challenge in tackling emergency department (ED) doctors' low levels of satisfaction, high rates of burnout and high turnover was because of the way shifts were organised. They found that while ED could be a highly pressurised environment that could contribute to these issues, another key challenge was the way shifts were organised and the lack of flexibility that had become a standard part of being an ED doctor.
- Posted
-
- Accident and Emergency
- Doctor
- (and 4 more)
-
Content Article
JAMA: Time of day and the decision to prescribe antibiotics (December 2014)
Claire Cox posted an article in Culture
This research paper discusses the problem of decision fatigue and how it can impact patient safety. The authors hypothesised that decision fatigue, if present, would increase clinicians’ likelihood of prescribing antibiotics for patients presenting with acute respiratory infections as clinic sessions wore on.- Posted
-
- Doctor
- Pharmacist
- (and 7 more)
-
Content ArticlePotentially preventable adverse events remain a formidable cause of patient harm and health care expenditure despite advances in systems-based risk-reduction strategies. This quality improvement study from Suliburk et al., published in JAMA Network Open, analysed the incidence of human performance deficiencies during the provision of surgical care to identify opportunities to enhance patient safety.
- Posted
-
- Operating theatre / recovery
- Anaesthetist
- (and 11 more)
-
Content ArticleThis project is led by the Department of Anaesthesia at Newcastle upon Tyne NHS Foundation Trust, in partnership with Northumbria University Newcastle. The aim is to co-design a fatigue risk management strategy at the Trust to help teams effectively manage night shift fatigue.
- Posted
-
- Hospital ward
- AHP
- (and 11 more)
-
Content ArticleThe Health and Safety Executive have taken a topic-focused approach to human factors. These topics have proven to be key issues based on research, consultation with industry and intermediaries, and inspection experience.
- Posted
-
- Cognitive tasks
- Communication problems
- (and 5 more)
-
Content Article
"I know this is burnout. I didn’t want it to be. But it is."
Claire Cox posted an article in Blogs
I have been honest in my blogs during the pandemic. I have been apprehensive, scared and, at times, excited to work in the pandemic. So why do I feel so low at this moment? I am experiencing feelings that I have not had before. I have thoughts of leaving nursing. Surely, I can’t be the only one? Why now? Why am I feeling like this? This blog is to explore why this might be.- Posted
- 5 comments
-
2
-
- Safety culture
- Motivation
- (and 2 more)
-
Content ArticleThe COVID-19 pandemic has resulted in an overall surge in new cases of depression and anxiety and an exacerbation of existing mental health issues, with a particular emotional and physical toll on health care workers. Limited resources, longer shifts, disruptions to sleep and to work-life balance and occupational hazards associated with exposure to COVID-19 have contributed to physical and mental fatigue, stress and anxiety and burnout. In this article, published by Wolters Kluwer, the Houston Methodist Hospital share the lessons learned collectively by an interdisciplinary team of Intensive Care Unit (ICU) leadership and collaborating scientists about the experience of occupational fatigue and burnout of intensive care personnel as a result of responding to the COVID-19 pandemic. They propose specific policy recommendations and guidelines for organisational readiness, resilience and disaster mitigation.
- Posted
-
- ICU/ ITU/ HDU
- Motivation
-
(and 1 more)
Tagged with:
-
Content ArticleSeveral factors can compromise patient safety, such as ineffective teamwork, failed organisational processes and the physical and psychological overload of health professionals. Studies about associations between burnout and patient safety have shown different outcomes. In this paper, published by Medicina (Kaunas), a team in Brazil analysed twenty-one studies, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses and it is associated with external factors such as: high workload, long journeys and ineffective interpersonal relationships.
- Posted
-
- Motivation
- Safety culture
-
(and 2 more)
Tagged with:
-
Content ArticleThe Human Connection is a comprehensive set of clear and resonant stories that illustrate the impact of ergonomics and human factors, produced by the Chartered Institute of Ergonomics and Human Factors (CIEHF). The 60-page document is intended to be of value to a wide range of audiences, including government, policy makers, industry, third sector groups, educators, research funders, regulatory bodies and collaborators. The case studies, available here as the complete set or individually, have been written to increase understanding of the complexity, range and value of the discipline of ergonomics and human factors.
- Posted
-
- Workload analysis
- Motivation
-
(and 2 more)
Tagged with:
-
Content ArticleThe Chartered Institute of Ergonomics and Human Factors (CIEHF) presents advice from the experts. Consultant Anaesthetist Michael Moneypenny discusses how Human Factors experts can help NHS staff cope with fatigue, while Professor Kristy Sanderson discusses the risks and tactics. Both the President and the Chief Executive of the CIEHF offer their expert opinion in this short podcast aimed at frontline workers.
- Posted
-
- Fatigue / exhaustion
- Human error
-
(and 1 more)
Tagged with:
-
Content ArticleThis interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insight during the coronavirus pandemic. Here Martin interviews a chief nurse of clinical productivity leading dynamic change within culture and governance. 15 years in the post, the chief nurse is responsible for leading improvement in standards of nursing and service.
-
Content ArticleThe rapid transmission of COVID-19 has resulted in an international pandemic with the cumulative death rate expected to further escalate in the months to come. The majority of deaths to date (May 2020) have been highly concentrated in certain geographic areas, placing tremendous stress on local healthcare systems and associated workforces. Healthcare is a fundamentally human endeavor; its reliability and the capacity to provide it are tested under stressful conditions and the COVID-19 pandemic is proving to be an especially difficult test for healthcare systems. Consideration of the humanness of care in the broader context of patient safety can raise awareness of how human weaknesses impact individual clinicians and care teams in ways that could degrade patient safety and quality of care and increase risk for both patients with COVID-19 and the staffs that care for them. These weaknesses are exacerbated by fatigue and burnout, absence of team trust, lack of time, medical illness, and poor psychological safety, each of which can result in reduced performance and contribute to failures such as misdiagnoses and adverse events. This article published on AHRQ's PSNet explores these weaknesses.