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Found 246 results
  1. Content Article
    Lubna Haq, Co-Founder/Director of Claridade, was one of the panelists at Patient Safety Learning's Annual Conference leading the discussions on why and how we need to professionalise patient safety. In this blog for the hub, Lubna continues the discussion and encourages us to have conversations about what makes the biggest difference in how we go about our jobs and to share examples of good practice.
  2. Content Article
    In recent years, it’s become clear that some staff don’t have the knowledge or confidence to raise concerns about patient safety. Health Education England has produced this short video explaining what type of concerns need to be raised, whether that be on individual practice or systemic problems.
  3. Content Article
    This is the Freedom to Speak Up Guardian job description. Use it for reference or for a template to advertise for a Freedom to Speak Up Guardian in you trust/sector.
  4. Content Article
    Collecting feedback on the care provided to bereaved families and carers following the death of a child or young person is of critical importance to improving bereavement care. Whilst some local healthcare systems have well-established mechanisms and questionnaires for collecting such feedback, many have indicated that they do not and would value guidance in this area.
  5. Content Article
    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.
  6. Content Article
    This short video describes how the staff at NHS Imperial College Healthcare are at the heart of patient safety and showcases some of the achievements of their teams in improving patient safety.
  7. Content Article
    Tejal 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.
  8. Content Article
    Improving patient experience is not simple. As well as effective leadership and a receptive culture, trusts need a wholesystems approach to collecting, analysing, using and learning from patient feedback for quality improvement. Without such an approach it is almost impossible to track, measure and drive quality improvement. NHS Improvements framework brings together the characteristics of trusts that consistently improve patient experience and enables them to carry out an organisational diagnostic to establish how far patient experience is embedded in its leadership, culture and its operational processes.
  9. Content Article
    Richard Smith, former BMJ Editor and Chair of the Point of Care Foundation, finds out more about Schwartz rounds in this opinion article published in the BMJ.
  10. Content Article
    Patient reporting and action for a safe environment (PRASE) is system for collecting patient feedback about how safe they feel whilst in hospital. It is designed to help staff identify things that are working well, and areas needing improvement. Feedback is collected using a patient safety questionnaire and a reporting tool. With the help of PRASE hospital volunteers, patient feedback is collected. Once enough information has been collected, a ward report is produced and guidance is provided to help make action plans and monitor their successes. 
  11. Content Article
    '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.
  12. Content Article
    In 2017, The Point of Care Foundation made a film of a Schwartz round at Ashford and St Peter’s Hospitals NHS Trust. The full session lasted one hour – this is an edited version which aims to show what happens in a round. Schwartz rounds often tackle difficult emotional situations. This film deals with a particular case about a sick baby, which some viewers may find upsetting.
  13. Content Article
    This report evaluates Schwartz Center Rounds® (rounds) in England. Rounds were introduced into the UK in 2009 to support healthcare staff to deliver compassionate care, something the Francis report (Mid Staffordshire NHS Foundation Trust Public Inquiry) identified as lacking. Rounds are organisation-wide forums that prompt reflection and discussion of the emotional, social and ethical challenges of healthcare work, with the aim of improving staff well-being and patient care.
  14. Content Article
    This report by The Point of Care Foundation, looks at staff engagement in three NHS hospital trusts and provides insights into the views of staff and managers.
  15. Content Article
    This report from the King's Fund explores in more detail the role of leaders in engaging a range of significant others in improving health and healthcare. 
  16. Content Article
    This report states that patient and public engagement has been on the NHS agenda for many years, but the impact has been disappointing. There have been a great many public consultations, surveys, and one-off initiatives, but it argues that the service is still not sufficiently patient-centred. In particular, it looks at a lack of focus on engaging patients in their own clinical care, despite strong evidence that this could make a real difference to health outcomes. This paper argues that a more strategic approach is required to create the necessary shift in beliefs, attitudes and behaviours.
  17. Content Article
    The NHS Long Term Plan highlighted several safety issues that need to be addressed: the fear of blame and retribution which curtails reporting and learning, lack of staff understanding of patient safety matters and workforce issues. This short article summarises what I have learnt about how After Action Review (AAR) can directly address the first two of these and indirectly impact on the third. 
  18. Content Article
    Information for the Public pre-hospital emergency medicine (PHEM) feedback is a collaboration between the Princess Alexandra Hospital and the services who bring patients to them (ambulances and air ambulance teams) and provide pre-hospital care to those patients.
  19. Content Article
    In this lecture from the PHEM (Pre Hospital Emergency Medicine) Feedback Showcase, Gordon Patterson (Patient Representative for Resuscitation Council UK and Patient Representative for PHEM Feedback) describes his experiences as a patient who experienced an out of hospital cardiac arrest 15 years ago. With him is Jonathan Dermott, the paramedic who was called to rescue him and provide resuscitative care, and who since has benefited from following up the case. He describes the life-changing consequences of his care both as a clinician and educator.
  20. Content Article
    This is the opening lecture of the 2019 PHEM (PreHospital Emergency Medicine) Feedback Showcase event.  It opens with an address from Ms Jacqueline Kelly, Dean of the School of Health and Social Work at the University of Hertfordshire.  It then gives an explanation of what PHEM Feedback is and how it came to exist.
  21. Content Article
    Designed and tested by the Institute for Healthcare Improvement's (IHI) world-renowned safety experts, this toolkit includes documents on improving teamwork and communication, tools to help you understand the underlying issues that can cause errors, and valuable guidance about how to create and maintain reliable systems. Each of the nine tools includes a short description, instructions, an example and a blank template.
  22. 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. 
  23. 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.
  24. Content Article
    This guide from the Patients Association describes how to make a complaint to your GP or hospital.
  25. Content Article
    This study, published in Health Services and Delivery Research, found the patient experience feedback cycle was rarely completed, and despite diverse approaches to gathering feedback in inpatient settings, approaches to analysing and using this information remain underdeveloped.
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