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Found 128 results
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Content ArticleThree NHS case studies (from acute care, primary care and commissioning) are described and reviewed in the light of evidence from successful organisational change in the US. Eight key features of successful leadership for patient and family centred care are outlined: Strong, committed senior leadership Active engagement of patients and families Clarity of goals Focus on the workforce Building staff capacity Adequate resourcing of care delivery redesign Performance measurement and feedback
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How can After Action Review (AAR) improve patient safety?
Judy Walker posted an article in Good practice
AAR is a deceptively simple process for learning from any every day or exceptional 'action', which takes the individual expectations and experiences of the same event to build a shared mental model of what happened and use this as the basis for learning and action planning. To be successful it is essential that AARs are led by a trained AAR 'Conductor' who uses a defined four-question process and a universal set of AAR 'ground rules' to create a safe learning environment. The other vital component, which is often missing, is the organisational context in which the AARs take place. This needs t- Posted
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Content ArticleWhat will I learn? Within the toolkit you will find: The SBAR (Situation-Background-Assessment-Recommendation) technique, which provides a framework for communication between members of the health care team about a patient's condition. Action Hierarchy, a component of RCA2 that will assist teams in identifying which actions will have the strongest effect for successful and sustained system improvement. A daily huddle agenda, which gives teams a way to proactively manage quality and safety. Failure Modes and Effects Analysis (FMEA): also used in Lean management and
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Content ArticleTalking openly about cancer and our experiences makes a huge difference in increasing understanding, overcoming stigma and reducing fear. This page give you access to numerous stories from around the world from people living with and have experience of living with cancer.
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NHS Improvement: After action review
Patient Safety Learning posted an article in NHS Improvement
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Understanding Schwartz Rounds (22 January 2018)
Patient Safety Learning posted an article in Good practice
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Schwartz Rounds publications
Patient Safety Learning posted an article in Research papers
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WHO: After Action Review (AAR) resources
Patient Safety Learning posted an article in WHO
WHO's definition of an After Action Review and resources Guidance for After Action Review After Action Review infographic 3 minute video explaining the AAR practice as promoted by WHO, including the definition, the different methodologies and available resources. After Action Reviews and simulation exercises -
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Learning from excellence in healthcare
Patient Safety Learning posted an article in Implementation of improvements
Key points Learning from Excellence (LfE) is a system for capturing examples of good practice in healthcare as a complementary approach to traditional incident reporting. The LfE philosophy proposes that learning from what works well in a system enables improvements in the quality and safety of the work, and the morale of staff performing it. LfE systems comprise simple reporting forms for peer-to-peer positive feedback with sharing of examples to enable wider learning. LfE reporting identifies excellence and learning opportunities in both process and outcome. -
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GREATix: Reporting the positive
PatientSafetyLearning Team posted an article in Safety culture programmes
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Content ArticleKey points Language influences the perceptions of the accident process. The use of punishment can be harmful to individuals. Punishment does nothing to help achieve future safety. Accident analyses are not independent from the organisation politics.
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Content ArticleWith staff shortages and increased pressure on the NHS, it can be difficult for staff to consistently provide humane and compassionate care. Schwartz rounds are a simple, easily implemented way to support staff in providing compassionate humane care and improve their own wellbeing. Rounds are now held in over 200 NHS organisations and in many more health organisations in the US, where they were first developed. In this article, Richard discusses the origins of Schwartz rounds and his experience of attending two Schwartz rounds, one in a hospice and one in an acute trust.
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Content ArticleThis page includes a short video by PRASE Project Manager, Dr Sally-Anne Wilson, explaining what PRASE is.
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Content ArticleThe report concludes that rounds are a ‘slow intervention’ that develop their impact over time. They create a safe, reflective space for staff to talk together confidentially, and attending rounds increased staff’s empathy and compassion for colleagues and patients, supported them in their work and helped them to make changes in practice. The analysis highlights the necessary conditions for rounds to work.
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Content ArticleDid you known that once a paramedic hands over the care of their patient to the hospital they don't tend to learn how beneficial their treatments were or how accurate their diagnosis was? As you can imagine this makes continually improving in order to provide the best possible healthcare to patients very challenging. The Princess Alexandra Hospital (PAH), East of England Ambulance Service Trust (EEAST), and Essex and Herts Air Ambulance Trust (EHAAT) are working together to change that. With support from the Health Research Authority's Confidentiality Advisory Group (CAG) and under the su
