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Found 128 results
  1. Content Article
    Three 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
  2. Content Article
    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
  3. Content Article
    What 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
  4. Content Article
    Talking 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.
  5. Content Article
    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
  6. Content Article
    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.
  7. Content Article
    Key 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.
  8. Content Article
    With 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.
  9. Content Article
    This page includes a short video by PRASE Project Manager, Dr Sally-Anne Wilson, explaining what PRASE is.
  10. Content Article
    The 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.
  11. Content Article
    Did 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
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