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Found 543 results
  1. Content Article
    This article by the Association of Anaesthetists offers guidance for healthcare workers on how to get a good sleep. It includes advice on the following techniques and ideas: Unchallenge your brain Have a hot bath Sleep in a way that works for you Be prepared Power napping tips
  2. Content Article
    The Association of Anaesthetists (AoA) has developed a set of resources to help NHS staff and boards tackle the impact of healthcare worker fatigue. Part of the AoA's #FightFatigue campaign, these resources can be downloaded as a whole package or separate items.
  3. Content Article
    In this episode of the Coffee and a Gas podcast, consultant anaesthetists Dr Roopa McCrossan and Dr Emma Plunkett talk about fatigue and how they pioneered the Association of Anaesthetists' Fight Fatigue campaign.
  4. Content Article
    This poster by the Royal College of Anaesthetists, The Association of Anaesthetists and the Faculty of Intensive Care Medicine outlines practical principles for minimising the impact of fatigue for staff working night shifts. It includes tips for what to do before nights, during nights and between nights and advice on recovery after nights.
  5. Content Article
    In this blog, Laura Pickup, Senior Investigation Science Educator at the Healthcare Safety Investigation Branch (HSIB) talks about NHS staff fatigue in the run up to World Sleep Day and HSIB's fatigue event on 17 March 2023. She looks at the scientific basis of fatigue and the impact it can have on safety in healthcare settings. She also examines how the rail industry has made changes to deal with staff fatigue and improve safety, highlighting the unique challenges faced by healthcare due to workforce shortages. Laura highlights the conversation that HSIB has initiated about fatigue in healthcare and how to tackle the challenges it poses to safety.
  6. Content Article
    This presentation by the European Patient Safety Foundation (EPSF) outlines the issues associated with healthcare worker fatigue and highlights case studies of interventions to help fight fatigue in healthcare. It introduces the Fight Fatigue in Europe campaign and outlines its five-year action plan to #FightFatigue.
  7. Content Article
    This systematic review in the British Journal of Surgery aimed to describe types of cognitive bias in surgery, their impact on surgical performance and patient outcomes, their source, and the mitigation strategies used to reduce their effect. The authors concluded that cognitive biases have a negative impact on surgical performance and patient outcomes across all points of surgical care. This review highlights the scarcity of research investigating the sources that give rise to cognitive biases in surgery and the mitigation strategies that target these factors.
  8. Content Article
    In this blog, the Healthcare Safety Investigation Branch (HSIB) reflects on the recent publication of the new National Safety Standards for Invasive Procedures (NatSSIPs 2) by the Centre for Perioperative Care. It outlines how these standards can help NHS organisations provide safer care and reduce the number of patient safety incidents, including a comment on this from Deinniol Owens, Associate Director of National Investigations at HSIB.
  9. Content Article
    The original National Safety Standards for Invasive Procedures (NatSSIPs) were published in 2015. Understanding of how to deliver safe care in a complex and pressurised system is evolving. These revised standards (NatSSIPs2) are intended to share the learning and best practice to support multidisciplinary teams and organisations to deliver safer care. The Centre for Perioperative Care shares their slideset on the revised standards.
  10. Content Article
    This animation explains systems thinking and the principles of human factors in simple terms. Aimed at healthcare managers and clinicians involved in local level incident investigation, the film uses an example scenario–the incorrect prescription of medications–to introduce the concept of systems thinking and how to use it in healthcare safety investigations.
  11. Content Article
    The Clinical Human Factors Group have created a sample template for Trusts looking to recruit a Human Factors and Ergonomics specialist. Please feel free to use and adapt this template to your organisation’s needs.
  12. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Laura and Suzy talk to us about the importance of embedding human factors in the design of healthcare systems and tools, the importance of equipping staff to think about system safety, and their work to establish a nationwide conversation about the impact of fatigue.
  13. Content Article
    This systematic review in the Western Journal of Nursing Research examined the relationship between hospital nurse fatigue and outcomes. The authors found that fatigue was consistently associated with mental health problems, decreased nursing performance and sickness absence. Many studies confirmed that nurse fatigue is negatively associated with nurse, patient-safety and organisational outcomes. The review also highlighted gaps in current knowledge and the need for future research using a longitudinal design and measuring additional outcomes to better understand the consequences of nurse fatigue.
  14. Content Article
    This Patient Safety Advisory from the Pennsylvania Patient Safety Authority provides an overview of the issues associated with healthcare worker fatigue. It outlines fatigue risk mitigation practices that are being used in healthcare and other industries, including comprehensive fatigue risk management programs.
  15. Content Article
    In this blog, Sarah Douglas explains the impact that working night shifts can have on the body; there is growing evidence that night work contributes to a number of serious health conditions—from heart disease, diabetes and cancer to mental health issues. Sarah shares the vision behind Night Club, an award winning wellbeing programme that brings workers and employers together with sleep scientists to improve the health, wellbeing and engagement of night shift workers. She describes how the programme is helping staff improve their sleep health.
  16. Content Article
    When healthcare workers are fatigued, the safety of both patients and staff is compromised. This short article in the American Journal of Nursing reports on a recent webinar in which the Joint Commission distilled current research on fatigue, discussing its causes and symptoms and the various means of addressing the issue. Ann Scott Blouin, a nurse and Executive Vice President of Customer Relations at the Joint Commission, led the discussion and highlighted that factors contributing to staff fatigue fall into three categories: organisation and management issues, the nature of the work and personal challenges. Fatigue has emotional, physical, and behavioural consequences, including lapses in attention, diminished reaction time, and reduced motivation.
  17. Content Article
    Interruptions and multitasking are implicated as a major cause of clinical inefficiency and error. The aim of this study by Westbrook et al. was to measure the association between emergency doctors' rates of interruption and task completion times and rates.
  18. Content Article
    Fatigue in anaesthesia practice is often ignored or accepted as the norm due to persistent, high-intensity work demands and expectations. This document produced by the American Association of Nurse Anesthesiology (AANA) aims to provide guidance to healthcare professionals, healthcare facilities and nurse anaesthesia programs regarding sleep deprivation and fatigue. It provides evidence-based information that promotes fatigue management and work-life balance.
  19. Content Article
    This systematic review in BMJ Open synthesised evidence on the impacts of insufficient sleep and fatigue on health and performance of physicians in independent practice, as well as on patient safety. The authors also assessed the effectiveness of interventions targeting insufficient sleep and fatigue. The authors found that fatigue and insufficient sleep may be associated with negative physician health outcomes, but concluded that current evidence is inadequate to inform practice recommendations.
  20. Content Article
    Fatigue is a workplace hazard that affects the health and safety of patients, health care providers and the community. This blog from health tech company Cerner looks at the importance of managing fatigue in healthcare staff. The author suggests a three-step approach to lessen fatigue: Shift the culture of safety to include recognising and dealing with fatigue. Operationalise fatigue reduction measures within the organisation. Promote fatigue self-management through preventative strategies.
  21. Content Article
    This guidance from the Office of Rail and Road outlines how to manage the risk of fatigue that may arise from a working pattern. It defines 'fatigue factors', highlighting that the more a working pattern features these fatigue factors, the greater the likely need to assess, avoid and control potential fatigue risks.
  22. Content Article
    This brief paper reviews the available published literature on shiftwork and safety that allows the estimation of the relative risk of “accidents” or injuries associated with specific features of shift systems. It discusses three main trends in risk: Risk is higher on the night shift, and to a lesser extent the afternoon shift, than on the morning shift Risk increases over a span of shifts, especially so if they are night shifts Risk increases with increasing shift length over eight hours The authors discuss the fact that some of these trends are not entirely consistent with predictions made based on considerations of the circadian variations in sleep propensity or rated sleepiness, and consider factors relating to sleep that may underlie the observed trends in risk. They also discuss the practical implications of the trends in risk for the design of safer shift systems.
  23. Content Article
    Hours of work and other conditions of service are matters for agreement between employers and staff, but it is vital that working patterns are designed to reduce risks from fatigue as much as is practical. This resource from the Office of Rail and Road outlines why the rail industry needs to take staff fatigue seriously, and provides links to key guidance.
  24. Content Article
    Fatigue refers to the issues that arise from excessive working time or poorly designed shift patterns. It is generally considered to be a decline in mental and/or physical performance that results from prolonged exertion, sleep loss and/or disruption of the internal clock. Fatigue results in slower reactions, reduced ability to process information, memory lapses, absent-mindedness, decreased awareness, lack of attention and underestimation of risk. It can lead to errors and accidents, ill-health and injury, and reduced productivity and is often a root cause of major accidents. This guidance from the Health and Safety Executive (HSE) outlines key information about fatigue and signposts to further resources about managing fatigue at work.
  25. Content Article
    Surprises in healthcare are common and can have lasting effects on clinicians. Steven Shorrock asked clinicians to reveal aspects of their experience with implications for learning.
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