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Found 65 results
  1. Content Article
    This article is from the US-based organisation - The Joint Commission, published by Sentinel Alert Event. The Joint Commission’s Sentinel Event Database reveals that leadership’s failure to create an effective safety culture is a contributing factor to many types of adverse events – from wrong site surgery to delays in treatment.
  2. Content Article
    Teamworking is fundamental to the future of general practice. Practices are coming together at scale in primary care networks and new roles are being introduced, creating multidisciplinary and multi-agency teams. Making these teams function effectively is a complex task.  This guide from The King's Fund brings together insights from their research, policy analysis and leadership practice. The need for collaboration and communication underpins much of the guide and it providex further reading and case studies to support each section. Some of the sections will be more relevant to you than others, but if you are a GP, practice manager or other professional working in primary care, or you are supporting practices, this guide will help you think how you will go about creating and sustaining effective teams within general practice.
  3. Content Article
    The Institute for Healthcare Improvement ran a National Forum CEO and Leadership Summit in December 2019. This slide pack gives an overview of the summit, including speaker presentations and key objectives of the meeting.
  4. Content Article
    Effective communication is critical for patient safety. One potential threat to communication in the operating room is incivility. Although examined in other industries, little has been done to examine how incivility impacts the ability to deliver safe care in a crisis. In this US based study, the authors sought to determine how incivility influenced anaesthesiology resident performance during a standardised simulation scenario of occult haemorrhage.
  5. Content Article
    'Letter from America’ is a Patient Safety Learning blog series highlighting fresh accomplishments in patient safety from the United States. The series covers successes large and small. I share them here to generate conversations through the hub, over a coffee and in staff rooms to transfer these innovations to the frontline of UK care delivery.
  6. Content Article
    In this video, clinicians from Great Ormond Street Children's Hospital who are involved in the SAFE project talk about how the ‘huddle’ technique – a ten minute free, frank exchange of information between clinical and non-clinical professionals involved in a patient’s care every few hours – is helping them to improve their situation awareness, resolve risks to patient safety more quickly and reduce harm.
  7. Content Article
    An audio recording of Harry Cayton, Chief Executive of the Professional Standards Authority, speaking at the Kings Fund conference, Patient voice and power in the new NHS. Harry talks about the importance of the patient voice and the impact that different leadership styles can have within the NHS. A transcript is also available to download.
  8. Content Article
    Encouraging diversity in the NHS isn’t simply a matter of inclusion, it’s a matter of patient safety, delegates at the Healthcare Excellence Through Technology (HETT) conference have heard.
  9. Content Article
    The highest performing teams have one thing in common: psychological safety – the belief that you won’t be punished when you make a mistake. Studies show that psychological safety allows for moderate risk-taking, speaking your mind, creativity, and sticking your neck out without fear of having it cut off – just the types of behaviour that lead to market breakthroughs.  This article in the Harvard Business Review suggests six practical points to create a psychologically safe environment. 
  10. Content Article
    The Care Quality Commission (CGC) is the independent regulator of health and adult social care in England. They make sure that health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.  Independent acute hospitals play an important role in delivering healthcare services in England, providing a range of services, including surgery, diagnostics and medical care. As the independent regulator, the CQC, hold all providers of healthcare to the same standards, regardless of how they are funded. 
  11. Content Article
    Patient safety made headlines at the recent Patient Safety Learning Conference when Professor Ted Baker (Chief Inspector of Hospital for the CQC) declared that there has been “little progress for NHS patient safety over past 20 years”.  One of the interesting discussions at the conference was what do these future directors of patient safety look like? What are the skills and attributes that they will possess? Professor Ted Baker pinpointed three key areas, but what would these look like in practice? 
  12. Content Article
    As part of its commitment to supporting the third sector, The King’s Fund works in partnership with GSK to run the GSK IMPACT Awards, which provide leadership development and funding for award winners.
  13. Content Article
    This 15 minute video from the Brighton and Sussex University Hospitals NHS Trust gives an introduction to what human factors is within healthcare.
  14. 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. 
  15. Content Article
    This guide published by the Agency for Healthcare Research & Quality (AHRQ) is a tested, evidence-based resource to help hospitals in the United States work as partners with patients and families to improve quality and safety.
  16. Content Article
    Designed and tested by the Institute of Healthcare Improvement (IHI)’s world-renowned safety experts, the Patient Safety Essentials Toolkit can help you improve teamwork and communication, understand the underlying issues that can cause errors, and create and maintain reliable systems. IHI's Vice President, Frank Federico, helped develop the contents of the new toolkit. In the following interview, he provides an overview of how to put the toolkit to good use.
  17. Content Article
    In his blog, Dr Rob Hackett explains how new ideas, concepts or practices can spread within a community by using the 'Diffusion of Innovation' theory'. He also discusses the barriers hindering change.
  18. Content Article
    In this BMJ blog, Drs Blair Bigham and Amitha Kalaichandran discuss hospital culture of bullying and a culture of not speaking up. When hospitals fail to create a culture where doctors and nurses can speak up, patients pay the price.
  19. Content Article
    Dr Dan Cohen, former military officer in the United States Air Force and international consultant in Patient Safety and Clinical Quality, talks to Patient Safety Learning about how he became involved in patient safety and why he thinks human performance is an area that deserves more study. He feels strongly that leaders must stand up and share their own stories and mistakes to encourage others to start talking and sharing more openly.
  20. Content Article
    This paper from Kneebone et al, published in BMC's Advances in Simulations proposes simulation-based enactment of care as an innovative and fruitful means of engaging patients and clinicians to create collaborative solutions to healthcare issues.
  21. Content Article
    This report from The King's Fund presents an analysis of data from a 2017 NHS providers survey of leadership vacancies in NHS trusts and foundation trusts, and the results of qualitative interviews and a roundtable The King’s Fund conducted with frontline leaders and national stakeholders. The report focuses on executive directors within the NHS trust and foundation trust sector.
  22. Content Article
    Inno-Veristy presents 'Greatness' by Captain David Marquet, based on his best selling book 'Turn this ship around'.
  23. Content Article
    This leadership model was produced by the NHS Leadership Academy. Aimed at all employees of healthcare, regardless of grade or role, it sets out how anyone can develop as a leader.
  24. Content Article
    Inclusion is core to the NHS Constitution, yet it remains one of the biggest challenges that health systems face globally, nationally and systemically. In the face of a growing body of evidence, which demonstrates the critical role that inclusive leadership plays in ensuring that health and care systems operate most effectively for patients and public, it is incumbent upon us to ensure that leaders at all levels are equipped and capable of leading inclusively and effectively. 
  25. Content Article
    This paper, by Michael West, Regina Eckhart, David Altman and Bill Pasmore, from the King's Fund, written in partnership with the Center of Collective Leadership, shows how collective leadership can be implemented to deliver a sustainable culture change in improving patient care.
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