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Found 1,324 results
  1. Content Article
    Strengthening a safety culture necessitates interventions that simultaneously enable, enact and elaborate in a way that is attuned to the existing culture. Through a literature review of more than 60 resources, a Patient Safety Culture Bundle has been created and validated through interviews with Canadian thought leaders. The 'Bundle' is based on a set of evidence-based practices that must all be applied in order to deliver good care. All components are required to improve the patient safety culture.
  2. Content Article
    Analysis of the New England Journal of Medicine (NEJM) Catalyst Insights Council Survey on organisational culture.
  3. 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.
  4. Content Article
    In 2016, Merseycare NHS Foundation Trust embarked on a journey towards a just and learning culture. Since then, they have made great progress and achieved significant results. They have produced an excellent interactive online presentation for anyone who wishes to improve the culture of the healthcare organisation in which they work. It describes why they started on the journey, what they did and the kinds of results they have obtained. It is an overview of a substantial programme, and demonstrates that while changing from a retributive 'blame' culture to a restorative 'just' culture may be challenging, it can be done - to the benefit of patients and staff.
  5. Content Article
    The first global experts’ consultation for the development of the WHO Leaders Guide on Patient Safety and Quality of Care in Service Delivery took place 20-21 March 2014. Over 25 experts from around the world in the areas of health care management, financing, patient safety and quality of care gathered at WHO to address the global need for strengthening leadership capacity to deliver safe and quality health services. A draft Leadership Competencies Framework on Patient Safety and Quality of Care was developed by WHO through a literature search and analysis of findings, which was debated by participating experts and formed the basis for: technical discussions during the consultation; agreement on the competencies necessary for enhancing leaders’ capacity to prioritize and direct the delivery of safe and quality health services; agreement on the learning topics/chapters and content of the Leaders’ Guide.
  6. Content Article
    The Nursing and Midwifery Council exists to protect the public. They do this by making sure that only those who meet the requirements are allowed to practise as a nurse or midwife in the UK, or a nursing associate in England. They take action if concerns are raised about whether a nurse, midwife or nursing associate is fit to practise.
  7. Content Article
    Established by Health Canada in 2003, the Canadian Patient Safety Institute (CPSI) works with governments, health organisations, leaders and healthcare providers to inspire extraordinary improvement in patient safety and quality. SHIFT to Safety is a major shift to empower staff with the tools and information they need to keep patients safe, at any level.
  8. Content Article
    This review of the literature by Mianda and Voce, published in BMC Health Services Research, was conducted towards identifying a model to inform clinical leadership development interventions among frontline healthcare providers, particularly for improved maternal and newborn care. The purpose of the literature review was to synthesise published evidence on frontline clinical leadership development and its evaluation, and included multiple frontline-care contexts. 
  9. Content Article
    The Faculty of Medical Leadership and Management (FMLM), The King’s Fund and the Center for Creative Leadership (CCL) share a commitment to evidence-based approaches to developing leadership and collectively initiated a review of the evidence by a team, including clinicians, managers, psychologists, practitioners and project managers. This document summarises the evidence emerging from that review.
  10. Content Article
    Dympna Cunnane, Organisation Development Consultant and Programme Director at London Business School, discusses her views on how healthcare leaders respond to the pressures of the job and their role in ensuring high quality, compassionate care for patients.  The video is aimed at staff, of any grade, working in any healthcare setting.
  11. Content Article
    This is an example template from NHS England for anyone, in any healthcare sector, to use if writing a business case.
  12. Content Article
    This report by the Parliamentary and Health Service Ombudsman is about an investigation into the Care Quality Commission’s (CQC) regulation of the Fit and Proper Persons Requirement (FPPR), which requires NHS providers to ensure that their directors are ‘fit and proper’ to carry out their duties.
  13. Content Article
    The Surgical Grand Rounds, hosted by the Nuffield Department of Surgical Sciences, are the key educational meetings for consultants, juniors and medical students. Presentations revolve around clinical cases and are followed by lively, educational discussion. These podcasts are brought to you by the Oxford University Medical Education Fellows.
  14. Content Article
    Richard Greenwood is Trust Decontamination Lead & Head of Sterile Services at University Hospitals of Morecambe Bay (UHMB) NHS Foundation Trust. As with many NHS Trusts, UHMB were faced with problem of managing surgical instrument stocks, migration of the instruments from sets, and tracking and tracing single instruments through the decontamination process back to the patient. This case study shows how they solved this problem.
  15. Content Article
    Chapter 28 of this book covers The Impact of Facility Design on Patient Safety.
  16. 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.
  17. Content Article
    The NHS Innovation Accelerator supports the uptake and spread of high impact, evidence-based innovations across England’s NHS, benefiting patients, populations and NHS staff. 
  18. Content Article
    The Caldicott Principles were developed in 1997 following a review of how patient information was handled across the NHS.
  19. 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.
  20. Content Article
    NHS Improvement have published a number of case studies on appropriate use of clinical risk assessment tools, developing new evidence-based alerting systems and developing personalised risk management plans for people who use services, to manage risks positively.
  21. 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.
  22. Content Article
    Despite 20 years of effort, every year avoidable unsafe care still leads tens of thousands of patients to suffer death or serious, life-changing harm. A Blueprint for Action, a report from Patient Safety Learning, furthers the analysis of the systemic causes of this harm and describes actions to make patient care safer. Last September, health and patient safety professionals and patients overwhelmingly welcomed the analysis of avoidable unsafe care offered in Patient Safety Learning’s Green Paper, A Patient-Safe Future. Matt Hancock, Secretary of State for Health and Social Care described it as “…the blueprint for action that we need.” Following widespread consultation on the Green Paper, A Blueprint for Action extends this analysis to identify actions to address the systemic causes of unsafe care.
  23. Content Article
    Developing the right people with the right skills and the right values is recognised as a key priority to enable the sustainable delivery of health services, as leadership is one of the most influential factors in shaping an organisational culture. Ensuring the necessary leadership behaviours, strategies and qualities are developed is fundamental. The aim of this document, developed by NHS England and Health Education England, is to give both Integrated Urgent Care (IUC)/NHS 111 service employers and employees some guidance about this key topic.
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