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Found 97 results
  1. Content Article
    This infographic by the College of Emergency Nursing Australasia gives practical advice on how to speak up if patient safety is compromised.
  2. Content Article
    Safety in healthcare has traditionally focused on avoiding harm by learning from error. This approach may miss opportunities to learn from excellent practice. Excellence in healthcare is highly prevalent, but there is no formal system to capture it. We tend to regard excellence as something to gratefully accept, rather than something to study and understand. The preoccupation with avoiding error and harm in healthcare has resulted in the rise of rules and rigidity, which in turn has cultivated a culture of fear and stifled innovation. It is time to redress the balance. It is believed that studying excellence in healthcare can create new opportunities for learning and improving resilience and staff morale. This page is for useful resources for setting up and maintaining an excellence reporting programme:
  3. Content Article
    Here is a template for an entrance interview, produced by Learning from excellence. It has been designed using Appreciative Inquiry (AI) principles. It is envisaged to be used at the start of a new job or rotational placement to guide formation of personal development plans. However it could be adapted for permanent staff at times of appraisal.
  4. Content Article
    This month’s Letter from America highlights approaches to addressing persistent patient safety challenges, such as overprescribing of opioids and staff burnout, through working with clinicians, staff and patients to enhance service delivery and care and opportunities to effectively engage communities. Letter from America is the latest in a Patient Safety Learning blog series highlighting fresh accomplishments in patient safety from the United States.
  5. Content Article
    Following the traumatic death of an anaesthetic trainee who was returning home after a night shift, the Fatigue Group supported by the Association of Anaesthetists and RCoA have surveyed UK trainees about shift working and fatigue. With a 60% response rate, the survey highlights a wide variation in access to rest facilities, commuting distances and concerning effects of fatigue on trainees.
  6. Content Article
    Engaging for success: enhancing performance through employee engagement sets out the evidence that only organisations that truly engage and inspire their employees produce world class levels of innovation, productivity and performance. The lessons that flow from that evidence can and should shape the way leaders and managers in both the private and public sectors think about the people who work for them. They should also shape the way employees approach their jobs and careers. 
  7. Content Article
    Emma Plunkett, Consultant Anaesthetist and Adrian Plunkett, Paediatric Incentivist, talk about what inspired them to establish the Learning from Excellence approach to patient safety and care, how it has made an impact in the West Midlands and why it won a coveted HSJ Patient Safety Award.
  8. Content Article
    The PRAISe project tests the hypothesis that, together, positive reporting and appreciative inquiry can be used as an intervention to facilitate behavioural change and improvement in the related areas of sepsis management and antimicrobial stewardship.
  9. Content Article
    A trainee ophthalmologist shares his experience with BMJ Opinion of being redeployed to the frontline of COVID-19 preparation and hopes that it will allay fears.
  10. Content Article
    The Intensive Care Society is delighted to share their wellbeing resource pack developed with Dr Julie Highfield, Clinical Psychologist. The poster series aims to improve our understanding of psychological wellbeing at work, the impact reduced wellbeing can have and what we can do in response, and includes tips for dealing with extraordinary situations such as COVID-19 and everyday working in critical care. 
  11. Content Article
    How can we help frontline clinicians? Sometimes medics may feel uneasy or even guilty and that they could be doing more. That was what a junior doctor in Abergavenny in Wales felt and she did something about it. In this podcast, the BMJ speak to Josie Cheetham about how she started her initiative to provide support boxes in hospitals for her colleagues working at the frontline, and how that initiative inspired others and mushroomed across the UK.
  12. Content Article
    Provides guidance for both employers and staff on promoting positive mental health and supporting those experiencing mental ill health in the workplace Mental Health & Wellbeing in the Workplace is a valuable resource for those in the workplace wanting to look after their physical and mental wellbeing, and those looking for guidance in managing staff with mental health issues. 20% off for key workers! use code MWKEY
  13. Content Article
    Emotional resilience has become a buzzword in the helping professions. Although resilience has been incorporated into the “official discourse” of social work, it is important to consider: • What does resilience mean? • To what extent do we as social workers need to be resilient? • Can resilience really protect our wellbeing and improve our professional practice? • Perhaps most importantly, how can we build our resilience to help us thrive in a profession that, although rewarding, can be very stressful? This evidence-based resource by Community Care Inform, aims to provide some guidance to help you navigate your professional journey. Based on their own research and that of others, they highlight the importance of emotional resilience in protecting your personal wellbeing and enhancing your professional practice and suggest ways to help you develop this important quality.
  14. Content Article
    In this Institute for Healthcare Improvement blog, Derek Feeley discusses how "joy at work" during times of collective stress can nurture a sense of purpose and community that supports staff well-being and reduces burnout. 
  15. Content Article
    Today we find ourselves in the middle of a pandemic. COVID-19 has swept across the globe with thousands dead, more seriously unwell, and a sense of anxiety and uncertainty within healthcare professions that is unlike anything we have seen. As the course of the viral illness becomes clearer, management guidelines are being produced, including around the topics of supportive and palliative care. To understand the real life implications of working on the front line, Dr Tavabie and Dr Ball, in this BMJ Supportive and Palliative Care article, conducted a series of short structured interviews with clinicians across the UK in a variety of healthcare settings, discussing their experiences and looking for themes arising from the current COVID-19 outbreak. They hope that quotes from these conversations make for an accurate description of our current time, and may be of interest now and in future. Read part two of the article
  16. Content Article
    Leadership is all about people. During times of crisis, urgency, uncertainty and change the need for leadership is very real. Leadership that is exceptional and active. Colleagues can feel uninformed, anxious, not valued, not heard, confused and fearful. We know that these dimensions can hinder communication and performance but can be eased by regular contact with leadership, moments of clarity (even if short lived), transparency, openness, honesty and a sense that their concerns matter and are not simply dismissed.  The time required for away days, large gatherings, huge debriefs may be difficult to secure but the concepts remain valid and checking in with your people is time well spent. These 5 questions, developed by (East and North Herts NHS Trust, can be used quickly and on a regular basis. If each of us was asked these 5 questions each day or shift they allow us to share how we are experiencing things, reflect on our team mates and colleagues, take away actions for ourselves to help others and have the support from our leadership in helping and supporting us. Good leadership in tough times can be action focused and people centred.
  17. Content Article
    Free online mental health and emotional wellbeing services have been set up to support frontline workers.  Frontline19 was set up by a small team of experienced pyschotherapists as a crisis response to the COVID-19 epidemic. They are working in partnership with Helpforce and are guided by a steering committee of industry professionals. If you are a frontline worker directly affected by COVID-19 and you need support to help you through this difficult time, please register for more info. Its quick, easy and absolutely free of charge.
  18. Content Article
    When it comes to communication, we rely on language at the expense of the rest of our communication toolbox. However, nonverbal communication is just as important as the words we use.1 In times of the COVID-19 pandemic, the use of face masks has become ubiquitous in many countries. Many facial expressions are the same across cultures, like happiness, sadness, anger and fear and our faces can express emotions without saying a word. Given widespread masking, this nonverbal communication has become increasingly difficult. This paper from Schlögl and Jones in the Journal of the American Geriatiric Society gives practical advice on how to communicate while having to wear a face mask to our most vulnerable patients during the pandemic.
  19. Content Article
    A team of ward nurses from Merseyside took part in the 2018–19 cohort of the Innovation Agency's coaching for culture programme. The team, led by ward manager Sharon Mcloughlin, were all from the Dott Ward at The Walton Centre NHS Foundation Trust, a specialist trust in north Liverpool dedicated to providing comprehensive neurology, neurosurgery, spinal and pain management services.
  20. Content Article
    England’s 15 Patient Safety Collaboratives (PSCs) play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, ensuring these are shared and implemented throughout the system. The PSC is a joint initiative, funded and nationally coordinated by NHS Improvement, with the regional PSCs organised and delivered locally by the Academic Health Science Networks (AHSNs).
  21. Content Article
    We know the link between anxiety, stress, burnout and patient safety. This blog from Sally Howard suggests four things we can do to help us stand tall and continue to grow from strength to strength, both for ourselves and for our teams.
  22. Content Article
    hub topic lead, Hugh Wilkins, explores attitudes towards and repercussions of whistleblowing, with emphasis on healthcare professionals who suffer retaliation after raising patient safety concerns. He draws attention to damaging discrepancies between written policy and actual procedure. Hugh urges all healthcare leaders to welcome the concerns that 'whistleblowers' raise in the public interest and respond positively to them, which would lead to substantial improvements in staff engagement, organisational culture, quality of care and patient safety. *Whilst much of  the information in this article is referenced and in the public domain it is not legal advice.
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