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Showing results for tags 'Organisational Performance'.
Found 275 results
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Content ArticleIn 2016, thirteen organisations from health, social care and local government came together to create the Developing People Improving Care framework, an evidence-based national framework to guide action on improvement skill-building, leadership development and talent management for people in NHS-funded roles. One year on, NHS Improvement highlight some of the work taking place, demonstrating the steps people are already taking to ensure systems of compassion, inclusion and improvement are at the core of the health and care system. They also set out plans for the year ahead and some of the steps you can take to learn more about the framework.
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Content ArticleThis case study shows how Gloucestershire Hospitals NHS Foundation Trust sought to reduce their staff turnover by adopting a development opportunity created by Nottingham University Hospitals NHS Trust for newly qualified recruits – the Chief Nurse Junior Fellowship.
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Content ArticleIn this commentary, I reflect on how we may all suffer from some degree of professional complacency. Healthcare professionals do not get up in the morning intending to harm anyone, but normal human liabilities can impair our performance. We may often fail to recognise environmental and situational risks, and, more importantly, to admit to our own personal liabilities and, thus, the risks we bring into the healthcare environment.
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Content Article
What is NHSX?
Claire Cox posted an article in NHS X
NHSX brings teams from the Department of Health and Social Care, NHS England and NHS Improvement together into one unit to drive digital transformation and lead policy, implementation and change. NHSX is leading the largest digital health and social care transformation programme in the world. With investment of more than £1 billion pounds a year nationally and a significant additional spend locally, NHSX has been created to give staff and citizens the technology they need. -
Content ArticleThe 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.
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Content ArticleIn this paper, Kurtz and Snowden challenge the universality of three basic assumptions prevalent in organisational decision support and strategy: assumptions of order, of rational choice, and of intent. They describe the Cynefin framework, a sense-making device they have developed to help people make sense of the complexities made visible by the relaxation of these assumptions. The Cynefin framework is derived from several years of action research into the use of narrative and complexity theory in organisational knowledge exchange, decision-making, strategy, and policy-making. The framework is explained, its conceptual underpinnings are outlined, and its use in group sense-making and discourse is described. Finally, the consequences of relaxing the three basic assumptions, using the Cynefin framework as a mechanism, are considered.
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Content ArticlePatients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is safe or how this is achieved. In the UK, the measurement of harm, so important in the evolution of patient safety, has been neglected in favour of incident reporting. The use of softer intelligence for monitoring and anticipation of problems receives little mention in official policy. This paper from Vincent et al. proposes a framework which can guide clinical teams and healthcare organisations in the measurement and monitoring of safety and in reviewing progress against safety objectives. The framework has been used so far to promote self-reflection at both board and clinical team level, to stimulate an organisational check or analysis in the gaps of information and to promote discussion of ‘what could we do differently’.
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Content ArticleThis 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.
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Content ArticleThis report states that patient and public engagement has been on the NHS agenda for many years, but the impact has been disappointing. There have been a great many public consultations, surveys, and one-off initiatives, but it argues that the service is still not sufficiently patient-centred. In particular, it looks at a lack of focus on engaging patients in their own clinical care, despite strong evidence that this could make a real difference to health outcomes. This paper argues that a more strategic approach is required to create the necessary shift in beliefs, attitudes and behaviours.
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Content ArticlePotentially preventable adverse events remain a formidable cause of patient harm and health care expenditure despite advances in systems-based risk-reduction strategies. This quality improvement study from Suliburk et al., published in JAMA Network Open, analysed the incidence of human performance deficiencies during the provision of surgical care to identify opportunities to enhance patient safety.
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Content ArticleQuality 2020 is a 10 year quality strategy for health and social care developed by the Department of Health, Social Services and Public Safety for Northern Ireland.
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Patient safety: common misunderstandings (IHI March 2017)
Claire Cox posted an article in Improving systems of care
What patient safety beliefs get in the way of preventing harm? In this video, the Institute for Healthcare Improvement's (IHI) Frank Federico lists some common misunderstandings, including the tendency to think of the Institute of Medicine’s six quality aims for improvement in silos. -
Content ArticleAnalysis of the New England Journal of Medicine (NEJM) Catalyst Insights Council Survey on organisational culture.
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The STEP-up programme: Engaging all staff in patient safety
Claire Cox posted an article in Clinical leadership
Hamblin-Brown and Ingram, in the Journal of Patient Safety and Risk Management, discuss how Aspen Healthcare have reduced patient harm by engaging staff in ‘STEP-up’: a programme to improve the culture of patient safety. -
Content ArticleClinical governance is the system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence will flourish. Clinical governance encompasses quality assurance, quality improvement and risk and incident management. These guidelines cover responsibilities, programme standards and performance monitoring, quality assurance, quality improvement, and risk and incident management.
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Content ArticleIn an interesting paper by Brazil and colleagues in the July edition of BMJ Quality and Safety, the authors explore the positioning of simulation-based methods within QI programmes, the role of trained simulation experts as part of QI-focused teams and the directions for future scholarly enquiry that supports integration of these fields.
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Content ArticleThe report from The Leapfrog Group analyses eight high-risk procedures to determine which hospitals and surgeons perform enough of them to minimise the risk of patient harm or death, and whether hospitals actively monitor to assure that each surgery is necessary. The report finds that the vast majority of participating hospitals do not meet The Leapfrog Group’s minimum hospital or surgeon volume standards for safety nor do they have adequate policies in place to monitor for appropriateness. Rural hospitals are particularly challenged in meeting the standards. Leapfrog advises "given the variation in patient outcomes between higher-volume and lower-volume hospitals, the importance of patients using Leapfrog results to select a hospital for these high-risk procedures cannot be overstated."
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Content ArticleThe 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.
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Releasing Time to care, The NHS Productive Series (NHS Improvement)
Claire Cox posted an article in Environmental
The successful NHS Productives series, from NHS Improvement, are about ‘the how not the what’ and use a learning by doing approach that builds knowledge and skills to support frontline teams to make real and lasting improvements for themselves. -
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Don Berwick: Quality improvement in the NHS
Claire Cox posted an article in Quality Improvement
Speaking at The Kings Fund breakfast event on 23 February 2016, Don Berwick gives his views on The King's Fund's report, Improving quality in the NHS, and discusses what the NHS can learn from other countries. -
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Patient safety and quality - NHS Leeds Clinical Commissioning Group
Claire Cox posted an article in CCGs
This web page describes how NHS Leeds monitors safety and quality. -
Content ArticleThe Faculty of Medical Leadership and Management (FMLM) have developed a self-assessment tool for multi-professional healthcare teams, irrespective of their background or sector. Individuals, teams and organisations need clarity and support on how to establish and sustain high performing multi-professional healthcare teams. This self-assessment tool offers a simple and accessible measure of team performance to facilitate this process.
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Content ArticleThe Clinical Human Factors Group (CHFG) asks what good looks like and looks at the observed behaviours of organisations that apply human factors in their daily work.
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Content ArticleHuman Factors Cast is a podcast that investigates the sciences of psychology, engineering, biomechanics, industrial design, physiology and anthropometry and how it affects our interaction with technology. Hosted by Nick Roome and Blake Arnsdorff.
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Content ArticleAlthough many initiatives have been implemented and great strides have been achieved in improving patient safety and reducing preventable medical errors, progress towards achieving "zero" avoidable harm continues to be slow. This video presentation will address common medical errors, their recognition, potential for harm and the psychological and financial costs. The concepts of human factors, system design and the high reliability organisation will be reviewed. New approaches in reducing harm and restoring trust will be described along with the opportunity for physician leadership.
