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Showing results for tags 'Organisational culture'.
Found 1,089 results
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Content ArticleRebus Medical spoke to Professor Chris Frerk, about his interest in human factors, its patient safety benefits and the power it may have to influence procurement decisions. Chris Frerk is a Consultant Anaesthetist and Chair of the Medical Equipment Committee at Northampton General Hospital, which is responsible for procuring around two million pounds worth of medical equipment for the hospital every year.
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Content ArticleThis study from Petschonek et al. published in the Journal of Patient Safety sought to develop a survey that would measure individual perceptions of Just Culture in a hospital setting. The research team created a 27-item survey, which displayed adequate theoretical structure and internal reliability.
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Content ArticleThis 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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Content Article
From 'no blame' to a 'just culture'
Patient Safety Learning posted an article in Good practice
Blog from Datix on the importance of why a 'no blame and just culture' needs to be embedded in every aspect of healthcare. -
Content ArticleThis resource supports organisations wishing to organise training exercises on how to use a 'just culture' guide. To help with the training, NHS Improvement have developed a series of case scenarios that facilitators can use to walk people through practical steps taken to achieve a just culture.
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Content Article
Fostering Just Culture - a clinical leader view
Patient Safety Learning posted an article in Good practice
Amy Shaw, Clinical Leader, Specialist Learning Disability Division from Mersey Care Foundation NHS Trust, UK talks about 'fostering a just culture' in her trust. -
Content ArticleA template used by St Joseph Health, in the USA, to guide you through a just culture scenario.
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Content ArticleProfessor Sidney Dekker of Griffith University speaks about why things go wrong.
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Content ArticleProfessor Sidney Dekker explains Just Culture and why you need it, what it is and how you get it.
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Content ArticleRestorative Just Culture aims to repair trust and relationships damaged after an incident. It allows all parties to discuss how they have been affected, and collaboratively decide what should be done to repair the harm.
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Content ArticleSome of the serious findings of external reviews of NHS services from recent years, previously unpublished, have been released to HSJ. An HSJ investigation has found the NHS has kept secret dozens of external reviews into care failings in local services including: A hospital where surgery may have “shortened life expectancy”. An alleged “cartel” of private patients said to be put on NHS lists. “Very high risk” consultant on-call arrangements. Problems with fetal heart monitoring in a maternity service. Potentially unnecessary operations being carried out. Rows among doctors putting patients at risk. Read their full report below.
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Content ArticleRevised expectations of boards and board members in relation to Freedom to Speak Up plus supplementary resources and a self-review tool.
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Content ArticleThis report is the outcome of a six-month study into workplace culture at Whittington Health NHS Trust. Central to the study is an exploration of perceived bullying and harassment and their relationship, if any, to ideas of a common workplace culture. It is important to emphasise that this is a study and not an enquiry. The researchers have no jurisdiction to suggest sanctions or actions, instead to report and advise on what they have found and to make any recommendations where appropriate. The study deployed a mixed-methods approach of staff survey and over 120 hours of one-to-one interviews mainly resulting in contacts generated by the survey. This is a cross-sectional study – a snapshot in a moment in time from a sample of staff at Whittington Health NHS Trust.
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Content ArticleThe National Guardian's Office (NGO) published a summary of speaking up learning and actions in response to its review into the handling of speaking up cases at Whittington Health NHS Trust. The review, carried out at the end of last year, revealed encouraging areas of good practice. There were also areas of improvement recommended by the review that highlighted issues with the wording and application of the trust policy relating to speaking up, support and feedback to those who speak up, and the way in which the trust manages grievances. The review summary details the NGO’s findings and actions of the trust.
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Content ArticleHuman factors understanding focuses on optimising human performance through better understanding the behaviour of individuals, their interactions, with each other and with their environment. Inhealth care, it underpins patient safety, offering an integrated approach to quality improvement and clinical excellence. In this episode, we are in conversation with Health Education England's deputy dean and physician Jo Szram, surgeon Peter Brennan, BA pilot Graham Shaw and Obs & Gynae trainee Ruth-Anna Macqueen to explore what human factors are, their importance in the health care setting and how knowledge of human factors can help both trainees and supervisors.
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Content Article
The human-centred organisation (11 May 2020)
Patient Safety Learning posted an article in Techniques
The world today is highly complex and fast changing. New technologies become available and change the way we work, communicate and live our lives. The complex socio-economic and socio-political systems can make it difficult to anticipate the needs and requirements of tomorrow. This article discusses issues organisations have to deal with and the benefit of becoming more human-centred with help of a model aiming to influence organisations on policy level. -
Content Article
The sky's the limit (April 2017)
Niall Downey posted an article in Implementation of improvements
A brief summary produced by Frameworkhealth Ltd of the experiences aviation can share with healthcare from an author who has worked extensively in both. It outlines the three stage model used in Airline Safety Management Systems. Published in Northern Ireland Healthcare Review. -
Content ArticleIn this guest blog for the Professional Standards Authority, Peter Walsh, Chief Executive of Action against Medical Accidents (AvMA), sums up what progress has been made since the introduction of the organisational and professional duties of candour, but also questions what difference they have made. Peter remains hopeful, that the duty of candour will become much more than just a box-ticking exercise and believes, if we can get it right, it will be the biggest and most overdue advance in patients’ rights and patient safety that we have ever seen in health and social care.
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Content ArticleClinician well-being is known to play a role in error prevention. This perspective from Dzau et al., published in the New England Journal of Medicine, presents a five-part strategy comprised of organisational and national elements to ensure clinicians are situated to provide safe high-quality care during crisis, such as the coronavirus pandemic, and throughout the course of their careers.
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Content Article
The right – and duty – of NHS staff to speak up
Hugh Wilkins posted an article in Whistle blowing
A blog from hub topic lead Hugh Wilkins on the recent messages from NHS England and NHS Improvement leaders reminding everyone, including those at board level, of the duty and right of staff to speak up about anything which gets in the way of patient care and their own wellbeing. Hugh highlights the real risk of reprisals against some staff who have raised concerns in the public interest, and points out that much needs to change before NHS staff can be sure that it is safe for them to speak up.- Posted
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Content ArticleFreedom to Speak Up Guardians are changing the conversation about what it means to speak up in health. With a network of over 1,100 guardians and champions in England, workers are being supported and positive actions are being taken as a result. Speaking up and listening up should be a natural part of our conversations with colleagues, managers and each other. In health, as in all sectors, the best leaders understand the importance of listening to workers who are the eyes and ears of an organisation. But in health it is even more crucial as speaking up can be a matter of life or death. A positive environment and a supportive culture are key elements of the NHS People Plan. The Freedom To Speak Up Index, a new metric taken from the NHS Annual staff survey, shows that a positive speaking up culture may be correlated with higher performing organisations. The National Guardian Freedom to Speak UP launched the 100 Voices campaign: to share the stories that describe the current reality of speaking up in health. This document highlights and shares best practice in speaking up. Some have been provided by Freedom to Speak Up Guardians, others by workers themselves. Within these pages you will hear a selection of voices. They describe their experiences of speaking up, the impact this has had and how it has led to positive change.
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Content Article
The lifecycle of the whistleblower (8 February 2020)
Patient Safety Learning posted an article in Whistle blowing
Roger Kline, Consultant on Workforce Culture, describes the “lifecycle” of a whisltleblower and the stages and steps they will go through. It's one many whistleblowers will recognise in part or in full. -
Content ArticleIn this interview, Cheryl Crocker, AHSN Network Patient Safety Director, tells us more about her role and why she is passionate about care homes.
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Content ArticleThis pay-walled article, published in The Sunday Times, highlights patient safety concerns identified in relation to West Suffolk hospital, with specific reference to two incidences of avoidable patient harm. In the case of Daniel Parsons, a drugs error caused an adverse affect on the functioning of Daniel's heart and led to his death. The coroner for the inquest concluded that Daniel's death could have been avoided if doctors had heeded the early warning signs of anaphylaxis. The second incident highlighted by the authors is that of Paul Farmer, who was left blind and with severe brain damage following avoidable harm. Concerns raised within the article include: Prioritisation of reputation management (an 'outstanding' status) over patient safety Reluctance to investigate Unfair reprisal for staff raising patient safety concerns Lack of response from Health Secretary Matt Hancock. Further reading: Bullying executives left West Suffolk Hospital staff ‘sobbing, shaking, rocking in despair’ (March 2020)
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Content Article
Learning from excellence: Entrance interview questionnaire
Claire Cox posted an article in Motivating staff
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.
