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Showing results for tags 'Organisational culture'.
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Content ArticleSpeaking at the Domain Driven Design conference in 2018, Sidney Dekker talks about the complexity of pursuing and averting drift into failure.
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Content ArticleThe latest NHS national staff survey is out. It shows, yet again, that an extraordinary proportion of NHS staff report being bullied or harassed at work by managers and colleagues last year (2019). Roger Kline, Research Fellow in Middlesex University London Business School, discusses the shocking level of bullying in the NHS and the impact this has on staff.
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- Bullying
- Culture of fear
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Content ArticleIn her blog, drawing on the Paterson Inquiry, Judy Walker discusses After Action Review (AAR) and the fear that exists around speaking up.
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Content ArticleResponding to the Paterson Inquiry, Ian Kennedy, Emeritus Professor of Health Law and Policy at University College London, discusses the systemic weaknesses in the NHS.
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- Investigation
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Content Article
Learning from Excellence
Claire Cox posted an article in Implementation of improvements
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.- Posted
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- Safety II
- Leadership style
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Content ArticleThe 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.
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- Safety process
- Psychological safety
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My thoughts on the Paterson Inquiry: a blog from a scrub theatre nurse
Anonymous posted an article in By health and care staff
I recently wrote a blog for the hub on my experience as a theatre scrub nurse in private healthcare, and what happened to me when I reported a surgeon for dropping an instrument on the floor and reusing it without sterilising it. Following the Paterson Inquiry, I see many similarities in the behaviour and the culture of surgeons and staff in operating theatres. I'd like to share my thoughts.- Posted
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- Leadership
- Culture of fear
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NHS Improvement: Patient Safety Specialist
Patient Safety Learning posted an article in NHS Improvement
The NHS Patient Safety Strategy published in July 2019 set an ambition for all NHS staff to have a foundation in patient safety as well committing the NHS to developing experts to lead on patient safety in each trust. The introduction of ‘patient safety specialists’ is a key step in professionalising patient safety in the NHS.- Posted
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- Patient safety / risk management leads
- Engagement
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Content ArticlePatient Safety Learning has submitted the attached response to the NHS consultation on draft requirements for Patient Safety Specialist roles.
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- Patient safety / risk management leads
- Engagement
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Content ArticleThis article in BMJ Opinion looks at the positive ways of working that emerged from the COVID-19 crisis and how these can be taken retained for a better future for staff and patients.
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- Pandemic
- Organisational culture
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Content ArticleThe health and care system in the United Kingdom is facing a huge challenge, placing enormous pressure on health and care staff with unprecedented demands on leaders, wherever they work. These pages, from the King's Fund, aim to provide support to health and care leaders, whether you are working in the NHS, social care, public health or the voluntary and independent sector.
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- Infection control
- Virus
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Content ArticleIn a blog for the Healthcare Financial Management Association (HFMA), Patient Safety Learning’s Chief Executive Helen Hughes highlights both the human and financial costs associated with the persistence of avoidable harm in healthcare. She outlines how Finance directors should play a key role in improving patient safety and argues that they have an essential corporate leadership role to ensure healthcare is both effective and safe.
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Content Article
Latest Freedom to Speak Up Newsletter
Patient Safety Learning posted an article in Speak Up Guardians
National Guardian newsletter discussing current events, annual reports, and guidance.- Posted
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- Speaking up
- Organisational culture
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Content ArticleSerious incidents not only have a considerable human impact, but they are also detrimental to NHS reputations and finances. The current Serious Incident Framework (SIF) is a reactive, bureaucratic process, where opportunities to reduce the recurrence of a harmful incidence is often missed. With a ‘Get It Right First Time’ mentality, the new PSIRF framework was road-tested by a number of nationally appointed ‘early adopter’ Trusts and commissioners working to implement it during the course of 2021. Now a wider implementation across the NHS is planned, starting spring 2022, with guidance informed by the early adopter pilots. This blog was written by Sian Williams, NHS Team Lead & Managing Consultant, and Paul Binyon, who in a recent assignment has worked with an NHS Trust contributing to an early adopter PSIRF pilot rollout.
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- PSIRF
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Content ArticleNHS England has published the new Patient Safety Incident Response Framework (PSIRF). Dr Tracey Herlihey, Head of Patient Safety Incident Response Policy, NHS England, and Aidan Fowler, National Director of Patient Safety and Deputy Chief Medical Office at NHS England/DHSC, discuss the new framework, the preparation behind it, and how they see PSIRF fundamentally changing the NHS’s approach to patient safety incident response, supporting learning, improvement and compassion, to make care safer for our patients.
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Content ArticleThe NHS Patient Safety Strategy was published in 2019 and describes the Patient Safety Incident Response Framework (PSIRF), a replacement for the NHS Serious Incident Framework. This document is North Bristol NHS Trust's Patient Safety Incident Response Plan (PSIRP). It describes what North Bristol NHS Trust did to prepare for “go live” with PSIRF, as an early adopter organisation, and what comes next
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- Patient safety incident
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Content ArticleIn this blog, Soojin Jun, Cofounder of Patients for Patient Safety US, argues that it makes sense for healthcare organisations to be at the forefront of conservation efforts, as they exist to promote people's wellbeing. She points to a 2020 study that demonstrated how the global healthcare supply chain contributes to environmental damage, counteracting what healthcare exists to promote. Going forward, people will want to know how much waste healthcare systems generate, and how efficiently they use resources, and the article looks at how organisations and patients can be proactive in promoting sustainability.
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- Climate change
- Organisational culture
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Content ArticleIn this issue of HSJ's fortnightly briefing, Emily Townsend looks at why we are still not listening to patients and their families after harrowing reports of abuse and poor care at NHS mental health facilities surfaced last year.
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- Mental health
- Investigation
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Content ArticleThis report details the findings of a thematic review of Safe and wellbeing reviews (SWRs) between October 2021 and May 2022. SWRs are undertaken for children, young people and adults that are autistic and/or have a learning disability who are being cared for in a mental health inpatient setting. SWRs are part of the NHS response to the safeguarding adults review concerning the tragic deaths of Joanna, Jon, and Ben at Cawston Park Hospital, who were each detained for a long period of time and did not receive appropriate care.
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- Learning disabilities
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Content Article
Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers (28 January 2022)
Patient-Safety-Learning posted an article in Learning disabilities
This study in the International Journal for Equity in Health aimed to understand the care experiences of people with learning disabilities, and explore the potential patient safety issues that they and their carers raised. The authors examined the lived experience of care for people with learning disabilities through focus groups and narratives posted on the public platform Care Opinion. The study identified a series of safety inequities and gaps in systems affecting people with learning disabilities. The authors recommend considering interventions to protect against these inequities at a policy and organisational level and highlight that policy needs to span both health and social care.- Posted
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- Learning disabilities
- Health inequalities
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Content ArticleResearch has shown that there is variability in quality of life (QOL) outcomes for people with intellectual disabilities who live in group homes. The aim of this study from Humphreys et al. was to examine dimensions of group home culture as predictors of QOL outcomes.
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- Learning disabilities
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Content ArticleResearch has shown that there is variability in quality of life (QOL) outcomes for people with intellectual disabilities who live in group homes. The aim of this study from Humphreys et al. was to examine dimensions of group home culture as predictors of QOL outcomes.
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- Organisational culture
- Care home
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Content ArticleBuilding on cultural dimensions of underperforming group homes, Bigby and Beadle-Brown analyses culture in better performing services. In depth qualitative case studies were conducted in three better group homes using participant observation and interviews. The culture in these homes, reflected in patterns of staff practice and talk, as well as artefacts differed from that found in underperforming services. Formal power holders were undisputed leaders, their values aligned with those of other staff and the organization, responsibility for practice quality was shared enabling teamwork, staff perceived their purpose as “making the life each person wants it to be,” working practices were person centered, and new ideas and outsiders were embraced. The culture was charactersed as coherent, respectful, “enabling” for residents, and “motivating” for staff. Though it is unclear whether good group homes have a similar culture to better ones the insights from this study provide knowledge to guide service development and evaluation.
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- Care home
- Organisational culture
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Content ArticleHappier teams provide better care to patients. It is now accepted that good culture in the NHS is crucial to ensure that patients receive high quality care and better outcomes. As teams work to improve systems and processes, it is important that teams better understand their own culture to identify what works well and what can be improved. Each maternity and neonatal department in the collaborative is invited to undertake the SCORE survey locally. The survey is an internationally recognised way of measuring and understanding culture that exists within organisations and teams. It is an anonymous, online tool that teams can use to assess their culture. It provides an overview but also detail in specific focus areas such as communication and staff burn out. Once the survey has been completed, the results are provided to that team alone for them to use to start conversations internally about what and how they would like to improve culture. The results are not shared with anyone else and will never be used for bench marking or performance management. The patient safety collaborative also assists with the debriefing the results of the survey to staff.
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- Maternity
- Organisational culture
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Content ArticleThere are 15 Academic Health Science Networks (AHSNs) across England, established by NHS England in 2013 to spread innovation at pace and scale – improving health and generating economic growth. Each AHSN works across a distinct geography serving a different population in each region.
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- Communication
- Organisational culture
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