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Showing results for tags 'Organisational culture'.
Found 1,089 results
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Content ArticleIn healthcare, leadership is decisive in influencing the quality of care and the performance of hospitals. How staff are treated significantly influences care provision and organisational performance so understanding how leaders can help ensure staff are cared for, valued, supported and respected is important. Research suggests ‘inclusion’ is a critical part of the answer, as Roger Kline explains further in this BMJ Opinion article.
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Content ArticleDisagreements are an inevitable, normal, and healthy part of relating to other people. There is no such thing as a conflict-free work environment. Amy Gallo explains why disagreements — when managed well — have lots of positive outcomes.
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Content ArticleThe aim of this study from Björklund et al. was to describe factors that contribute to the occurrence of workplace bullying, that enable it to continue and the coping strategies managers use when they are bullied. They found that several factors could be linked to the bullying: being new in the managerial position; lack of clarity about roles and expectations; taking over a work group with ongoing conflicts; reorganisations. The bullying usually lasted for quite some time. Factors that allowed the bullying to continue were passive bystanders and the bullies receiving support from higher management. The managers in this study adopted a variety of problem-focused and emotion-focused coping strategies. However, in the end most chose to leave the organisation.
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Content ArticleThe Essentials of Safe Care is a practical package of evidence-based guidance and support that enables Scotland’s health and social care system to deliver safe care.
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Content ArticlePresentation from Terry Wilcutt Chief, Safety and Mission Assurance, and Hal Bell Deputy Chief, Safety and Mission Assurance at NASA.
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Content ArticleThe National Guardian’s Office today publishes its Annual Report for 2020, highlighting the progress which has been made in Freedom to Speak Up in health and the impact of the pandemic on speaking up.
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Tackling the blame culture? NHS Staff Survey Results 2020
PatientSafetyLearning Team posted an article in Culture
Patient Safety Learning reflects on the results of the NHS Staff Survey 2020, in relation to its ‘Safety Culture’ theme. The survey indicates that a significant number of staff continue have concerns about whether their organisation takes action to address patient safety issues, and that nearly a third of respondents said that they do not feel they would be treated fairly when raising a concern. This blog considers the patient safety implications of the persistence of blame culture in the NHS and considers the action that can be taken to address this. -
Content ArticleIn this story from a former Policy & Performance Officer, the truth is told about how ineffective hierarchies often result in a culture of dishonesty.
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Content ArticleThis poster was presented by Hugh Wilkins at the UK Imaging and Oncology Congress in June 2019 and highlights the serious problem of retaliation against NHS staff who raise concerns in the public interest.
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Health and Safety Executive: Organisational culture
Patient Safety Learning posted an article in Culture
The Health and Safety Executive describes why organisation culture is important and the key principles on organisational culture. They also provide links to further guidance on organisation culture. -
Content ArticleThe Keil Centre developed the Safety Culture Maturity® Model (SCMM) to facilitate objective discussion about safety culture and to identify specific actions to improve safety culture. The SCMM is set out in a number of iterative stages. Organisations progress sequentially though the five levels, by building on their strengths and removing the weaknesses of the previous level. The assessment compares levels of Safety Culture Maturity® between groups, provides an understanding of why differences may be present, and identifies improvement actions for the site and teams.
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Content ArticleAn organisational culture that seeks to assign blame when things go wrong makes patient harm more likely to happen again. At the recent Future of Hospitals event from Health Plus Care Online, Helen Hughes, Patient Safety Learning's CEO, speaks with Dr Duncan Bootland, Medical Director at Air Ambulance Kent Surrey Sussex (AAKSS), who was recently rated as outstanding by the Care Quality Commission across all five of its inspection key lines of enquiry. In this recording of the session, Helen and Duncan talk about the safety culture synergy of healthcare and aviation and how behaviour impacts on safety, considering the values-based approach being championed by AAKSS.
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Content ArticleThe precautionary principle is important in high risk, high harm, safety critical work. Risks to workers, customers, or service users are substantial, and so the precautionary principle in which precautions are taken until safety is proven, often apply. However, in healthcare it’s different. Healthcare takes the approach that the status quo applies until something is proven dangerous and harmful. The burden of proof is often high and often falls to the workforce to “prove.” Alison Leary, Professor of healthcare and workforce modelling at London South Bank University, in this BMJ article discusses the reasons healthcare fails to heed the precautionary principle and why potentially the cost of doing so is high and ultimately catastrophic.
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Content ArticleIn this blog, Patient Safety Learning outlines the key points included in its response to the Care Quality Commission’s (CQC) consultation on their new strategy from 2021, identifying the opportunities this presents for the health and social care regulator to help improve patient safety.
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Freedom to Speak Up Guardian survey 2020
Patient Safety Learning posted an article in Speak Up Guardians
This is the fourth year that the National Guardian’s Office has surveyed Freedom to Speak Up Guardians in order to understand how speaking up is supported within organisations. Their views give valuable insights into both how the Guardian role is implemented and what further support and learning is needed to truly create a culture where speaking up is business as usual. The results also reveal details about their perceptions of the barriers to speaking up, the sources of detriment for speaking up and the network’s demographics. -
Content ArticleEvidence on heterogeneity in outcomes of surgical quality interventions in low-income and middle-income countries is limited. Alidina et al. explored the factors driving performance in the Safe Surgery 2020 intervention in Tanzania’s Lake Zone to distil implementation lessons for low-resource settings. They found that performance experiences of higher and lower performers differed on the following themes: (1) preintervention context, (2) engagement with Safe Surgery 2020 interventions, (3) teamwork and communication orientation, (4) collective learning orientation, (5) role of leadership, and (6) perceived impact of Safe Surgery 2020 and beyond. Higher performers had a culture of teamwork which helped them capitalise on Safe Surgery 2020 to improve surgical ecosystems holistically on safety practices, teamwork and communication. Lower performers prioritised overhauling safety practices and began considering organisational cultural changes much later. Thus, while also improving, lower performers prioritised different goals and trailed higher performers on the change continuum. The authors conclude that future interventions should be tailored to facility context and invest in strengthening teamwork, communication and collective learning and facilitate leadership engagement to build a receptive climate for successful implementation of safe surgery interventions.
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It has become imperative that we discuss the issue of mental health in doctors and other healthcare staff. The mental wellbeing of a healthcare staff forms the bedrock of patient safety. It takes a safe and supported person to deliver safe healthcare and we must give this attention as we try to find ways to improve the quality of care within our healthcare systems. Ehi Iden, hub topic lead for Occupational Health and Safety, OSHAfrica, reflects on the increasing workload and pressure healthcare professionals face, the impact this has on patient safety and why we need to start 're-humanising' the workplace. -
Content ArticleThis study by Sexton et al. was performed to determine whether health care worker (HCW) assessments of good institutional support for second victims were associated with institutional safety culture and workforce well-being. They found that perceived institutional support for second victims was associated with a better safety culture and lower emotional exhaustion. Investment in programmes to support second victims may improve overall safety culture and HCW well-being.
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Content ArticleHaugen et al. studied the impact of the Norwegian National Patient Safety Campaign and Program on Surgical Safety Checklist (SSC) implementation and on safety culture. They found that the National Patient Safety Program, fostering engagement from trust boards, hospital managers and frontline operating theatre personnel enabled effective implementation of the SSC. As part of a wider strategic safety initiative, implementation of SSC coincided with an improved safety culture.
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Content Article"The biggest struggle I had to overcome was the lack of confidence caused by microaggressions over time", says Samantha Tross, the first Black female orthopaedic surgeon in Britain. In the latest episode of the Royal College of Surgeons of England Health inequalities podcast series, Samantha considers how diverse leadership can be better developed and supported within surgery, with a focus on widening opportunities and creating a more positive training environment.
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Content ArticleWhen good people raise serious concerns employers can welcome them as gold dust, as "canaries in the mine" or do the opposite. This is an unfinished account of what happened when Karen Rai, Strategic Research & Innovation Manager at The Christie Hospital NHS Trust, wrote to the Trust Chair setting out concerns about governance, financial conduct, and bullying...
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Health equity resource series
PatientSafetyLearning Team posted an article in Health inequalities
To support hospitals and health systems starting from different points on their journey to strengthen health equity, the American Health Association's Institute for Diversity and Health Equity (IFDHE) is preparing four new guidance and resource toolkits to share evidence-based practices to inform organisational next steps. -
Content ArticleThis is the National Guardian's Office annual data report covering the 1 April 2020 to 31 March 2021. It analyses the themes and learning from the speaking up data shared by Freedom to Speak Up Guardians across this period. There are over 700 Freedom to Speak Up Guardians in the NHS and there were 20,388 cases raised with them in 2020/21.
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To err is human, to apologize is hard (JAMA, July 2021)
PatientSafetyLearning Team posted an article in Culture
This article, published in JAMA, tells the story of a 6 year-old boy who was initially misdiagnosed, which led to months of agony. Here, his mother, Thalia Margalit Krakower MD, asks that the medical community shift focus from promoting a false sense of perfection to one that embraces humility enough to apologise as essential to the healing process. "A deep cultural shift is needed in medicine to openly acknowledge and understand that imperfection is part of being human – no one knows everything, makes every diagnosis without delay, answers every patient message, or even delivers an apology just right. It is our humanity that makes us vulnerable to make mistakes and also empowers us to connect and heal." Read the article in full Related content Safety of candour: how protected are apologies in open disclosure? When the Duty of Candour becomes personal by Sarah Seddon Mothers Instinct: Reframing Duty of Candour in our hearts and minds – a blog by Joanne Hughes (15 October 2020) AvMA: Regulating the duty of candour. Requires improvement (October 2018) Barts Health NHS Trust: Duty of Candour training film (April 2016) Nursing and Midwifery Council. Openness and honesty when things go wrong: the professional duty of candour (June 2015) -
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In this video, Tim McDonald, Chief Patient Safety and Risk Officer at RLDatix, Paul Bowie, Programme Director (Safety & Improvement) at NHS Education for Scotland, and Helen Hughes, Chief Executive of Patient Safety Learning, talk about the relationship between human factors, high reliability in healthcare and patient safety.
