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Showing results for tags 'Organisational development'.
Found 128 results
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Content ArticleHuman Factors and ergonomics (HFE) expertise continues to have difficulty integrating its experts into healthcare. This persistent disconnect is compounded by unique aspects of healthcare as an institution, industry and work system. Clinically embedded HFE practitioners, a new HFE sub-specialty, are a conduit for addressing substantive mismatches between the two domains. Greater HFE penetration will require a fundamental change in stance for both domains, however, the burden will lie with HFE to be the more adaptive of the two. Learning more about the in situ work of this sub-specialty will provide insights for more nuanced approaches to bridging domain specific mismatches and obstacles.
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Content ArticleCOVID-19 has disrupted many industries and reshaped the way most organisations operate. Healthcare organisations have been especially affected by the disruptive force of this global pandemic. Yet all hope is not lost. Gallup analytics discovered that business units experiencing disruption are at an increased advantage and more resilient than their peers when employee engagement is strong.
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Content ArticleCovid has been a traumatic experience for many who work in the NHS. Battlefield scenes, redeployment and it can seem there is little end in sight. However, there have been positives. Improved team work, new ways of delivering care and better use of technology. How can we use this learning? How can we ensure that we capture the good stuff, and make sure that we don’t go back to old habits? Improvement Cymru, the all-Wales Improvement service for NHS Wales, has developed a ‘Learning from COVID’ toolkit’. It is based on the idea that bringing teams together to consider these questions in a facilitated discussion is not only practically helpful in supporting the service to develop – it is important in helping those individuals involved reflect on and come to terms with what they have experiences.
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Content ArticleTools are useful when working to become a high reliability organisation, but they do have their downsides. The Institute for Healthcare Improvement's Kedar Mate explains.
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News Article
WHO Quality of Health Care and Patient Safety Offices to be Located in Athens
Patient Safety Learning posted a news article in News
The offices of the World Health Organisation (WHO) for the Quality of Health Care and Patient Safety will be located in Athens, Health Minister Vassilis Kikilias and the WHO Regional Director for Europe, Hans Kluge, announced on Friday after their meeting in Copenhagen. "The choice of Greece is a recognition of the work by Prime Minister Kyriakos Mitsotakis, the Greek Ministry of Health and the Greek government in managing the pandemic and implementing public health policies, such as the successful implementation of the anti-smoking law, and promoting important reforms, such as passing the law for the establishment of the National Organisation for Quality Assurance in Health," the health ministry said in a statement. "Greece has recently led important developments in the field of health, such as legislation banning smoking in public places, the launch of the National Anti-Smoking Action Plan and reforms in the field of primary health care." "All the above, in combination with the excellence of the Greek health institutions and the leading researchers in the field of health and wellness, indicate a strong leadership within the European Region and beyond. In addition, they create an ideal framework for the creation of a much-needed centre of excellence in the field of quality healthcare and patient safety." Read full story Source: The National Herald, 16 October 2020 -
Content ArticleThe Doctor is the BMA’s award-winning magazine for members. Read the latest articles, interviews and comment from the magazine.
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Content ArticleThis publication from the US-based Joint Commission shares recommendations for organizations to guide effective provision of telehealth services. The alert discusses insights to establish secure and reliable telehealth systems and programs. It highlights creating standards for virtual care delivery, training staff to understand virtual patient monitoring, outlining specific clinician roles, and targeting tasks needed to as tactics to ensure virtual care is complete.
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Content ArticleTo celebrate the second annual World Patient Safety Day, the Canadian Patient Safety Institute (CPSI) are proud to premiere the documentary, Building a Safer System, showcasing the 17-year impact of the Canadian Patient Safety Institute. The film is followed by an expert panel discussion of the theme, Health Worker Safety – A Priority for Patient Safety.
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Content ArticleQuality improvement and patient safety have been important topics on the agenda in the Danish health care system for >20 years. Over the years, Denmark has developed an array of national quality and patient safety initiatives. This paper aims to describe how quality improvement and patient safety initiatives have been organised in the Danish health care system and highlight how accountability has been achieved.
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Content ArticleAs highlighted by NHS England with the NHS People Plan[, healthcare organisations that prioritise workforce wellbeing will be better placed to put lessons learnt from the coronavirus pandemic into practice. Phil Taylor of RLDatix outlines the benefits of introducing a just culture not a blame culture and shares a methodology for positive change.
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Content ArticleThe Patients Association's response to the NHS consultation on draft requirements for Patient Safety Specialist roles. See also Patient Safety Learning's response to the consultation.
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Content Article
Stolen breaths (16 July 2020)
Patient Safety Learning posted an article in Improving patient safety
In this perspective for the New England Journal of Medicine, Harderman et al. recommend that healthcare systems engage, at the very least, in five practices to dismantle structural racism and improve the health and well-being of the black community and the country. -
Content ArticleThis document outlines the purpose of Patient Safety Specialists, the key requirements of the role, and how we expect them to work in their own organisation, as well as with local, regional and national partners.
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Content ArticleIt has been 20 years since the report An Organisation With A Memory drew attention to the problem of adverse health events in the NHS. Since then, patient safety has blossomed as an explicit policy focus of the NHS (and other health systems worldwide), bringing with it new regulatory and organisational arrangements, safety campaigns, reporting and alerting systems, and other measures intended to enshrine patient safety at the heart of health care. At this juncture, it is useful to reflect on developments over the past few decades. The following timeline has been put together by myself, historian Christopher Sirrs, as part of the Wellcome Trust project 'Hazardous Hospitals: Cultures of Safety in NHS General Hospitals, c.1960-Present.' Members of the Patient Safety Learning hub are invited to comment or reflect on the timeline, highlighting innovative safety campaigns, research projects, or other initiatives which have promoted patient safety in the UK. More broadly, the project is interested to hear from anyone with direct experience of promoting safety in NHS hospitals, such as patient safety managers, clinical risk managers, or members of official bodies. Further details can be found on the project website.
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Content Article
Diagnosing and treating systemic racism (16 July 2020)
Sam posted an article in Health inequalities
For physicians, the words “I can’t breathe” are a primal cry for help. As many physicians have left their comfort zones to care for patients with COVID-19–associated respiratory failure, the role of the medical profession in addressing this life-defining need has rarely been clearer. But as George Floyd’s repeated cry of “I can’t breathe” while he was being murdered by a Minneapolis police officer has resounded through the country, the physician’s role has seemed less clear. Police brutality against black people, and the systemic racism of which it is but one lethal manifestation, is a festering public health crisis. Can the medical profession use the tools in its armamentarium to address this deep-rooted disease? Evans et al. explore this further in an Editorial in the New England Journal of Medicine. -
Content Article
NHS Education for Scotland: Project Charter
Patient Safety Learning posted an article in Quality Improvement
A project charter is the statement of scope, objectives and people who are participating in a project. -
Content ArticleThe NHS has been fighting for our lives for the last few weeks and months. Throwing all its resources at the COVID-19 pandemic. The millions of health and care workers involved have been magnificent and we must resource them better for the future. And it’s been up to us, the general public, how far and how fast the virus spreads. There will still be a vital role for us when this pandemic is over because the NHS can’t by itself deal with many of today’s major health problems such as loneliness, stress, obesity, poverty and addictions. It can only react, doing the repairs but not dealing with the underlying causes. There are people all over the country who are tackling these causes in their homes, workplaces and communities. People like the Berkshire teachers working with children excluded from school, the unemployed men in Salford improving their community; and the bankers tackling mental health in the City. They are not just preventing disease but creating health. And they take pressure off the NHS, so it is always there when we need it. Health is made at home challenges us to set aside our normal assumptions and take off our NHS spectacles to see the world differently and take control of our health. And it calls for a new partnership between the NHS, government and the general public to build a healthy and health creating society.
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Content ArticleThis article from Wood and Wiegmann, in the International Journal for Quality in Healthcare, discusses the action hierarchy, which is a tool for generating corrective actions to improve safety and focuses on those recommendations relying less on human factors and more on systems change. The authors propose a multifaceted definition of ‘systems change’ and a rubric for determining the extent to which a corrective action addresses ‘systems change’ (‘systems change hierarchy’).
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Content ArticleMany people sense that the way organisations are run today has been stretched to its limits. In survey after survey, business people make it clear that in their view, companies are places of dread and drudgery, not passion or purpose. Organisational disillusionment afflicts government agencies, nonprofits, schools, and hospitals just as much. Further, it applies not just to the powerless at the bottom of the hierarchy. Behind a facade of success, many top leaders are tired of the power games and infighting; despite their desperately overloaded schedules, they feel a vague sense of emptiness. In this article, Frederic Laloux discusses and gives examples of 'teal' organisations.
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Community Post
Coexistence of Accreditation and Regulation in Healthcare
Dr Akhil Sangal posted a topic in Innovation programmes in health and care
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Content ArticleThe paper is a SWOT* analysis of regulation and accreditation as tools for excellence, also known as safer healthcare. Solutions for structure and process are suggested for desired outcomes. SWOT = Strengths, Weaknesses, Opportunities, and Threats
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Content ArticleThe biopsychosocial model outlined in Engel’s classic Science paper four decades ago emerged from dissatisfaction with the biomedical model of illness, which remains the dominant healthcare model. Engel’s call to arms for a biopsychosocial model has been taken up in several healthcare fields, but it has not been accepted in the more economically dominant and politically powerful acute medical and surgical domains. This editorial from Wade and Haligan reviews the historical context, achievements and recent developments of the biopsychosocial model, with a view to explaining how the model could be better employed to help (re-)organise and improve both the efficiency and the effectiveness of healthcare systems. This could improve patient outcome while also controlling costs.
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Content ArticleBenning et al. conducted an independent evaluation of the first phase of the Health Foundation’s Safer Patients Initiative (SPI), and identified the net additional effect of SPI and any differences in changes in participating and non-participating NHS hospitals. Four hospitals (one in each country in the UK) participated in the first phase of the SPI (SPI1). The SPI1 was a multi-component organisational intervention delivered over 18 months that focused on improving the reliability of specific frontline care processes in designated clinical specialties and promoting organisational and cultural change. The authors found that the introduction of SPI1 was associated with improvements in one of the types of clinical process studied (monitoring of vital signs) and one measure of staff perceptions of organisational climate. There was no additional effect of SPI1 on other targeted issues nor on other measures of generic organisational strengthening.
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Content ArticleThere are 15 Academic Health Science Networks, or AHSNs, across England. Together they form the AHSN Network. Find out how they are transforming lives through healthcare innovation in this short animation.
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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.
