Search the hub
Showing results for tags 'Organisational development'.
Found 128 results
-
Content ArticleAs we look to the future, the healthcare industry is at a critical juncture. The rapid development of theories on how to deliver safe, person-centred care means that we can no longer rely on the excuse that “healthcare is different” from other industries and cannot be reliable and safe. People are now demanding safety and reliability in the care they receive, and they want to be treated as people who happen to be ill rather than as a number or a disease. Currently, it is by chance rather than by design that one receives highly reliable person-centred and safe care. Yet we continue to build the same type of hospitals, educate future nurses and clinicians as we have always done and operate in a hierarchical system that disempowers people, rather than enables people to be healthy. Although the provision of healthcare is complex, it is possible to overcome the complexity and provide care that is of the highest standard in all the domains of quality. To achieve this, Peter Lachman in his blog suggests six steps to be considered.
-
News Article
‘Dr. Checklist’ Peter Pronovost gets chance to transform University Hospitals
Patient Safety Learning posted a news article in News
The ghosts of medical errors haunt Dr. Peter Pronovost. Two deaths, both caused by mistakes. First, his father’s, who died as the result of a cancer misdiagnosis. Then a little girl, a burn victim who succumbed to infection and diagnostic missteps at the hospital where Pronovost worked early in his career. Those deaths led Pronovost to pursue a medical career dedicated to patient safety, and to create the medical checklist he has become known for worldwide. Now, he’s implementing his second act, at University Hospitals in the USA, as its Chief Transformation Officer, a job he has held since late 2018. His goal: To transform a $4 billion health care system by reducing shortcomings in medical care and increasing the quality of treatment. The challenge fits Pronovost, says one of his former Johns Hopkins University professors, Dr. Albert Wu. “He’s one of the few people for whom the title might be appropriate, because his work has led to significant changes and innovations in how we deliver health care in the United States. “He’s a once-in-a-generation guy.” Read full story Source: Cleveland.com, 9 February 2020 -
Content ArticleMindful organising is a key integrating concept in resolving the organisational accident. Mindful organising is both the unique source of critical information about the normal operation, as well as the key recipient of intelligence about the operation, ensuring that operational actions are always informed by the most current, relevant information about potential risks no matter how remote.
-
Content ArticleFollowing the news of the appointment of the UK's first harms prevention nurse consultant at Ashford and St Peter's Hospital NHS Foundation Trust, we interviewed Sue Harris on her new role.
- Posted
- 1 comment
-
- (and 3 more)
-
Content Article
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. -
Content ArticleThe term “racism” is rarely used in the medical literature. Most physicians are not explicitly racist and are committed to treating all patients equally. However, they operate in an inherently racist system. Structural racism is insidious, and a large and growing body of literature documents disparate outcomes for different races despite the best efforts of individual healthcare professionals. If we aim to curtail systematic violence and premature death, clinicians and researchers will have to take an active role in addressing the root cause. Structural racism, the systems-level factors related to, yet distinct from, interpersonal racism, leads to increased rates of premature death and reduced levels of overall health and well-being. Like other epidemics, structural racism is causing widespread suffering, not only for black people and other communities of colour but for our society as a whole. It is a threat to the physical, emotional, and social well-being of every person in a society that allocates privilege on the basis of race. Hardeman et al. believe that as clinicians and researchers, we wield power, privilege, and responsibility for dismantling structural racism — and in this New England Journal of Medicine article the authors highlight recommendations for clinicians and researchers who wish to do so.
-
Content ArticleProf. Robert Kegan questions why there is a gap between a person's real intention to change and what the person actually does. He recalls an illustration in which heart doctors advise their patients to take their medications as prescribed or they would die. The follow up research shows that only 1/7 actually go on to take their medications. The other six have just as great a desire to stay alive and yet risk death by not following their doctor's advice.
-
Community PostI am interested in what colleagues here think about the proposed patient safety specialist role? https://improvement.nhs.uk/resources/introducing-patient-safety-specialists/ https://www.independent.co.uk/news/health/nhs-patient-safety-hospitals-mistakes-harm-a9259486.html Can this development make a difference? Or will it lead to safety becoming one person's responsibility and / or more of the same as these responsibilities will be added to list of duties of already busy staff? Can these specialist be a driver for culture change including embedding a just culture and a focus on safety-II and human factors? What support do trusts and specialists need for this to happen? Some interesting thoughts on this here: https://twitter.com/TerryFairbanks/status/1210357924104736768
- Posted
- 8 replies
-
- (and 11 more)
-
Content ArticleWeaving together narratives from medicine, psychology, philosophy, and human performance, the book Still Not Safe looks at the patient safety movement and the state of the American healthcare system.
-
Content ArticlePublished on the Johns Hopkins University website, this commentary from Saralyn Cruickshank focuses on the newly released book Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. Written by Robert Wears and Kathleen Sutcliffe, the book argues that the patient safety movement has evolved but not, in all cases, for the better.
-
Content ArticleHealth and well-being boards (HWBs) were established under the Health and Social Care Act 2012 to act as a forum in which key leaders from the local health and care system could work together to improve the health and well-being of their local population. In this report from the Kings Fund, Richard Humphries examines the part HWBs and local government more broadly, have played in the emergence of Integrated Care Systens (ICSs) so far and options for their future. Significantly, this report does not mention patient safety. Neither does it reflect on improvement in safety and quality though the more effective cross organisational collaboration at local system level.
-
Content ArticleThe Clinical Excellence Commission in New South Wales, Australia, is driving person-centred care by stimulating districts to compete to provide it. Karen Luxford and Stephanie Newell describe the integrated approach, its uptake, and encouraging early evidence of change.
-
Content ArticleWhat makes an outstanding hospital? is part of the Priory's Better Together podcast series. In this episode, Priory’s Director of Quality for Healthcare, Natasha Sloman, is joined by Professor Sir Mike Richards, former CQC Chief Inspector of Hospitals, and Paul Pritchard, one of Priory’s Managing Directors. They talk about what makes an ‘outstanding’ hospital and Priory’s approach to enabling ‘outstanding’ services.’
-
Content ArticleFor over three decades, patients, consultants and perioperative staff have been exposed to diathermy tissue smoke in all operating hospital theatres. This smoke is called plaque and, when inhaled, is the same as smoking cigarettes. Research shows that inhalation of smoke from one gram of cauterised tissue is equal to smoking six cigarettes. This smoke is also cancerous and can mutate to other organs of the body just like cigarettes. Read my personal view of the harmful effects of diathermy smoke published in the Journal of Perioperative Practice, and also watch the short video kindly made for me by Knowlex UK.
- Posted
- 2 comments
-
1
-
- (and 9 more)
-
Content Article
Patient Safety, a book by Charles Vincent
Claire Cox posted an article in Recommended books and literature
When you are ready to implement measures to improve patient safety, this is the book to consult. Charles Vincent, one of the world's pioneers in patient safety, discusses each and every aspect clearly and compellingly. He reviews the evidence of risks and harms to patients, and he provides practical guidance on implementing safer practices in healthcare. The second edition puts greater emphasis on this practical side. Examples of team based initiatives show how patient safety can be improved by changing practices, both cultural and technological, throughout whole organisations. Not only does this benefit patients, it also impacts positively on healthcare delivery, with consequent savings in the economy. Patient Safety has been praised as a gateway to understanding the subject. This second edition is more than that it is a revelation of the pervading influence of healthcare errors and a guide to how these can be overcome. -
Content ArticleOur experience of attending the Patient Safety Learning Annual Conference and entering our patient safety initiative into the awards.
-
Content Article
The ‘C’ word (May 2017)
Claire Cox posted an article in Other countries and national agencies
The ‘c’ word, 'cost' is often used to defend the status quo in patent safety. This article, published by PatientSafe Network, highlights the importance of assessing the financial loss in not introducing the safety intervention. It includes examples on how to overcome barriers like 'we don't have the money for that' when it comes to delivering safer care. After all, the price of safer care is priceless -
Content Article
NHS East London: Quality Improvement
Patient Safety Learning posted an article in Quality Improvement
Paul Batalden has defined quality improvement as: “the combined and unceasing efforts of everyone – healthcare professionals, patients and their families, researchers, payers, planners and educators – to make the changes that will lead to better patient outcomes (health), better system performance (care) and better professional development (learning)”. Quality improvement (QI) goes beyond traditional management, target setting and policy making. QI methodology is best applied when tackling complex adaptive problems – where the problem isn’t completely understood and where the answer isn’t known – for example, how to reduce frequency of violence on inpatient mental health wards. QI utilises the subject matter expertise of people closest to the issue – staff and service users – to identify potential solutions and test them. East London NHS Foundation Trust (ELFT) is a provider of mental health and community services, to a population of approximately 1.5 million people, mainly across East London, Bedfordshire and Luton. -
Community PostFabulous conference. Please share your take away actions and start a discussion
- Posted
- 2 replies
-
- (and 3 more)
-
Content Article"...many factors can hinder effective implementation, including: failure to appreciate the complexity of a problem or the context in which change is required; complicated or unclear guidance; or using an inappropriate method of dissemination such as top-down instruction." In this blog for the Kings Fund, Suzette talks about the barriers to implementation and the importance of choosing the right approach.
-
Content ArticleAs improvement practice and research begin to come of age, Mary Dixon-Woods in this BMJ feature considers the key areas that need attention if we are to reap their benefits. Mary Dixon-Woods is the Health Foundation Professor of Healthcare Improvement Studies and Director of The Healthcare Improvement Studies (THIS) Institute at the University of Cambridge, funded by the Health Foundation. Co-editor-in-chief of BMJ Quality and Safety, she is an honorary fellow of the Royal College of General Practitioners and the Royal College of Physicians.
-
Content ArticleA report for Norfolk and Suffolk NHS Foundation Trust by Verita. Verita is an independent consultancy that specialises in conducting and managing investigations, reviews and inquiries for regulated organisations.
-
Content ArticleContinuous improvement of patient safety: A case for change in the NHS synthesises the lessons from the Health Foundation’s work on improving patient safety.
-
Content ArticleThe US Agency for Healthcare Research (AHRQ): invests in research on the US's health delivery system that goes beyond the "what" of healthcare to understand "how" to make healthcare safer and improve quality creates materials to teach and train health care systems and professionals to put the results of research into practice generates measures and data used by providers and policymakers.
-
Content Article
What is the General Medical Council (GMC)?
Claire Cox posted an article in General Medical Council (GMC)
The General Medical Council (GMC) work to protect patient safety and support medical education and practice across the UK. They do this by working with doctors, employers, educators, patients and other key stakeholders in the UK's healthcare systems.
