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Found 2,337 results
  1. Content Article
    Leadership must nurture a robust safety culture to manage crisis. This article from Foy and Mallory highlights the importance of formal and informal communication mechanisms, management empowerment and responsibility, and dialogue across silos to enhance the safety of teams and patients.
  2. Content Article
    Challenges to the status quo present leaders with the opportunity and responsibility to not only respond but to learn and transform the system. This article from Slotkin et al. shares the experience of leaders at a large health system to design an emerging COVID response to effectively innovate to sustain improvement.
  3. Content Article
    This commentary from Michael Fraser shares recommendations for leaders to meet COVID-19 stressors successfully. The article suggests leaders communicate well, be decisive, lead without hierarchy, remain proactive and take care of themselves to protect others.
  4. Content Article
    Access to wide range of perspectives can bring creativity to solutions and the actions that implement them. This website presents materials that cover topics such as leading in critical times, building and supporting resilience, Leading to Innovate, change and adapt, teaming and working remotely, coaching peers and developing as a leader.
  5. Content Article
    This regularly updated resource collection links to webinars, articles, and conversations that explore the role of leadership in crisis response. Topics covered include workforce, telehealth, operations and safety.
  6. Content Article
    This month’s Letter from America looks at actions and strategies core to leading an organisation during unexpected enterprise-affecting crises. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States.
  7. Content Article
    One of many legal, ethical, and patient safety issues raised by the COVID-19 pandemic across the NHS is that expectant mothers are considering freebirthing more after home births are cancelled. The charity AIMS (Association for Improvements in the Maternity Services) states that while there is no specific definition of freebirthing, “…broadly speaking, a woman freebirths when she intentionally gives birth to her baby without a midwife or doctor present. Some women prefer to use the term ‘unassisted childbirth’ or UC to describe this.” This may carry major health risks. For example, if complications occur during a freebirth, professional clinical help will not be at hand to help. John Tingle explores this further in his blog for the Bill of Health. John Tingle is a regular contributor to the Bill of Health blog and is a Lecturer in Law at Birmingham Law School in the UK and a Visiting Professor of Law, Loyola University Chicago, School of Law.
  8. Content Article
    After the COVID-19 pandemic is over, a key issue remains for the UK’s NHS: Will there be less avoidable patient harm, fewer occurrences of “never events,” and fewer headline grabbing patient safety crises? John Tingle explores this further in his blog for the Bill of Health. John Tingle is a regular contributor to the Bill of Health blog and is a Lecturer in Law at Birmingham Law School in the UK and a Visiting Professor of Law, Loyola University Chicago, School of Law.
  9. Content Article
    Face coverings have become a flashpoint in the US, particularly now as COVID-19 cases continue to surge in Texas, Florida, and Arizona, among other states. Misinformation and mixed signals about masking have spread almost as quickly as the virus. And political debates pitting civil liberties vs. civic responsibilities have drowned out the growing body of evidence that shows wearing masks significantly reduce infection risk. Sonja Bartolome is a specialist in lung disorders and pulmonary disease, treating respiratory infections every day and has seen firsthand the aggressive nature in which they can spread. She lists the most common myths surrounding masks and separate them from the medical and scientific realities of the current situation.
  10. Content Article
    A framework designed by Dr Jane McCarthy, Human Factors and Patient Safety Consultant, for the measurement and monitoring of safety in the COVID-19 second wave.
  11. Content Article
    COVID-19 is an unprecedented crisis which has had a profound impact on health and care services across the UK and will continue to have an impact for the months and years to come. To guide the restoration of services, 25 cancer charities have come together and developed this document to set out a ‘12-point plan’, supported by available data and intelligence, for what they believe the health service in England will need to do to enable cancer services to recover from the pandemic.
  12. Content Article
    Six years ago The Snowy White Peaks of the NHS highlighted the scale of race discrimination in the NHS, the UK’s biggest employer of Black and Minority Ethnic (BME) staff. COVID-19 has shown so much more needs to be done. 300 health and social care staff have died so far from COVID-19, a disproportionate number of BME heritage. We know NHS staff infection was overwhelmingly due to occupational exposure whose causes are varied but include the disproportionate BME staff role in patient-facing services, their poorer access to appropriate PPE, the greater reluctance of BME staff to raise concerns, disproportionate deployment into “hotter” roles, and the greater presence of BME colleagues amongst agency staff. BME staff have been largely absent from decision-making. The COVID-19 impact on BME staff, and Black Lives Matter, has prompted promises to tackle racism more resolutely. So what should NHS leaders do to ensure faster progress to tackle workforce race discrimination? Roger Kline, in this BMJ Leader blog, has ten suggestions for Boards and Integrated Care System system leaders.
  13. Content Article
    Now that hospitals are resuming elective surgery, what should surgeons tell patients about the perioperative risks of COVID-19? Many surgeons are now resuming elective work, yet some make no mention of the additional covid-related risks. Although the British Association of Spine Surgeons and some private hospitals have produced information sheets for patients undergoing surgery during the pandemic, to our knowledge no formal guidance has been issued by the General Medical Council or the Royal College of Surgeons on obtaining consent in such circumstances. The surgical community remains unclear as to what to tell patients about to undergo elective surgery. In this BMJ Opinion article, Daniel Sokol  and Rupen Dattani argue that patients who undergo elective surgery should be told that, despite measures to limit the risk of infection, there remains a risk of contracting covid-19 in hospital, whether before, during or after the operation. 
  14. Content Article
    Every year, avoidable unsafe care harms and kills thousands of people in the UK, with the NHS estimating that there are 11,000 deaths annually due to patient safety incidents. This causes not only untold physical and emotional damage but it also creates a huge financial burden, with the annual cost to the NHS of unsafe care and litigation standing at close to £5 billion. It is important that when organisations are considering the workplace as a whole system, safety should be at the core of its design. This blog discusses the impact of COVID-19 and workforce pressures on patient safety and outlines key considerations for Boards as we return to 'normal'.
  15. Content Article
    Prof Nick Bishop, VP for Science and Research at the Royal College of Paediatrics and Child Health (RCPCH), outlines some of the key developments in the College's Research and Quality Improvement Division, recognising ongoing work despite the disruptions to members' schedules. He also discusses research on the effects of COVID-19 on child health and well-being.
  16. Content Article
    The COVID-19 pandemic has required health systems to change much faster than normal. Many staff have experienced training in quality improvement and patient safety methods which can be used to support the design of new systems and to accelerate learning about new and adapted practices. This article, published in the International Journal for Quality in Health Care, sets out the principles of quality improvement and patient safety science, applying them in a selection of approaches, methods and tools, which may be useful in crisis situations such as the current pandemic. The article also makes reference to several resources which may be of use to those keen to advance their knowledge.
  17. Content Article
    There is clear evidence that COVID-19 does not affect all population groups equally. Many analyses have shown that older age, ethnicity, male sex and geographical area, for example, are associated with the risk of getting the infection, experiencing more severe symptoms and higher rates of death. This work has been commissioned by the Chief Medical Officer for England to understand the extent that ethnicity impacts upon risk and outcomes. The Public Health England (PHE) review of disparities in the risk and outcomes of COVID-19 shows that there is an association between belonging to some ethnic groups and the likelihood of testing positive and dying with COVID-19. Genetics were not included in the scope of the review.
  18. Content Article
    The NIHR-funded and supported study RECOVERY (Randomised Evaluation of COVid-19 thERapY) has announced that the steroid dexamethasone has been identified as the first drug to improve survival rates in certain coronavirus patients.
  19. Content Article
    The COVID-19 pandemic has brought health inequalities into sharp focus. The unequal impacts of the virus are also extending inequalities in mental health. This briefing paper, produced by Centre for Mental Health and supported by 13 other national mental health charities, explores the mental health inequalities that are associated with the pandemic in the UK. It finds that the virus and the lockdown are putting greater pressure on groups and communities whose mental health was already poorer and more precarious. Groups of people whose mental health is at greatest risk include those with existing mental health problems, people with long-term physical conditions, women and children experiencing violence and abuse, and Black, Asian and minority ethnic communities. The combination of existing structural inequalities and the unequal impacts of the pandemic mean that people whose mental health was at greatest risk prior to COVID-19 are likely to bear the brunt of the emergency longer term.
  20. Content Article
    Anxiety UK have produced a number of videos to help you cope during the pandemic.
  21. Content Article
    Having good mental health helps us relax more, achieve more and enjoy our lives more. The Every Mind Matters website has expert advice and practical tips to help you look after your mental health and wellbeing.
  22. Content Article
    In this report, the Care Quality Commission (CQC) explain the information they have gathered on the pressures that services and local systems have faced during COVID-19 and the efforts that have been made to tackle them. These insight reports are designed to help everyone involved in health and social care to work together to learn from the first stages of the COVID-19 pandemic by: sharing and reflecting on what has gone well understanding and learning from the experience of what hasn't helping health and care systems prepare better in the future. This issue is divided into three main chapters: Working together across systems Focus on primary care How the care for people from different groups is being managed.
  23. Content Article
    The pandemic has shown us health service transformation needs to go hand in hand with more beds and resources. The big challenge for all of us now is to to stand back and say: what has this taught us about the strengths and weaknesses of our healthcare system? What did we get right and wrong? The NHS has done an amazing job, proving itself very agile, very productive and very flexible. It’s been a process of constant learning. But there’s a very big backlog of people needing care, because we had this huge emptying out of hospitals and many NHS services were paused, notably elective surgery. Sir Jim Mackey, Chief Executive of Northumbria Healthcare NHS foundation trust and former Chief Executive of NHS Improvement, thinks private hospitals can help the NHS get on top of the backlog, to agreed standards and with the NHS paying. He tells the Guardian that it’s wrong that patients have to wait too long to get treatment and the public won’t care who provides that care.
  24. Content Article
    University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) is setting out its priorities for the remainder of the coronavirus (COVID-19) pandemic and into the future. The pandemic has meant that certain plans have had to be put temporarily on hold but the Trust says there are important areas that can and will be developed over the next few months and into 2021. Quality and safety of care remain the main priorities so the Trust is now focusing on four key areas to ensure that services recover and improve as the country emerges from the pandemic. 
  25. Content Article
    The response to COVID-19 has created an outstanding amount of change to the NHS and we must learn from this, says Samantha Machen, Improvement Facilitator at Central London Community Healthcare NHS Trust and PhD Improvement Fellow at the Health Foundation.
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