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Found 71 results
  1. Content Article
    This article from Sarcoma UK was written by Dermot’s family to develop their reflections and recommendations on the recent publication of the Healthcare Safety Investigation (HSIB) report, Variations in the delivery of palliative care services to adults.
  2. Content Article
    Dr Liz O’Riordan is a breast cancer surgeon who has battled against social, physical and mental challenges to practise at the top of her field. Under the Knife charts Liz’s incredible highs: performing like a couture dressmaker as she moulded and reshaped women’s breasts, while saving their lives; to the heart-breaking lows of telling ten women a day that they had cancer. But this memoir is more than just an eye-opening look at the realities of training to be a female surgeon in a man’s world. In addition to this high-powered, high-pressured role, Liz faced her own breast cancer diagnosis, severe depression and suicidal thoughts, in tandem with commonplace sexual harassment and bullying. And by revealing how she coped when her life crashed around her, she demonstrates there is always hope.
  3. Content Article
    Since retiring from his role in public health, Dr Bill Kirkup has focused on independent investigations into public service failures, including maternity services at Morecambe Bay and East Kent. In this podcast, Bill talks to Parliamentary and Health Service Ombudsman Rob Behrens about his career, what he's learnt during his investigations and how we can make more progress in improving patient safety.
  4. Content Article
    NHS Horizons uses SenseMaker to gather and analyse stories of real-time, day-to-day experiences to facilitate improvement in complex environments. SenseMaker is the complexity research tool that enables not only the mass data collection of rich and deep descriptions of people’s experiences, but also uses a framework incorporating “triads” and “dyads” to allow participants to categorise what their stories mean to them. The process starts with a SenseMaker survey (or a series of surveys) and ends with a Sensemaking workshop.
  5. Content Article
    Patients, families and caregivers play a crucial role in the safety of healthcare, with the World Health Organization (WHO) stating that engaging and empowering patients is of the utmost importance for any health system to make sustainable progress towards universal health coverage. ‘Engaging Patients for Patient Safety’ is also the theme selected for World Patient Safety Day 2023. To both support World Patient Safety Day 2023, and create a mechanism to reflect patient voices for patient safety, the WHO is asking for patients to share their experiences with them through this survey. They are seeking stories about: avoidable harms near misses (patient safety incidents that had the potential to cause harm but were prevented, resulting in no harm) best practices in the delivery of safe care. The end date for submissions is Monday 14 August 2023 at 9.00am Central European Summer Time. Selected stories will be featured on the World Patient Safety Day 2023 campaign and the WHO Patient Safety Flagship website.  A mention of the stories may also be included in the speeches of the Director-General of WHO and WHO’s senior management at various occasions, including international meetings, press conferences, or briefings.
  6. Content Article
    This series of blog posts is written by a patient who experienced life-changing complications after surgery went wrong. In her posts, they explore the psychological needs of patients following healthcare harm, which are often overlooked during physical rehabilitation. "I believe that the emotional support given to the patient during those first few weeks can make a significant difference to their long term quality of life. That’s why I decided to write this blog, to give constructive feedback to help medical professionals learn from my experiences."
  7. Content Article
    NHS and social care continues to have significant challenges. This blog cannot change that but it offers food for thought on how to stay afloat. 
  8. Event
    Perioperative practitioners have worked tirelessly to rise to the challenges presented in recent years, and now continue to face the challenge of managing record-breaking waiting lists. Theatre work is challenging. You’re on your feet all day, mentally engaged and, at times, emotionally charged. This study day gives you an opportunity to focus on your own health and wellbeing as well as the welfare of your patients. "If we look after ourselves, we can look after others!" Topics will include: Review of mental health wellbeing and how to optimise it Health diet and fluid intake The benefits of exercise Optional Tai Chi taster session The importance of sleep and rest Debriefing and feedback to prevent burnout and PTSD Menopause awareness Open debate: Achieving a work-life balance in a demanding perioperative role Book
  9. Event
    until
    The uncertainty and anxiety that come with the experience of complexity can be overwhelming. It can be hard to think clearly and act wisely, and our wellbeing can easily suffer. The COVID-19 pandemic has made these experiences an everyday occurrence for many people, and the need for us to work clearly, wisely and healthily has never been more pressing. These Organisational Development workshops from the King's Fund will lift the lid on complexity. Together, you’ll explore how encouraging ourselves and others to understand and acknowledge the loss of control when faced with complexity can help us, our teams and our wider organisational systems survive and even thrive in conditions of uncertainty. The workshops will help you: make sense of the messy reality of complexity, accurately categorise different aspects of that reality and be able to choose appropriate, measured, responses understand your own preferences and strengths in relation to the complexity around you and develop strategies to stretch beyond them help yourself and others be their best during uncertain times. Join one or two sessions, or the whole series. Buy tickets
  10. Event
    The uncertainty and anxiety that come with the experience of complexity can be overwhelming. It can be hard to think clearly and act wisely, and our wellbeing can easily suffer. The COVID-19 pandemic has made these experiences an everyday occurrence for many people, and the need for us to work clearly, wisely and healthily has never been more pressing. These Organisational Development workshops from the King's Fund will lift the lid on complexity. Together, you’ll explore how encouraging ourselves and others to understand and acknowledge the loss of control when faced with complexity can help us, our teams and our wider organisational systems survive and even thrive in conditions of uncertainty. The workshops will help you: make sense of the messy reality of complexity, accurately categorise different aspects of that reality and be able to choose appropriate, measured, responses understand your own preferences and strengths in relation to the complexity around you and develop strategies to stretch beyond them help yourself and others be their best during uncertain times. Join one or two sessions, or the whole series. Buy tickets
  11. Event
    until
    The uncertainty and anxiety that come with the experience of complexity can be overwhelming. It can be hard to think clearly and act wisely, and our wellbeing can easily suffer. The COVID-19 pandemic has made these experiences an everyday occurrence for many people, and the need for us to work clearly, wisely and healthily has never been more pressing. These Organisational Development workshops from the King's Fund will lift the lid on complexity. Together, you’ll explore how encouraging ourselves and others to understand and acknowledge the loss of control when faced with complexity can help us, our teams and our wider organisational systems survive and even thrive in conditions of uncertainty. The workshops will help you: make sense of the messy reality of complexity, accurately categorise different aspects of that reality and be able to choose appropriate, measured, responses understand your own preferences and strengths in relation to the complexity around you and develop strategies to stretch beyond them help yourself and others be their best during uncertain times. Join one or two sessions, or the whole series. Buy tickets
  12. Content Article
    The Culture Change Toolbox is a collection of tools and interventions for changing culture. It’s full of ideas, examples, and exercises. For each tool there are tips on how to apply it and a description of which components of culture it helps to improve. This latest version includes: the latest evidence on culture change a refreshed format with an improved flow for learning new activities and resources for teams examples from across the continuum of care.
  13. Content Article
    Chief Product Officer Mark Fewster speaks with iTS Leadership’s Judy Walker on transforming your understanding through after action reviews. Digressions include paediatric care in the 90s, ‘Six Blind Men and an Elephant’, and learning to trust others.
  14. Content Article
    In 2001, 18-month-old Josie King died of dehydration and a wrongly-administered narcotic at Johns Hopkins Hospital. How did this happen? Her mother, Sorrel King, tells the story and explains how Josie’s death spurred her to work on improving patient safety in hospitals everywhere. 
  15. Content Article
    The 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.
  16. Content Article
    Appalling racial inequities in health exist in nearly every realm that researchers have examined. These inequities are a dramatic manifestation of the structural violence that plagues our society. Deborah Cohan, an obstetrician, gives her perspective on this in her article in the New England Journal of Medicine. "How am I confronting the underlying forces that facilitate increased suffering and death among certain groups because of their skin color? Although it’s necessary, it is not enough for me to provide respectful health care to pregnant women of color. If I truly want to be part of the solution, I need to explore those parts of me that are most unwholesome, embarrassing, unflattering, and generally not discussed in the context of one’s career." Her goal is to dismantle the insidious thoughts that reinforce a hierarchy based on race, education, and other markers of privilege that separate her from others. "These thoughts, fed by implicit bias, are more common than I find easy to admit. Although I know not to believe everything I think, I also know that thoughts guide attention, and attention guides actions. Until I bring to light and hold myself accountable for my own racist tendencies, I am contributing to racism in health care."
  17. Content Article
    Ehi Iden, hub topic lead for Occupational Health and Safety: OSHAfrica, reflects on a patient safety incident early on in his career.
  18. Content Article
    Since her last blog for the hub, Claire has moved away from clinical practice as a critical care outreach nurse and has entered the world of patient safety management in a new Trust. Coming out of a second lockdown, Claire reflects on how her experiences working in the NHS are very different from the first lockdown back in March 2020 and the difficulties she's facing doing quality improvement from home.
  19. Content Article
    The Health Service Executive (HSE) Dublin North East’s Patient Safety Tool Box Talks have been developed to assist with the delivery of key patient safety messages within the workplace. Patient Safety Tool Box Talks© are not a substitute for formal training but rather recognises the need to embed patient safety into the workplace and as such are a support to formal more detailed training programmes. This approach allows the delivery of consistent short customised patient safety messages to staff in a brief intervention as part of a team meeting or at a shift change. The talks are designed to take no more that 5-10 minutes to deliver are capable of being delivered by a non-specialist. If questions however arise beyond the scope of the talk these should be referred to a specialist for clarification. This Tool Box also contains Guidance on Delivering a Patient Safety Tool Box Talk© and a number of talks on a variety of safety topics.
  20. Content Article
    Have you ever been faced with an upcoming shift at work and felt an impending sense of doom? It comes as no surprise that doctors — real, human people — have a certain degree of anticipation, even anxiety, when it comes to taking shifts. Katie Townes, a physician and founder of Physician Lounge Online, shares her path to on-call acceptance.
  21. Content Article

    Faded rainbows

    Claire Cox
    As the colourful rainbows in people's windows are beginning to fade, is the public support for our frontline workers also fading? Has gratitude and thank you's been replaced with frustration and anger from the public? In her latest blog, critical care outreach nurse Claire reflects on the impact this is having on the wellbeing of already exhausted frontline staff.
  22. Content Article
    Steve defines whistleblowing as "To raise concerns; talk to trusted colleagues; rise it with the team; follow your employer’s and national policies / processes; involve managers". In this blog, he proposes that whistleblowing isn’t a problem to be solved or managed, but an opportunity to learn and improve. The more we move away from labelling and stereotyping the more we will learn. Regardless of our position, role or perceived status, we all need to address this much more openly and explicitly, in a spirit of truth and reconciliation.
  23. Content Article
    The ideas and advice in this Improvement Leaders’ Guides from the Institute for Innovation and Improvement will provide a foundation for building and nurturing an improvement culture.
  24. Content Article
    Restorative justice is an approach that aims to replace hurt by healing in the understanding that the perpetrators of pain are also victims of the incident themselves. In 2016, Mersey Care, an NHS community and mental health trust in the Liverpool region, implemented restorative justice (or what it termed a 'Just and Learning Culture') to fundamentally change its responses to incidents, patient harm, and complaints against staff. This study highlights the qualitative benefits from this implementation and also identifies the economic effects of restorative justice.
  25. Content Article
    In her latest blog, Sally Howard talks about psychological types and why understanding our preferences and how they differ to others, can be incredibly valuable. This knowledge can be used to strengthen teams, encouraging people to value diversity and work more effectively together. A particularly useful tool during these challenging times.
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