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Showing results for tags 'Risky behaviour'.
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Content Article
Connor Sparrowhawk: The tale of laughing boy (2015)
Claire Cox posted an article in Patient stories
Connor Sparrowhawk died in July 2013 while he was in the care of Southern Health NHS Foundation Trust. An independent report concluded that Connor’s death was preventable and that there were significant failings in his care and treatment. This moving film describes what Connor was like by his friends and family and highlights the failings that caused the avoidable death of Connor.- Posted
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- Patient
- Patient death
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Content ArticleIn his blog, published by onthewards website, Joe Farmer (a doctor working in psychiatry) discusses rudeness in the workplace and the impact it can have on clinical performance and subsequently patient safety.
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- Culture of fear
- Team culture
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Content ArticleHomerton University Hospital describes how they have embedded the Redthread Youth Violence Intervention Programme into their A&E department.
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- Accident and Emergency
- Patient
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Content Article
How to do Safety-II, a blog by Steven Shorrock
Claire Cox posted an article in Techniques
The patient safety movement started almost fifteen years ago when it was energised by the release of the Institute of Medicine report “To err is human”. Despite efforts since then to improve quality and safety many believe that little progress has been made in reducing harm caused by errors, accidents and unforeseen occurrences. There is a sense of frustration with current approaches to safety (Safety I) and disappointment that more progress has not been made. Recent developments in safety science, termed Safety II, focus on resilience, adaptive capacity and complexity science and show promise for advancing the safety agenda.- Posted
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- Risky behaviour
- Organisational learning
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Content Article
Falsified medicines and medical devices: MHRA campaign
Patient Safety Learning posted an article in Medication
Fake medicines and medical devices bought online can lead to serious negative health consequences. Buying from dodgy websites also increases the risk of being ripped off through credit card fraud or having your identity stolen. The #FakeMeds campaign, run by Medicines and Healthcare products Regulatory Agency (MHRA), helps you protect your health and money by providing quick and easy tools so you can avoid fake medical products when you shop online. -
Content Article
Work as is done, work as imagined
Anonymous posted an article in Florence in the Machine
This blog highlights: The juxtaposition of how work is carried out by healthcare staff compared to the work that policy makers are 'imagining' healthcare workers are doing. The need for healthcare staff to be part of patient safety solutions.- Posted
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- Near miss
- Hospital ward
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Content Article
Human error: models and management
Claire Cox posted an article in Improving patient safety
In this BMJ article, James Reason discusses how the human error problem can be viewed in two ways: the person approach and the system approach. Each has its model of error causation and each model gives rise to quite different philosophies of error management. Understanding these differences has important practical implications for coping with the ever present risk of mishaps in clinical practice.- Posted
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- Cognitive tasks
- Distractions/ interruptions
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Content Article
Freedom to Speak Up Guardian job description (March 2018)
Claire Cox posted an article in Speak Up Guardians
This is the Freedom to Speak Up Guardian job description. Use it for reference or for a template to advertise for a Freedom to Speak Up Guardian in you trust/sector.- Posted
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- Behaviour
- Resources / Organisational management
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Content ArticleThis document sets out the General Medical Council's (GMC) expectation that all doctors will, whatever their role, take appropriate action to raise and act on concerns about patient care, dignity and safety.
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- Patient
- Patient harmed
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Content Article
My 'false negative' COVID-19 test put others at risk
PatientSafetyLearning Team posted an article in Blogs
The following account was shared with Patient Safety Learning by a patient called Sarah. She describes her experience of attending hospital with symptoms of COVID-19 and expresses concerns that she could have infected NHS staff due to a negative test result which later turned out to be inaccurate.- Posted
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- Infection control
- Risky behaviour
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Content Article
My experience as an agency nurse
Martin Hogan posted an article in Stories from the front line
In this blog, Martin Hogan shares his experience of working as an agency nurse and how different behaviours can impact on the safety of both staff and patients.- Posted
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- Nurse
- Private sector
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Content ArticleExpanding on his previous commentary 'What does all this safety stuff have to do with me', Dan Cohen, Patient Safety Learning's Trustee and former Chief Medical Officer at DATIX, has written this article for the hub on personal responsibility in patient safe care.
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- Cognitive tasks
- Competence
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Content ArticleThis article, published by The Lancet, is written by Dale fisher, Chair of the Global Outbreak Alert and Response Network (GOARN) and Annelies Wilder-Smith, co-Chair of the Lancet Infectious Diseases Commission on Preparedness for Emerging Epidemic Threats. They highlight the urgent public health action required in response to the coronavirus outbreak.
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- Public health
- Medicine - Infectious disease
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Content Article
To beat COVID-19, social distancing is a must (19 March 2020)
PatientSafetyLearning Team posted an article in Blogs
A blog by the National Institutes of Health Director, Dr. Francis Collins, highlighting relevant research that shows how important it is for everyone to comply with social distancing advice. The National Institutes of Health is a US based, government organisation.- Posted
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- Medicine - Infectious disease
- Public health
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Content ArticleRadio 4's Women's Hour programme discusses coronavirus and the impact the current pandemic is having on access to cervical screening services. Later in the programme, the discussion turns to the topic of dealing with addiction during the lockdown. Cervical screening (listen from the start of the recording) Speakers, Kate Sanger, Head of Public Affairs at Jo's Cervical Cancer Trust, and consultant gynaecologist Dr Christine Ekechi stress that patients should not hesitate to contact their GP if they have any concerns or symptoms. Symptoms might include: abnormal bleeding, bleeding after sex, bleeding after the menopause, bleeding in between periods, unexplained pelvic pain and in some cases increased vaginal discharge. Addiction (21:45) According to the charity Action on Addiction, one in three people are addicted to something. How difficult can it be to remain sober or clean in lockdown, and what support can you still access? Speakers include Holly Sexton, Substance Misuse Practitioner at We Are With You, and Caroline Turriff, a freelance journalist who is 15 years in recovery. They discuss whether opiate painkillers and methadone being more easily available through pharmacies creates safety issues. Caroline argues that it will reduce the risk of people obtaining opiates online or heroin via street dealers which she says could enable them to obtain life-threatening amounts.
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News ArticleTwo in three UK doctors are suffering “moral distress” caused by the enfeebled state of the NHS and the damage the cost of living crisis is inflicting on patients’ health, research has found. Large numbers are ending up psychologically damaged by feeling they cannot give patients the best possible care because of problems they cannot overcome, such as long waits for treatment or lack of drugs or the fact that poverty or bad housing is making them ill. A new survey found that 65% of doctors overall, including nearly four in five (78%) GPs and more than half (56%) of hospital doctors, have experienced “moral distress” as a direct result of situations they have encountered working in the NHS. Seeing patients with malnutrition or hypothermia, or stuck on trolleys in A&E corridors asking for help or forced to choose between heating their home or getting a prescription dispensed are among the events triggering their distress, medics said. “There’s barely a doctor at work in the NHS today who doesn’t see or experience this distress on a daily basis,” said Prof Philip Banfield, the leader of the British Medical Association. The NHS is “impossibly overstretched”, has thousands of vacancies for doctors and has a quarter fewer doctors a head of population than Germany, he added. “In practice that means we can almost never give the standard of care we would want, only ever the care we can manage. That takes its toll, as we see here,” Banfield said. Read full story Source: The Guardian, 28 December 2023
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- Resilience
- Staff support
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