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Showing results for tags 'Safety culture'.
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Content ArticleThis Care Quality Commission (CQC) report focuses on why avoidable harm remains a persistent problem within healthcare.
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Content Article'Together we care' describes what Guy's and St Thomas' Trust. want to achieve over the next five years, what this means for patients and services and how they intend to get there. It is a framework to guide our decisions, and to help consider how best to respond to new developments.
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- Patient / family involvement
- User-centred design
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Content Article
Building leadership for inclusion narrative 2019
Patient Safety Learning posted an article in Boards
Inclusion is core to the NHS Constitution, yet it remains one of the biggest challenges that health systems face globally, nationally and systemically. In the face of a growing body of evidence, which demonstrates the critical role that inclusive leadership plays in ensuring that health and care systems operate most effectively for patients and public, it is incumbent upon us to ensure that leaders at all levels are equipped and capable of leading inclusively and effectively.- Posted
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Content ArticleThe Secretary of State asked NHS England and NHS Improvement to develop a new strategy for patient safety as a ‘golden thread’ running through healthcare. They consulted the UK on a set of ideas in December 2018. They received 527 contributions from organisations and individuals (staff, patients and carers). This strategy is the result of the consultation.
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- Patient safety strategy
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Content ArticleThe Institute for Safe Medication Practice shares key questions to help organisations assess their progress toward creating a Just Culture. They include results from the 2012 report on the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture to provide a national snapshot of where hospitals stand regarding certain aspects of a Just Culture.
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Content ArticleProfessor Sidney Dekker of Griffith University speaks about why things go wrong.
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- Just Culture
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Content ArticlePresentation by Andrew Brent (Sepsis Clinical Lead, Oxford AHSN & Oxford University Hospitals NHS Foundation Trust) and Bethan Page (Oxford AHSN) in collaboration with Dr Matt Inada-Kim (Wessex AHSN).
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Content ArticleThis regulation has been put in place by the Care Quality Commission (CQC) in 2014. The intention of this regulation is to ensure that providers are open and transparent with people who use services and other 'relevant persons' (people acting lawfully on their behalf) in general in relation to care and treatment. It also sets out some specific requirements that providers must follow when things go wrong with care and treatment, including informing people about the incident, providing reasonable support, providing truthful information and an apology when things go wrong.
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- Duty of Candour
- Accountability
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Content ArticleLeadership 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.
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Content ArticleThis study from Landefeld et al., published in the Indian Journal of Community Medicine, looks at the perceptions of healthcare providers about barriers to improved patient safety in the Indian state of Kerala. Five focus group discussions were held with 16 doctors and 20 nurses across three institutions (primary, secondary and tertiary care centers) in Kerala, India and transcripts were analysed by thematic analysis.
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Content Article
Safety, experience, or both?
Claire Cox posted an article in Maternity
Is safety and a good experience two separate issues? This blog by Florence Wilcock, consultant obstetrician, discusses this issue.- Posted
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Content Article
NES: Safety culture discussion cards
PatientSafetyLearning Team posted an article in Good practice
Safety culture can be described as our: 1. Values (what is important) 2. Behaviours (the way we do things around here) 3. Beliefs (how things work). Safety culture has been shown to be a key predictor of safety performance in several industries. It is the difference between a safe organisation and an accident waiting to happen. Thinking and talking about our safety culture is essential for us to understand what we do well, and where we need to improve. NHS Education for Scotland (NES) has adapted these safety culture discussion cards (designed by EUROCONTROL) to help us to do this. Follow the link below to download the cards.- Posted
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Content ArticleThe Chartered Institute of Ergonomics & Human Factors has issued today their White Paper on Adverse Events. This report states what good practice should be in incident investigation across all industries, including health and social care. The White Paper is designed to: 1. Help organisations understand a human factors perspective to investigating and learning from adverse events. 2. Provide key principles organisations can apply to capture the human contribution to adverse events. How organisations learn, and fail to learn, from adverse events is discussed.
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- Organisational learning
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Content ArticleThis info-graphic by the Faculty of Pain Medicine is a safety checklist for Interventional Pain Procedures under local anaesthesia or sedation. This has been adapted from the World Health Organization surgical checklist.
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Content ArticleA significant number of people, who may or may not have been acutely unwell with COVID-19, are experiencing a prolonged and debilitating recovery at home. Symptoms and experiences of care seem to vary greatly among this group, sometimes known as the COVID-19 ‘long-haulers’. Many are finding comfort and reassurance through online communities, set up by and designed for patients who are struggling to get back on their feet.
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Content ArticleThis article, published in Drug Safety, Robust, argues that active cooperation and effective, open communication between all stakeholders is essential for ensuring regulatory compliance and healthcare product safety; avoiding the necessity for whistle-blowing; and, most essentially, meeting the transparency requirements of public trust.
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- Speaking up
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Content ArticleThis editorial, published by the Lancet, highlights that racism is the root cause of continued disparities in health and mortality rates between black and white people in the USA and a global public health emergency. It discusses what medical journals can and must do to help.
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- Health inequalities
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"I know this is burnout. I didn’t want it to be. But it is."
Claire Cox posted an article in Blogs
I have been honest in my blogs during the pandemic. I have been apprehensive, scared and, at times, excited to work in the pandemic. So why do I feel so low at this moment? I am experiencing feelings that I have not had before. I have thoughts of leaving nursing. Surely, I can’t be the only one? Why now? Why am I feeling like this? This blog is to explore why this might be.- Posted
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Content ArticleSeveral factors can compromise patient safety, such as ineffective teamwork, failed organisational processes and the physical and psychological overload of health professionals. Studies about associations between burnout and patient safety have shown different outcomes. In this paper, published by Medicina (Kaunas), a team in Brazil analysed twenty-one studies, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses and it is associated with external factors such as: high workload, long journeys and ineffective interpersonal relationships.
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- Motivation
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Content Article
Safety Differently
Claire Cox posted an article in Suggest a useful website
Safety Differently are a safety news site, crafted by professionals and enthusiasts from various industries around the globe. They share innovative and critical safety ideas to empower a community of change-makers to make an impact and do safety differently.- Posted
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Content ArticleI wrote this editorial for the Journal of Surgical Simulation after delivering the keynote talk at the Homerton Hospital, London Surgical Simulation conference in 2018. It outlines how aviation approaches error and its use of simulation in training to deal with it safely and efficiently. Aviation Safety Management Framework and the extensive use of simulation is a safe, value for money tool.
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- Organisational learning
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Content Article
The sky's the limit (April 2017)
Niall Downey posted an article in Implementation of improvements
A brief summary produced by Frameworkhealth Ltd of the experiences aviation can share with healthcare from an author who has worked extensively in both. It outlines the three stage model used in Airline Safety Management Systems. Published in Northern Ireland Healthcare Review.- Posted
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Content ArticleThis checklist from the Health and Safety Executive provides typical elements to score culture, particularly applicable for larger organisations.
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Content ArticleDr Susan Whalley-Lloyd, Senior Lecturer in Human Factors/Ergonomics at Staffordshire University, discusses how the learning and research opportunities evolving from the coronavirus pandemic will add to our human factors knowledge base and gives us a unique opportunity to achieve new research in human factors and patient safety.
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Content ArticleDr Susan Whalley-Lloyd, Senior Lecturer in Human Factors/Ergonomics at Staffordshire University, explains in this short video presentation why a human factors course is important for patient safety and what the course at Staffordshire University covers.
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- Students
- Ergonomics
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