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Showing results for tags 'Safety culture'.
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Content ArticleThe Health & Safety Laboratory (HSL) Safety Climate Tool (SCT) measures the perceptions of the workforce on health and safety issues, offering a unique insight into the safety culture within an organisation. It can be applied across industries of all sizes, from SMEs to large complex organisations. Multi-site companies can also use it to look at the strengths and weaknesses of different sites or business units. The HSL SCT is delivered on a CD-ROM, which you install onto a suitable computer to allow you to produce a customised questionnaire that is then run across your organisation. Once the questionnaire survey has been run, the tool produces a series of automated charts that allow detailed analysis of the findings. (HSL is an agency of the Health and Safety Executive.)
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Content ArticleThis is the letter from Monitor (now part of NHS Improvement) to all foundation trust chief executives about Sir Robert Francis’ Freedom to Speak Up review.
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Content Article
We all want a culture of speaking up, don’t we? So, why isn’t it happening?
Anonymous posted an article in Bullying and fear
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Effective speaking up arrangements protect patients and improve the experience of NHS workers. The guidance set out by Sir Robert Francis in his Freedom to Speak Up review, was to develop a more open and supportive culture that encourages staff to speak up about any issues of patient care, quality or safety. In this blog I want to explore why this hasn’t been happening in Trusts up and down the country, despite everyone wanting a safe culture to speak up, no more so than myself, a clinician who has a keen interest in patient and staff safety. Sir Robert Francis laid out six principles for Trusts to follow in his review of speaking up in NHS Trusts in 2015. I would like to reflect on the times when I have spoken up about patient safety issues and the responses I have had when I have raised them. I will use Francis’ six principles to frame the blog.- Posted
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Content Article
Safe communication during Covid-19
Claire Cox posted an article in Good practice and useful resources
A six-minute communication science video how to protect yourself against disinformation during COVID-19. -
Content ArticleIn this video Dr. Donna Prosser, Chief Clinical Officer at the Patient Safety Movement Foundation, interviews Helen Hughes the Chief Executive of Patient Safety Learning, on how we can better share learning about reducing harm in healthcare. Helen shares the resources that are available through Patient Safety Learning and how those passionate about safety can get involved.
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Content ArticleChange is at the heart of quality improvement in healthcare. As the needs of populations continually fluctuate, healthcare must evolve to reflect and serve those needs. The overarching theme of the 2018 ISQua conference, hosted in Kuala Lumpur, was ‘Heads, hearts and hands weaving the fabric of quality and safety’, which led many speakers to examine change in quality and safety improvement through the lens of these three central elements. Collectively, the conference presentations formed a picture of the global landscape of quality and safety in healthcare and offered many valuable examples of innovation that can facilitate sustainable change. Identifying areas for transformation and implementing change can be relatively straightforward, but lasting change is much more challenging to realise. This topic was widely discussed, with many speakers sharing their experiences and learning on embedding lasting change through organisational culture. It is evident that investing time and resources to engage those on the frontline of healthcare delivery can have a huge impact on quality improvement.
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Content ArticleA research paper published by researchers from the Johannes Kepler Universität and the University of Applied Sciences, both in Austria, examined the process of developing what is termed as a ‘constructive error culture’ in organisations. This Research Brief from Oxford Review summarises the findings.
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Content ArticlePatient Safety and Healthcare Improvement at a Glance is an overview of healthcare quality written specifically for students and junior doctors and healthcare professionals. It bridges the gap between the practical and the theoretical to ensure the safety and well-being of patients. Featuring essential step-by-step guides to interpreting and managing risk, quality improvement within clinical specialties, and practice development, this highly visual textbook offers preparation for the increased emphasis on patient safety and quality-driven focus in today's healthcare environment.
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Content ArticleSafety and Improvement in Primary Care: The Essential Guide is ideal for frontline clinicians, managers and healthcare administrators needing practical guidance on safety and is also highly recommended for improvement advisers, patient safety officers, clinical governance facilitators, risk managers and health services researchers wanting a critical review of theory and evidence. Primary care educators, too, will find much of interest in relation to designing and delivering training to help trainee doctors, established clinicians, managers and other colleagues meet the demands and obligations of specialty training, appraisal and revalidation, routine contractual requirements and continuing professional development. It provides reading for healthcare policy makers seeking implementation evidence on interventions for improving quality and safety at the professional, team and organisational levels.
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Content ArticleKirkland Medical Center is an outpatient clinic in the Virginia Mason Health System in the USA. Kirkland uses an innovative, system-wide management method to improve patient care and safety by eliminating waste and inefficiencies. This management method is used to streamline repetitive aspects of care delivery, standardise clinical roles and engage in continuous learning activities. This case study highlights key features of Kirkland Medical Center’s management approach that have led to improved rates of employee satisfaction, engagement, and overall well-being. Two pillars play a central role in improving well-being: (1) workflow optimisation and (2) a culture of collegiality, respect, and innovation.
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Content ArticlePresentation from WHO's 'A Decade of Patient Safety 2020-2030: Formulating Global Patient Safety Action Plan' patient safety meeting in Geneva.
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Content ArticleFollowing the traumatic death of an anaesthetic trainee who was returning home after a night shift, the Fatigue Group supported by the Association of Anaesthetists and RCoA have surveyed UK trainees about shift working and fatigue. With a 60% response rate, the survey highlights a wide variation in access to rest facilities, commuting distances and concerning effects of fatigue on trainees.
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Content ArticleSpeaking at the Domain Driven Design conference in 2018, Sidney Dekker talks about the complexity of pursuing and averting drift into failure.
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Content ArticleHuman factors are of pivotal importance to both patient safety and doctors’ wellbeing, says Peter Brennan and Tista Chakravarty-Gannon in this BMJ Opinion article. In this article they highlight what the General Medical Council (GMC) and other organisations are doing to support doctors to deliver good care for their patients through educational and support programmes, including the GMC’s new Professional Behaviours and Patient Safety Programmes (PBPS) being piloted across the UK. These programmes are designed to help improve doctors’ skills and confidence in addressing unprofessional behaviours. These initiatives should reduce medical error, improve patient safety and professional welfare, as well as enhancing team working.
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Content Article
Planetree: International resource collection
lzipperer posted an article in Other countries and national agencies
The US-based Planetree organisation has long been a leader in establishing processes and mindsets that enable safe, patient-centred care. This resource collection includes a variety of tools, templates and instructions that help organisations and teams embed effective communication behaviours and activities into their daily work. Resources focus on tactics such bedside rounding, huddles, patient and family engagement council formation and physician interaction coaching. -
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National NHS staff survey 2019 results
Patient Safety Learning posted an article in Culture
The NHS Staff Survey is one of the largest workforce surveys in the world and has been conducted every year since 2003. It asks NHS staff in England about their experiences of working for their respective NHS organisations. The survey provides essential information to employers and national stakeholders about staff experience across the NHS in England. Participation is mandatory for trusts and voluntary for non-trust organisations (CCGs, CSUs, social enterprises). The survey does not cover primary care staff. The report below provides a concise summary of key national results. Detailed local (organisation-level) results are also available here.- Posted
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Content ArticleIn her blog, drawing on the Paterson Inquiry, Judy Walker discusses After Action Review (AAR) and the fear that exists around speaking up.
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Content ArticleShifting the mindset (2020), a report from Healthwatch, investigates how hospitals report on complaints and whether current efforts are sufficient to build public trust. In this bog, Sir Robert Francis QC explains how hospitals can cultivate public trust in complaints.
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Content ArticleVenous thromboembolism (VTE) is a condition in which a thrombus – a blood clot – forms in a vein. Usually, this occurs in the deep veins of the legs and pelvis and is known as deep vein thrombosis (DVT). The thrombus or parts of it can break off, travel in the blood system and eventually block an artery in the lung. This is known as a pulmonary embolism (PE). VTE is a collective term for both DVT and PE.
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Content Article
Actionable Patient Safety Solutions (APSS)
PatientSafetyLearning Team posted an article in Improving patient safety
By addressing new challenges and forming Actionable Patient Safety Solutions (APSS) the Patient Safety Movement Foundation believe they can reduce the number of preventable deaths in hospitals to zero. Here you will find links to 18 challenges and over 30 solutions to overcome some of the leading patient safety challenges facing hospitals today. Resources are available to download and share. -
Content ArticleDespite dealing with biomedical practices, infection prevention and control (IPC) is essentially a behavioural science. Human behaviour is influenced by various factors, including culture. This paper by M.A. Borg, published in the Journal of Hospital Infection, analyses the cultural determinants of infection control behaviour.
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A conversation with pathologist, Professor Peter Johnston
Claire Cox posted an article in Processes
As part of Patient Safety Awareness Week 2020, the Royal College of Pathologists speak to Professor Peter Johnston about preventing patient harm in laboratory settings. -
Content ArticleIs a focus on wellbeing a ‘nice thing to do’ in organisations, or are there more fundamental arguments? In this article in Hindsight, Suzanne Shale outlines ethical arguments for making wellbeing a priority.
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Content ArticleWe can use what we’ve learned from the crisis to make a 21st-century service fit for patients and staff alike, says Joel Schamroth in a blog to the Guardian. This pandemic is forcing us to rethink how we deliver healthcare. For too long patients have experienced fragmented services, administrative hurdles and unreliable lines of communication. The “patient experience” often remains an afterthought in the NHS, leading to worse health outcomes, and costing the NHS dearly. The lesson the public is learning is that money can be made available when it’s deemed to be important. In a matter of weeks COVID-19 has shown us that change is possible.
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Content ArticleRead the latest episode in a series of podcasts from the Clinical Human Factors Group giving tips from frontline staff working with Covid patients.
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