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Found 530 results
  1. Content Article
    This resource, published by the AHA Physician Alliance and the American Hospital Association, is a guide for health system leaders developing well-being programmes, focusing on the challenges of burnout due to COVID-19. This resource is in two-parts: COVID-19-specific resources and a guide to walk you through well-being program development and execution. These resources will help leaders build on tools already in place and learn from others who are doing this work.
  2. Content Article
    This news account, published by the International Council of Nurses, highlights the mass trauma that COVID-19 has caused among the world's nurses. It details the percentage of nurses experiencing mental health difficulties across the world as a result of the pandemic.
  3. Content Article
    This article discusses red rules, a safety practice used by industries and are associated only with processes that can cause serious harm to employees, customers, or the product line. The article describes red rule criteria, examples in industry, everyday life, in healthcare and when they are misused, concluding that if appropriately implemented, red rules can have the potential to promote an organizational culture of safety that shares accountability for the safe delivery of patient care. 
  4. Content Article
    This article, published in Simulation and Gaming proposes a strategy for ensuing simulation training following the implementation of a thorough Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) training initiative. The strategies include observing Teams in the workplace to facilitate the construction of organisation-wide, follow-on simulation training.
  5. Content Article
    This discussion paper, published in The Journal of Patient Safety and Risk Management, explores some of the opportunities which healthcare organisations could embrace to positively influence the effects of power and hierarchy on staff safety. The author concludes: "This exploration into how power and hierarchy influence both staff and patient safety has identified and briefly explored some of the tensions created by misplaced brand loyalty inherent within healthcare institutions, and the legacy of harms resulting."
  6. Content Article
    This New Scientist article explores various safety incidents that have occurred in oil companies due to failings in their organisational structures. Lessons can be learnt and applied to safety in healthcare.
  7. Content Article
    This blog looks at the introduction of a new safety culture at oil company Amoco in the 1990s, following the company's previous poor safety record. The author highlights the positive impact that this had on fatality numbers, and comments how a similar culture is needed for the oil company BP.  Although discussing the oil industry, the issues highlighted are relevant to healthcare safety and culture too.
  8. Content Article
    This blog, published in The Journal of Medical Ethics, is authored by individuals from New Zealand, Australia and the UK. They draw on their co-produced Cultural Safety framework to address structural iatrogenesis where patients are harmed by unconscious or conscious racist power imbalances in the bureaucratic and cultural systems within healthcare systems, including those systems originally intended to help them. Included is an infographic to illustrate the Cultural Safety Tree Model and how to translate Cultural Safety to the UK. Person-centred care, staff reflexivity, structural reflexivity and listening to the voices of the recipients of healthcare are the crucial roots to this model.
  9. Content Article
    An original article that explores the significance of both staff physical safety in the workplace as well as their psychological safety and wellbeing. In particular, I highlight the impact the COVID-19 pandemic has had on both these areas, and discuss the importance of ensuring all aspects of staff safety.
  10. Content Article
    In this blog, Farrah Pradhan, Project Manager for Clinical Quality, Education and Projects at RCOG, describes her work with maternity professionals, namely obstetricians, and through undertaking an MSc in Patient safety. Farrah’s focus was on their 'work as done' to see if the concepts of Safety-II (capability mindfulness and resilience engineering) helped them to work more safely.
  11. Content Article
    This article considers the definition of a just culture and identifies the key elements associated with this. It then goes on to discuss tools and resources that may be beneficial for leaders who are seeking to create a just culture for staff safety in the perioperative setting.
  12. Content Article
    National Guardian news discussing current events, annual reports, and guidance.
  13. Content Article
    This systematic review, published in the International Journal of Environmental Research and Public Health, looks at different support resources in healthcare organisation that are available to healthcare professionals who have been involved in a patient safety incident. The authors identify a range of challenges to the implementation of these, including persistent blame culture, limited awareness of program availability, and lack of financial resources.
  14. Content Article
    This article, published in Nursing in Practice, has been written by Thomas Buckley, Patient Safety Lead (PSL) at Sussex Community NHS Foundation Trust. Thomas talks about the role of the PSL in helping to build safer cultures for both staff and patients.
  15. Content Article
    While healthcare quality has been improving on average in OECD members countries, patient safety remains a central priority for policy makers and health care leaders. A growing research body has found that patient safety culture (PSC) is associated with numerous positive outcomes, including improved health outcomes, improved patient experience, and organisational productivity and staff satisfaction. Tools to measure PSC have proliferated in recent decades and are now in wide-spread use. This report includes findings from OECD countries on the state of the art for measurement practices related to PSC. Overall, measurement of PSC is prevalent across OECD countries, though the application, purpose, and tools vary. International learning and benchmarking has significant potential for better understanding and improvement of patient safety and health care quality.
  16. Content Article
    Improving patient safety culture (PSC) is a significant priority for OECD countries as they work to improve healthcare quality and safety—a goal that has increased in importance as countries have faced new safety concerns connected to the COVID-19 pandemic. Findings from this OECD benchmarking work in PSC show that there is significant room for improvement.
  17. Content Article
    In this opinion piece for The Hill, the authors argue that urgent action is needed to prevent huge amounts of avoidable harm in the American healthcare system. They point to successful strategies under the Obama administration to demonstrate that the right political will can both improve patient safety and save money. They highlight actions that policy makers, official bodies and patients should take to promote the patient safety agenda.
  18. Content Article
    In this opinion piece for The New York Times, David Brooks looks at the value of being 'at the edge of the inside'. He argues that being within an organisation, but not so close to the centre that you are subsumed by the 'group think', puts an individual in a good position to positively influence the organisation's culture and practice.
  19. Content Article
    The theme for the 4th Learning from Excellence Community Event was “Being better, together”, reflecting LfE's aspiration to grow as individuals, and as part of a community, through focussing on what works. For this event, LfE partnered with the Civility Saves Lives (CSL) team, who promote the importance of kindness and civility at work and seek to help us to address the times this is lacking in a thoughtful and compassionate way, through their Calling it out with Compassion programme.
  20. Content Article
    Patient Safety Learning and the Safer Healthcare and Biosafety Network (SHBN) are undertaking a project, working with patient safety experts and frontline staff, to produce a manual to support staff after a serious safety incident. As part of this work, we are asking healthcare staff to complete a short survey relating to experiences of a serious safety incident.
  21. Content Article
    Disclosure UK is the Database on which all pharmaceutical companies abiding by the Association of the British Pharmaceutical Industry (ABPI) Code of Practice must disclose ‘transfers of value’ to healthcare professionals, other relevant decision makers and healthcare organisations in the UK. Where possible, companies do this by naming the individuals and organisations and according to GDPR law, companies must identify an appropriate lawful basis before they process an individual's information. This guidance document by the ABPI is aimed at pharmaceutical companies using Disclosure UK. It explains and promotes the choice of the basis of 'legitimate interests' for disclosure, with the aim of increasing transparency in the relationships between healthcare professionals, other relevant decision-makers and the industry.
  22. Content Article
    Aimed at those who are responsible for the overall performance of organisations, divisions or departments in diverse industries such as healthcare, aviation, construction, oil and gas, nuclear, railways and defence, this book introduces a new safety paradigm in comprehensible and practical terms. It aims at improving safety and overall organisational performance through a doable, different and directed approach using multiple small steps. This book will help readers in understanding how to integrate the natural variability of human performance – and our ability to compensate for unpredictability elsewhere – into organisational systems, thereby ensuring successful outcomes. It covers important topics, including complexity, effective workplace innovations, micro-experiments, maintaining alignment between rules and reality, maximising learning and restoring relations. It includes practical examples and supporting material referenced in the expansive notes section. This book: Presents multiple small steps that collectively facilitate the improvement of safety. Discusses improving safety in routine work;, not triggered by accidents. Covers a chapter on what to do when things go wrong. Discusses these methods with the help of numerous vignettes. Has a separate section on each industry. Safety professionals, academicians, researchers and students (undergraduate and graduate) in health and safety, human factors, ergonomics, occupational health and safety will also appreciate the brevity and clarity of this work in conveying the latest scientific insights on safety.
  23. Content Article
    Recently an enduring discussion evolved on Twitter on why safety culture is important for patient safety. My reaction, of course, was: it isn’t. Let me explain why. I think it is possible to address safety without addressing safety culture. Or, rather, to focus on actions that will improve both safety performance and safety culture (as a by-product) at the same time. In this blog I propose some of these actions – showing how to create an understanding of how work is (actually) done (rather than what it says on paper), seeing what makes it difficult and identifying what resources are missing. If we address these challenges, then surely we will be able to improve safety and safety culture will follow naturally.
  24. Content Article
    This briefing by NHS Supply Chain looks at shared learning on patient safety, and how collaborative working is enabling better assurance and safety for healthcare products and services. The briefing covers these topics: The role of NHS Supply Chain in patient safety Safety specifications for safer products System-level join up Human factors and just culture Case studies Overview of system partners Conclusion
  25. Content Article
    This study in Risk Management and Healthcare Policy aimed to explore healthcare workers’ perceptions of patient safety culture at primary healthcare centres in the Eastern Province of Saudi Arabia, and the factors that influence them. It also aimed to identify the challenges of adopting patient safety culture in these centres. The study findings highlight a number of areas for improvement, particularly in relation to event reporting, non-punitive responses, and openness in communication. The authors highlight that error reporting should not just be considered a means of learning from mistakes, but should also be considered the first step towards preventing injury and improving patient safety. They highlight the need to eliminate three crucial elements associated with errors - blame, fear, and silence - in order to build a safety culture.
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