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Found 530 results
  1. News Article
    Following the unprecedented impact and strain that the COVID-19 pandemic has placed on the NHS and social care, both the public and the healthcare sector believe politicians must prioritise the improvement of both patient and healthcare worker safety. The Safety for All white paper, Patient and Healthcare Worker Safety – Two sides of the same coin, is published today by the Safety for All campaign, set up by the Safer Healthcare and Biosafety Network (SHBN), an independent forum focused on improving healthcare worker and patient safety, including Patient Safety Learning and the Association of British HealthTech Industries. The white paper sets out the symbiotic relationship between healthcare worker safety and patient safety and that you cannot have one without the other. The pandemic has shone a light on the interconnection of these two issues, from the importance of effective infection control to ensuring healthcare professionals feel safe to speak up about incidents of unsafe care. This white paper makes the case for a new focus and priority for improvements in, and between, patient and healthcare worker safety to prevent safety incidents and deliver better outcomes for all. Dean Russell MP, a member of the Health and Social Care Select Committee, said: “The NHS estimates that there are 11,000 avoidable deaths in the UK each year due to patient safety incidents. We must look at the issue of patient safety holistically. If we can change our approach then then we can reduce the number of serious safety incidents. Also, if we ensure, in the transition back to normality following the pandemic, that the safety of healthcare workers is a priority this will also impact positively on patient safety.” Jonathan Hazan, chair of Patient Safety Learning, said: “I welcome the publication of the Safety for All white paper with its focus on the relationship between patient safety and staff safety. At Patient Safety learning, we have always understood that improvements in one area reinforce safety in the other. We recognise that avoidable harm has complex causes and to address them, we must transform the system so that patient safety is core to the purpose of health and social care, not just one of many competing priorities. We are engaging with politicians, healthcare organisations, professionals and patients to push for the system-wide change which will result in the reduction of harm. Dean Russell and his colleagues in Parliament have a key role in improving safety and we look forward to working with them.” Mike Fairbourn, Board Member of the Association of British HealthTech Industries, said: “Today the Safety for All campaign is launching its white paper called “Patient and Healthcare Worker Safety – Two sides of the same coin”. This makes the case for a new focus and priority for improvements in, and between, patient and healthcare worker safety to prevent safety incidents and deliver better outcomes for all. There needs to be a better understanding and advocacy of the mutual benefits to be accrued for patient safety by improving healthcare worker safety, and vice versa. Safety needs to be a core purpose for both the NHS and social care and for patient and workplace safety, with greater support for staff and for them to speak up following patient safety incidents.” Read the full story Source: Safer Healthcare and Biosafety Network (20 October 2021)
  2. News Article
    Women in a newly opened psychiatric intensive care unit (PICU) had concerns for their sexual safety, a Care Quality Commission (CQC) report has revealed. Inspectors found women in the PICU at Cygnet Health Care’s Godden Green Hospital, in Kent, were afraid to shower because male staff did not always knock before entering bedrooms and staff entered bathrooms without permission. Patients were often looked after by male staff despite having asked for a female staff member and, in some cases, had an all-male care team. Most patients the inspectors spoke to had concerns about their sexual safety. The CQC carried out an unannounced inspection of the PICU in October, following concerns raised by members of the public and to check concerns identified in an earlier inspection of the hospital’s child and adolescent mental health services were not organisational. The PICU opened in November 2019. Since the summer, Kent and Medway NHS and Social Care Partnership Trust has commissioned some of the beds, but HSJ understands it stopped admissions for a time to review the care being provided. Inspectors found records referred to PICU patients as “difficult” and “troublemakers” and warned a ”culture of negativity towards patients had developed among some staff”. Read full story (paywalled) Source: HSJ, 4 December 2020
  3. News Article
    Trusts have been urged to reflect on their disciplinary procedures, and review them annually where required, following the death of a senior nurse who took his own life after being dismissed. NHS England’s chief people officer Prerana Issar has written to trust leaders to highlight Imperial College Healthcare Trust’s new disciplinary procedures, which were put in place following Amin Abdullah’s suicide. Mr Abdullah, a senior nurse at Charing Cross Hospital in west London, was suspended in September 2015 before being let go from his job that December. He died in February 2016 after setting himself on fire. An independent investigation criticised both the trust and its staff and concluded he had been “treated unfairly”. The summary report produced by the trust was labelled a “whitewash”, which “served to reassure the trust that it had handled the case with due care and attention”, and the delay of three months between the events and hearing were “troubling”. The report, which also criticised the delays as “excessive” and “weak” in their justification, said Mr Abdullah found the delay “stressful” and caused him to become “distressed”. In the letter sent on Tuesday, seen by HSJ, Ms Issar said: “The shared learning from Amin’s experience has demonstrated the need for us to work continuously and collaboratively, to ensure that our people practices are inclusive, compassionate and person-centred, with an overriding objective as to the safety and wellbeing of our people… our collective goal is to ensure we enable a fair and compassionate culture in our NHS. I urge you to honestly reflect on your organisation’s disciplinary procedure…" Read full story (paywalled) Source: HSJ, 3 December 2020
  4. News Article
    Hundreds of senior midwives are to be given new training to help improve culture and leadership across 126 NHS trusts. Patient safety minister Nadine Dorries said a new £500,000 maternity leadership programme would be rolled out later this year aimed at giving senior staff running maternity wards the skills and knowledge they need to boost culture and safety. Its one step towards improving the working relationships between midwives and obstetricians and follows the damning report by the Ockenden inquiry into decades of poor care at Shrewsbury and Telford Hospitals Trust. The report, published last month, highlighted leadership on maternity wards as a key factor in cases at the trust which led to preventable baby deaths and cases of neglect over many years. Announcing the fund, Nadine Dorries said: “The shocking and tragic findings of the Ockenden Review highlighted the importance of strengthening maternity leadership and oversight as well as fostering more collaborative approaches within maternity and neonatal services. “I’m pleased to announce a new training programme for NHS maternity leaders, which will empower nurses, midwives and obstetricians to get the best out of their teams, and deliver safe, world-class care to mothers and their babies.” Read full story Source: The Independent, 12 January 2021 Government press release
  5. Event
    When people seek healthcare, they are hoping to get better. Too often, however, they end up getting a new, avoidable infection – which is often resistant to antimicrobials and can sometimes even be fatal. When a health facility’s “quality and safety climate or culture” values hand hygiene and infection prevention and control (IPC), this results in both patients and health workers feeling protected and cared for. That is why the World Hand Hygiene Day (WHHD) theme for 2022 is a “health care quality and safety climate or culture” that values hand hygiene and IPC, and the slogan is “Unite for safety: clean your hands”. This webinar will bring together experts from WHO and from academic institutions and leaders from the field to discuss how a strong institutional quality and safety climate or culture that values hand hygiene and IPC is a critical element of effective strategies to reduce the spread of infection and antimicrobial resistance. New evidence on this as well as priorities for research in this area identified by WHO will be presented. With the help of a facilitator, participants will have the unique opportunity to dialogue with the expert panel and bring their experiences. The webinar will also be the exceptional moment for the launch of the first WHO global report on IPC. Now is the time to unite by talking about and working together on an institutional safety climate that believes in hand hygiene for IPC and high-quality, safe care. Objectives To overview the new WHO hand hygiene research agenda and evidence on the role of a health care quality and safety climate or culture for hand hygiene improvement. To describe a range of experiences regarding the evidence for and efforts to support a health care quality culture and safety climate through clean hands and IPC programmes of work. To launch the first WHO global report on IPC. Register
  6. Event
    This one day masterclass will focus on improving Patient Safety through enhancing psychological safety and safety culture. It looks at effective ways to encourage health professionals to routinely embed high-quality clinical evidence into their everyday work. We will explore the characteristics of relatively successful behaviour change interventions. All Clinical Staff and Team Leads should attend. Key learning objectives: psychological safety safety culture behaviour human factors how to improve safety reporting. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/improving-psychological-safety-patient-safety or email nicki@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org for discount code
  7. Event
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    East Midlands and West Midlands Patient Safety Collaboratives will be hosting a webinar on appreciative inquiry (AI). Hosted by Appreciating People, it will focus on ‘what works’ and the existing strengths and assets of people, team and organisations. The pandemic and current working challenges has shown how resilient and creative the maternity and neonatal workforce has been, so this workshop aims to support you to build upon your current knowledge and experiences. The webinar will share tools to focus on levering and amplifying strengths, and there will be time for reflective conversation with colleagues. AI helps build psychological safety and is extensively used by many NHS trusts who are part of Learning From Excellence. Register for the webinar
  8. Event
    This one day masterclass will focus on how to use behavioural insights and Nudge Theory to look at patient safety and safety culture. Nudge-type interventions have the potential for changing behaviours. We will look at examples of Nudge Theory use in healthcare and external organisations and how we can use these to improve patient safety and also to reduce inefficiency and waste. We will look at the type of interventions suitable for nudges and how to develop them. Key learning objectives: Behavioural insights Nudge Theory Use of nudge theory to improve patient safety Developing nudges Opportunities for Nudge-type interventions. Register
  9. Event
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    This webinar delivered by the East Midlands Patient Safety Collaborative and The AHSN Network will provide an introduction to safety culture and the impact it can have. To register, email kursoom.khan@nottingham.ac.uk
  10. Event
    This one day masterclass, Mr Perbinder Grewal, General & Vascular Surgeon and Human Factors Trainer, will focus on teams working effectively and productively through improving the culture within healthcare organisations. There will be a focus on how safety and culture is perceived by healthcare staff and how culture relates to QI and audit. The outcome of the day is to not only improve safety culture and patient safety but also staff experience and staff engagement. Key learning objectives: Define culture within healthcare. Understand safety culture. Explore culture of quality improvement and audits. Improve civility within teams. Learn how to lead cultural change. All Medical and Non-medical Staff should attend. This masterclass is aimed at Clinical Staff, Team Managers, Senior Management. Register hub members receive 20% discount. Email: info@pslhub.org for discount code.
  11. Event
    This one day masterclass will focus on how to use Behavioural Insights and Nudge Theory to look at patient safety and safety culture. Nudge-type interventions have the potential for changing behaviours. We will look at examples of Nudge Theory use in healthcare and external organisations and how we can use these to improve patient safety and also to reduce inefficiency and waste. We will look at the type of interventions suitable for nudges and how to develop them. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/improve-patient-safety-safety-culture or email kate@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org
  12. Event
    This one day masterclass will focus on teams working effectively and productively through improving the culture within Healthcare organisations. There will be a focus on how safety and culture is perceived by healthcare staff and how Culture relates to QI and Audit. The outcome of the day is to not only improve Safety Culture and Patient Safety but also Staff Experience and Staff Engagement. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/safety-culture-excellence or email kate@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org
  13. Event
    This one day masterclass will focus on how an organisation can increase staff engagement and with it improve patient experience. This masterclass focuses on staff experience and improving engagement which is particularly important when staff are under pressure during Covid-19. We will look at how to improve engagement through a healthy, compassionate and inclusive culture. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/outstanding-staff-engagement or email hannah@hc-uk.org.uk hub members receive 20% discount. Email info@pslhub.org
  14. Event
    This one day masterclass will focus on teams working effectively and productively through improving the culture within Healthcare organisations. There will be a focus on how safety and culture is perceived by healthcare staff and how culture relates to QI and audit. The outcome of the day is to not only improve safety culture and patient safety but also staff experience and staff engagement. Key learning objectives: Define culture within healthcare. Understand safety culture. Explore culture of quality improvement and audits. Improve civility within teams. Learn how to lead cultural change. Register
  15. Event
    This AHRQ webcast will introduce the new Surveys on Patient Safety Culture™ (SOPS®) Diagnostic Safety Supplemental Items. Medical offices can use the survey items as a supplement to the SOPS Medical Office Survey to assess the extent to which the organizational culture supports the diagnostic process, accurate diagnoses, and communication around diagnoses. Speakers will provide background on the importance of diagnostic safety, an overview of the development of the items, results from a pilot test in 66 medical offices, and share resources available for users. Register
  16. Event
    This virtual masterclass, facilitated by Mr Perbinder Grewal, will focus on Patient Safety and how to setup a proactive safety culture. It will look at what patient safety is and how we can set up and improve the safety culture. It will look at Human Factors and how we can mitigate some of the common errors. Can we have a system with zero patient safety incidents or errors? For more information  and to book or email kerry@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org
  17. Event
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    To improve care system performance and staff well-being, there needs to be a focus on the cultural context of work. This Q Community webinar will describe the inter-linked concepts of Safety Culture and Safety Climate with a view to: Promote the importance of exploring safety culture in health and social care services. Raisie awareness of barriers to ‘reliably measuring’ care workforce perceptions of safety culture. Introducing discussion cards, adapted for health and social care teams, as a practical, meaningful approach to understanding aspects of safety culture. Information Register
  18. Event
    This virtual masterclass, facilitated by Mr Perbinder Grewal, will focus on patient safety and how to setup a proactive safety culture. It will look at what patient safety is and how to setup and improve the safety culture. It will look at Human Factors and how to mitigate some of the common errors. Can we have a system with zero patient safety incidents or errors? Further information and book your place or email kate@hc-uk.org.uk hub members receive 10% discount. Email info@pslhub.org for code
  19. Event
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    How looking after staff health and well-being contributes to patient safety. "It’s about a work place that’s more respectful, inclusive and open as a means of creating safety”. Martin Bromiley OBE To deliver high-quality care, the NHS needs staff that are healthy, well and at work. A challenge highlighted further by the pandemic. Join the Clinical Human Factors Group (CHFG) for short and lively presentations, questions and panels with: Rt Hon Jeremy Hunt MP Chair of the Commons Health and Social Care Select Committee Suzette Woodward - culture, conditions and values Scott Morrish - the legacy of avoidable harm Dr Henrietta Hughes OBE – speaking up, culture change and well-being Prof. Jill Maben - staff well-being and patient experience Aliya Rehman – NHS Employers - the well-being framework Mark Young – Learning from the rail industry - team dynamics Ed Corbett – Health & Safety Executive – Sustainable health and safety improvement Alice Hartley – Royal College of Surgeons Edinburgh – undermining and bullying – the team, individual and the patient Register
  20. Content Article
    On his last day in office as Chief Investigator at the Healthcare Safety Investigation Branch (HSIB), Keith Conradi sent this letter to the Secretary of State for Health and Social Care, outlining his concerns about the approach of the Department of Health and Social Care (DHSC) and NHS England to patient safety work carried out by HSIB. In his letter, Keith highlights a lack of interest in HSIB investigations and activity from leaders in both NHS England and DHSC, and describes how this attitude permeates both organisations. He also draws attention to a lack of priority and support for patient safety at a structural level, and calls on government and healthcare leaders to take a new approach and introduce a regulated safety management system with appropriate accountability. Patient Safety Learning has written a blog reflecting on Keith Conradi's letter, highlighting the ways in which his concerns align with those consistently raised by Patient Safety Learning.
  21. Content Article
    In this blog, Patient Safety Learning reflects on a recent letter by Keith Conradi to the Secretary of State for Health and Social Care, highlighting concerns about a lack of interest and attention in the activities of the Healthcare Safety Investigation Branch (HSIB) at the highest levels of the Department of Health and Social Care (DHSC) and NHS England.
  22. Content Article
    In this blog, student midwife Sophie Dorman describes some of the issues that have led to a chronic shortage of midwives, including a culture of fear, poor pay and conditions and a lack of basic facilities for maternity staff. She highlights the impact this is having on the safety of maternity services and argues that valuing and looking after midwives will make pregnancy and childbirth safer and better for everyone.
  23. Content Article
    In this blog, nurse Carol Menashy describes her experience making an error in theatre fifteen years ago, and the personal blame she faced in the way the incident was dealt with at the time. She talks about how a SEIPS (Systems Engineering Initiative for Patient Safety) framework can transform how adverse incidents are dealt with, allowing healthcare teams to learn together and use incidents to help make positive changes towards patient safety. She describes the progress that has been made towards organisational accountability and systems thinking over the past fifteen years, and talks about the importance of staff support to allow for healing from adverse events.
  24. Content Article
    Healthcare is traditionally a hierarchical industry. This structure can foster a culture of division amongst staff that is sometimes made worse by significant differences in background and training. However, in order to make sure care is safe and of a high quality, healthcare teams must develop good teamwork and communication. This is only possible if every member of the team feels respected and is free to speak up when they think something is wrong. In this podcast, host David Feldman speaks to Michael Brodman, Professor and Chair Emeritus in the Department of Obstetrics, Gynecology, and Reproductive Science at the Icahn School of Medicine at Mount Sinai in the US. They discuss how mutual respect is essential for any institution developing a culture of safety and how the problems presented by medical hierarchy can be overcome.
  25. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Annie talks to us about her work training teams in safety behaviours, why productivity and safety must go hand-in-hand, and how working on patient safety is like running a marathon.
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