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Showing results for tags 'Safety culture'.
Found 535 results
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Content ArticleAlthough many initiatives have been implemented and great strides have been achieved in improving patient safety and reducing preventable medical errors, progress towards achieving "zero" avoidable harm continues to be slow. This video presentation will address common medical errors, their recognition, potential for harm and the psychological and financial costs. The concepts of human factors, system design and the high reliability organisation will be reviewed. New approaches in reducing harm and restoring trust will be described along with the opportunity for physician leadership.
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Content ArticleEstablishing a culture of zero harm is critical for organizations that strive to deliver safe, high quality, patient-centered care. This video features insights from leading organisations—Advocate Health Care, Cancer Treatment Centers of America, Boston Children’s Hospital, Novant Health, and MedStar Health—that have embraced a commitment to making safety a core value. Watch now to learn how they overcame the challenges of building a highly reliable safety culture and benefited from making safety and high reliability a top priority within their organisations.
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Content ArticleAli Raza uses the Swiss Cheese Model by James Reason to look at discrimination in the workplace.
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Content ArticleRead how Mersey Care NHS Foundation Trust has adopted and embedded its just and learning culture and its training package. The trust estimates that the just and learning culture has provided economic benefits of roughly £2.5million since 2016. A just and learning culture is one focused on fairness and learning, and absent of blame when things go wrong. It aims to encourage staff to feel able to speak up.
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In this interview for Patient Safety Learning, Josie Gilday, qualified nurse and Global Medical Advisor for Save the Children, tells us more about working in the humanitarian and developmental field, and why she feels so passionately about patient safety. -
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Tackling the blame culture? NHS Staff Survey Results 2020
PatientSafetyLearning Team posted an article in Culture
Patient Safety Learning reflects on the results of the NHS Staff Survey 2020, in relation to its ‘Safety Culture’ theme. The survey indicates that a significant number of staff continue have concerns about whether their organisation takes action to address patient safety issues, and that nearly a third of respondents said that they do not feel they would be treated fairly when raising a concern. This blog considers the patient safety implications of the persistence of blame culture in the NHS and considers the action that can be taken to address this. -
Content ArticleWhile the benefits of psychological safety are well established, a new survey suggests how leaders, by developing specific skills, can create a safer and higher-performance work environment.
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Health and Safety Executive: Organisational culture
Patient Safety Learning posted an article in Culture
The Health and Safety Executive describes why organisation culture is important and the key principles on organisational culture. They also provide links to further guidance on organisation culture. -
Content ArticleThe Keil Centre developed the Safety Culture Maturity® Model (SCMM) to facilitate objective discussion about safety culture and to identify specific actions to improve safety culture. The SCMM is set out in a number of iterative stages. Organisations progress sequentially though the five levels, by building on their strengths and removing the weaknesses of the previous level. The assessment compares levels of Safety Culture Maturity® between groups, provides an understanding of why differences may be present, and identifies improvement actions for the site and teams.
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Content ArticleIn my tweets and posts I have suggested that patients themselves need to take more responsibility for the medicines they are prescribed. But what about vulnerable groups who may depend on decisions being made for them, and in their best interests? Whilst there are circumstances where antipsychotic (psychotropic) medicines are an appropriate option for people with autism and learning disabilities, these occasions are limited. In all cases the patient matters most, and any decision to prescribe must be part of a team based, patient-led decision, which is regularly reviewed.
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Freedom to Speak Up Guardian survey 2020
Patient Safety Learning posted an article in Speak Up Guardians
This is the fourth year that the National Guardian’s Office has surveyed Freedom to Speak Up Guardians in order to understand how speaking up is supported within organisations. Their views give valuable insights into both how the Guardian role is implemented and what further support and learning is needed to truly create a culture where speaking up is business as usual. The results also reveal details about their perceptions of the barriers to speaking up, the sources of detriment for speaking up and the network’s demographics. -
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It has become imperative that we discuss the issue of mental health in doctors and other healthcare staff. The mental wellbeing of a healthcare staff forms the bedrock of patient safety. It takes a safe and supported person to deliver safe healthcare and we must give this attention as we try to find ways to improve the quality of care within our healthcare systems. Ehi Iden, hub topic lead for Occupational Health and Safety, OSHAfrica, reflects on the increasing workload and pressure healthcare professionals face, the impact this has on patient safety and why we need to start 're-humanising' the workplace. -
Content ArticleThis study by Sexton et al. was performed to determine whether health care worker (HCW) assessments of good institutional support for second victims were associated with institutional safety culture and workforce well-being. They found that perceived institutional support for second victims was associated with a better safety culture and lower emotional exhaustion. Investment in programmes to support second victims may improve overall safety culture and HCW well-being.
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Content ArticleHaugen et al. studied the impact of the Norwegian National Patient Safety Campaign and Program on Surgical Safety Checklist (SSC) implementation and on safety culture. They found that the National Patient Safety Program, fostering engagement from trust boards, hospital managers and frontline operating theatre personnel enabled effective implementation of the SSC. As part of a wider strategic safety initiative, implementation of SSC coincided with an improved safety culture.
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Content ArticlePatient safety incidents can have significant effects on both patients and health professionals, including emotional distress and depression. This, published in British Journal of Surgery (BJS) Open, study explores the personal and professional impacts of surgical incidents on operating theatre staff. This study, published in BJS Open, involved 45 face-to-face interviews, with participants including surgeons, anaesthetists, scrub nurses, ODPs and healthcare assistants. The authors state that the results indicate that more support is needed for operating theatre staff involved in surgical incidents. They also suggest that there needs to be greater transparency and better information during the investigation of such incidents for staff.
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Cultural activities linked to lower mortality
Becky T posted an article in Older people
This editorial, published in the BMJ, comments on the 2019 paper by Daisy Fancourt examining how receptive arts engagement could have a protective association with longevity in older adults. -
Content ArticleThis article, published in the BMJ, looks at a study exploring associations between different frequencies of arts engagement and mortality over a 14 year follow-up period. It concludes that receptive arts engagement could have a protective association with longevity in older adults.
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Content ArticleThis article, published in Medical Economics, looks at the Ethical Principles in Health Care (EPiHC), established June 2020. EPiHC serves as a global network of private health care providers, payors and investors committed to ethical conduct. It provides health care organisations with ten clear principles to navigate complex ethical decisions – principles that have never been more critical than in the midst of the COVID-19 pandemic.
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Content ArticleThis article, published in the BMJ, looks at the declining mental health of staff in ICU during the height of the Covid-19 pandemic, based on research by King's College London in 2020.
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Content ArticleHealth workers are at the front line of the COVID-19 outbreak response and as such are exposed to different occupational hazards that put them at risk, including exposure to SARS-CoV-2 and other pathogens, violence, heavy workload and prolonged use of personal protective equipment (PPE). This document, produced by WHO, provides specific measures to protect occupational health and safety of health workers and highlights the duties, rights and responsibilities for health and safety at work in the context of COVID-19.
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Content ArticleThis guide, published by WHO, consolidates COVID-19 guidance for human resources for health managers and policy-makers to design, manage and preserve the workforce necessary to manage the COVID-19 pandemic and maintain essential health services. The guide identifies recommendations at individual, management, organisational and system levels.
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Creating a safe space: Healthcare worker support toolkit
Becky T posted an article in Staff safety
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This toolkit, produced by the Canadian Patient Safety Institute, is intended to support healthcare leaders and policy makers to develop, implement or improve healthcare worker support models. It includes tools, resources and templates from organisations across the globe who have successfully implemented their own healthcare worker support models, such as peer support programs for healthcare providers. -
Content ArticleThis manuscript provides a comprehensive overview of what healthcare worker support models are available in Canada and internationally. It outlines best practice guidelines, tools and resources that policy makers, accreditation bodies, regulators and healthcare leaders can use to assess the support needs of healthcare workers. The Canadian Peer Support Network is intended as a forum for healthcare organisations seeking guidance in the development of their Peer Support Programs to assist providers who have experienced a patient safety incident. These interventions aim to improve the emotional well-being of healthcare workers and allow them to provide the best and safest care to their patients.
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Content ArticleThis consensus study report (published by the National Academies of Sciences, Engineering, and Medicine), builds upon two ground-breaking reports from the past twenty years, 'To Err Is Human: Building a Safer Health System' and 'Crossing the Quality Chasm: A New Health System for the 21st Century', which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences and contributing factors of clinician burnout. It provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
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Content ArticleThis report produced by the American Medical Association details action steps that can be taken by an organisation before, during and after a crisis to reduce psychosocial trauma among healthcare workers.
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