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Found 143 results
  1. Content Article
    Hamblin-Brown and Ingram, in the Journal of Patient Safety and Risk Management, discuss how Aspen Healthcare have reduced patient harm by engaging staff in ‘STEP-up’: a programme to improve the culture of patient safety. 
  2. Content Article
    This document provides guidance for nurses, midwives and nursing associates on raising concerns (which includes ‘whistleblowing’). It explains the processes you should follow when raising a concern, provides information about the legislation in this area, and tells you where you can get confidential support and advice.
  3. Content Article
    Professor Alison Leary, Chair of Healthcare & Workforce Modelling, London South Bank University, delivers the James Reason lecture at the 2018 HSJ Patient Safety Congress on work force and safety and discusses the complexity of demand.
  4. Content Article
    This research project from Oikonomou et al. sought to map out the regulatory landscape for patient safety in the English NHS. Results were published in BMJ Open.
  5. Content Article
    Blog from Mark Hellaby, an Operating Department Practitioner (ODP) and currently leading a regional simulation team for Health Education England, on the effect interruptions can have. Distractions in healthcare are common. Interruptions when clinicians are completing complex tasks are familiar. This is a time when mistakes can be made. Mark led a session around distraction and cognition which allowed him over the day to start to draw together the discussions into some type of working model on how to reduce distractions.
  6. Content Article
    This is the Internet First policy, standards and guidelines defined by NHS Digital. The document will help health and social care organisations make their digital services accessible over the internet. It describes how to make them secure, scalable and, where possible, consistent.
  7. Content Article
    The clinical safety team at NHS Digital provide clinical safety assurance service across the whole of NHS Digital's work and to the wider health and social care service in England. They ensure that the health IT used by care professionals is safe and that organisations have met mandatory clinical safety standards.
  8. Content Article
    This is the annual safety and quality assurance report from Rotherham Clinical Commissioning Group.
  9. Content Article
    This is an example template from NHS England for anyone, in any healthcare sector, to use if writing a business case.
  10. Content Article
    Suzette Woodward has been studying safety since the 1990s. In her commentary published in the Journal of Patient Safety and Risk Management, she describes three concepts: complex adaptive systems, three models of safety, and safety I and safety II.
  11. Content Article
    Speaking at The Kings Fund breakfast event on 23 February 2016, Don Berwick gives his views on The King's Fund's report, Improving quality in the NHS, and discusses what the NHS can learn from other countries.
  12. Content Article
    In this article published in Harvard Business Review, Frost and Robinson discuss toxic handlers – managers who voluntarily shoulder the sadness, frustration, bitterness and anger of others so that high-quality work continues to get done. Managing the pain of others is hard work. Toxic handlers save organisations from self-destructing, but they often pay a high price – emotionally, professionally and sometimes physically. Some toxic handlers experience burnout; others suffer far worse consequences, such as ulcers and heart attacks. This article discusses burn out within healthcare and other industries, how it can happen and offers solutions. Free full text on sign up and registration.
  13. Content Article
    Healthcare information technology procurement is critical for healthcare organisations, as procurement decisions on medical devices and IT infrastructure will impact safety, efficiency, staff and patient experiences. In this webinar, Svetlena Taneva, from Healthcare Human Factors, University Health Network, discusses using Human Factors in hospital technology.
  14. Content Article
    Herbert W. Heinrich was a pioneering occupational safety researcher, whose 1931 publication, Industrial Accident Prevention: A Scientific Approach [Heinrich 1931] was based on the analysis of accident data collected by his employer, a large insurance company.
  15. Content Article
    Dan Jenkins, Head of Research Human Factors and Usability at DCA Design International, presents at the Clinical Human Factors Group Conference about using Human Factors to design better medical devices.
  16. Content Article
    NHS Improvement have published a number of case studies on appropriate use of clinical risk assessment tools, developing new evidence-based alerting systems and developing personalised risk management plans for people who use services, to manage risks positively.
  17. Content Article
    NHS England helps illustrate the benefits of business continuity planning and how the planning is implemented during a response. Case studies have been put together from various incident debrief reports from organisations to provide examples of approaches to incident reports and also allow identification of learning across organisations
  18. Content Article
    This report from The King's Fund presents an analysis of data from a 2017 NHS providers survey of leadership vacancies in NHS trusts and foundation trusts, and the results of qualitative interviews and a roundtable The King’s Fund conducted with frontline leaders and national stakeholders. The report focuses on executive directors within the NHS trust and foundation trust sector.
  19. Content Article
    This National Patient Safety Agency (NPSA) guide provides a detailed illustration of how principles of safe design can be applied to widely used medical technologies. It focuses on the design of electronic infusion devices, such as infusion pumps and syringe drivers. There a wide variety of infusion device designs in use in healthcare. This document provides practical guidance and examples of best practice in the design of infusion devices, as well as a guide for those involved in the purchase and procurement of these devices.
  20. Content Article
    The 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.
  21. Content Article
    Was a lack of situational awareness a contributing factor in the outcome of this 'routine operation'? In this human factors video, Martin Bromiley, a pilot, explains what happened that day and what measures need to be in place to prevent other similar incidents.
  22. Content Article
    The Just Culture Guide from NHS Improvement supports a conversation between managers about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely. It asks a series of questions that help clarify whether there truly is something specific about an individual that needs support or management versus whether the issue is wider, in which case singling out the individual is often unfair and counter-productive. It helps reduce the role of unconscious bias when making decisions and will help ensure all individuals are consistently treated equally and fairly no matter what their staff group, profession or background.
  23. Content Article
    Of the more than 130 million births occurring each year, an estimated 303 000 result in the mother’s death, 2.6 million in stillbirth, and another 2.7 million in a newborn death within the first 28 days of birth. The majority of these deaths occur in low-resource settings and most could be prevented. The World Health Organization (WHO) has produced a safe birth checklist.
  24. Content Article
    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.
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