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Found 170 results
  1. Content Article
    This 5 minute video, from MedStar Health, focuses on the human cost to our healthcare workforce when we fail to cultivate a just culture and systems approach overall, but especially when managing unfortunate harm events. This story has inspired conversation and can be used widely as a teaching tool. When patient harm occurs, caregivers involved are often devastated along with the patient and family, yet many have had to navigate this storm alone. A systems approach in our healthcare workplace, along with the just culture, cultivates the sharing of knowledge and helps prevent patient harm
  2. Content Article
    About the authors Robert W. Proctor is a distinguished professor of Psychological Sciences at Purdue University. He is a fellow of the American Psychological Association, Association for Psychological Science, and the Human Factors and Ergonomics Society, and recipient of the Franklin V. Taylor Award for Outstanding Contributions in the Field of Applied Experimental/Engineering Psychology from Division 21 of the American Psychological Association in 2013. He is co-author of Stimulus-Response Compatibility: Data, Theory and Application, Skill Acquisition & Training, and co-editor of Ha
  3. Content Article
    In this five minute video, the authors chose to focus on the main theme – the human cost to healthcare workforce when there is a failure to cultivate a just culture and systems approach overall, but especially when managing unfortunate harm events.
  4. Content Article
    Attached is a presentation (December 2019) by Andrew Pepper-Parsons, Head of Policy at Protect. The presentation outlines Protect's Better Regulators Campaign. The objectives of the campaign are to: start to create a more consistent approach in how whistleblowers are interacted with set and shape the standards expected from internal whistleblowing processes start a dialogue between the regulators themselves and with Protect.
  5. Content Article
    The Authors, conclude that whilst healthcare has much to learn from aviation in certain key domains, the transfer of lessons from aviation to healthcare needs to be nuanced, with the specific characteristics and needs of healthcare borne in mind. On the basis of this review, it is recommended that healthcare should emulate aviation in its resourcing of staff who specialise in human factors and related psychological aspects of patient safety and staff well-being. Professional and post-qualification staff training could specifically include Cognitive Bias Avoidance Training, as this appears to p
  6. Content Article
    Four key themes were identified in the study: context of exposure fear of punitive action team culture hierarchy. On the one hand, students recognised there was a professional obligation bestowed upon them to raise concerns if they witnessed sub-optimal practice; however, their willingness to do so was influenced by intrinsic and extrinsic factors. Students have to navigate their moral compass, taking cognisance of their own social identity and the identity of the organisations in which they are placed.
  7. Content Article
    Presentations include: Martin Bromiley talking a little about his story and the impact of design, followed by discussion with Francois Jaulin and Frederic Martin from the Anaesthesia Network. Dr Tom Clutton-Brock, Clinical Director of Trauma Management, discussing regulations in design safety and usability. Tracey Herlihey, Head of Safety Intelligence, HSIB, looks at the consequences of bad design. Colette Longstaffe, Product Assurance Specialist, Clinical and Product Assurance, NHS Supply Chain, looks at what the NHS is doing differently in procurement. Panel dis
  8. Content Article
    What can I learn? This web page gives you information on: the friends and family test patient insight group an animation on how the quality framework works.
  9. Content Article
    Key actions/recommendations Personalised care centred on the woman, her baby and her family based around their needs and their decisions where they have genuine choice informed by unbiased information. Continuity of carer, to ensure safe care based on a relationship of mutual trust and respect in line with the woman’s decisions. Safer care, with professionals working together across boundaries to ensure rapid referral, and access to the right care in the right place; leadership for a safety culture within and across organisations; and investigation, honesty and learning when
  10. Content Article
    Previous methods of incident analysis were simply adopted and disseminated with little research into the concepts, methods, reliability and outcomes of such analyses. There is a need for significant research and investment in the development of new methods. These changes are profound and will require major adjustments in both practical and cultural terms and research to explore and evaluate the most effective approaches.
  11. Content Article
    'Gathering feedback from families and carers when a child or young person dies' is a resource designed to help support professionals in their work with bereaved families and carers. It sets out the key principles of ideal bereavement care, provides guidance as to how and when feedback may be collected and by whom. Importantly, it includes the Childhood Bereavement Experience Measure, a suite of questions to inform local questionnaires. Commissioned by NHS England (London Region) and supported by Sands, the Stillbirth and Neonatal Death Charity, this resource has been informed by the experience
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