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Showing results for tags 'Safety process'.
Found 208 results
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Content ArticleA great initiative by East Sussex Healthcare NHS Trust to reinforce the importance of basic checks to keep patients from harm when administering medicines.
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Content ArticleThe All Party Parliamentary Group (APPG) for Whistleblowing was launched in July 2018 to look at the case for an Independent Office for the Whistleblower. The APPG have set an ambitious workplan aiming to take back the UK’s lead on this legislation, proposing to deliver world class, gold standard draft legislation – a global solution to a global problem. The objectives of the APPG for Whistleblowing are: Influencing policies and decisions that affect whistleblowers globally. Drafting legislation to ensure effective protection for whistleblowers. Commissioning and publishing research, based on our work with whistleblowers and relevant groups and stakeholders across all sectors. Engaging our supporters in campaigns to influence decisions affecting whistleblowers. Giving whistleblowers safe platforms to speak out on issues affecting them. Promoting positive social attitudes towards whistleblowing. Encouraging MPs to promote positive recognition for whistleblowers. Supporting and upskilling MPs and their staff to identify and manage constituent whistleblower cases.
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Content ArticleFor the past two years, Scalpel Ltd have been building technologies that improve patient safety in surgery. We have found a lack of understanding of why we need to invest in patient safety. In this blog I discuss surgical errors and the urgent need to invest in patient safety.
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Freedom to Speak Up Guardian job description (March 2018)
Claire Cox posted an article in Speak Up Guardians
This is the Freedom to Speak Up Guardian job description. Use it for reference or for a template to advertise for a Freedom to Speak Up Guardian in you trust/sector. -
Content ArticleCollecting feedback on the care provided to bereaved families and carers following the death of a child or young person is of critical importance to improving bereavement care. Whilst some local healthcare systems have well-established mechanisms and questionnaires for collecting such feedback, many have indicated that they do not and would value guidance in this area.
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Whistleblowing disclosures joint report 2019
Patient Safety Learning posted an article in Whistle blowing
On April 1 2017, a new legal duty came into force which required all prescribed bodies to publish an annual report on the whistleblowing disclosures made to them by workers. The Nursing and Midwifery Council has published a a joint whistleblowing disclosures report with other healthcare regulators. The aim in this report is to be transparent about how we handle disclosures, highlight the action taken about these issues, and to improve collaboration across the health sector. As each regulator has different statutory responsibilities and operating models, a list of actions has been devised that can accurately describe the handling of disclosures in each organisation. -
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NHS Improvement: Elective care pathway analyser (updated 10 April 2019)
Claire Cox posted an article in Processes
NHS Improvement has devised an elective care pathway analyser tool which will support critical review of any clinical pathway (including administrative and process steps) across all types of elective pathway, including referral to treatment (RTT), diagnostics and cancer, and help identify high impact interventions. -
Content ArticleIn this commentary, I reflect on how we may all suffer from some degree of professional complacency. Healthcare professionals do not get up in the morning intending to harm anyone, but normal human liabilities can impair our performance. We may often fail to recognise environmental and situational risks, and, more importantly, to admit to our own personal liabilities and, thus, the risks we bring into the healthcare environment.
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Impact of the new medical examiner role on patient safety
Claire Cox posted an article in Organisational
In an analysis published in the BMJ, Alan Fletcher and colleagues outline how the new medical examiner system could create a world leading mortality review system if implemented appropriately. -
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10,000 feet - Patient Safety in the operating theatre
Claire Cox posted an article in Process improvement
This video by theatre staff from East Lancashire Hospitals NHS Trust explains how the 10,000 feet initiative promotes patient safety within the operating theatre. -
Content ArticleNever Events are patient safety incidents that are considered preventable when national guidance or safety recommendations that provide strong systemic protective barriers are implemented by healthcare providers.
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Content ArticleNational bodies can provide systems and policies for the NHS, but safety is improved at the point of care. Lauren Mosley, Head of Patient Safety Implementation, and Donna Forsyth, Head of Investigation, describe the new Patient Safety Incident Response Framework (PSIRF).
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Promote a culture of safety with good catch reports
Claire Cox posted an article in In health care
Near misses or good catches present organisations with learning opportunities. Using data comparisons run by the Pennsylvania Patient Safety Authority, this article by Wallace et al. highlights how good catch programmes can contribute to significant reductions in harmful events and offers insights from risk managers and patient safety officers regarding elements that are necessary to establish successful good catch initiatives and the culture to support them. -
Content ArticleThis is the first of a series of blogs on improvement of systems by Dr Rhidian Bramley. This introductory post looks at the drivers and some of the core concepts around designing clinical workflow in an electronic healthcare record (EHR) system. Dr Rhidian Bramley is a consultant radiologist and associate medical director at the Christie NHS Foundation Trust.
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Complicated and complex systems in safety management
Claire Cox posted an article in Organisational
This blog by Adam Johns, Safety and Risk Manager for Cathay Pacific Airways, discusses the differences between complicated and complex systems and how this impacts on the way we manage safety and risk. -
Content ArticleFollowing the investigation into the Mid Staffordshire Hospital (United Kingdom) and the subsequent Francis reports (2013 and 2015), all healthcare staff, including students, are called upon to raise concerns if they are concerned about patient safety. Despite this advice, it is evident that some individuals are reluctant to do so and the reasons for this are not always well understood. This research study from Fisher and Kiernan, published in Nurse Education Today, provides an insight into the factors that influence student nurses to speak up or remain silent when witnessing sub-optimal care.
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Content ArticleProfessor 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.
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Content ArticleThe Clinical Human Factors Group (CHFG) had a fantastic one-day conference looking at how design and procurement in medical devices and systems can proactively improve patient safety. Here are the presentations, slides and interviews.
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Content ArticleChapter 28 of this book covers The Impact of Facility Design on Patient Safety.
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The Heinrich/Bird safety pyramid
Claire Cox posted an article in In health care
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. -
Content ArticleThe National Guardian’s Office (NGO) conducted a review of the handling of speaking up at Derbyshire Community Health Services Foundation Trust after receiving information that the trust might not have responded to one of its workers speaking up in accordance with good practice. The review sought to identify learning on how support for speaking up could be improved, as well as to highlight existing good practice.
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Patient safety and quality - NHS Leeds Clinical Commissioning Group
Claire Cox posted an article in CCGs
This web page describes how NHS Leeds monitors safety and quality. -
Content ArticlePresentation slides from Salford University's Patient Safety Conference.
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Content ArticleThis report from NHS England on the National Maternity Review sets out a vision for the planning, design and safe delivery of maternity services; how women, babies and families will be able to get the type of care they want; and how staff will be supported to deliver such care.
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Content ArticleThe Royal College of Nursing (RCN) offers advice and templates on how to write a statement if your employer asks for one.
