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Found 863 results
  1. Content Article
    The fair treatment of staff supports a culture of fairness, openness and learning in the NHS by making staff feel confident to speak up when things go wrong, rather than fearing blame. Supporting staff to be open about mistakes allows valuable lessons to be learnt so the same errors can be prevented from being repeated. In any organisations or teams where a blame culture is still prevalent, this guide will be a powerful tool in promoting cultural change.
  2. Content Article
    A Just Culture guide helps NHS managers ensure staff involved in a patient safety incident are treated fairly, and supports a culture of openness to maximise opportunities to learn from mistakes.
  3. Content Article
    See how incivility affects all of us in the NHS and how that can impact patient safety. Join the staff of Epsom and St Helier University Hospitals NHS Trust on their journey as they reflect on the real-life effects of both incivility and active kindness.  This video was devised, filmed and produced by the Elena Power Simulation Centre.
  4. Content Article
    Professor Brennan gives his ten top tips to improve wellbeing, team working and improved patient safety. Professor Brennan is an Honorary Fellow of the Royal College of Physicians and Surgeons of Glasgow and a Consultant Surgeon at Queen Alexandra Hospital Portsmouth.
  5. Content Article
    This improvement resource set out by the National Quality Board is to help standardise safe, sustainable and productive staffing decisions in maternity services. This is an improvement resource to support staffing in maternity settings. It describes the principles for safe maternity staffing across the multiprofessional team to ensure women and their families receive joined-up care appropriate to their needs and wishes. The purpose of this resource is to help providers of NHS-commissioned services, boards and executive directors to support their head/director of midwifery and other lead professionals in implementing safe staffing for maternity settings. NHS provider boards are accountable for ensuring their organisation has the right culture, leadership and skills for safe, sustainable and productive staffing.
  6. Content Article
    Professor Anne Marie Rafferty, Royal College of Nursing (RCN) President, has been involved in two decades of vital nursing workforce research. She explains in this interview for the RCN how the evidence could help us achieve safe staffing.
  7. Content Article
    Everyone should be treated with dignity and respect at work. Bullying and harassment is unacceptable and constitutes a violation of human and legal rights that can lead to criminal prosecution and civil law claims. Employers have a duty of care to provide a safe and healthy working environment for their staff, and this is an implied term of every contract of employment. Bullying and harassment undermines physical and mental health, frequently resulting in poor work performance. Possible consequences include: insomnia and inability to relax loss of confidence and self-doubt loss of appetite hypervigilance and excessive double-checking of all actions inability to switch off from work.
  8. Content Article
    This poster from Birmingham University Hospitals Trust is aimed at staff leaving to go home after their shift.
  9. Content Article
    An adverse clinical event, patient safety incident or medical error can have a far-reaching impact not only for the patient and their families, the 'first victims', but also the healthcare professionals involved. These are sometimes referred to as ‘second victims’. Often there are few opportunities for second victim healthcare professionals to discuss the details of incidents or events and share how this has affected them personally. The East Midlands Patient Safety Collaborative (EMPSC) funded the University of Leicester as part of their National Safety Culture workstream to develop a Second Victim Support Unit within the Children’s Hospital at University Hospitals Leicester to test whether models of support established in the US could be successfully transferred to UK health settings.
  10. Content Article
    'Second victim' is the term used to refer to healthcare workers who are impacted by patient safety incidents. Whilst patients and families will always be the first priority following safety incidents, the well-being of the staff involved is often overlooked but can leave staff lacking confidence, unable to perform their job, requiring time off or leaving their profession.
  11. Content Article
    There is a growing body of evidence to demonstrate that health professionals feel emotionally distressed after a patient safety incident and there is an emerging recognition of the potential negative impact on both the health professionals’ health and on patient safety.  The Canadian Institute for Patient Safety partnered with the Mental Health Commission of Canada to develop a new toolkit for peer-to-peer support programmes in healthcare.  It includes tools, resources and templates from organisations across the globe who have successfully implemented their own peer support programmes for healthcare providers, and is intended for policy makers and regulators, administrators, managers, healthcare teams and peer supporters. 
  12. Content Article
    Th British Medical Association provide a number of services to help and advise doctors who are experiencing bullying at work but also to those who may have witnessed examples of bullying and wish to raise concerns. This video offers some advice for staff affected.
  13. Content Article
    How can leaders ― with or without formal authority ― create psychological safety in healthcare? In this short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes three key actions to foster a psychologically safe work environment.
  14. Content Article
    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.
  15. 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.
  16. Content Article
    Emergency service workers describe how being on the front line affects their mental health, how they cope with the traumas they see and their advice for colleagues on how to stay mentally fit. Wellbeing staff from the first responder agencies also provide information about the help and support programmes available, including peer support.
  17. Content Article
    In 2016, Merseycare NHS Foundation Trust embarked on a journey towards a just and learning culture. Since then, they have made great progress and achieved significant results. They have produced an excellent interactive online presentation for anyone who wishes to improve the culture of the healthcare organisation in which they work. It describes why they started on the journey, what they did and the kinds of results they have obtained. It is an overview of a substantial programme, and demonstrates that while changing from a retributive 'blame' culture to a restorative 'just' culture may be challenging, it can be done - to the benefit of patients and staff.
  18. Content Article
    This document sets out the General Medical Council's (GMC) expectation that all doctors will, whatever their role, take appropriate action to raise and act on concerns about patient care, dignity and safety. 
  19. Content Article
    The Safer Nursing Care Tool has been developed by the Shelford Group to help NHS hospital staff measure patient acuity and/or dependency to inform evidence-based decision making on staffing and workforce. The tool, when allied to Nurse Sensitive Indicators (NSIs), offers nurses a reliable method against which to deliver evidence-based workforce plans to support existing services or to develop new services. The Shelford Group is an organisation comprising Chief Executives of 10 of the leading NHS multi-specialty academic healthcare organisations in England. The Chief Nurses of each of these NHS Trusts belong to a subgroup of the organisation and they meet every two months to share best-practice, benchmark and work towards improving standards in nursing.
  20. 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.
  21. Content Article
    Chapter 28 of this book covers The Impact of Facility Design on Patient Safety.
  22. Content Article
    Patient Safety Learning speaks to Ben Tipney, Managing Director of MedLed and the hub topic lead in Human Factors, about how healthcare can achieve high performance and learn from other industries, including from the sports industry. 
  23. Content Article
    The 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.
  24. Content Article
    The government's response to the ‘Promoting professionalism, reforming regulation’ consultation. The consultation set out proposals to make professional regulation faster, simpler and more responsive to the needs of patients, professionals, the public and employers.
  25. Content Article
    Report from NHS Resolution highlighting the need for the NHS to involve users of care services and staff in safety investigations. It draws on NHS Resolution’s unique dataset to explore best practice in response to incidents resulting from claims from across the system.
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