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Found 863 results
  1. Content Article
    This decision tree, used at the Brighton and Sussex University Hospitals NHS Trust, was developed as a ‘quick reference’ aid for nurses setting up non-invasive ventilation (NIV). It highlights key settings and signposts users to the full trust policy for more detailed explanation. It is adapted from the British Thoracic Society guidelines for acute NIV. 
  2. Content Article
    This paper from Kneebone et al, published in BMC's Advances in Simulations proposes simulation-based enactment of care as an innovative and fruitful means of engaging patients and clinicians to create collaborative solutions to healthcare issues.
  3. Content Article
    Developing the right people with the right skills and the right values is recognised as a key priority to enable the sustainable delivery of health services, as leadership is one of the most influential factors in shaping an organisational culture. Ensuring the necessary leadership behaviours, strategies and qualities are developed is fundamental. The aim of this document, developed by NHS England and Health Education England, is to give both Integrated Urgent Care (IUC)/NHS 111 service employers and employees some guidance about this key topic.
  4. Content Article
    The Director of Medical Education (DME) at Oxford University NHS Foundation Trust developed a range of forums for junior doctor engagement with the trust, via representative groups, which meet, individually, with senior executives 10-12 times a year. These forums include a foundation year group, core medical trainee group, medical registrar group and more recently a surgical and anaesthetic group. Each group is chaired by a junior doctor, who sets the agenda and is responsible for organising the meetings. This structure emphasises that the forum’s agenda is focused on the needs and concerns of trainees, and encourages attendance and discussion.
  5. Content Article
    Dr George Findlay, Medical Director at Western Sussex Hospital NHS Foundation Trust, talks on the theme of 'Becoming well-led' and how leadership can deliver quality improvement through engaging and empowering staff.
  6. 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.
  7. Content Article
    This study from Petschonek et al. published in the Journal of Patient Safety sought to develop a survey that would measure individual perceptions of Just Culture in a hospital setting. The research team created a 27-item survey, which displayed adequate theoretical structure and internal reliability.
  8. Content Article
    A template used by St Joseph Health, in the USA, to guide you through a just culture scenario.
  9. Content Article
    Restorative Just Culture aims to repair trust and relationships damaged after an incident. It allows all parties to discuss how they have been affected, and collaboratively decide what should be done to repair the harm.
  10. Content Article
    Simon Fleming discusses in BMJ Opinion why he launched an anti-bullying campaign. Simon is a trainee orthopaedic surgeon and PhD Candidate at Barts and the London School of Medicine and Dentistry.
  11. 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.
  12. Content Article
    University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) is setting out its priorities for the remainder of the coronavirus (COVID-19) pandemic and into the future. The pandemic has meant that certain plans have had to be put temporarily on hold but the Trust says there are important areas that can and will be developed over the next few months and into 2021. Quality and safety of care remain the main priorities so the Trust is now focusing on four key areas to ensure that services recover and improve as the country emerges from the pandemic. 
  13. Content Article
    In her latest blog for the hub, topic lead Eve Mitchell discusses what we need to do as we plan for recovery post-covid. Despite an apparent increase in interest in joining the nursing profession since the start of the pandemic, the reported 40,000 gap in nursing numbers is not going to be closed overnight and we therefore need to plan for different, re-think roles and responsibilities, and capture and capitalise on the innovations that have flourished in some areas. As we begin to reorient, revise our goals and focus on moving beyond rather than on just ‘getting by’, it is important that we look at all settings of care so we can learn from excellence, build on the best and support a faster response in the future if required.
  14. Content Article
    Clinician well-being is known to play a role in error prevention. This perspective from Dzau et al., published in the New England Journal of Medicine, presents a five-part strategy comprised of organisational and national elements to ensure clinicians are situated to provide safe high-quality care during crisis, such as the coronavirus pandemic, and throughout the course of their careers.
  15. Content Article
    Here is a template for an entrance interview, produced by Learning from excellence. It has been designed using Appreciative Inquiry (AI) principles. It is envisaged to be used at the start of a new job or rotational placement to guide formation of personal development plans. However it could be adapted for permanent staff at times of appraisal.
  16. Content Article
    A suite of resources designed to promote well-being among US residents, fellows, faculty members, and others has been created by the Accreditation Council for Graduate Medical Education. This initial set of AWARE resources focuses on individual strategies for cognitive skill building, and includes a video workshop, podcasts, and the ACGME AWARE app.
  17. Content Article
    This article from Kemper et al., published in Pediatrics, looks at the national epidemiology of burnout in pediatric residents in the USA. The authors found that the majority of the residents surveyed met burnout criteria. Several identified factors (e.g., stress, sleepiness, medical errors, empathy, CCC, and self-compassion) suggest targets for interventions to reduce burnout in future studies.
  18. Content Article
    Following the traumatic death of an anaesthetic trainee who was returning home after a night shift, the Fatigue Group supported by the Association of Anaesthetists and RCoA have surveyed UK trainees about shift working and fatigue. With a 60% response rate, the survey highlights a wide variation in access to rest facilities, commuting distances and concerning effects of fatigue on trainees.
  19. Content Article
    In this blog, Martin Hogan shares his experience of working as an agency nurse and how different behaviours can impact on the safety of both staff and patients.  
  20. Content Article
    hub Topic Lead, Eve Mitchell, describes how her passion to change care quality and to put workforce at the centre of every health and social care organisation’s planning processes led her on a journey to create the innovative tech start-up, ‘Establishment Genie’: an online workforce planning, safe staffing and benchmarking tool. 
  21. Content Article
    A significant number of staff involved in delivering around the clock care in healthcare environments are shift workers.  While patients are outside of the scope of this document, they are reliant on a workforce dedicated to providing out-of-hours care. Shift work has many benefits for the employee. It allows employees to condense their working time to improve work-life balance and to manage carer responsibilities for instance. However, poorly designed shift patterns, aligned with poor sleep patterns and environmental factors can have a detrimental impact on employee health and patient outcomes. Poorly managed shift patterns can, for example, increase sickness absence rates, presenteeism, increased at work errors and patient safety incidents, and associated costs. Therefore, it is important to ensure that safeguards are put in place to support safe working practice around shift working.
  22. Content Article
    The purpose of these three films is to share insights about inquests and support all staff working in the NHS who are called to give evidence, so that they can prepare well following the death of a patient in their care.  They are intended to be used as a stand-alone product by those called to be a witness as well as integrated as a part of full inquest training package.
  23. Content Article
    In this half hour lecture, Suzanne Gordon, journalist and author, describes her vision for nurses to find their voice and articulate this value. So that the public understands what nurses do and what a critical role they play in the healthcare system.
  24. Content Article
    Helping patients and their families cope during a terminal illness is fundamental to good health care and that depends on professionals and the people in their care having access to the right information at the right time to support them. The Professional Record Standards Body (PRSB) has published the crisis care standard to support better coordination of treatment in primary,acute and community care, as well as hospices, care homes, and social services. The standard will also help patients to avoid unnecessary admissions and procedures.
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