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Found 161 results
  1. Content Article
    Team-targeted rudeness may underlie performance deficiencies, with individuals exposed to rude behaviour being less helpful and cooperative. The objective of this paper, published by The Official Journal of the American Academy of Pediatrics, was to explore the impact of rudeness on the performance of medical teams. In conclusion,  rudeness had adverse consequences on the diagnostic and procedural performance of the neonatal intensive care team members. Information-sharing mediated the adverse effect of rudeness on diagnostic performance, and help-seeking mediated the effect of rudeness on procedural performance.
  2. Content Article
    In this article in The Guardian, a junior doctor tells us how a small act of kindness from her patient kept her going.
  3. Content Article
    Patient safety depends on doctors’ well-being. Medicine is a tough job, but it's made it far harder than it should be by neglecting the simple basics in caring for doctors’ well-being. The well-being of doctors is vital because there is abundant evidence that workplace stress in healthcare organisations affects quality of care for patients as well as doctors’ own health. In 2018 the General Medical Council asked Professor Michael West and Dame Denise Coia to carry out a UK-wide review into the factors which impact on the mental health and well-being of medical students and doctors. The detailed practical proposals in this report provide a road map to health service leaders faced with the challenge of developing healthy and sustainable workforces.
  4. Content Article
    HindSight is a magazine produced by the Safety Improvement Sub-Group (SISG) of EUROCONTROL. It is produced for Air Traffic Controllers and is issued by the Agency twice a year. Its main function is to help operational air traffic controllers to share in the experiences of other controllers who have been involved in ATM-related safety occurrences.  The current Editor in Chief is Dr Steven Shorrock.
  5. Content Article
    John Dobbin is the editor of Thinking Digitally. Here he has written a blog on some of the barriers to psychological safety and why it is being ignored in the work place.
  6. Content Article
    When working at the sharpest end of healthcare it can get stressful, especially when caring for the most sick patients in the hospital. This poster, spotted in a hospital in the UK, encourages staff to take a few seconds out of their busy day, have a few deep breaths and try to relax.
  7. Content Article
    Motivation and how to use it is a complex science, motivating yourself is hard, motivating others is even harder. When trying to make improvements in the NHS we need to think carefully about how we motivate our staff to bring about change and improve patient outcomes. This blog by Adam Burrell,  Improvement Lead for Imperial College Healthcare NHS Trust, discusses staff motivation and incentives. 
  8. Content Article
    More than 30 years have passed since the near-fatal medication error but Michael Villeneuve recalls the moment with absolute clarity. Now the chief executive officer at the Canadian Nurses Association, Villeneuve frequently draws upon that experience in his day-to-day work to promote better care, better health and better nursing across Canada. Watch this short video, produced by the Canadian Patient Safety Institute (CPSI) to hear more about his experience. 
  9. Content Article
    This project is led by the Department of Anaesthesia at Newcastle upon Tyne NHS Foundation Trust, in partnership with Northumbria University Newcastle. The aim is to co-design a fatigue risk management strategy at the Trust to help teams effectively manage night shift fatigue. 
  10. 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.
  11. Content Article
    This guide, published by the Advancing Quality Alliance, has been developed to help managers support their staff and themselves with managing stress.  It also highlights the potential issue of secondary trauma and is an introduction to this subject and part of a phased package that will cover both the crisis and recovery phase in meeting wellbeing needs of the workforce.
  12. Content Article
    This interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insight during the coronavirus pandemic. Here Martin interviews a chief nurse of clinical productivity leading dynamic change within culture and governance. 15 years in the post, the chief nurse is responsible for leading improvement in standards of nursing and service. 
  13. Content Article
    The rapid transmission of COVID-19 has resulted in an international pandemic with the cumulative death rate expected to further escalate in the months to come. The majority of deaths to date (May 2020) have been highly concentrated in certain geographic areas, placing tremendous stress on local healthcare systems and associated workforces. Healthcare is a fundamentally human endeavor; its reliability and the capacity to provide it are tested under stressful conditions and the COVID-19 pandemic is proving to be an especially difficult test for healthcare systems. Consideration of the humanness of care in the broader context of patient safety can raise awareness of how human weaknesses impact individual clinicians and care teams in ways that could degrade patient safety and quality of care and increase risk for both patients with COVID-19 and the staffs that care for them. These weaknesses are exacerbated by fatigue and burnout, absence of team trust, lack of time, medical illness, and poor psychological safety, each of which can result in reduced performance and contribute to failures such as misdiagnoses and adverse events. This article published on AHRQ's PSNet explores these weaknesses.
  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
    Watch as Dr Donna Prosser is joined by a panel of experts to discuss how the COVID-19 pandemic is affecting mental health across the globe and share some tips for effectively managing these challenges.
  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
    Kirkland Medical Center is an outpatient clinic in the Virginia Mason Health System in the USA. Kirkland uses an innovative, system-wide management method to improve patient care and safety by eliminating waste and inefficiencies. This management method is used to streamline repetitive aspects of care delivery, standardise clinical roles and engage in continuous learning activities. This case study highlights key features of Kirkland Medical Center’s management approach that have led to improved rates of employee satisfaction, engagement, and overall well-being. Two pillars play a central role in improving well-being: (1) workflow optimisation and (2) a culture of collegiality, respect, and innovation.
  18. 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.
  19. Content Article
    Anaesthetists are thought to be at increased risk of suicide amongst the medical profession. The aims of the following guidelines written by the Association of Anaesthetists are: increase awareness of suicide and associated vulnerabilities, risk factors and precipitants; to emphasise safe ways to respond to individuals in distress, both for them and for colleagues working alongside them; and to support individuals, departments and organisations in coping with a suicide.
  20. Content Article
    The Association for Anaesthetists have produced some 'top tips' for night shift workers. What tips do you have to keep you feeling well overnight?
  21. Content Article
    This book is an account of the life of a surgeon: what it is like to cut into people's bodies and the life and death decisions that have to be made. 
  22. Content Article
    In her latest blog, Sally Howard, talks about our changing world, why transitions are so difficult and what we can do to look after each other along the way.
  23. Content Article
    In this paper published in JAMA Network Open, Lai et al., looked at what factors are associated with mental health outcomes among healthcare workers in China who are treating patients with coronavirus disease (COVID-19). In this cross-sectional study of 1257 healthcare workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of them reported experiencing symptoms of depression, anxiety, insomnia and distress. These findings suggest that, among Chinese healthcare workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavourable mental health outcomes and may need psychological support or interventions.
  24. Content Article
    This blog was intended to give insights into what it is like working during this crisis on the frontline. I was going to explain what I see day to day, the stress that healthcare workers are under, the situation with personal protective equipment (PPE), the pressure on intensive care unit (ICU) beds and the ward. But unfortunately it's not that simple...
  25. Content Article
    In this BMJ paper, Neil Greenberg and psychiatry colleagues set out measures that healthcare managers need to put in place to protect the mental health of healthcare staff having to make morally challenging decisions. The COVID-19 pandemic is likely to put healthcare professionals across the world in an unprecedented situation, having to make impossible decisions and work under extreme pressures. These decisions may include how to allocate scant resources to equally needy patients, how to balance their own physical and mental healthcare needs with those of patients, how to align their desire and duty to patients with those to family and friends, and how to provide care for all severely unwell patients with constrained or inadequate resources. This may cause some to experience moral injury or mental health problems.
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